Jamaican Family Structure: The Paradox of Normalcy

The relationship between basic research, theory, and clinical work with families is conceptualized during a discussion of Jamaican family structure and the application of change theory to a clinical case of depression in a Jamaican woman. It was found that three types of family structure are prevalent in Jamaica. The European ideal of a patriarchal-patrifocal structure creates problems for working-class Jamaicans. General system theory provides support for a different model. Change theory is applied to resolve the paradox created by the European model.     

Family therapy with delinquents: a critical review of the literature

A critical review of the theoretical and outcome studies on family therapy with delinquents is presented. Assessment of the theoretical developments reveals that families of delinquents may be distinguishable from other families by their interactional sequences and processes. The available outcome studies within the field indicate that family therapy is viable for interventions with this population, with behavioral, structural, strategic, and communication approaches receiving the most support, but more specific and robust evidence is still needed. Trends in the research and critical issues are identified and used to provide suggestions for future research and practice.     

Programming maintenance after correspondence training interventions with children

Interventions were employed to program maintenance following correspondence training. The use of reinforcement of verbalization and a mixed sequence of procedures designed to establish indiscriminable contingencies was evaluated in multiple-baseline designs across subjects and behaviors. The results indicated that target behaviors were maintained under less intrusive interventions and in the absence of programmed contingencies during extended follow-up conditions. The results are discussed in terms of changes in reinforcement schedules established in maintenance interventions.     

Reactions to Patients' Self-or Chance-Blaming Attributions for Illnesses Having Varying Life-style Involvement

The effects of the perceived accuracy of attributions of self blame and chance blame were examined in the context of health care. Health practitioners ( N = 147) rated interviews in which patients made self-or chance-blaming attributions for diseases with high (heart attack, stroke), or low (cancer, arthritis) life-style involvement, or acidental injuries. Three discriminant analyses yielded p < .001. Self-blaming heart and stroke patients were rated as coping better and acting more appropriately and typically than chance blamers. Other self blamers were rated as more depressed, poorly adjusted, coping poorly, not accepting disability, needing counselling and information. Additionally, self-blaming accident victims were judged as more dependent, less likeable, and having poorer prognoses than chance blamers. Realistic self blame for life-style diseases did not lead to victimization, but other self-blaming patients were stigmatized and the adaptiveness of self blame as a coping strategy was unrecognized.