Thematic review of family therapy journals 2009

In this article the contents of the principal English‐language family therapy journals published in 2009 are reviewed under these headings: narrative therapy, child‐focused problems, adult‐focused problems, substance abuse across the lifespan, illness across the lifespan, family violence, couples, diversity, developments in systemic practice, training and research.     

Validation of a 28‐item version of the Systemic Clinical Outcome and Routine Evaluation in an Irish context: the SCORE‐28

This article describes the development, in an Irish context, of a three‐factor, twenty‐eight‐item version of the Systemic Clinical Outcome and Routine Evaluation (SCORE) questionnaire for assessing progress in family therapy. The forty‐ item version of the SCORE was administered to over 700 Irish participants including non‐clinical adolescents and young adults, families attending family therapy, and parents of young people with physical and intellectual disabilities and cystic fibrosis. For validation purposes, data were also collected using brief measures of family and personal adjustment. A twenty‐eight‐item version of the SCORE (the SCORE‐28) containing three factor scales that assess family strengths, difficulties and communication was identified through exploratory principal components analysis. Confirmatory factor analysis showed that the factor structure of the SCORE‐28 was stable. The SCORE‐28 and its three factor scales were shown to have excellent internal consistency reliability, satisfactory test‐retest reliability and construct validity. The SCORE‐28 scales correlated highly with the General Functioning Scale of the Family Assessment Device, and moderately with the Global Assessment of Relational Functioning Scale, the Kansas Marital and Parenting Satisfaction Scales, the Satisfaction with Life Scale, the Mental Health Inventory – 5, and the total problems scale of the Strengths and Difficulties Questionnaire. Correlational analyses also showed that the SCORE‐28 scales were not strongly associated with demographic characteristics or social desirability response set. The SCORE‐28 may routinely be administered to literate family members aged over 12 years before and after family therapy to evaluate therapy outcome.     

Energetic effects of stimulus intensity on prolonged simple reaction-time performance

The efficiency of cognition is modulated by energetic factors like effort, fatigue or circadian variation, which affect even the most basic cognitive operations. For instance, speeded detection in simple reaction-time (SRT) tasks usually slows down over time. The literature suggests that either mindlessness due to routinization or mental fatigue due to attentional resource depletion might underlie this decrement. We tested these assumptions in three 25-min visual SRT tasks using easy-to-detect high-intensity and hard-to-detect low-intensity stimuli presented in both blocked and mixed fashion. Mindlessness theory predicts that less monotonous stimulation (i.e. the mixed presentation) would mitigate the time-related decrement for high- and low-intensity stimuli alike, whereas resource-depletion theory predicts opposite effects of mixed presentation on high- versus low-intensity stimuli. Indeed, stimulus intensity and presentation mode cross-interacted significantly, indicating that the performance decline was steeper for high-intensity stimuli but less steep for low-intensity stimuli during mixed compared to blocked presentation, respectively. These results strongly suggest that the time-related efficiency decrement during prolonged SRT performance is related to accumulating mental fatigue. A conjecture is put forward that explains both resource depletion and mindlessness from the perspective of self-regulation. Our study underscores the need to incorporate energetic factors into models of cognition to facilitate their translation into real-world applications.     

The role of crossmodal competition and dimensional overlap in crossmodal attention switching

Crossmodal selective attention was investigated in a cued task switching paradigm using bimodal visual and auditory stimulation. A cue indicated the imperative modality. Three levels of spatial S–R associations were established following perceptual (location), structural (numerical), and conceptual (verbal) set-level compatibility. In Experiment 1, participants switched attention between the auditory and visual modality either with a spatial-location or spatial-numerical stimulus set. In the spatial-location set, participants performed a localization judgment on left vs. right presented stimuli, whereas the spatial-numerical set required a magnitude judgment about a visually or auditorily presented number word. Single-modality blocks with unimodal stimuli were included as a control condition. In Experiment 2, the spatial-numerical stimulus set was replaced by a spatial-verbal stimulus set using direction words (e.g., “left”). RT data showed modality switch costs, which were asymmetric across modalities in the spatial-numerical and spatial-verbal stimulus set (i.e., larger for auditory than for visual stimuli), and congruency effects, which were asymmetric primarily in the spatial-location stimulus set (i.e., larger for auditory than for visual stimuli). This pattern of effects suggests task-dependent visual dominance.     

When dyads act in parallel,a sense of agency for the auditory consequences depends on the order of the actions

The sense of agency (SA) is the perception of willfully causing something to happen. Wegner and Wheatley (1999) proposed three prerequisites for SA: temporal contiguity between an action and its effect, congruence between predicted and observed effects, and exclusivity (absence of competing causal explanations). We investigated how temporal contiguity, congruence, and the order of two human agents’ actions influenced SA on a task where participants rated feelings of self-agency for producing a tone. SA decreased when tone onsets were delayed, supporting contiguity as important, but the order of the agents’ actions (lead, follow, or simultaneous) also mattered. Relative contiguity was the main determinant of SA, as delayed tones were usually attributed to the most recent action. This was unaffected by contingencies between the two actors’ actions (Experiment 2), showing that contiguity has a powerful influence on SA, even during joint action in the presence of other cues.     

Fabry Disease Practice Guidelines: Recommendations of the National Society of Genetic Counselors

Identification and comprehensive care of individuals who have Fabry disease (FD) requires a multidisciplinary approach inclusive of genetic testing, test interpretation, genetic counseling, long term disease symptom monitoring, treatment recommendations, and coordination of therapy. The purpose of this document is to provide health care professionals with guidelines for testing, care coordination, identification of psychosocial issues, and to facilitate a better understanding of disease treatment expert recommendations for patients with Fabry disease. These recommendations are the opinions of a multicenter working group of genetic counselors, medical geneticists, and other health professionals with expertise in Fabry disease counseling, as well as representatives/founders of the two United States based Fabry disease patient advocacy groups who are themselves affected by Fabry disease. The recommendations are U.S. Preventive Task Force Class III, and they are based on clinical experience, a review of pertinent English-language articles, and reports of expert committees. This document reviews the genetics of Fabry disease, the indications for genetic testing, interpretation of results, psychosocial considerations, and references to professional and patient resources.     

Edge-induced illusory contours and visual detection: Subthreshold summation or spatial cueing?

Findings that illusory contours can facilitate visual detection of a subthreshold real line (Dresp & Bonnet, 1995) were not replicated, when line-induced instead of edge-induced illusory contour stimuli were used (Salvano-Pardieu et al., 2006). Rather, the results of the latter study supported the importance of spatial cues. The present study was designed to investigate whether spatial cueing might also facilitate detection of targets superimposed on edge-induced illusory contours. In Experiment 1, a target line was superimposed on the illusory contour of a Kanizsa square, presented between dots with a precise or distant location to the target, or on a homogeneous field (control). Detection of the target was poorest for the control, followed by the distant-dots and Kanizsa conditions, whereas it was best for precisely cueing dots. Experiment 2 replicated the conditions in Experiment 1 (Kanizsa, precisely cueing dots, and control) with additional controls for possible luminance effects. The two new conditions matched the Kanizsa condition for overall luminance and preciseness of spatial cueing without generating illusory contours. Performance was best in the dot condition and worst in the control, but the same across the Kanizsa and matched luminance conditions. In Experiments 3 and 4, the stimuli presented were matched more closely to those used by Dresp and Bonnet, but still the results confirmed those obtained in our Experiments 1 and 2. Together, these experiments strongly suggest that detection is also facilitated by spatial cueing rather than subthreshold summation, in the case of edge-induced illusory contours.