Family therapy and systemic practice with older people: where are we now?

Older people are becoming an increasingly significant group as demographic and cultural change impacts on their roles within the family and society. In this article we consider how family therapy and systemic practice with older people has developed over the past ten years from the early foundations identified by Richardson et al . in 1994. Although older people face particular challenges, themes such as social constructionism, attachment and narrative, familiar to therapists working with people earlier in the life cycle, have also been influential in work in this field. These developments have resulted in increasing recognition of the relevance of systemic practice in older people's services, but significant challenges remain.     

Focusing on children and youth: The role of social capital in educational outcomes in the context of immigration and diversity

Social capital matters for young people, especially for immigrant and minority youth; however what counts as social capital for young people is poorly specified. This paper reviews recent studies on the influences of parents, communities and schools; then focuses on youth social networks that begin to reveal how young people form, develop and use social capital. In light of this knowledge base, we address social and educational policy-making, making suggestions for capacity building for future policy and research. We conclude with recommendations toward a model of social capital accumulation.     

Quality of Life of Persons With Medical Illnesses: Counseling's Holistic Contribution

This article presents a rationale for the addition of psychological counseling in the treatment of persons with medical illnesses. Empirical data on the mind‐body connection are presented, and I. Pollin's (1995) Medical Crisis Counseling model is outlined as an example of an effective intervention. The authors discuss the issues and counseling techniques related to the model within the frameworks of individual, group, and family counseling; use case studies to illustrate intervention strategies; and suggest implications for future research and training.     

Human Nature and Moral Cultivation in the Guodian 郭店 Text of the Xing Zi Ming Chu 性自命出 (Nature Derives from Mandate)

The debate over whether human nature is good or bad and how this is related to self-cultivation was central in the minds of traditional Chinese thinkers. This essay analyzes the interrelationship between the key concepts of xing 性 (human nature), qing 情 (human emotions/feelings), and xin 心 (heart-mind) in the Guodian text of the Xing Zi Ming Chu 性自命出 (Nature Derives from Mandate) discovered in 1993 in Hubei province. The intellectual engagements evident in this Guodian text emerge as more syncretic and dynamic than those that can be found in the discourse of any single tradition, such as Gaozi, Mencius, or Xunzi. Its thesis on human nature and moral cultivation reveals the existence of a possibly more diverse intellectual discourse from which the different foci of philosophical debate represented by later thinkers developed.     

Can Attention Deficit Hyperactivity Disorder and Fetal Alcohol Spectrum Disorder be differentiated by motor and balance deficits?

There is an ongoing debate regarding the diagnostic overlap between Attention Deficit Hyperactivity Disorder (ADHD) and Fetal Alcohol Spectrum Disorder (FASD). Differential diagnosis is important because of treatment implications. Children aged 7–10 years (47 ADHD, 30 FASD, 39 controls) participated. The Movement Assessment Battery for Children (M-ABC) and the Clinical Observations of Motor and Postural Skills (COMPS) were used. Force plate and electromyography data were collected during static balance and balance perturbation. On the M-ABC both children with ADHD and FASD had more motor problems than controls. The ADHD-Combined and the ADHD-Predominantly Inattentive subgroups were similarly affected in their fine motor skills. On the COMPS, the majority of children in both groups performed in the normal range, but for those children clinically affected, it was the children with ADHD who were more likely to be severely impaired. The children with ADHD were characterized by early onset latencies of the tibialis anterior muscles and increased amplitudes of the gastrocnemius muscles. Difficulty scaling muscle force reflecting medial cerebellar involvement may be the key problem in ADHD. Cerebellar involvement in the postural instability in FASD awaits further study.     

False-positive maintenance of self-injurious behavior by access to tangible reinforcers.

Results of a functional analysis indicated that the hand mouthing of a woman with developmental disabilities was maintained by multiple sources of control (sensory stimulation and access to a leisure item). Further assessment revealed that access to several other items also produced high rates of hand mouthing. However, direct observation conducted in the woman's home indicated that none of these items was delivered contingent upon hand mouthing. When the consequence observed most frequently in the home was incorporated into the functional analysis, rates of hand mouthing were no higher than they were during an alone condition. We concluded that hand mouthing, although maintained by automatic reinforcement, was also susceptible to social contingencies when exposed to them during assessment, thereby producing a partially false-positive outcome.     

INCREASING HABILITATIVE SERVICES FOR PERSONS WITH PROFOUND HANDICAPS: AN APPLICATION OF STRUCTURAL ANALYSIS TO STAFF MANAGEMENT

We evaluated a structural analysis methodology for enhancing the utility of a staff management program. In Experiment 1, a structural analysis of direct-care staff behavior in a mental retardation facility revealed differences in work patterns over time. Specific times were identified when few basic care duties were necessary and staff engaged in nonwork activity. In Experiment 2, a management program was implemented to increase staff members' training activities during periods identified through the structural analysis. The program was accompanied by increases in training activities and decreases in nonwork behavior. The improvements were maintained during a 43-week period while the most labor-intensive component of the program was withdrawn. Staff acceptability measures indicated a positive response to the management intervention, although responses varied across components within the multifaceted program. The increased training was accompanied by beneficial changes among clients with profound handicaps. Results are discussed regarding practical considerations for improving staff performance and for adopting innovations resulting from applied research.     

Sex differences in nonverbal communication

An experiment was conducted to determine the relationship between sex-role attitudes, affiliation, and dominance and nonverbal communication styles in men and women in same- and opposite-sex dyads. Women were found to elicit more warmth and men more anxiety from their partners. Evidence was found for a possible monitoring mechanism through which women adjust their nonverbal communications to fit the male in the interaction. Liberalism in sex-role attitudes was found to correlate with nonverbal warmth in men. The nonverbal presentations of men and women in the microprocesses of dyadic interaction were found to relate significantly to the macrostructure of societal sex roles.This research was supported by NSF Grant GS36814. The author wishes to express her special thanks to Harmon Hosch, Vivian Shayne, David Fineman, and Lee Braff for their help in the experiment and data analysis. An abbreviated version of this paper was presented at the meeting of the American Sociological Association, San Francisco, August 1975.