Feedback Informed Treatment: Evidence‐Based Practice Meets Social Construction

This article explores the challenges presented by the mandate for evidence‐based practice for family therapists who identify with the philosophical stance of social construction. The history of psychotherapy outcome research is reviewed, as are current findings that provide empirical evidence for an engaged, dialogic practice. The authors suggest that the binary between empiricism and social construction may be unhinged by understanding empiricism as a particular discursive frame (i.e., a particular way of talking, acting, and being in the world), one of many available as a way of understanding and talking about our work. Through a case vignette, the authors introduce the evidence‐based practice of Feedback Informed Treatment as an elaboration of social construction, and as an example of bridging the gap between the discursive frames of empiricism and social construction.     

Psychometric Properties and Responsiveness to Change of 15‐ and 28‐Item Versions of the SCORE: A Family Assessment Questionnaire

The SCORE (Systemic Clinical Outcome and Routine Evaluation) is a 40‐item questionnaire for completion by family members 12 years and older to assess outcome in systemic therapy. This study aimed to investigate psychometric properties of two short versions of the SCORE and their responsiveness to therapeutic change. Data were collected at 19 centers from 701 families at baseline and from 433 of these 3–5 months later. Results confirmed the three‐factor structure (strengths, difficulties, and communication) of the 15‐ and 28‐item versions of the SCORE. Both instruments had good internal consistency and test–retest reliability. They also showed construct and criterion validity, correlating with measures of parent, child, and family adjustment, and discriminating between clinical and nonclinical cases. Total and factor scales of the SCORE‐15 and ‐28 were responsive to change over 3–5 months of therapy. The SCORE‐15 and SCORE‐28 are brief psychometrically robust family assessment instruments which may be used to evaluate systemic therapy.     

A Video Recall Study of In‐session Changes in Sentiment Override

This study examines in‐session changes in sentiment override over the first three sessions of couple therapy. Couples viewed a video recording of therapy sessions immediately after each of the first three sessions and continuously rated their level of sentiment override. Ninety‐eight changes were randomly chosen for analysis. Three talk turns prior to each change was coded using the Family Relational Communication Control Coding System. Results show that changes in sentiment override occur frequently. Repeated incidents of communication control were related to negative change in sentiment override for females. Repeated incidents of being left out of the conversation were related to negative changes in sentiment override for females and positive changes for males.     

THE MAGIC OF PLAY: LOW‐INCOME MOTHERS’ AND FATHERS’ PLAYFULNESS AND CHILDREN'S EMOTION REGULATION AND VOCABULARY SKILLS

Using data from a diverse sample of low‐income families who participated in the Early Head Start Research Evaluation Project (n = 73), we explored the association between mothers’ and fathers’ playfulness with toddlers, toddler's affect during play, and children's language and emotion regulation at prekindergarten. There were two main findings. First, fathers’ playfulness in toddlerhood was associated with children's vocabulary skills in prekindergarten whereas mothers’ playfulness was related to children's emotion regulation. Cross‐parental effects were found only for mothers. The association between mothers’ playfulness and children's vocabulary and emotion regulation was strengthened when fathers engaged in more pretend play and when children were affectively positive during the play. These findings show that playfulness is an important source of variation in the vocabulary and emotion regulation of children growing up in low‐income families. They also point to domain‐specific ways that mothers and fathers promote children's regulatory and vocabulary skills, and highlight the importance of children's positive engagement in play.     

Analytical practice: do the new technologies have an impact?

Through commentary on four clinical vignettes, this article focuses on the anthropological transformations taking place in contemporary society, underlining their differences from the anthropologies of reference of the founding fathers of psychoanalysis. Hybridization between man and machine and the speeding up and alteration of communications which the new technologies promote are now crucial issues facing psychoanalysis. Social media and a 24/7 internet connection have produced deep changes in the way people live and perceive relationships. Analytical practice is not exempt from such issues, which can be particularly insidious, often subtle and difficult to recognize, or even underestimated or ignored by psychoanalysts outright, in order to preserve the illusion of a complete understanding of what unfolds in the analytical space. The authors suggest that such transformations, by (partially) rendering inadequate the theoretical and technical corpus on which the various depth psychologies are founded, require personal engagement on the part of psychoanalysts in the search for new strategies to treat their patients, with the consequent abandonment of the ‘certainties’ offered by sclerotic models of clinical procedure.     

Christianity in Iran: A Brief Survey

This article reviews the long and varied history of Christianity in the country now known as Iran. The historical emphasis is on the Assyrian Church of the East, although other churches are also mentioned. The relationship, successively, with Zoroastrianism and with Islam, as the dominant religious traditions, is discussed, as are its implications for the wider Islamic world. Western contacts with Iran, and, in particular, those of western churches, are also examined. In the light of this historical analysis, and from discussion of the situation since the Islamic Revolution, some conclusions are advanced about the prospects for Christianity in the new contemporary context.     

Ensombrecimiento verbal de la descripción previa en la identificación de personas

Resumen

Este estudio examina los efectos de la descripción del autor de un delito en su identificación posterior, así como las estrategias utilizadas en la decisión y la confianza en la respuesta. Se preparó un vídeo que representaba el robo de un coche. Sólo la mitad de los sujetos realizó una descripción del autor antes de la tarea de identificación, presentada en vídeo mediante una rueda simultánea con 5 distractores y el autor del delito, indicando a los sujetos que el autor podía estar presente o no. La descripción no afectó ni a la exactitud de la identificación, ni a las estrategias utilizadas por los sujetos. Sin embargo, tanto el nivel de elecciones como la confianza disminuyeron considerablemente con descripción, efectos importantes de ensombrecimiento verbal. Por último, mas sujetos utilizaron espontáneamente procesos de eliminación y comparación que identificación automática, pero en este último caso todas las decisiones fueron correctas, mientras los errores predominaron cuando los sujetos utilizaron estrategias más elaboradas. En conclusión, la descripción previa de una persona, al contrario que la verbalización de una cara, no perjudica a la exactitud de la identificación, aunque es determinante para el nivel de elecciones del autor del delito.     

Ontogénesis de la experiencia estética. La actitud contemplativa y las artes temporales en la infancia

Resumen

Es probable que las primeras experiencias estéticas infantiles no tengan un soporte representacional sino que se conformen con elementos de las denominadas artes temporales: la música y la danza. En el texto se muestra cómo la creación de un diseño del movimiento es asequible para un niño de 22 meses y se intenta tramar la historia evolutiva que lo torna posible. Una trama en la que la actitud contemplativa, los afectos de la vitalidad y el interés desinteresado hacia los objetos se enlazan con las experiencias de intersubjetividad y la musicalidad que caracterizan a las interacciones tempranas. Se señalan, en un primer momento, las diferencias entre la labor infantil con las artes temporales—a la que se denomina elaboración—y el desarrollo del juego funcional, que da lugar al clásico juego de ficción, para luego proponer la hipótesis de que la elaboración podría formar parte del proceso de construcción del símbolo lúdico infantil.     

Efectos del entrenamiento en conciencia fonológica y reglas de correspondencia grafema-fonema en la adquisición del lenguaje escrito de adultos analfabetos

Resumen

El primer objetivo de nuestro trabajo era comprobar el efecto de un entrenamiento en conciencia fonológica y reglas de correspondencia grafema-fonema en la adquisición de la lectura durante el primer año de instrucción lectora de adultos analfabetos. Un segundo objetivo era estudiar el efecto de la variable categoría léxica y longitud de las palabras en la fase inicial de aprendizaje de un sistema ortográfico transparente como el español. Utilizamos un diseño experimental con tres grupos de adultos igualados en inteligencia, habilidades fonológicas y lectura. Todos los grupos recibieron veintidós sesiones de entrenamiento durante seis meses. El primer grupo recibió entrenamiento en lectura alfabética, el segundo en lectura alfabética y conciencia fonológica y el tercer grupo no recibió un entrenamiento específico y actuó como control. Los grupos de entrenamiento mejoraron significativamente con respecto al grupo control. Los resultados mostraron diferencias significativas en el porcentaje de errores cometidos en los tres grupos. Respecto a la categoría léxica y longitud de las palabras, los resultados sugieren la utilización de los dos procedimientos de lectura (subléxico y léxico) propuestos por el modelo de doble ruta.