Embracing the other: Revisiting the epistemological foundations of family systems therapy

Family systems therapy originated in the 1960s, 1970s, and 1980s through the work of innovative thinkers and clinicians. However, despite the creative contributions of the mentioned colleagues and of later innovations in family therapy theory and practice, it seems as though the dominant culture of establishment psychiatry in the United States (and in most Western countries) to this day has not seriously incorporated relationships, social context, or community connectedness into the treatment of individuals with psychiatric diagnoses. For the “psychiatric” patients diagnosed according to the DSM-5, the dominant underlying epistemological perspective is the medical “scientific” paradigm. Within this approach there is a dearth of reflections about the truthfulness of so-called “empirical facts” and a lack of skepticism about the techniques of “measurement” of the psychiatric illness. The alternative, relationship-oriented, context-sensitive, and community-connected thinking paradigm is highlighted here in contrast to the “psychiatric” foundation. This paradigm consists of (a) the awareness that all human Subjects (including “psychiatric” clients) are constituted as such by their relational connection to others; (b) the awareness of our sensitivity to and embeddedness in a socio-economic, cultural, and racial context; and (c) the awareness of our involvement in and connectedness with many kinds of communities.     

The Janus face of power in intergroup contexts: a further exploration of the noblesse oblige effect

The authors examined the impact of power on in-group bias by manipulating group members' power over the in-group and power over the out-group as orthogonal factors. Each factor had 3 levels: 0%, 50%, and 100%. Participants were 216 male pupils (12-13 years old). Participants showed no in-group bias when they had 0% control over the in-group, strong in-group bias with 50% control, but less in-group bias with 100% control. Participants showed more in-group bias when they had 0% control over the out-group than when they had 50% or 100% control. The combination of these 2 main effects resulted in the noblesse oblige effect: Group members with complete control over both in-group and out-group expressed less in-group bias than did group members who shared control with an out-group.     

German version of the Kuwait University Anxiety Scale: psychometric parameters

A German translation of the Kuwait University Anxiety Scale, written originally in Arabic, was prepared. A sample of 207 men and women German college students was recruited. Coefficient alpha was .88, whereas the item-remainder correlations ranged from .21 to .63, denoting good internal consistency. The correlation of the scale with the German form of the Trait Anxiety Scale was .76, indicating high criterion-related validity. Three factors were identified: General, Somatic, and Cognitive/Affective Anxiety. German students scored lower (less anxious) than students from the U.S. and 18 Arab countries. The sex difference was not significant for the German sample.     

Accessibility experiences and the hindsight bias: I knew it all along versus it could never have happened

In two experiments, we tested accessibility experiences versus accessible content in influencing the hindsight bias when participants generated either thoughts about alternative outcomes or thoughts about known outcomes. Participants who had listed many thoughts (Experiment 1) and those who had contracted their brow muscles (Experiment 2) when considering alternate outcomes rated the known outcome as more likely than did than those who had listed two thoughts or who had not contracted their brows--a "backfire" effect. In contrast, but no less ironically, participants who had listed many thoughts and those who contracted their brows when considering known outcomes rated those outcomes as less likely--an "it could never have happened" effect. Both effects are due to subjective accessibility experiences, and their role in influencing and debiasing the hindsight bias is discussed.     

“How Many Partners Is Too Many?” Shaping Perceptions of Personal Vulnerability1

The effectiveness of interventions that directly inform people of the risks posed by their own behavior is frequently undermined by people's ability to defend themselves against unwanted information. In response to this difficulty, an alternative approach to shaping people's perceptions of personal vulnerability in which people remained unaware of the intervention was tested. As part of a survey on sexual issues, college undergraduates reported the total number of sexual partners they had had on a response scale that systematically framed their sexual behavior as being either above average or below average. Participants in the 2 conditions reported the same absolute number of sexual partners. However, those who received a response scale that implied they had had more partners than the average student reported greater concern about their sexual behavior than did those who received a scale that implied they had had fewer partners than average. The implications of this approach for influencing perceptions of personal risk are discussed.     

Getting groups to develop good strategies: Effects of reflexivity interventions on team process,team performance,and shared mental models

This study examines the effect of guided reflection on team processes and performance, based on West’s (1996, 2000) concept of reflexivity. Communicating via e-mail, 49 hierarchically structured teams (one commander and two specialists) performed seven 15 min shifts of a simulated team-based military air-surveillance task (TAST) in two meetings, a week apart. At the beginning of the second meeting, teams were assigned either to a reflexivity (individual or group) or to a control condition. Results show that reflexivity enhanced performance, the link between reflexivity and team performance being mediated by communication and implementation of strategies as well as by similarity of mental models. Contrary to expectations, individual reflexivity was superior to group reflexivity. Additional analyses suggested that group reflexivity decreased the commanders’ active behavior and increased discussion of strategies that were too general to be helpful. Results point to the usefulness of reflexivity as a generic intervention but underscore the importance of focusing on strategies that are task-specific.     

Suchttherapie bei abhängigen Ärzten

Background

International studies indicate an increased incidence of substance abuse disorders among physicians. This article investigates specific variables in the work field and describes existing treatment programs.

Patients and methods

In a cross-sectional study 107 physicians with and 468 without substance abuse disorders were compared. Two highly developed treatment programs in Germany and Canada are described.

Results

The high work-load associated with the medical work environment leads to reduced performance and social isolation. Treatment programs for addicted physicians work with the concept of ?help before restriction“. The abstinence rate of the 5-year Canadian program is over 90%.

Conclusions

As a form of prevention, medical students should be systematically informed about work-related stress in the medical profession. Structured treatment programs should be implemented nationwide. The expert team ?Risk of addiction in physicians“ of the German Addiction Foundation, whose members are authors of this article, may be a small step in this direction.     

A Field-Tested Task Analysis for Creating Single-Subject Graphs Using Microsoft<Superscript>®</Superscript> Office Excel

Creating single-subject (SS) graphs is challenging for many researchers and practitioners because it is a complex task with many steps. Although several authors have introduced guidelines for creating SS graphs, many users continue to experience frustration. The purpose of this article is to minimize these frustrations by providing a field-tested task analysis for creating SS graphs using Microsoft^® Office Excel. Results from the field test are presented and the task analysis, which includes steps for creating a variety of SS graphs, is provided. The article includes various illustrations, a list of prerequisite skills, tips, and troubleshooting items.     

Gender-Role Attitudes and Earnings: A Multinational Study of Married Women and Men

This paper examines the impact of gender-role attitudes on earnings for married individuals. Using hierarchical linear modeling (HLM) and nationally representative data, we tested our hypotheses on 4,785 males and 4,368 females from 28 countries located in North and South America, Eastern and Western Europe, the Mediterranean, Asia and the South Pacific. We found that compared to individuals in their own countries, women with egalitarian attitudes had significantly higher earnings then women with traditional attitudes. In addition, for both women and men, we found an interaction between gender-role attitudes and hours worked. Egalitarianism had a stronger positive effect on earnings among individuals who worked more hours.