Parenting adult children – invisible ties that bind?

This paper presents the authors' ideas about parenting adult children, describes some of the results of a larger qualitative research study and explores possible implications for practice. The study is based on in‐depth analyses of narratives from interviews of a non‐clinical population of parents of adult children. It represents part of an ongoing study to develop an understanding of an under‐researched area of family life.     

Watch,wait, and wonder: Testing the effectiveness of a new approach to mother–infant psychotherapy

This research compared two forms of psychodynamic psychotherapeutic interventions for 67 clinically referred infants and their mothers. One was an infant‐led psychotherapy delivered through a program called Watch, Wait, and Wonder (WWW). The other was a mother–infant psychotherapy (PPT). Infants ranged in age from 10 to 30 months at the outset of treatment, which took place in weekly sessions over approximately 5 months. A broad range of measures of attachment, qualities of the mother–infant relationship, maternal perception of parenting stress, parenting competence and satisfaction, depression, and infant cognition and emotion regulation were used. The WWW group showed a greater shift toward a more organized or secure attachment relationship and a greater improvement in cognitive development and emotion regulation than infants in the PPT group. Moreover, mothers in the WWW group reported a larger increase in parenting satisfaction and competence and decrease in depression compared to mothers receiving PPT. Both WWW and PPT were successful in reducing infant ‐presenting problems, decreasing parenting stress, and reducing maternal intrusiveness and mother–infant conflict. Some potential reasons for the differential treatment effects and the theoretical, clinical, and methodological implications from the findings are discussed. ©1999 Michigan Association for Infant Mental Health.     

The effects of reinforcer choice on rates of challenging behavior and free operant responding in individuals with severe disabilities

A multielement design was used to evaluate the effects of three reinforcement conditions on the free-operant and challenging responses of two individuals with severe disabilities. Preference assessments identified three stimuli that could function as reinforcers for each participant. Reinforcers were delivered on a variable ratio schedule for a free-operant response. In the participant-selected condition, each reinforcer delivery consisted of placing an array of three different stimuli in front of the participant, who was allowed to select one. In the constant condition, each reinforcer delivery consisted of placing an array of three identical stimuli in front of the participant. Within each session the three stimuli were held constant, but varied across sessions. In the experimenter-selected condition, each reinforcer delivery consisted of an array of three identical stimuli being placed in front of the participant. Within each session, the three stimuli were presented in an order predetermined by the experimenter such that, on average, each stimulus was available every third reinforcer delivery. For both individuals, the participant-selected condition resulted in lower average rates of challenging responses and slightly higher average free-operant response rates. No differences in responding were noted between the constant condition and the experimenter-selected condition. © 1998 John Wiley & Sons, Ltd.     

Experiences of Christian clients in secular psychotherapy: a mixed-methods investigation

Eleven Christian former clients were sampled to uncover factors contributing to positive versus negative experiences in secular psychotherapy. The qualitative results indicated that although many participants felt hesitant to discuss their faith due to uncertainty about their therapists' reactions, positive experiences were reportedly facilitated by therapists' openness to understanding clients' faith and giving clients control over how much, when, and how to discuss their religious beliefs and practices. Dissatisfied clients reported that their therapists expressed opposing religious views or avoided discussing religious or spiritual issues. Participants' self-reports of the working alliance and of their therapists' expertness, attractiveness, and trustworthiness were largely consistent with the narrative data, but the alliance scores were somewhat more sensitive to participants' positive versus negative evaluations of their therapy experience. That is, several participants rated their therapists' personal characteristics quite favorably but indicated poor agreement with their therapists on the goals or tasks of treatment.     

How do therapists ally with adolescents in family therapy? An examination of relational control communication in early sessions

Sequential analyses examined associations between the working alliance and therapist-adolescent communication patterns in 10 Spanish cases of brief conjoint family therapy. Early sessions with strong versus problematic alliances, rated by observers, were selected for coding of relational control communication patterns. No differences were found in the frequency of exchanges, but competitive responding by the therapists (reflecting an interpersonal struggle for control) was significantly more likely in problematic alliance sessions than in strong alliance sessions. Cases in which the adolescent's alliance with the therapist remained positive from Session 1 as compared with Session 3 showed a decrease in the likelihood of competitive symmetry. Notably, when the quality of the alliance deteriorated over time, the therapists were increasingly more likely to respond to the adolescents' domineering messages in a competitive manner. Results underscore the need to avoid competitive responding in order to ally with adolescents in conjoint family treatment.     

Harming, not aiding, and positive rights

Kamm considers the implications if the following two theses should prove true: killing and letting die are morally equivalent per se (Thesis E), as are harming and not aiding in cases where less than life is at stake (Thesis GE). She argues that each thesis has two versions, with one having broader implications than the other for deriving new rights or duties. These rights and duties are limited, however, by the need to apply the theses uniformly to cases that are equivalent in all respects. Kamm supports her arguments by exploring the notion of moral equivalence, discussing the methodology of testing for it, and broaching the subject of whether Theses E and GE are, in fact, true.     

Semantic mechanisms in paralexia

This study explores the effects of semantic constraints on the occurrence of paralexic responses in two patients who tend to produce semantic errors in reading aloud. In the first experiment, semantic constraints were provided by using words as proper names (e.g., “brown” vs. “Sam Brown”), and in the second by using short, highly familiar phrases to restrict the meaning of the target word (e.g., the polar bear; green with envy). These constraints were found to be effective in reducing the frequency of paralexic errors.