Techniques of Structural Family Assessment: A Qualitative Analysis of How Experts Promote a Systemic Perspective

The trajectory of assessment in structural family therapy moves from a linear perspective, in which problems are located in the identified patient, to an interactional perspective, in which problems are seen as involving other members of the family. Minuchin, Nichols, & Lee (2007) developed a 4‐step model for assessing couples and families consisting of: (1) broadening the definition of the presenting complaint to include its context, (2) identifying problem‐maintaining interactions, (3) a structurally focused exploration of the past, and (4) developing a shared vision of pathways to change. To study how experts actually implement this model, judges coded video recordings of 10 initial consultations conducted by three widely recognized structural family therapists. Qualitative analyses identified 25 distinct techniques that these clinicians used to challenge linear thinking and move families toward a systemic understanding of their problems. We discuss and locate these techniques in the framework of the 4‐step model.     

Book reviews

Abstract

The Menstrual Cycle. Anne E. Walker. London: Routledge, 1997, i-ix + 252 pages. ISBN 0-415-16331-5 pb.

Children, Families and Chronic Disease: Psychological Models and Methods of Care. Roger Bradford. London: Routledge, 1997. i-xii + 215 pages. ISBN 0-415-13147-2 (pbk).     

Immigrant identity of Israeli adolescents from Ethiopia and the former USSR: culture‐specific principles of organization

The study examines how a sample of 210 high‐school immigrant students (ages 14–15) from Ethiopia and the former USSR socially represent their notion of what klitat aliyah (successful adaptation to Israel) means. Prevalent relevant theories—Berry's model of Acculturation Tendencies (BAT), Social Identity Theory (SIT) and Social Comparison Theory (SCT)—suggest three kinds of patterns by which minority or socially weak groups deal with these kinds of situations. These underlying patterns were tested by a 47‐item questionnaire (with a 4‐point Likert‐like scale), constructed from immigrant narratives regarding their klitat aliyah according to SIT, SCT and BAT categories of adaptation strategies. A Guttman non‐parametric Similarity Structure Analysis (SSA) revealed four‐facet organization of items for both males and females in both sub‐samples. These facets, which reflected social representations of Israeli society, were dubbed: Extended Identity, Rivalry Identity, Secluded Identity and Identity Loss. Results did not confirm the underlying categorization of strategies suggested by SIT and SCT, and partially replicated those suggested by BAT. Copyright © 2002 John Wiley & Sons, Ltd.     

Free recall and retrieval speed of categorized items by kindergarten children

Kindergarten Ss were presented with 16 pictorial items in four category sets or a partially random ordem with one item from each category composing the four presentation sets. The pictures were presented either on conceptually related background pictures or on white backgrounds. The categorically grouped presentation facilitated free recall performance, both in terms of number of items recalled and the speed with which the items were recalled, and increased the amount of clustering in recall. Categorical clustering in recall was associated with shorter within- than between-category intervals and for those Ss who recalled items from each of four categories successively, the over-all temporal pattern in recall closely approximated that found with adults. No background effects were found.     

A Phenomenological Investigation: Microaggressions and Counselors-in-Training

Counselor educators are charged with the responsibility of assisting counselors–in–training to gain knowledge about injustice and inequity in society. Individuals experience oppression and privilege in different ways depending on their identities of marginalized or majority status. This study examined microaggressions using written and photographic journals from 24 counselors–in–training through the lens of phenomenology. Participants identified four overarching themes in describing their experiences with microaggressions: denial, dismay, awareness, and action. Implications for training and future research are discussed.     

IS NATURE ENOUGH? ROBERT FROST REPLIES IN “THE MOST OF IT”

Abstract. In his poem “The Most of It” Robert Frost explores whether nature alone is sufficient to satisfy human spiritual yearnings. At first pass, the poem reads like a dark statement about the absence of any higher intelligence in the natural world, and it has been interpreted this way by many, including the person who inspired Frost to write it, Wade Van Dore. However, on careful reading Frost's poem also contains a subtle celebration of nature's spiritual assets. By creating a work with two possible meanings, Frost indicates that the answer to whether “nature is enough” is in the eye of the beholder. Because much of the poem's hopeful message resides in its meter, Frost also seems to be saying that nature will be enough mainly for those who appreciate nuance and accept ambiguity. For those so predisposed, a spirituality based in the belief that “nature is enough” requires no unverifiable entity for personal fulfillment and may ameliorate environmental problems that increasingly jeopardize human well‐being.     

The Psychophysiology of Orthostatic Panic in Cambodian Refugees Attending a Psychiatric Clinic

Orthostatically triggered panic was examined in female Cambodian refugees. Heart rate, blood pressure (BP), panic, and dizziness responses were assessed during orthostatic challenge in three diagnostic groups: orthostatic panic without comorbid posttraumatic stress disorder (PTSD), orthostatic panic with PTSD, and other mental disorders without orthostatic panic or PTSD. During orthostatic challenge, the panic group without PTSD showed a significant drop, whereas the group with other mental disorders showed an increase in systolic BP. The group with panic and PTSD showed a blunted systolic BP response during orthostasis that fell between the responses of the other groups. Catastrophic, culturally specific cognitions present during orthostatic challenge were significantly correlated with the amount of reported panic upon standing. Some patients recalled previous traumatic events during the orthostatic challenge. The findings suggest that orthostatically induced panic attacks in Cambodian refugees are generated by an interaction of orthostasis physiology, catastrophic cognitions, and trauma associations.