Pulling it all together: Meeting varying training requirements on national,state, and university levels for marriage and family therapy education

Marriage and family therapy programs face many challenge in trying to meet different sets of criteria including national, state, and university requirements. State regulation of the marriage and family therapy profession is a much sought after commodity. Currently 22 states have some type of MFT licensure or certification. MFT regulation criteria established by states to restrict title and function can differ in varying degrees from criteria established by the AAMFT's Commission on Accreditation. At the university level, MFT programs continue to be housed in a variety of schools including social work, education, psychology and home economics, as universities attempt to define a proper place for family therapy training. Confusion exists about whether MFT is a separate discipline or a specialization of another profession. The task of pulling it all together is addressed using one program's experience as an example.     

Inpatient versus outpatient treatment of substance abuse: Recent developments in the controversy

There has been considerable controversy the past decade on which is more effective, inpatient or outpatient treatment of substance abuse. During this same decade substance abuse treatment grew into a $40 billion industry with for-profit hospital programs accounting for as much as one-half the total figure. Recently, controlled studies have replaced the previous research literature which was largely composed of uncontrolled studies. A research consensus is developing that states inpatient rehabilitation has no advantages over outpatient treatment and that even hospitalization for detoxification is unnecessary for 90% of patients. Implications for public policy are that we are over-spending in the treatment of substance abuse by misallocating resources to the most intrusive intervention.Nicholas A. Cummings, PhD, is founder and chairman of the board of directors of American Biodyne and president of the Biodyne Institute, president of the National Academies of Practice, former president of the American Psychological Association, and founder of the four campuses of the California School of Professional Psychology.     

The sociocultural context of divorce

In this presentation, a seven stage model of divorce is presented that the author believes has universal applicability. None-theless, the specifics which characterize each stage may vary from country to country, from one socioeconomic class to another, and in accordance with the dictates of the church — if it is a dominant force in a given society. An historical perspective is taken throughout, and a family life cycle model is implicit. Both divorce therapy and divorce mediation are addressed.She is the immediate past-president of the International Family Therapy Association.Paper originally prepared for presentation as a plenary address for the 2nd World Congress of Family Therapy, Krakow, Poland, September 1990.     

The reentry female student in marriage and family training

The challenges of feminist family therapists of gender bias in family therapy training and practice models need to be considered in relation to the predominance of reentry women in masters degree programs in marriage and family therapy. This article describes a developmental training model that incorporates feminist-informed values into curriculum, program policies, instructional strategies, and program structure. The model builds on the assumption that gender-associated behaviors of both sexes have contextually determined value. Training for the appropriate application of gender-associated behaviors rather than for their inclusion or exclusion can increase female reentry student flexibility and self-confidence.     

Personal therapy for family therapy graduate students

This study explores students' attitudes about personal therapy as a component of training and assesses the effects of providing a list of community therapist who were willing to see family therapy graduate students at a reduced fee on students' behaviors. Students' personal therapy experiences and attitudes about faculty involvement in their personal lives were also investigated. Most students believe that student therapists should have personal therapy sometime during their training, and the majority of students had al-ready been in therapy. Individual issues and relationship problems were the most frequently cited reasons for starting personal therapy.     

Codependency: Addictive love,adjustive relating,or both?

The concept of codependency constitutes a controversial but, in our view, eminently researchable area of clinical concern. Following a perspective on the evolution of the concept, we summarize the currently dominant view that codependency is a personality syndrome closely akin to addictive love. We then present an alternative point of view that focuses on the characteristics of codependent relating rather than the characteristics of the codependent person, arguing that codependency may be either endogynous or exogynous. Recent efforts to develop valid measures of codependency as a personality predisposition and as a set of relationship characteristics are discussed, followed by the conclusion that the two assessment approaches are complementary rather than contradictory.We gratefully acknowledge the assistance of Mike Dewald, Karin Parker, and Pam Quinn of the United Recovery Center, Grand Forks, ND, in some of the data collection.     

Conflicting codes: Professional, ethical, and legal obligations in archaeology

Archaeologists employed in governmental positions often deal with issues that produce conflicts between their professional duties to their employer, their ethical responsibilities to the resource, and their obligations as established by legislation. The paper examines some of the conflicts imposed on governmental archaeologists by each of these systems but focuses on the conflicts imposed by federal legislation and regulations on governmental archaeologists, using “Kennewick Man” as an example. This is a revised edition of a paper written for the symposium: “Ethics in Science: Special Problems in Anthropology and Archaeology,” organized by Merrilee Salmon; 1998 Annual Meeting of the American Association for the Advancement of Science (Philadelphia, February 15, 1998). The original paper was in a more conversational style as befitting a discussion atmosphere. Revisions, comments, and opinions are entirely the author’s. Joe Watkins is the Anadarko Agency Archaeologist at the Bureau of Indian Affairs and is a Research Associate in the Department of Anthropology, Indiana University.     

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.     

The medical research council’s approach to allegations of scientific misconduct

The UK’s Medical Research Council (MRC) introduced a specific policy and procedure for inquiring into allegations of scientific misconduct in December 1997; previously cases had been considered under normal disciplinary procedures. The policy formally covers staff employed in MRC units, but those in receipt of MRC grants in universities and elsewhere are expected to operate under similar policies. The MRC’s approach is stepwise: preliminary action; assessment to establish prima facie evidence of misconduct; formal investigation; sanctions; and appeal. Strict time limits apply at all stages. The procedure will be evaluated after two years. The indications so far are that the procedure is robust, and its clarity and transparency have been an asset to all parties. The MRC is also convinced that it is equally important to achieve a working culture that fosters integrity. Thus education and training in good research practices are fundamental to the prevention of research misconduct. This paper was presented at a symposium, Scientific Misconduct: An International Perspective, organized by The Medical University of Warsaw, 16 November, 1998.     

Ethical issues in communicating science

Most of the publicized work on scientific ethics concentrates on establishing professional norms and avoiding misconduct. The successful communication of science is the responsibility of all involved in the process. In one study, the increased incidence of autism and other social developmental disorders in males was investigated by examining individuals with Turner's syndrome (XO females). In the national newspaper this became "Genetic X-factor explains why boys will always be boys". The steps by which a study on developmental disorders, published in a highly prestigious journal, was transformed into an article in the science section which 'explained' the socially expected gender-based behavior of genetically normal children are fascinating and, unfortunately far too typical. The scientists wrote an excellent article that has just one sentence at the end that hesitantly suggests that the findings might, with further study, have some relevance to understanding normal behavior. The general interest article in the front of the journal gave a good account of the research, but suggested more strongly that there could be an in-built biological dimorphism in social cognition. This was misrepresented in the press as proof of gender differences that "undermines the trend towards sexual equality", and both illustrates cultural bias and provides fodder for feminist critiques of science. The study has been made to appear to be biased in favor of justifying the social structure of society, and yet it was the translation from the scientific study to national news that produced this transformation to biased genetic determinism. It is poor communication of the actual science, coupled with a lack of skepticism on the part of the public, that contributes to such a misapplication of science. Scientists should resist the urge to generalize their results to make them more compelling. The science community should not allow misconstructions of scientific facts to go unchallenged. Journalists, for both the scientific publication and the newspaper, should resist the inclination to embellish the finding with social significance that is not present. For their part, readers must be doubly skeptical of any finding that appears to underwrite any current social hierarchy. We are all responsible for a communication and interpretation of science that is as accurate and socially responsible as possible.