Family therapy and outcome: Relationships between therapist and family styles

This study examined therapeutic outcome for a group of 175 clinic families divided into levels of family competence and style, and, later, into seven clinical groupings. The division into these groups was based on the level of rated Competence and Style determined by using the Beavers Systems Model. Therapists also rated their level of Openness/Sharing Strategy, Power Differential, and Partnership with the family at the third session. Results indicate that more competent families who fared well in therapy had therapists who formed a partnership, disclosed strategy, and employed a minimal power differential with the family. The most disturbed families, and those with a Centrifugal style, did better with therapists employing a high power differential and lower levels of openness and partnership. The study also presented the distribution of individual diagnoses by family groups. Implications for family therapists, including the value of family assessment, are provided.     

The role of blood pressure, cortisol, and prolactine among soldiers injured in the 1991–1993 war in Croatia

Ninety soldiers with at least three months of combat exposure—60 injured soldiers (30 with permanent disabling and 30 with nondisabling injuries), 30 noninjured soldiers and 30 healthy controls—were interviewed and investigated with physiological (Prolactine, Cortisol, BP, Hb) and psychological tests (MMPI), IES-15 (Impact of Event Scale), PTSS (Post-Traumatic Symptom Scale). Their was related injuries had a different effect on the physiological stress response of the soldiers as reflected in the levels of prolactine, cortisol, hemoglobin and blood pressure. In a report of personality characteristics of the same soldiers, we demonstrated that the experience of posttraumatic stress was not dependent upon physical injury, but rather on the psychological appraisal of the situation. The results of the present article confirm earlier findings that the relationship between physiological and psychological consequences of trauma are complex, and that the perception of an event and the social context within which the traumatized soldier exists is as important as the event itself. The physiological response to the trauma varied greatly among the soldiers regarding the psychosocial impact of the consequence of the injury. So the anticipation of future possible trauma among less severely wounded soldiers (expected to go back to war) was followed by pathological stress responses. Trauma seems to operate somewhat independently from the overt conscious appraisal of the situation and relationship between psychological, psychosocial, and physiological aspects are interrelated in a multifactorial way. An integrative approach is therefore of great importance in assessment as well as in treatment of Posttraumatic Stress Disorder (PTSD). Editorial Note This historical article is being published for the first time. It is based on the Ph.D. thesis of Dr. Harry A. Teitelbaum for which he was awarded a doctorate by the University of Maryland in College Park in 1936. The dissertation was stored prior to publication and was not rediscovered until 1997. Teitelbaum’s work was performed during the early days of the development of knowledge regarding the mechanisms that regulate endocrine function. The understanding of the broad capability of interactions among endocrine glands was evolving. It was a field that Teitelbaum contributed to for several years, many of which were spent in collaboration with Horsley Gantt in his laboratory at Johns Hopkins. Although some of the experimental strategies and some of the wording of the report seem quaint today, the contribution of Teitelbaum’s research was solid and highly relevant to questions being asked at the time.     

Reception of Morse code through motional, vibrotactile, and auditory stimulation

The potential for communication through the kinesthetic aspect of the tactual sense was examined in a series of experiments employing Morse code signals. Experienced and inexperienced Morse code operators were trained to identify Morse code signals that were delivered as sequences of motional stimulation through up-down displacements (roughly 10 mm) of the fingertip. Performance on this task was compared with that obtained for both vibrotactile and acoustic presentation of Morse code using a 200-Hz tone delivered either to the fingertip through a minishaker or diotically to the two ears under headphones. For all three modalities, the ability to receive Morse code was examined as a function of presentation rate for tasks including identification of single letters, random three-letter sequences, common words, and sentences. Equivalent word-rate measures (i.e., product of percent correct scores and stimulus presentation rate) were nearly twice as high for auditory presentation as for vibrotactile stimulation, which in turn was about 1.3 times that for motional stimulation. The experienced subjects outperformed the inexperienced subjects by amounts that increased with task complexity. For example, the former were able to receive sentences at 18 words/min with motional stimulation, whereas the latter, following 75 h of training, were unable to perform this task. The present results and those of other research with tactual communication systems are compared, particularly regarding estimates of information-transfer rates.     

Is Default Logic a Reinvention of Inductive-Statistical Reasoning?

Currently there is hardly any connection between philosophy of science and Artificial Intelligence research. We argue that both fields can benefit from each other. As an example of this mutual benefit we discuss the relation between Inductive-Statistical Reasoning and Default Logic. One of the main topics in AI research is the study of common-sense reasoning with incomplete information. Default logic is especially developed to formalise this type of reasoning. We show that there is a striking resemblance between inductive-statistical reasoning and default logic. A central theme in the logical positivist study of inductive-statistical reasoning such as Hempels Criterion of Maximal Specificity turns out to be equally important in default logic. We also discuss to what extent the relevance of the results of Logical Positivism to AI research could contribute to a reevaluation of Logical Positivism in general.     

The interaction between cohesive systems and dispersive systems: Creating the trigenerational therapeutic context

The author presents a model for research investigation and clinical use that deals with the interaction between cohesive and dispersive family of origin systems as reflected in marital and family interaction in nuclear families.From a paper presented at the tenth annual meeting of the American Family Therapy Association, June, 1988, Montreal, PQ, Canada.     

Commentary on reviews of “outcome” studies of family and marital psychotherapy

Reviews of the outcome literature in family and marital therapy are critically evaluated. The literature is equivocal in regard to the effectiveness of family therapy, particularly in comparison to alternative forms of treatment, so that statements to the effect that family therapy has demonstrated its general efficacy would not appear to be justified. Problems are identified which require solution before the efficacy of family therapy can be demonstrated.Paper presented at the 45th annual conference of the American Association for Marriage and Family Therapy, Chicago, Illinois, October 31, 1987.     

Language function and dysfunction among Chinese- and English-speaking polyglots: Cortical stimulation, Wada Testing, and clinical studies

Language functions in a group of Chinese- and English-speaking polyglots living in a multiracial society have been investigated by several methods: the effects of cortical stimulation on object-naming and reading tasks in patients who required awake craniotomy, lateralization of cerebral dominance for speech by the Wada Test, and the pattern of language loss and recovery following stroke. The data indicate that these polyglots were all left hemisphere dominant for the languages tested: no consistent evidence for increased participation by the right hemisphere for language functions was found. The cortical stimulation experiments provided data most compatible with the "differential localization" model of cerebral localization in bilingualism. The variable which most influenced performance in all of these investigations was which language was used primarily for speaking as well as reading and writing at the time of the study.     

Intuition in family therapy: A short manual on post-modern witchcraft

Intuition is an important part of a mature clinician's work. Yet, it is a component of clinical work which is looked upon with suspicion, due in part to the Middle-Age's association between intuition and the work of witches. This paper describes a tenuous link between intuition, witches, and Carl Whitaker. Patterns for including intuition in family therapy are discussed.