Process and content in an outpatient schizophrenic group

Process and content issues were evaluated during the first six months of an outpatient schizophrenic group. Compared with groups composed of neurotic and characterological patients, the schizophrenic group scored higher in the Avoiding dimension of the Group Climate Questionnaire (GCQ-S). There was more cohesion and less interpersonal conflict as time went on. Although topics related to engagement and differentiation were discussed, there was no obvious GCQ-S evidence of these first two stages of group development. However, the data supported the presence of stage 3 (individuation) during sessions 20–26. Interpersonal topics dominated the group discussions, followed by issues involving reality-testing, expression of emotions, and advice-giving.The authors wish to thank Dr. K. Roy MacKenzie for his helpful comments on a draft of this paper.     

PROCESS PHILOSOPHY, SOCIAL THOUGHT, AND LIBERATION THEOLOGY

Abstract. This essay sets forth the decisive notions and postulates of process philosophy in Process Philosophy and Social Thought , edited by John B. Cobb, Jr. and W. Widick Schroeder. After commenting on the circumstances in which process philosophy came to be a major option among philosophical theologians, I provide some amplification of those notions and postulates. Then, selecting material from the eighteen articles in the volume, I offer several critical assessments of the process viewpoint and its relation to science and to the contemporary call for liberation.     

Smoking and academic performance

Smokers and nonsmokers were compared on three aspects of academic achievement. Although exactly the same percentage of smokers and nonsmokers passed the first-year university examination, smokers obtained significantly higher marks. Similarly, smokers achieved significantly higher marks in their final year examinations in comparison with nonsmokers. Finally, a comparison of the tutorial essay marks of the smokers and nonsmokers again showed that smokers obtained significantly higher marks than nonsmokers. These data are consistent with the idea that ambitious students adopt smoking in the belief that it will help them study and sustain concentration.     

A process recording for evaluating group psychotherapy training methods

This paper discusses an exploratory investigation concerned with the long range questions: How does group psychotherapy help patients? and How can psychiatry residency programs best train residents to treat patients in therapeutic groups? Group psychotherapy has come to be accepted in its own right as a decisive contribution to the study of and relief of emotional disorders. As a component of comprehensive psychiatric services it is indispensable. However, while its clinical value has been demonstrated, its scientific validity has not. A Group Process Inventory has been developed by the author and has been utilized for the past two years by psychiatric residents in recording the process of their therapeutic groups in a teaching hospital mental hygiene clinic. The preliminary use of this recording as a clinical-teaching instrument has proven effective. This inventory is being revised to serve as a research instrument.     

Suicide and rurality in urban society

Recent findings suggest that suicide increases with rurality, but research on rural suicide leaves many questions unanswered. This study specifies problems of community organization as a reason for expecting a positive effect of rurality on the suicide rate. A multiple regression analysis of county data shows that rurality has a substantial positive effect and is, in fact, the best predictor of the suicide rate among several variables selected from the previous literature. Additional research is needed to test the interpretation that rurality contributes to an incomplete, fragmented form of community organization which influences the suicide rate by disrupting primary relationships.     

Perspectives on individual-family-social network interrelations

The author focuses on the trend in the family therapy field toward an expanded view of families in the context of their social environments. Within this broader eco-system perspective attention is given to individual-family-social network interrelations with implications for the family therapist.An earlier version of this paper was presented at the American Association for Marriage and Family Therapy, Dallas, Texas, October 29, 1982. Appreciation is expressed to Alice Lynn for her comments and suggestions on an earlier draft of this paper. The author has also benefitted from discussions with Douglas Sprenkle on paradigms and contexts.     

Active-interactional cotherapy

In the literature on cotherapy, little attention has been focused on maximizing the effectiveness of two therapists working in tandem with families and couples. While cotherapists may at times share their ideas and feelings with their clients, and after the therapeutic session exchange views between themselves, generally little interaction occurs between them during the session. In this paper, a case is presented for more active interactions between cotherapists during the session, in order to expedite and facilitate change and growth in their clients. Anecdotal examples are provided to illustrate the approach.     

Follow-up of a full-scale network assembly

The authors conducted two full-scale network assemblies for the family network of a suicidal adolescent. Findings from the clinical follow-up and telephone interviews with 21 of 65 participants revealed benefits for the index family and the network members who participated in the meetings. A ripple effect in which the participants' own personal networks improved was also demonstrated. Benefits included resolution of a suicidal crisis, better understanding of depression and family stress, more adaptive responses to depression and suicidal risk, and improved personal relationships. No casualties from this intervention were discovered. This report is intended to stimulate future, more systematic outcome studies.