Commentary on reviews of “outcome” studies of family and marital psychotherapy

Reviews of the outcome literature in family and marital therapy are critically evaluated. The literature is equivocal in regard to the effectiveness of family therapy, particularly in comparison to alternative forms of treatment, so that statements to the effect that family therapy has demonstrated its general efficacy would not appear to be justified. Problems are identified which require solution before the efficacy of family therapy can be demonstrated.Paper presented at the 45th annual conference of the American Association for Marriage and Family Therapy, Chicago, Illinois, October 31, 1987.     

The consistency of presented personality: Additional evidence from aggregation

The present study investigated people's variability across situations by getting ratings of 66 subjects on 14 bipolar dimensions from at least eight interactants, chosen for their diversity. The intercorrelation of single ratings yielded a mean coefficient of .221. The correlation of single ratings with the aggregate of the other ratings for a dimension resulted in a mean coefficient of .388. The correlation of two sets of aggregated ratings gave a mean coefficient of .550, or .710 with application of the Spearman-Brown correction. Finally, computation of Cronbach's alpha gave a mean coefficient of .735. The results provide a further demonstration of the coherence that can be revealed by aggregation. Correlations of aggregated ratings on each of the 14 dimensions with extraversion ranged up to .668, and correlations with neuroticism ranged up to .410. The study suggests that there is a dispositionality in the characteristics people display, and that the emphasis on variability (e.g., Mischel, 1968; Mischel & Peake, 1982) should be tempered.     

The Butchers, an eclectic approach to family therapy

The thesis of this paper is that differing theoretical constructs offer a variety of rich approaches when responding to the problems families present. To work exclusively within one theoretical framework is to deny oneself the value latent in other models, and thus restrict one's therapeutic competence. It is suggested that various family therapy models can be worked together without contradiction if they are subsumed in an overriding systems approach. It is also pointed out that the various models have particular capabilities and limitations with differing therapeutic goals. Ten interviews with one family are used to illustrate an eclectic approach in therapy.     

Detection of stimulus change: The hypothetical roles of visual transient responses

Two random-dot patterns (D1 and D2) were displayed briefly in close temporal succession, separated by an interstimulus interval (ISI). The two patterns were identical except that D2 could contain one more element (addition) or one less element (subtraction) than D1. Observers were required to detect the addition or subtraction using a two-alternative forced-choice method. Three experiments were designed to examine Phillips and Singer’s (1974) suggestion that detection of additions and subtractions can be explained in terms of neural ON and OFF responses. Experiment 1 replicated Phillips and Singer’s finding that performance is progressively impaired as the ISI is increased. In Experiment 2, sudden shifts in luminance between D1 and D2 were combined with several durations of ISI to produce transient responses in a novel manner. Experiment 3 explored the roles of transient neural responses and of configurational changes as determinants of performance. Most predictions based on Phillips and Singer’s model were confirmed by the experimental outcomes. Some discrepancies between theory and data are noted, and directions for further research are suggested.     

Relations between visceral and behavioral function in men at bedrest

Multiple physiological measurements as well as a self-assessment of arousal was made in eight men on the first, third, and fifth days of bedrest. On the third day, additional measurements of performance on memory and dexterity tasks were made. Univariate analysis did not reveal any physiological variable to either predict subsequent performance well or to co-vary acutely with it; however, self-rating scores did prove to be useful predictors of subsequent performance. Principal components analysis suggested an“alertness” factor comprised of physiological measures as well as selfratings which helped in predicting better performance. Although the individual patterns of correlations between variables on each of the three test days was variable, even more variability between subjects was found on the performance testing day. We believe this effect of behavioral activation may be due to the injection of common, slow temporal trends into many of the different data sets.     

Preschool children's preferences and recall for stereotyped versus nonstereotyped stories

This study assessed children's preferences and recall for stereotyped versus non-stereotyped stories. The sample consisted of 32 preschool children, ranging in age from 60 months to 75 months. Four stories with boys or girls as the main character, each portraying typically masculine or feminine activities, were read to each child. Both preference and recall measures were obtained immediately and one day later. The hypothesis was confirmed that the stories were differentially preferred by boys and girls as a function of stereotyping of story. Girls preferred the story with a female character and a feminine activity and least preferred the story with a male character and a masculine activity. For boys, the reverse was true. The second choice for both boys and girls involved preference for activity, not sex of main character. A cross-lagged panel revealed that preference at Time 1 was causally related to recall at Time 2. The children remembered the most at Time 2 about the stories they liked the least at Time 1.This article is based on the first author's master's thesis, submitted in partial fulfillment of the requirements for a M.S. degree at the University of Georgia. A summary of this research was presented at the Fourth Annual Southeastern Conference on the Family and the Child, Athens, Ga., 1979.     

The management of children''s distress in response to painful medical treatment for burn injuries

The purpose of the current study was to develop an initial assessment of the efficacy of astress-management program designed to reduce the behavioral distress of children undergoing highlypainful medical treatments for their burn injuries. The stress-management program was delivered to 4 male patients, ages 5–12 yr and its effects assessed in a combined multiple-baseline and reversal design. Results indicated that the program was moderately effective at reducing behavioral distress during the burntreatment procedures for 3 of the 4 patients and less effective with the fourth. However, the design also revealed that the presence of a therapist to coach the patient in the use of these techniques was essential and that distress levels rose substantially on days when there was no therapist present. Finally, speculations concerning the factors responsible for the effectiveness of the stress-management program as well as its reduced efficacy with 1 S were discussed.     

Nearest neighbor analysis of point processes: Applications to multidimensional scaling

A new approach for evaluating spatial statistical models based on the (random) number 0 ≤ N(i, n) ≤ n of points whose nearest neighbor is i in an ensemble of n + 1 points is discussed. The second moment of N(i, n) offers a measure of the centrality of the ensemble. The asymptotic distribution of N(i, n) and the expected degree of centrality for several spatial and nonspatial point processes is described. The use of centrality as a diagnostic statistic for multidimensional scaling is explored.