Empowerment,Leadership, and Sustainability in a Faith-Based Partnership to Improve Health

Community-based participatory research is a noted approach for improving community health and reducing health disparities. Community partnerships can serve as a catalyst for change in public health efforts. This article will apply empowerment theory and sustainability principles to an existing faith-based partnership. BRANCH Out is a partnership among 13 African American churches, the City of Milwaukee Health Department—Community Nutrition, and the Medical College of Wisconsin. The partnership goal was to change inaccurate perceptions, knowledge and negative attitudes, and behaviors about chronic disease and promote healthy youth leadership. Faith-based empowerment can occur at the individual, organizational, and community level. BRANCH Out demonstrates how partnerships can be sustained in multiple ways. The partnership also highlights the unique contributions of churches to community health outcomes.     

Family Secrets:

Family secrets are examined in a two-part article. Part I explores the dynamics of secrets in the relational context. Terminology is proposed for different types of family secrets as well as for different roles within the relational context. Guidelines for identifying family secrets are presented, and typical patterns accompanying or underlying secrets are explored. Different stances toward secrets are discussed, with particular emphasis on ethical issues. Finally, individual and relational consequences of secrets are proposed. Part II extends this discussion to the management of family secrets in marital and family therapy. Ethical and strategic dilemmas facing the therapist are examined as are consequences of secrets in treatment. A particular therapeutic stance is recommended and illustrated with examples of both reparative and preventive applications.     

A Single Intervention: A Visit to the Family

The following letter is reported unchanged except for disguised names. Concern with repairing disrupted relationships of adult members of a family with their own parents has been a matter of growing interest to a number of family therapists; Bowen (1), Boszormenyi-Nagy (2), and Framo (3), among others have stressed the importance of sending family members back to their families of origin. This report makes no effort to formulate the process in any particular theoretical framework (i.e., as reestablishing connectedness after an “emotional cut-off” or rebalancing a ledger of fairness, or whatever) but is intended only to illustrate the kind of outcome one may hope for in prescribing such a maneuver. It is offered simply as a clinical note. The letter needs little prefatory explication. Mr. Jack Newburgher had been a patient in psychoanalytic treatment for four years, with a quite successful outcome. On two occasions in the course of his therapy a joint session had been held with Mr. Newburgher and his wife, Muriel, when changes in his behavior had precipitated crises in the marital relationship. His therapy had terminated about two years before the visit referred to in the letter. Mr. Newburgher had called and asked for a joint consultation with Muriel about an acute family problem they were experiencing. Some — not all — of the background material was described, not nearly as coherently as it is reported in Muriel's letter, but in sufficient detail to make it plain that she was in distress about having to withdraw completely from her parents and that their family was in disarray as a consequence of her distress. The acuteness of the emotional disturbance, against a background of a lifelong adversary relationship between Muriel and her father and a history of ten years of illness on her fathers' part, suggested that the distress was the product of Muriel's anxiety and guilt over a decision to cut herself off completely from her parents. As a consequence, Muriel was urged to visit her family of origin, with the caveat that she might indeed discover them to be malignantly self-centered people indifferent to their effect on her and her family, but that she would at least have the gratification of having tried. The reference to “speaking French” was to the therapist having suggested that, on the other hand, she might find that her parents expressed their feelings in a different modality from her definitions of how feelings should be expressed, much as though their native tongue were French and she were insisting that they must speak to her in English.     

Promoting Resilience in At-Risk Children

Intervening effectively with youths at risk from early deprivation, family dysfunction, poverty, abuse, and other factors is a major concern for educational and social service policymakers. Current research suggests that a majority of at-risk youths do not experience drastic outcomes, but many exhibit protective factors that buffer them from negative consequences. Longitudinal studies from Hawaii, the continental United States, and Great Britain have identified several personality, familial, and environmental variables that promote resiliency in youths at risk. This article discusses these variables and provides counselors with an assessment technique and strategies to promote a salutogenesis perspective.     

Cultural Specificity in Patterns of Mental Illness and Health: A Slovak-American Case Study

Mental illness and mental health are conceptualized as dynamic opposites o/a single, underlying psycho-cultural process. An illustrative case history of a Slovak-American family with a schizophrenic member is presented.     

A versatile two-part system for on-line measurement of multiple response parameters

A two-part system for digital measurement of such diverse response parameters as latency, pulse width, amplitude, and events per unit time is described. The mainframe consists of counters with light-emitting diode (LED) numeric readouts and a quartz crystal controlled internal time base. It also contains all power supply requirements for both the mainframe electronics and the second part of the system, the plug-ins. Each plug-in is designed to use the main unit counters, timers, readouts, and power supplies to measure the desired parameter. Thus, each numeric readout channel of the mainframe may be used to measure various parameters simply by changing the plug-in attached to it. The unit has proved to be very useful in reducing experimenter error in measuring response parameters in classical nictitating membrane conditioning.     

Aggression and peer victimization as predictors of self‐reported behavioral and emotional adjustment

The relative contributions of aggression and victimization to the prediction of self‐reported emotional and behavioral difficulties over and above self‐reported prior problems were investigated in a 1‐year longitudinal study. Fourth‐, fifth‐, and sixth‐graders (N = 471) completed peer nominations of aggression and victimization as well as self‐report measures of social, behavioral, and emotional problems at baseline and at 1‐year follow‐up. Peer aggression added to the prediction of externalizing problems, specifically, self‐report of aggression and delinquency. In contrast, victimization by peers contributed to self‐reported unpopularity but not depression. Victimization among girls was also predictive of subsequent self‐reported delinquency. Theoretical and practical implications of the findings, as well as future directions for research, are discussed. Aggr. Behav. 26:345–358, 2000. © 2000 Wiley‐Liss, Inc.