Relational diagnosis: An essay review

A review ofHandbook of relational diagnosis and dysfunctional family patterns. Florence W. Kaslow, Ed. 566 pages. $55. Cloth. ISBN # 0471-08078-0. New York: John Wiley & Sons, 1996.     

Brief therapy in the Israeli kibbutz

Analysis of results of therapy in an unselected sample of 211 kibbutz patients seen over a three year period by the author in his capacity as kibbutz member and psychiatrist indicated that over 70% of the identified patients responded very satisfactorily to brief therapy. About one-third of the clients did not need more than a single comprehensive therapy session to achieve continuous improvement. In a minority of the cases more than 10 sessions were required. The results were significantly better in cases treated by brief therapy than in the sample treated by long-term therapy, where the pre-treatment severity was determined to be greater. The paper describes the unique aspects of brief therapy in the kibbutz setting, giving an outline of the author's model of intervention, using all components of the individual, family, and community ecosystem.     

Divorce in the Kibbutz: Determinants of emotional adjustment

About two-thirds of a representative sample of kibbutz divorced subjects reached a satisfactory emotional and functioning level of adjustment with a high degree of cooperation between the exspouses by the second postseparation year. This outcome appears to be positively influenced both by a process of habituation and desensitization determined by the continuous physical proximity of the former spouses and by the neutralization of parenting and economic issues as subjects for dispute and litigation.     

Structural couplings between individual development and the epigenesis of family relations in schizophrenia: An eight-year follow-up

The aim of this research was to study individual development along with the epigenesis of family relations in an eight-year follow-up of schizophrenia. The five epigenetic phases described by Wynne are attachment/caregiving, communicating, joint problemsolving, mutuality, and intimacy. Results showed that the critical level of epigenesis was the communicating level; its resolution was statistically significantly connected to good prognosis concerning individual parameters. The mother-child dyad was usually epigenetically the most developed dyad in the family. We think this study gives a new paradigm for understanding connecting interconnections between individual and family dynamics in schizophrenia and valuable information for planning the integrated and need-specific treatment of schizophrenia and evaluating the course and prognosis of schizophrenia.This study was carried out at the Clinic of Psychiatry of the University of Turku, Finland, and financially supported by the Academy of Finland. The head of the project was Professor Yrjö O. Alanen. We have also been in cooperation with and received valuable constructive criticism from Professor Lyman C. Wynne, whose theoretical model we applied in this study. Ms. Birgitta Nolvi's secretarial work was greatly appreciated.     

Parental blaming and acquisition of guilt: A developmental task of childhood

Incidents involving the authors' twin 10-year-old daughters illustrate that guilt is well established in normal children of 10. The incidents suggest how the expectation of parental blaming triggers guilt and shame. Guilt and shame are compared. While they may coexist in the 10-year-old, guilt clearly is assuming a dominant position. Mental health professionals have emphasized the psychopathology of guilt and many forget that it is essential for normal socialization in that the guilty person feels a need to repair damage allegedly done. Guilt presumes that at least a primitive mutuality has been established in the person; and mutuality is the hallmark of human maturity. Terms are defined here with some variation from their usage by mental health experts: shame, guilt, blame, and counterblame.     

Teaching symbolic-experiential family therapy: The personhood of the teacher

This article explores issues in teaching symbolic-experiential family therapy to psychiatric residents. Six controversial contextual issues that arise in teaching any school of family therapy in this setting are presented. Then, the author distinguishes between content and process dimensions in teaching symbolic-experiential family therapy. This distinction helps to clarify the muddle often attendant to attempts to teach this particular area. A major point, to paraphrase Whitaker's famous dictum, is that Teaching symbolic experiential family therapy resides in the personhood of the teacher.     

On teaching psychotherapy via consultation and cotherapy

In this article Dr. Whitaker presents his basic assumptions about teaching psychotherapy. He discusses his expectations of himself and his trainees in the teaching relationship and how he attempts to empower the trainee in his/her professional growth. Following this, Dr. Garfield joins Dr. Whitaker in a dialogue about consultation and cotherapy.     

Is valentine still doubtful? A workshop model for children of divorce

We present this eight-session structured workshop format aimed at school-aged children of divorce who are considered psychologically healthy by family and teachers, in which we review the situations most frequently encountered by these families.In the workshop we offer an understanding vision of divorce while providing the children with the experience of working with therapists who are able to deal with highly troublesome issues in a caring atmosphere.Acknowledgements are expressed to Bernardita Cruz, school counselor, and Ilana Meler and Patricia Tahl, child psychologists.     

Working with families on an inpatient psychiatric unit for children: Hospital staff members are family therapists,too

Inpatient psychiatric units for children can be potent agents for family change. The activities of nursing, education, and activity therapy staff are an important addition to a program of formal family therapy in psychiatric hospitals. These modalities must be organized into a family framework so that insights and achievements from one arena may be generalized to another.