What Does It Mean to Be Relational? A Framework for Assessment and Practice

The authors begin with a question regarding how to better draw upon relational thinking in making case assessments and treatment plans. They first address issues regarding the cultural construction of self and relationships, integrating women's psychology, family systems, and collectivist culture literatures within a discussion of power. Then they present a heuristic framework for how individuals orient themselves within relationships that includes two dimensions--focus and power--and evolves out of the social context. From these two dimensions, a typology of four basic relational orientations is presented: position directed, rule directed, independence directed, and relationship directed. Case examples from couple's therapy and suggestions for practice are provided.     

Science and Human Behavior translated into Portuguese: Ciência e Comportamento Humano

Science and Human Behavior was translated to Portuguese as part of the effort to begin a psychology course at the University of Brasília 40 years ago; one of the many results of the first visit of Fred S. Keller to Brazil. The book has been used continuously in undergraduate courses in Brazil since 1967.     

DIMENSIONS OF FRUSTRATION INTOLERANCE AND THEIR RELATIONSHIP TO SELF-CONTROL PROBLEMS

Frustration intolerance beliefs are central to the theory and practice of Rational Emotive Behavior Therapy. However, there has been little investigation of the content of these beliefs, and empirical evidence linking specific beliefs to distinct psychological problems is sparse. To redress this, the Frustration–Discomfort Scale has been developed as a multidimensional measure. This was used to explore the relationship between the four dimensions of frustration intolerance (emotional intolerance, demands for entitlement, comfort, and achievement) and problems of self-control. Results indicated that the Frustration–Discomfort sub-scales showed differential relationships with self-control problems, independent of self-worth beliefs. This supported the validity and usefulness of the scale and the importance of distinguishing between dimensions of frustration intolerance. This paper is based on research submitted to the University of Edinburgh in part fulfillment of a Doctorate of Philosophy degree. Address correspondence to Neil Harrington, Psychology Department, Stratheden Hospital, Cupar, Fife, KY15 5RR, UK; e-mail: neil@nharr.freeserve.co.uk.     

IRRATIONAL BELIEFS AND SOCIAL CONSTRUCTIONISM: CORRELATIONS WITH ATTITUDES ABOUT REALITY,BELIEFS ABOUT PEOPLE,AND COLLECTIVE SELF-ESTEEM

Rational Emotive Behavior Therapy (REBT) is theoretically consistent with the postmodern social constructionist assumption of a reciprocal causality between the individual and society. In a test of this claim, REBT irrationalities as measured by the Irrational Belief Scale and by the Survey of Personal Beliefs were correlated with Attitudes toward Reality, Cynicism, Beliefs in the Conventional Goodness of People, and Collective Self-Esteem. All measures of irrationality identified the postmodern social constructionism recorded by the Attitudes toward Reality Scale as rational. Especially the Irrational Belief Scale identified Cynicism and Beliefs in the Conventional Goodness of People as irrational and Collective Self-Esteem as rational. The Survey of Personal Beliefs described Collective Self-Esteem as irrational and therefore suggested that the conceptual framework of REBT can promote negative assessments of collectivistic forms of adjustment. Most importantly, however, these data confirmed that REBT includes potentials that are compatible with postmodern social constructionism. Address correspondence to P. J. Watson, Psychology/Department # 2803, University of Tennessee at Chattanooga, 350 Holt Hall-615 McCallie Ave, Chattanooga, TN 37403, USA; e-mail: paul-watson@utc.edu     

一例使用态度治疗对大学新毕业生神经衰弱的案例报告

大学新毕业生工作适应不良是常见的现象,也是目前大学生就业担忧和顾虑的问题之一。这位刚毕业进入工作岗位的求助者出现了明显的抑郁症状,且在咨询过程中发现其抑郁的根源可以追溯到童年时期,并且有深刻的家庭教育文化背景。诊断为神经衰弱,采用态度治疗和心理稳定化技术后,经过两个月的咨询,求助者的神经衰弱症状基本消失,对自己和未来的态度基本明朗。一个月后电话回访,显示咨询效果良好。     

重症加强治疗病房鲍曼不动杆菌的耐药性分析

为了了解重症加强治疗病房标本分离出的鲍曼不动杆菌对常用抗生素耐药性,指导临床用药。回顾性调查分析2009年1月至2010年1月大连医科大学附属第一医院重症加强治疗病房标本分离的鲍曼不动杆菌对常用抗生素药敏结果。发现目前重症加强治疗病房标本分离的鲍曼不动杆菌已呈现出十分严重的耐药性,应引起高度重视。     

Need for speed: Evaluating slopes of OCD recovery in behavior therapy enhanced with d-cycloserine

Evidence suggests that the antibiotic d-cycloserine (DCS) enhances the treatment effects of exposure and response prevention (ERP) for Obsessive-Compulsive Disorder (OCD). Further, evidence suggests that the effects of DCS diminish partway through treatment, but it is unclear to what extent. In an effort to evaluate these issues, the current study re-analyzes data from a 10-session randomized controlled trial of ERP + DCS versus ERP + placebo in a sample of 22 adults with OCD. We analyzed repeated-measures mixed models with random slopes and intercepts across different intervals: sessions 1-10, 1-5, and 6-10. The results indicate that the course of ERP was 2.3 times faster over the full 10 sessions for the DCS compared to the placebo group, and nearly six times quicker in the first half of ERP. Further interpretation of the results suggests that DCS does not amplify the effects of ERP, but instead initiates treatment effects sooner in treatment. In addition, DCS does not necessarily lose its effect over repeated use, but instead may exhaust its maximum utility after effectively jump-starting ERP. Ultimately, DCS may provide a means for curtailing treatment costs, decreasing treatment dropout and refusal rates, and enhancing access to care.     

A Dyadic Analysis of the Between‐ and Within‐System Alliances on Distress

To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience ( http://interscience.wiley.com/journal/famp ). This study examines the relationship between the therapeutic alliance and distress using the couple rather than the individual as the unit of analysis. One hundred and seventy‐three couples receiving treatment for relational distress at two university clinics participated in this study. The actor–partner interdependence model was used to analyze the relationship of each partner's between‐ and within‐system alliance scores and distress at session four. Results provide support for actor effects on relational distress for both male and female partners and for actor effects on psychological distress for female partners. Limited support was found for partner effects on distress. Furthermore, results indicate that the alliance between partners is a stronger predictor of improvement in early sessions in comparison with the alliance between the individual and the therapist.     

Beyond the “Birds and the Bees”: Gender Differences in Sex‐Related Communication Among Urban African‐American Adolescents

To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience ( http://interscience.wiley.com/journal/famp ). The current study examined gender differences in communication about sex‐related topics in a community sample of urban, African‐American mothers and adolescents living in impoverished neighborhoods with high HIV rates. One hundred and sixty‐two mother–adolescent dyads completed self‐report measures of sex‐related communication. Youth also reported on their sexual risk. We identified the range of sexual‐based topics that adolescents discussed with their mothers, fathers, friends, and at school. The relationship between the frequency of sexual communication and sexual risk was examined. We also investigated congruency between adolescent and mother report about whether sexual‐based discussions occurred. Consistent with prior research, girls talked to their mothers, fathers, friends, and at school about sex‐related topics more than boys. Findings indicated that mothers not only communicated more frequently about sexual issues with their daughters than sons but that parental messages for girls were more protective. Greater sexual communication with mother was significantly associated with decreased HIV risk in the past 90 days and increased protection from HIV. Inconsistencies between mother and adolescent reports about sexual communication were marginally associated with decreased protection from HIV. Findings reveal the protective effect of sexual communication and the general lack of congruence between mother and adolescent reports of sexual communication.     

The efficacy of systemic therapy with adult patients: a meta-content analysis of 38 randomized controlled trials

Systemic therapy is a widely used psychotherapy approach. Yet there exist few systematic reviews on its efficacy. A meta-content analysis was performed to analyze the efficacy of systemic therapy for the treatment of mental disorders in adulthood. All randomized (or matched) controlled trials (RCT) evaluating systemic/systems oriented therapy in various settings (family, couple, individual, group, multifamily group therapy) with adult index patients suffering from mental disorders were identified by database searches and cross-references in other reviews. Inclusion criteria were: index patient diagnosed with a DSM or ICD listed mental disorder, trial published in any language up to the end of 2008. The RCTs were content analyzed according to their research methodology, interventions applied, and results. Thirty-eight trials published in English, German, Spanish, and Chinese were identified, 34 of them showing systemic therapy to be efficacious for the treatment of mood disorders, eating disorders, substance use disorders, mental and social factors related to medical conditions and physical disorders, and schizophrenia. Systemic therapy may also be efficacious for anxiety disorders. Results were stable across follow-up periods of up to 5 years. There is a sound evidence-base for the efficacy of systemic therapy for adult index patients with mental disorders in at least five diagnostic groups.