When Students Cannot or Will Not Change Their Behavior: Using Brief Strategic Intervention in the School

The authors describe an application of the Mental Research Institute (MRI) brief therapy model for working with schoolchildren who either do not want to change or feel they cannot change their problematic behavior. This short-term, problem-focused approach centers on changing the cycles of interaction surrounding a student's problem, in which school staff and/or family members may be engaged. Assumptions undergirding this approach are described along with specific working procedures.     

A Life History Model of the Alcoholic Family

Research and clinical interest in the alcoholic family has tended to outpace the development of family-oriented conceptual models of alcoholism. A family development perspective has been almost totally absent, despite the chronic, longitudinal nature of alcoholism. A life history model is proposed that uses the concepts of the “alcoholic system,” family homeostasis, and the “family alcohol phase” as its building blocks. Chronic alcoholism tends to produce distortions in the normative family life cycle. These distortions and their clinical implications are discussed, using four case histories as illustrations of the concepts proposed. The model is also examined in the light of current research findings about the alcoholic family.     

The Nomothetic-Idiographic Debate in Family Therapy

This essay introduces the terms "nomothetic" and "idiographic" to characterize the current debate about whether the field of family therapy should accumulate and apply knowledge about patterns of adjustment that hold across different families, or whether the field should consider each family as utterly unique, and should tailor interventions solely on the basis of these unique qualities. Embedded in this debate are the arguments for and against quantitative research, disagreements about the value of clinical prediction and interobserver reliability, as well as the issue of whether therapists can rightfully claim to possess "expert knowledge." The essay begins with the personal-professional anecdote that stimulated me to explore this debate in greater depth. It continues with a brief discussion of the historical context of this debate, particularly noting the parallels between the methodological issues in personality research and those facing family therapy. The nomothetic-idiographic debate in family therapy theory, research, and practice is then described. The essay ends with the suggestion that family therapy view nomothetic and idiographic thinking as complementary, and that the field strive to develop an integrated, "idiothetic" approach to family therapy research and practice.     

Wall‐to‐Wall or Patchwork? Linkages: Vehicles of Partnership

Career development services are often poorly interlinked. They overlap, yet they are can also be too far apart. They reach out, yet they do not always reach out to those who need the services the most. With examples from Denmark, this article indicates how and why career development services are linked in partnerships at different levels. Is a wall‐to‐wall carpet of career development services to be preferred over a patchwork quilt?     

Observational evaluative conditioning of an embedded stimulus element

Evaluative conditioning refers to the observation that the mere paired presentation of a neutral stimulus (CS) with a liked or disliked stimulus (US) may result in the neutral stimulus itself acquiring positive or negative valence. In most studies, the CS is an autonomous, invariant stimulus, and the subject directly experiences both CS and US. In this experiment, we investigated whether evaluative conditioning can be extended to a situation wherein the CS is no more than an invariant element of a complex, variable stimulus configuration, and wherein the subject experiences the CS–US co-occurrences indirectly, i.e. by observing a socius who is exposed to the CS–US pairings and facially expresses either liking or disliking the US. During acquisition, subjects watched video-taped sequences of an actor drinking a glass containing a liquid and facially expressing either liking or disliking the drink. The stimulus element which was systematically paired with the actor's facial expression of liking or disliking, was whether the glass contained a ‘foot’ or no ‘foot’ (CS), while other characteristics of the scenes were systematically varied and paired equally often with an expression of like and dislike. Next, valence ratings were obtained for pictures in which the CS element (foot/no foot) was embedded. A clear observational evaluative learning effect could be demonstrated when the feature CS was embedded in objects identical to those presented during learning, but not when it was embedded in new objects. These data demonstrate the possibility of vicarious evaluative conditioning of an embedded stimulus element, but probably at a lower level of abstraction than intended.     

Working with Mental Health Service Users to Change Mental Health Services

During the last ten years in the UK, service user consultation and collaboration has gradually entered the vocabulary of people providing and purchasing mental health services. However, we are not convinced that much needed change in mental health services will be achieved as a function of increased commitment to market consumerism. We argue here that service user consultation and collaboration should take account of the effects of social inequalities on mental health and on mental health services. This perspective highlights the need for fundamental change in mental health services, and helps us to appreciate the strength of resistance to change, and to understand some of the dynamics involved. We describe here how this perspective has motivated and shaped our own efforts to collaborate responsibly with service users to change mental health services.     

Religion and Substance Abuse Treatment: Individual and Program Effects

The relationship between personal religiousness and substance abuse treatment outcomes has emerged as an important issue in the public health arena. Using the “moral community” perspective, a conceptual framework developed by Stark, Kent, and Doyle (1982) to analyze the contextual effects of religion, we explore the degree to which religion influences two drug treatment outcome measures—critical retention and commitment to treatment. The data are derived from the Drug Abuse Treatment Outcome Studies (DATOS), a national study of 10,010 clients enrolled in 70 drug treatment programs. Three research questions were addressed: (1) What is the relationship between an individual's level of religiosity and retention in treatment and commitment to treatment? (2) How does the ecological context of treatment programs shape the individual‐level relationships? (3) To what extent are program practices and characteristics directly linked to outcome level? The findings are supportive of the literature that shows a weak to moderate relationship between religiosity and treatment outcomes. However, the findings did not show strong support for the “moral community” hypothesis. Although there was a wide variation in the size of the individual‐level religiosity–treatment correlations, the variation could not be conclusively attributed to the overall religious emphasis of the programs. The findings suggest that further research is needed in order to understand fully the role of religion in substance abuse treatment.