Families-at-risk and home-based intervention: A therapist training model

Home-based family therapy programs are designed to provide intensive family intervention for at-risk children and adolescents. However, examination of the literature reveals limited publications about training therapists for this difficult task. The purpose of this paper is to describe a therapist training model based upon a family-as-context approach to crisis intervention. Specific units covered during the course include: family-as-a-system, structural family therapy, family crisis intervention, family assessment and simulation. It is concluded that the effective prevention of placement for at-risk children and adolescents requires both a home-based family treatment program and a specific therapist training model for family intervention.John J. Zarski, PhD, is a professor in the marriage and family therapy training program at the University of Akron. Carol A. Pastore is program coordinator for the T.I.E.S. program in Canton, OH. A. Lynette Way and Richard N. Shepler are home-based therapists with T.I.E.S. The authors would like to express their appreciation to Professor John West for his helpful comments on drafts of this article.     

Gaslighting: A marital syndrome

This paper is concerned with certain male behaviors during and after their extramarital affairs and the impact of those behaviors and associated attitudes on the men's spouses. The observations cited here are drawn from clinical samples but seemingly have some features in common with what appears in nonclinical populations as well. Not only the husbands but also male therapists may contribute to the women's distress through mislabeling the women's reactions and through continuation of certain stereotypical attitudes that reflect negatively on the wife whose husband has had an affair.Gertrude Zemon Gass, PhD, and William C. Nichols, EdD, are clinical psychologists and marital and family therapists in independent practice.     

Recent developments in family behavioral marital therapy

This paper reviews recent developments in the area of behavioral marital therapy (BMT). New information is summarized regarding the long-term efficacy of BMT and the identification of predictors of positive response to treatment and to relapse. Finally, new applications of BMT techniques are reviewed (e.g., spouse-involved therapies as the sole treatment for presenting problems in which marital distress is not the primary focus such as anxiety and affective disorders).     

Apraxia in a patient with atypical cerebral dominance

Liepmann postulated that the left hemisphere of right-handed persons contains the "movement formulas" that control purposeful skilled movements of the limbs on both sides of the body. Accordingly, in right-handers apraxia should follow damage to the left hemisphere, whereas right hemisphere damage should not lead to apraxia. Although this is generally true, we recently examined a right-handed man who after a right hemispheric stroke became aphasic and apraxic with his nonparalyzed right hand. Our observations suggest that the right hemisphere of this right-handed man made a critical contribution to the planning and execution of skilled movements. This case provides evidence that right-handers should not be considered a homogeneous group in terms of cerebral motor dominance and that contrary to Liepmann's postulate, hemispheric dominance for the control of skilled movements does not entirely determine handedness.     

The effects of video game play on young children's aggression, fantasy, and prosocial behavior

From the ecological perspective of human development the emergence of significant media may affect children's behavior. It has been suggested that the home computer has the potential to affect young children's behavior, but no published data currently exist to support this hypothesis. However, home computer games have features similar to television. In that vein, research on television and aggression lends itself as a paradigm for studying the effects of video games on young children's behavior. From past television research it may be hypothesized that exposure to violent video games will increase children's aggressive behavior. Twenty-eight children, age 4 to 6 years were observed in a free play setting at baseline, after watching a violent cartoon and after playing “Space Invaders”. Results indicated significant differences in aggressive behavior, relative to baseline behaviors, after watching television and after playing video games. There was no difference between the television and video game conditions. It was concluded that violent video games arouse children in much the same way as violent television cartoons.     

Accurate reading by nonlexical means: A case study

Accurate reading of irregular words is generally assumed to require intact lexical reading mechanisms. A nonlexical mechanism is usually deemed insufficient for this type of stimulus processing. The maximum level of accuracy attainable by nonlexical means, however, has not been adequately evaluated. We now describe a patient with acquired dyslexia due to impaired lexical reading mechanisms who retained the ability to read irregular words. The patient's poor performance on tasks requiring lexical decision and access to word meaning provided evidence that his lexical mechanisms were impaired. Nevertheless, errors on irregular words became apparent only with special tests that circumvented the patient's ability to use his intact speaking vocabulary to ensure that reading responses were words. The results demonstrate that relatively accurate reading of irregular words is possible despite damage to lexical mechanisms and that this can be achieved by filtering potential responses through the speaking vocabulary.     

The role of intuition in family research: Three issues of ethics

The thesis of this chapter is that, unless one has had brain-surgery, a stroke, or has some organic deficiency, we are all whole-brained people, therapists and researchers alike. To elaborate on this point, this article is focused on the role of intuition in family research. Ethical issues in family research are viewed as similar to those in symbolic experiential family therapy. Three ethical issues, counter-transference, mutual benefit, and discovery, are discussed.Appreciation is expressed to the University of Minnesota Agriculture Experiment Station for their support of this work.     

A systemic approach to the treatment of depression with only one family member present

The purpose of the present article was to demonstrate a systemic treatment of depression for a 70 year-old woman. In this treatment, other family members were unavailable, but a family therapy systems perspective was used throughout. Results of the demonstration ABAB single case design and two year followup were suggestive of treatment effectiveness in decreasing depression. The need for additional replication of the study was noted.