Family therapy and outcome: Relationships between therapist and family styles

This study examined therapeutic outcome for a group of 175 clinic families divided into levels of family competence and style, and, later, into seven clinical groupings. The division into these groups was based on the level of rated Competence and Style determined by using the Beavers Systems Model. Therapists also rated their level of Openness/Sharing Strategy, Power Differential, and Partnership with the family at the third session. Results indicate that more competent families who fared well in therapy had therapists who formed a partnership, disclosed strategy, and employed a minimal power differential with the family. The most disturbed families, and those with a Centrifugal style, did better with therapists employing a high power differential and lower levels of openness and partnership. The study also presented the distribution of individual diagnoses by family groups. Implications for family therapists, including the value of family assessment, are provided.     

The role of blood pressure, cortisol, and prolactine among soldiers injured in the 1991–1993 war in Croatia

Ninety soldiers with at least three months of combat exposure—60 injured soldiers (30 with permanent disabling and 30 with nondisabling injuries), 30 noninjured soldiers and 30 healthy controls—were interviewed and investigated with physiological (Prolactine, Cortisol, BP, Hb) and psychological tests (MMPI), IES-15 (Impact of Event Scale), PTSS (Post-Traumatic Symptom Scale). Their was related injuries had a different effect on the physiological stress response of the soldiers as reflected in the levels of prolactine, cortisol, hemoglobin and blood pressure. In a report of personality characteristics of the same soldiers, we demonstrated that the experience of posttraumatic stress was not dependent upon physical injury, but rather on the psychological appraisal of the situation. The results of the present article confirm earlier findings that the relationship between physiological and psychological consequences of trauma are complex, and that the perception of an event and the social context within which the traumatized soldier exists is as important as the event itself. The physiological response to the trauma varied greatly among the soldiers regarding the psychosocial impact of the consequence of the injury. So the anticipation of future possible trauma among less severely wounded soldiers (expected to go back to war) was followed by pathological stress responses. Trauma seems to operate somewhat independently from the overt conscious appraisal of the situation and relationship between psychological, psychosocial, and physiological aspects are interrelated in a multifactorial way. An integrative approach is therefore of great importance in assessment as well as in treatment of Posttraumatic Stress Disorder (PTSD). Editorial Note This historical article is being published for the first time. It is based on the Ph.D. thesis of Dr. Harry A. Teitelbaum for which he was awarded a doctorate by the University of Maryland in College Park in 1936. The dissertation was stored prior to publication and was not rediscovered until 1997. Teitelbaum’s work was performed during the early days of the development of knowledge regarding the mechanisms that regulate endocrine function. The understanding of the broad capability of interactions among endocrine glands was evolving. It was a field that Teitelbaum contributed to for several years, many of which were spent in collaboration with Horsley Gantt in his laboratory at Johns Hopkins. Although some of the experimental strategies and some of the wording of the report seem quaint today, the contribution of Teitelbaum’s research was solid and highly relevant to questions being asked at the time.     

PRIMING FROM THE ATTENTIONAL BLINK:

Abstract —When people must detect several targets in a very rapid stream of successive visual events at the same location, detection of an initial target induces misses for subsequent targets within a brief period. This attentional blink may serve to prevent interruption of ongoing target processing by temporarily suppressing vision for subsequent stimuli. We examined the level at which the internal blink operates, specifically, whether it prevents early visual processing or prevents quite substantial processing from reaching awareness. Our data support the latter view. We observed priming from missed letter targets, benefiting detection of a subsequent target with the same identity but a different case. In a second study, we observed semantic priming from word targets that were missed during the blink. These results demonstrate that attentional gating within the blink operates only after substantial stimulus processing has already taken place. The results are discussed in terms of two forms of visual representation, namely, types and tokens.     

Mixed-method mixed-modality psychophysical scaling

Four experiments are reported in which the direct psychophysical scaling methods of magnitude estimation, category judgment, and cross-modality matching were mixed in the same series of trials, both with a single stimulus modality and in a mixed-modality situation. The mixed-method scaling situation gave results consistent with those obtained when methods are used alone, and it has several advantages. Interactions between the methods were consistent with the idea that judgments made under all three are mediated by a primitive process of categorization that is influenced by heuristics used to achieve a single category identity for each stimulus.     

The interaction between cohesive systems and dispersive systems: Creating the trigenerational therapeutic context

The author presents a model for research investigation and clinical use that deals with the interaction between cohesive and dispersive family of origin systems as reflected in marital and family interaction in nuclear families.From a paper presented at the tenth annual meeting of the American Family Therapy Association, June, 1988, Montreal, PQ, Canada.     

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 place of social intelligence in a taxonomy of cognitive abilities

Studies have yielded inconsistent results regarding the place of social intelligence in a taxonomy of cognitive abilities. An investigation is described in which measures of social behaviors obtained from interviews were related to a wide variety of cognitive variables. Significant relations were rare. It is suggested that the question to be posed is not the simple one of the place of social intelligence in the cognitive domain but rather one of the relationships of the elements of two large taxonomic systems. A Taxonomy of social intelligence would provide a set of definitions procedures that would improve efforts to replicate and build on previous research. More important would be the heuristic value of a structural representation of “social intelligence” based on theoretical relationships involving environmental, physiological, and genetic as well as psychological factors. Development of a taxonomy of situations would facilitate the study of interactions involving performance and environmental conditions.     

Sex-typing and cross-sex-typing in "androgynous" subjects

Bem Sex-Role Inventory protocols from 848 subjects were categorized as androgynous or nonandrogynous according to each of three current scoring systems. Androgynous protocols by each scoring system were then examined for sex differences in trait item endorsements. The t-score method generated androgynous subjects who were cross-sex-typed, while androgynous subjects defined by the median split method tended to be same-sex-typed. Androgynous subjects by the intersect method presented the fewest number of sex differences. These method-specific versions of androgyny appear linked to the use of summated Masculinity and Femininity subscales of the BSRI.     

Monoaminergic mediation of female sexual behavior.

Lordotic behavior was facilitated in estrogen-primed female rats by direct application of progesterone or serotonergic or beta-adrenergic receptor blockers to specific telencephalic, anterior hypothalamic-medial preoptic, or posterior hypothalamic sites. Blockade of the alpha-adrenergic system was ineffective in facilitating lordosis, as was the application of the active drugs to control sites in the thalamus or basal ganglia. Female soliciting behavior was not evoked by any of the treatments. It is concluded that the lordotic behavior component of the female rat's estrous behavior pattern is inhibited by a specific central monoaminergic system that also responds to progesterone. Soliciting behavior appears to be mediated by systems that are anatomically, and possibly neurochemically, separable from those regulating lordosis.