The role of maltreatment experience in children's understanding of the antecedents of emotion

The ability to understand the causes and likely triggers of emotions has important consequences for children's adaptation to their social environment. Yet, little is currently known about the processes that contribute to the development of emotion understanding. To assess how well children understood the antecedents of emotional reactions in others, we presented children with a variety of emotional situations that varied in outcome and equivocality. Children were told the emotional outcome and asked to rate whether a situation was a likely cause of such an outcome. We tested the effects of maltreatment experience on children's ability to map emotions to their eliciting events and their understanding of emotion–situation pairings. The present data suggest that typically developing children are able to distinguish between common elicitors of negative and positive events. In contrast, children who develop within maltreating contexts, where emotions are extreme and inconsistent, interpret positive, equivocal, and negative events as being equally plausible causes of sadness and anger. This difference in maltreated children's reasoning about emotions suggests a critical role of experience in aiding children's mastery of the structure of interpersonal discourse.     

Using psychodramatic techniques in structural family therapy

This article describes how psychodramatic techniques can be used in structural family therapy sessions. After a preliminary discussion of the therapist's spontaneity and role functions in both psychodrama and family therapy, specific action techniques are then discussed using case examples. Auxiliary Ego, Role Reversal, Double, Use of Space, Physicalization, Warm-up, Soliloquy, Surplus Reality, and Future Projection are illustrated.     

Sexual tensions in a remarried family

The remarried family is vulnerable to sexual tensions between adults and children because of the weakness of generational boundaries and because the emotional tasks confronting the new couple can result in the detouring of conflict through a child. The case presented here demonstrates the use of structural family therapy which included several therapeutic tools not usually associated with a structural approach. These included family and marital history, individual and subsystem work, education, and modeling. Unspoken sexual tensions between stepfather and stepdaughter were interwoven with the structural problems that the family was experiencing. Following three months of therapy, significant shifts were made in the family structure that resulted in clearer and more appropriate boundaries between parents and the identified patient.Appreciation is expressed by the author to David Abelson, MA, Karlotta Bartholomew, PhD, and Joellyn Ross, PhD, for their support.     

Family coercion and valid consent

Coercion is commonly said to invalidate consent, and that is always true if the source of the coercion is the physician. However, if it is a family member who coerces the patient to consent, the resultant consent may be quite valid and treatment should proceed.     

Spouse abuse: An ecosystemic approach

This paper provides a perspective on spouse abuse from an ecosystemic approach suggested by second order cybernetics. An attempt is made to demonstrate the interactional basis for an understanding of spouse abuse and to suggest that the failure to use an ecosystemic perspective may result in therapists and other helpers inadvertently exacerbating the problem. Borrowing from the work of Keeney and Bateson, an analysis of the relational aspects of the problem of spouse abuse is provided which illustrates the similar nature of typical intervention strategies to the problem.The ideas discussed in this paper were developed while the author was a therapist at the Family Therapy Clinic at Texas Tech University. Appreciation is expressed to Monte Bobele, Bradford Keeney, and Thomas Conran for the helpful comments and ideas provided during the preparation of this paper.     

A neglected triangle: Grandmother,mother, and daughter

This paper reports on exploratory research and therapeutic work with a neglected but highly important family triangle, the grandmother-mother-daughter triangle. Some characteristic relationships are described from a clinical sample of 18 daughters for whom such a triangle was important. The triangle may signal both problems and strengths for therapy and the daughters.