Experiential Activities in Family Therapy: Perceptions of Caregivers and Youth

Novel and creative therapeutic modalities have been developed in an effort to increase motivation in family therapy for adolescents and families. Many of these approaches incorporate experiential activities or “family play”, which provides a supplemental approach to traditional talk therapy. Incorporating experiential activities into family therapy sessions has been shown to increase engagement and enhance participation in therapy. Therefore, to understand how families view experiential activities within family therapy, we interviewed nineteen adolescents (age 12–17) and their parents/caregivers who were receiving family therapy augmented with experiential activities. We asked a series of open-ended questions to understand the families’ experiences concerning how they initially felt about participating in family therapy and their perceptions of the experiential activities. The activities involved experiential interactions and skill-building exercises that elicited active participation from all family members and encouraged further discussions. Topics of these activities focused on problem areas the family had identified, such as anger management, problem-solving, improving communication, substance use, expressing feelings, coping, etc. Results showed that most caregivers and youth found the experiential activities helpful in creating positive family interactions and developing communication skills. Caregivers and adolescents noted that the activities increased their desire to participate in family therapy sessions and they were more motivated to engage in the treatment process. Clinicians using the methods discussed in this intervention should be aware of the study’s limitations. Implications for clinical practice and research are discussed.     

Sometimes stories sell: When are narrative appeals most likely to work?

Research has demonstrated that narratives can be effective in eliciting attitude change, especially when recipients become transported into the narrative. In three studies, we addressed whether some people are predisposed to be influenced by narratives and whether narrative and rhetorical appeals are differentially effective for different people. In Study 1, participants read an experimental or a control narrative, and completed measures of attitudes, need for affect (NFA), need for cognition (NFC), transportation, and transportability. The results revealed that NFA and NFC were positively correlated with transportation and transportability. In Study 2, participants read either a narrative appeal or a rhetorical appeal about cervical cancer and completed a measure of attitudes and the individual difference constructs. Study 3 was a replication of Study 2 using a different topic (organ donation). In both studies, the results revealed a consistent pattern of correlations among the individual difference measures. Further, we found that although the narrative and rhetorical appeals were judged to be of equal efficacy, the persuasiveness of the narrative appeal differed as function of individual differences in NFA and NFC. The implications for narrative persuasion are discussed. Copyright © 2011 John Wiley & Sons, Ltd.     

Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence-Based Strategies to Promote Early Detection of Breast Cancer: Planning a Comprehensive Dynamic Trial

Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions and improve performance. Although CDT may offer distinct advantages over static designs, organizing the many necessary roles and activities is a significant challenge. In this article, we discuss use of the Interactive Systems Framework for Dissemination and Implementation to systematically implement a CDT. Specifically, we describe “Bronx ACCESS”, a program designed to disseminate evidence‐based strategies to promote adherence to mammography guidelines. In Bronx ACCESS, the Intervention Delivery System will elicit information needed to adapt strategies to specific settings and circumstances. The Intervention Synthesis and Translation System will use this information to test changes to strategies through “embedded experiments”. The Intervention Support System will build local capacities found to be necessary for intervention institutionalization. Simulation modeling will be used to integrate findings across systems. Results will inform on‐going policy debate about interventions needed to promote population‐level screening. More generally, this project is intended to advance understanding of research paradigms necessary to study dissemination. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Are Female Stalkers More Violent Than Male Stalkers? Understanding Gender Differences in Stalking Violence Using Contemporary Sociocultural Beliefs

This study investigated gender differences in the perpetration of stalking violence and how sociocultural beliefs may account for these differences/similarities. A sample of 293 Australian undergraduate and postgraduate students classified as relational stalkers completed a self-report questionnaire assessing violence perpetration (no/moderate/severe violence) and sociocultural beliefs (justifications for relational violence; assessments of target fear). Female relational stalkers perpetrated elevated rates of moderate violence; however, there were no gender differences for severe violence. Both male and female relational stalkers were more supportive of justifications for female-perpetrated relational violence than male-perpetrated relational violence. Violent male relational stalkers were more likely to believe they caused fear/harm than their female counterparts. These findings are interpreted in the context of sociocultural beliefs that view male-to-female violence as more unacceptable and harmful than female-to-male violence.     

Joseph V. Brady: Synthesis Reunites What Analysis Has Divided

Joseph V. Brady (1922–2011) created behavior-analytic neuroscience and the analytic framework for understanding how the external and internal neurobiological environments and mechanisms interact. Brady''s approach offered synthesis as well as analysis. He embraced Findley''s approach to constructing multioperant behavioral repertoires that found their way into designing environments for astronauts as well as studying drug effects on human social behavior in microenvironments. Brady created translational neurobehavioral science before such a concept existed. One of his most lasting contributions was developing a framework for ethical decision making to protect the rights of the people who participate in scientific research.     

Persisting or Withdrawing? An Insight into the Psychosocial Processes Underlying Sustained Engagement

The study explored the roles of commitment, emotional stress, and interpersonal relationships in sustaining individuals' engagement in collective action. Two collective action cases, differing in duration, issue, and territorial rootedness, were analyzed. The processes underlying sustained engagement were probed in 32 semistructured interviews conducted with antiglobalization activists (N = 13) and opponents to a high‐speed railroad (N = 19). Our findings showed that collective action can be stressful, but that there are proximal and distal factors that can counterbalance the disruption and sustain engagement. The proximal factors are embedded in the circumstances of involvement, and these factors concern interpersonal relationships, organizational mechanisms, and the psychological interface between the individuals and the concrete collective action environment. The distal factors are related partly to the individual and partly to the broader community from which the individual absorbs general values and norms. Copyright © 2011 John Wiley & Sons, Ltd.     

Test anxiety inventory: 30 years later

Abstract Research suggests that test anxiety is associated with a number of maladaptive factors. The majority of test anxiety research includes the Test Anxiety Inventory (TAI) as a primary outcome variable. However, the TAI was normed on college undergraduates in 1980. The academic landscape has altered in a variety of ways in the past 30 years, which may result in out-of-date norms. This study examined changes in TAI scores in college undergraduates (n =437) as well as convergent validity with measures of trait anxiety and academic performance. Results indicated increases in TAI scores for females while holding constant for males. Additionally, females and males displayed positive correlations between the TAI and state-trait anxiety inventory, while only females displayed a significant negative correlation between the TAI and grade point average. Data provide evidence of changes in TAI scores. As a result, researchers should be careful when drawing conclusions based on original TAI norms, especially in the case of female undergraduates.     

Individual, Peer, and Family Factors Influencing Urban African American Adolescents’ Responses to Problem Dating Situations

A clear understanding of factors influencing adolescents’ responses to problem dating situations is needed to guide efforts to promote healthy dating relationships and address issues such as emotional distress, conflict, and violence in dating contexts. This study used qualitative methods guided by a socio-ecological model to identify factors at the individual-level and those within adolescents’ peer and family relationships that influenced their use of specific strategies (active, avoidant, support-seeking, or aggressive) in response to problem dating situations. Interviews were conducted with 38 African American middle and high school students in an urban public school system. Participants identified nine themes that would make it easier for them to engage in their best response strategies to deal with problem dating situations. These included four individual-level factors (e.g., individual characteristics and adolescents’ confidence in their ability to address dating problems), three peer factors (e.g., supportive advice from peers), and two family factors (e.g., support, advice, and messages about dating relationships from family members). Nine themes were identified that would make it harder for adolescents to engage in these responses including three individual-level factors (e.g., difficulty in regulating anger, anxiety, and sadness in dealing with dating problems), four peer factors (e.g., peer instigated conflict among dating partners), and two family factors (e.g., family involvement in adolescents’ dating relationships). The results inform prevention efforts that focus on promoting healthy dating relationships during adolescence.