Family Functioning, Self-Concept, and Severity of Adolescent Externalizing Problems

We investigated direct and shared effects of family functioning and self-concept on the severity of adolescent externalizing problems in a sample of 224 clinically referred adolescents. Structural equation modeling (SEM) revealed strong, direct relationships between problem behaviors and both family functioning and self-concept. Using R. M. Baron and D. A. Kenny's (1986) and G. N. Holmbeck's (1997) criteria for testing mediation in SEM, family functioning partially mediated the relationship between self-concept and problem behaviors. A moderation model, testing the relationship between externalizing problems and the interaction between family functioning and self-concept, did not yield a significant effect. Our findings indicate that self-concept and family functioning exert direct and shared effects on externalizing problems and suggest that interventions for clinically referred adolescents should target both the individual adolescent and his/her family.     

Shared Wisdom: Use of the Self in Pastoral Care and Counseling (Person, Culture, and Religion Group, American Academy of Religion, November 18, 2005)

This article summarizes the method of pastoral assessment and theological reflection detailed in Shared Wisdom, with particular attention to pastoral counselors’ countertransference or intersubjective “use of the self” as a tool for empathic understanding of clients. A model of multiplicity of mind, subjectivity, and God is advanced in contrast to more traditional views. The article concludes with an appeal for messiness, complexity, and kenosis in both psychology and theology.Pamela Cooper-White is Professor of Pastoral Theology at the Lutheran Theological Seminary at Philadelphia, and recipient of the American Association of Pastoral Counselors’ 2005 National “Distinguished Achievement in Research and Writing” Award. She is the author of four books: Many Voices: Pastoral Psychotherapy and Theology in Relational Perspective (forthcoming, Fortress, 2006), Shared Wisdom: Use of the Self in Pastoral Care and Counseling (Fortress, 2004), The Cry of Tamar: Violence Against Women and the Church's Response (Fortress, 1995) which won the 1995 Top Ten Books award from the Academy of Parish Clergy, and Schoenberg and the God Idea (UMI Research Press, 1985). An Episcopal priest and pastoral psychotherapist, Cooper-White is certified as a clinical Fellow in the American Association of Pastoral Counselors, and serves as Co-Chair of the Person, Culture, and Religion Group of the American Academy of Religion.     

Emotion Regulation Therapy: An Integrative Approach to Treatment-Resistant Anxiety Disorders

Cognitive-behavioral, psychodynamic, and experiential approaches have historically been characterized by differing definitions of emotions and beliefs concerning their role in psychopathological process and treatment. However, given recent advances in the basic psychological sciences of emotion and emotion regulation, theoretical orientations are converging on similar viewpoints as to the functional role of emotions in conceptualizing and treating of a variety of disorders. One such area where emotions and their regulation may play a significant role is in chronic, complex, and treatment-resistant forms of anxiety disorders such as generalized anxiety disorder (GAD). A review of the historical approaches to emotions in the major theoretical orientations is presented. Following this, a model of emotion disruption and dysregulation is presented as it relates to anxiety disorders and GAD, in particular. Finally, a new treatment for GAD, emotion regulation therapy, aimed at ameliorating dysfunctional affective processes, is described.     

Relocating the Nexus of Psychopathology and Treatment: Thoughts on the Contribution of Erich Fromm to Contemporary Psychotherapy

Erich’s Fromm’s (1946, 1955, 1976) controversial critique of modern capitalism and its effects on psychic life is in many ways more relevant now than ever. By combining social, political, economic, and psychological determinants, Fromm’s theories provide mental health clinicians with a wider and more effective conceptualization of psychopathology than does the current medical model. While some of Erich Fromm’s basic assumptions are challenged in this paper, such as his view of human nature and the extent to which western society requires radical reorganization, Fromm’s work is seen as a useful catalyst for shifting the mental health field’s current paradigm of psychopathology to a more holistic and ecological perspective. Similarities between Fromm’s ideas and the therapeutic community model of G. DeLeon (2000) are noted, and a relevant individual case study is discussed.     

A Cognitive-behavioral Approach to Reconstructing Intergenerational Family Schemas

This article suggests the use of cognitive-behavioral techniques, namely cognitive restructuring combined with family-of-origin sessions, for reconstructing intergenerational family schemas. A case example portrays the use of the techniques as an effective intervention for addressing ingrained schemas, such as in the case of spousal abuse.Portions of this article were drawn from a lecture provided to the University of London’s Institute of Psychiatry at the Maudsley Hospital, UK in August of 2005. The author wishes to acknowledge Mr. Eric Frey and Ms. Katherine Adams for their assistance with the literature search.     

The mirroring function of the child analyst

This paper follows the progress of four years of twice-weekly psychoanalytic psychotherapy with a borderline girl aged 4 at the start of treatment. It describes how her early experience with her mother, who was ill, and her subsequent removal from her mother and placement with a foster-family led to her having severe difficulties in relating to others. Using the work of Ekstein as a framework, it follows the changes in the child’s behaviour in the therapy from acting out to playing with toys to role playing to the apparent development of her capacity to phantasize. It focuses on what the dolls’ house represented for her and how it came to be a transitional space where the inner world of the child could be represented. The play in and around the dolls’ house is described to show how she moved from playing on the outside of the dolls’ house to playing in part of the inside to using the whole house and how this seemed to parallel the development of her relationship with her therapist. Furthermore, it presents the views of a number of commentators on the use of the dolls’ house and what it represents for children in therapy and in our culture in general.     

Female Offenders in Domestic Violence

SUMMARY

It is well accepted that large numbers of men batter women. Although some data also reveal that women report assaulting men in large numbers, interpretation of the latter data has been fraught with controversy. The present article reports on a sample of women arrested for domestic violence. When questions were asked about frequency of violence initiation, which partner began the overall pattern of violence in the relationship, and the women's reasons for using violence, it was found that about two-thirds of the women were battered and using violence to protect themselves or to retaliate for previous violence against them. Implications of these findings for conceptualizing women's violence as well as for training law enforcement personnel are discussed.     

Two Poems

No abstract available for this article.     

Family involvement for children with disruptive behaviors: The role of parenting stress and motivational beliefs

Children with disruptive behaviors are at risk for adverse outcomes. Family involvement is a significant predictor of positive child behavior outcomes; however, little research has investigated parent psychological variables that influence family involvement for children with disruptive behaviors. This study investigated the role of parental motivational beliefs (i.e., role construction and efficacy) as a potential mechanism by which parenting stress impacts family involvement for families of children with disruptive behaviors. Results indicated that parent role construction mediated the relation between parenting stress and all aspects of family involvement examined (i.e., home-based involvement, school-based involvement, and home-school communication). Parent efficacy mediated the relation between parenting stress and home-based involvement only. Parents of children with disruptive behaviors reporting stress may experience negative beliefs about their role and efficacy to support their child's education, which may thereby negatively influence their actual involvement. Therefore, parent motivational beliefs may serve as an important point for intervention to support involvement of families of children with disruptive behavior.