Using the Michigan State University Family Therapy Questionnaire for Training

The development of the Michigan State University Family Therapy Questionnaire (MSU/FTQ) is described and a case example given of its use as a training tool. The MSU/FTQ is a relatively exhaustive list of 74 generic, structural, strategic, brief, and trans-generational family therapy interventions culled from the literature and translated into layperson's language. The marital and family therapy client uses it to provide feedback about the effectiveness of therapy by assessing those things theorists consider important about behavior maintenance and systemic change, indicating whether or not specific interventions occurred and their importance.     

Poststroke depression: Prevalence,course, and associated factors

Despite the considerable amount of research that has been undertaken on poststroke depression, a review of the literature demonstrates that there are many inconclusive findings in the area. In particular, the causes and course of the disorder remain to be firmly established. While studies of prevalence differ with respect to the nature and timing of their assessment procedures, most conclude that poststroke depression has a negative impact on the rehabilitation of the stroke patient. Very little research is available on the relationship between poststroke depression and care-giver burden. However, recent studies have adopted more rigorous methodological procedures, allowing some insights into the complex mixture of factors which determine the occurrence of poststroke depression.     

Creating a safe place for growth in supervision

When people are afraid, learning is inhibited. In too many disturbed families, institutional settings, rigid organizations, and some supervision groups, a feeling of emotional safety is missing. The first step in teaching, supervising, or therapy is the necessity to provide a safe environment. The author suggests a model applicable to any supervision group, work group, organization, classroom, or family. A group model, specifically applied to the relationship between family therapy students or interns and supervisors, suggests ways to enhance growth by minimizing fear.     

Health-related information seeking as a function of health-related locus of control and health value

Two studies were conducted testing the hypothesis that health-related information seeking is a joint function of a person's locus of control beliefs and the value placed on health. Using a health-related measure of locus of control, internal subjects who valued health highly relative to other terminal values (cf. Rokeach, 1973) chose more pamphlets about the particular health condition, hypertension, than did internal-low health value subjects or externals regardless of their health value. Little evidence was found to support the proposition that subject differentially chose pamphlets according to author characieristics (i.e., male or female, doctors or nurses).     

Caring and Counseling—Shared Tasks in Advisement Schools

Advisement programs, a part of the total guidance service provided by many secondary schools, involve the entire teaching staff and provide personalized guidance services to all secondary students (7–12) in the following areas: program planning, self-assessment, school offerings awareness, parent relations and conferences, feedback evaluation, decision-making skills, career planning and preparation, and school and community issues. Advisement enhances counseling and offers counselors the opportunity to practice their specialized skills more fully. The Ferguson-Florissant advisement program, described in this article, emphasizes positive change in students' attitudes toward themselves and school.     

Occupational Stressors, Stress Responses, and Alcohol Consumption Among Professional Firefighters: A Prospective, Longitudinal Analysis

This dual-site longitudinal prospective study monitored and measured change in self-reported occupational stressors, emotional trauma, symptoms of stress, and alcohol consumption in urban firefighters. Study participants were 188 firefighters employed by two urban fire departments. The results showed that of 19 occupational stressors examined, only 5 (26%) changed significantly over time, and of those 5, only two—job skill concerns and concerns regarding reduction in force and benefits—decreased, reflecting less bothersome subjective ratings. Of the 12 measures of posttraumatic and other symptoms of stress, 9 (75%) increased significantly over time and none decreased significantly, whereas alcohol consumption was stable over time. Job stressors, trauma caseness, and stress response symptoms at baseline were strongly and significantly associated with the same measures at the two-year follow-up. The implications of the findings for prevention and remediation of stress disorders in fire service personnel are considered. It can be concluded that the stressful nature of urban firefighting is significantly associated with negative health outcomes, including the potential overreliance on alcohol use.     

ASSESSING AND PROGRAMMING GENERALIZED BEHAVIORAL REDUCTION ACROSS MULTIPLE STIMULUS PARAMETERS

Generalization across three stimulus parameters was examined for 5 individuals whose self-injurious behavior was maintained by escape from task demands. Prior to treatment, three stimulus parameters (therapist, setting, and demands) were systematically varied across baseline sessions. These variables were held constant during treatment, which consisted of escape extinction. When treatment was completed, three novel stimulus parameters were probed. If the rate of self-injury was high during this probe, treatment was reimplemented with one new stimulus parameter (the other two were the same as in the original treatment condition). Following this second treatment, another probe with three novel stimuli was conducted. If the rate of self-injury was again high, treatment was implemented again while a second stimulus parameter was changed. This sequence continued until generalization was observed across the three parameters. Results showed idiosyncratic differences in generalization. The behavior of 2 subjects showed complete generalization during the first novel probe. A 3rd subject's behavior showed generalization following treatment across two stimulus parameters (setting and therapist). The behavior of the 2 remaining subjects showed a complete lack of generalization across the three parameters; both subjects required training for novelty by randomly varying the stimulus parameters for a substantial number of sessions.     

International Counseling: An Opportunity for Culture-Specific Counseling With the New Zealand Maori

Evidence of multiculturalism in New Zealand has become common throughout the educational system in the last two decades. In spite of these efforts, Maori leaders contend that the schools have failed to meet the needs of Maori students, citing continuing high dropout rates and low academic achievement of Maori youth to support their claims. Many Maoris are demanding a separate educational system for their youth. An embedded component of any improved education delivery system for the Maori involves the development of adequate and appropriate guidance and counseling services for Maori youth. A culture-specific model seems to be a most appropriate one.     

Stress management at work: With whom,for whom and to what ends?

A critical overview is presented of workplace stress-management interventions. It is suggested that they have so far failed to deliver what they have promised. Evaluation studies fail to distinguish between the aims and objectives of primary prevention interventions, such as stress-management training, where potential benefits can only be assessed in terms of long-term outcomes, and secondary and tertiary interventions, such as counselling, where existing disorders are treated. Stress-management interventions are based on inadequate and oversimplistic theories which obscure the many conflicting interests of employees, employers and researchers, and ignore empirical evidence which suggests that individual well-being, attitudes to work, and work behaviours are minimally linked. It is suggested that alleviating the problems that people experience at work will remain elusive unless the conceptual problems in occupational stress are more fully acknowledged.