A family‐therapy approach to child abuse: countering resistance

Abusing and high-risk families have been seen over three years at a new treatment resource with a family therapy orientation. The families present with established resistance to any treatment intervention and many have defeated a succession of previous helping agencies. Initial typology and treatment strategies are described with the aim of more systematic selection of therapeutic techniques.     

An experiment in social engineering in serving the families of predelinquents

One hundred and two predelinquent adolescents were randomly assigned to one of two conditions: an experimental condition in which behavioral contracting services were offered both at home and in school or a control condition in which clients were told that they could not be accommodated by project therapists and were informed about the possibility of their receiving treatment in other programs in the community. Most of those who were assigned to the control condition did not avail themselves of services in these other programs. Results indicate that, relative to the controls, the behaviorally treated youth scored small but statistically significant improvement relative to the controls on five measures: ratings of school behavior by the person who originally referred them for service, by their teachers, by their mothers, and by their fathers, and ratings of their parent—child interactions as measured by their mothers. Gains were also reported in mothers' ratings of their children's behavior at home. The failure of significant gains to be made in two measures of school performance grades and attendance is explained by the failure o f the treatment techniques to over-come an age-related deterioration in these areas found among most children in the participating schools. The failure of fathers to find significant improvement in their relationships with the referred adolescents is viewed as a consequence of unanticipated changes in the intrafamilial balance of power resulting from contracting services. Finally, a subsidiary analysis showed that the contracting service appeared to offer the greatest gain to the demographically defined sub-groups of youths who are among the population-at-risk in many juvenile courts.This study was supported by Grant R01-MH21452 from the Center for Studies of Crime and Delinquency, National Institute of Mental Health. The authors wish to thank L. Nilles, who served as general administrator of this project, and C. Faller, S. Iman, P. Ippel, L. Lott, J. Marsh, C. Stephenson, J. Tanter, D. Virtue, and R. Welter, who served as therapists.     

The use of co-working (co-therapy) as a training method

This paper formed the basis of a Workshop at the A.F.T. Conference 1981, although the bulk of the theoretical material was not presented in the Workshop. The primary aim of the Workshop itself was to enable participants to think about how they themselves would use the co-working method as a way of training and to test these thoughts out to some extent in role-play.
The experimental part of the Workshop fell into two sections. In the first the aim was for participants to consider in pairs what they might wish to teach by this method and how; and in the second it was intended that they test out in pairs an attempt to teach a specific aspect of family therapy.
In practice members found in the first part some of the difficulties that this method presents, as shown in my research, and thus for the second part they felt it essential to focus on the issue of developing a contract between the two potential co-workers in order to clarify and confirm the nature of the training relationship. This was no doubt as it should be, since there is evidence that to press ahead with trying to teach a method in this close working relationship when there are substantial problems in, or uncertainty about the relationship can be disruptive. Hence the workshop as a whole was much concerned with the nature of the training experience rather than the actual transmission of family therapy skills.     

Personality, learning style and work performance

Just over two hundred telephone sales staff completed the Eysenck Personality Inventory (EPI) and Honey and Mumford's Learning Styles Questionnaire (LSQ). Extraversion was highly correlated both positively and negatively with three of the four LSQ measures. The lie scale from the EPI was also systematically correlated with the Activist and Reflector scales of the LSQ. Both the EPI and LSQ traits were modestly correlated with two criteria: ratings of Actual Performance and Development Potential. Regressions were used to determine the best predictors of the two ratings measures. Personality variables (extraversion, neuroticism) and certain learning styles (reflector, pragmatist) were statistically significant predictors of rated performance, though they accounted for less than 10% of the explained variance. The results concur with recent meta-analytical studies that show personality variables account for a small but important amount of variance in measures of work performance.     

Group therapy with dual-diagnosed adolescents

This paper presents an eclectic orientation to group therapy, which guides the authors' clinical work with adolescents diagnosed as both mentally ill and mentally handicapped. Highlighted are the treatment needs and the difficulties working with this population, theories of group process and their implication for treatment, and specific clinical techniques that foster individual and group growth. Specificallly, this paper outlines the clinical rationale and group interventions used in a process-oriented group for dual-diagnosed adolescents residing in a residential setting. This group is designed to develop the clients' interpersonal understanding and skills, which will hopefully enhance their overall adaptation and functioning in the residential milieu. It is believed that the integration of a variety of theoretical approaches is critical for group therapy with this population.He was Senior Cottage Therapist or Unit Director at the William Roper Hull Child and Family Services, Calgary, Alberta, while doing group work with dualdiagnosed adolescents.He was a Cottage Therapist at Hull Child and Family Services, while doing the group work cited in this pape     

Do young boys and girls have distinct and different approaches and needs in relation to spiritual development?

Difficulties are outlined in how to consider whether boys and girls have distinctive approaches and needs in relation to spiritual development, especially the lack of any agreed definition of spiritual development and the nature of the research literature relating to gender. I explore this without presupposing, or excluding, any particular definition, arguing that, whatever one's assumptions and beliefs about spirituality, these influence, and are influenced by, assumptions and beliefs about gender, and vice versa. I present empirical evidence on aspects associated with personal well‐being indicating outcomes strongly differentiated by gender. I examine research evidence in relation to gender within a range of areas commonly associated with spirituality and highlight some gaps. I argue that considering spiritual development through the lens of gender and gender through that of spiritual development can illuminate one's understanding of both concepts. I suggest some possible implications for future research and for teachers of young children.     

Leisure, coping and health: the role of social, family, school and peer relationship factors

The relationship between social, family, peer and school factors and leisure engagement within a transactional model of stress and health was investigated in 655 young adults. Results show that the family environment, encouragement from parents and teachers, relationships with peers and socioeconomic factors in childhood predict adult attitudes to and engagement in leisure. In turn, leisure attitude and engagement are related to psychological distress, optimism, perceived control and social support. It is argued that the development of patterns of leisure attitudes and engagement in childhood need to be understood in predicting and changing adult leisure behaviours relevant to health and illness.     

Evolution,depression and counselling

In this paper a framework of evolutionary psychology is used to develop a model of depression. In this model depression is seen as not normally a biochemical illness or disorder, but instead as usually due to the person becoming trapped within a psychologically activated but unwanted and inappropriate suite of natural emotions, with the activation coming from a perception of a major decline in personal usefulness that can include failure, guilt, shame or perceived rejection. A neuropsychological observation that supports this model is described. The implications of the model for counselling with depressed clients are outlined in terms of a multi-dimensional approach, oriented around perceived usefulness. It is predicted that clients receiving such counselling will recover more rapidly and be less likely to suffer a relapse than those receiving just drugs or a form of counselling that covers fewer dimensions.     

An Integrative Review of School-Based Mental Health Interventions for Elementary Students: Implications for Occupational Therapy

Occupational therapy for children and youth experiencing mental health conditions is often overlooked in current school-based services, as the traditional role within the system is often limited to physical health issues. The purpose of this integrative review is to investigate current psychosocial interventions within school settings to understand the effects of services provided and to determine potential roles for school-based occupational therapists. The findings of this review support occupational therapists in facilitating interventions that target mental health in school settings. Psychotherapy presented the strongest evidence for reducing psychosocial symptoms in school settings.