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.     

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.     

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.     

An Activities Approach to the Treatment of Mentally Retarded Clients in an Acute Care Psychiatric Hospital

This article describes therapeutic activities offered in an occupational therapy treatment program for mentally retarded patients in an acute-care hospital facility. Implications of therapeutic activities for the building of ego strengths are discussed.     

Two Poems

No abstract available for this article.     

Some Thoughts on Language Use in Therapy

Drawing on the work of Ludwig Wittgenstein and his own experience as a therapist and educator/trainer, the author describes some of the issues involved in helping therapists to find their way out of various muddles and mazes that are deeply embedded in language.     

Telephone-Administered Cognitive Behavior Therapy for Obsessive-Compulsive Disorder

Exposure with response prevention and cognitive behavior therapy are widely recognized as effective treatments for obsessive-compulsive disorder. Unfortunately, many people with obsessive-compulsive disorder - particularly those living in rural areas - do not have access to therapists providing these treatments. Accordingly, we investigated the efficacy of telephone-administered cognitive behavior therapy for obsessive-compulsive disorder. Two open trials are reported, for a total of 33 people with obsessive-compulsive disorder (without major depression). The first trial consisted of 12 weeks on a waiting list followed by 12 weeks of treatment (delayed treatment). The second trial consisted of 12 weeks of immediate treatment. Obsessive-compulsive symptoms did not change during the waiting period. Symptoms declined from pre- to post-treatment, with gains maintained at 12-week follow-up. For the pooled sample our pre-to-post-treatment effect size was as large or larger than those obtained in other studies of reduced contact treatment, and similar to those of face-to-face exposure with response prevention. Our proportion of treatment dropouts tended to be lower than those of other reduced contact interventions. The results suggest that telephone-administered cognitive behavior therapy is effective and well-tolerated, at least for people with obsessive-compulsive disorder without major depression. It remains to be seen whether this treatment is safe and effective when comorbid major depression is present.     

Mother and father adjustment during early parenthood: the roles of infant temperament and coparenting relationship quality

We explored how parent gender, infant temperament, and coparenting dynamics worked together to shape mothers’ and fathers’ depressive symptoms, stress, and parental efficacy during early parenthood. We were interested in the coparenting relationship as a context that shapes how parents respond to their infant's temperamental qualities. Participants were 139 couples who had recently given birth to their first child. Parent reports of temperament were collected when the infant was 4–8 months old and reports of coparenting and parent adjustment were collected at 13 months. Two-level random intercept models revealed interactions between temperament and coparenting, highlighting the family system as a context for how men and women adapt to their parenting role. There was little evidence for mother–father differences in these associations.     

Family Therapy and Childhood-Onset Schizophrenia: Pursuing Clinical and Bio/Psycho/Social Competence

Childhood-onset schizophrenia is perceived as more complicated because of its complexity, pervasive duration, and impact on individual and family functioning. Viewing the symptoms of childhood schizophrenia as creating a bio/psycho/social competence within which the therapist and family must interact may help contribute to treatment success. Competent family therapists working within this culture should be knowledgeable about the characteristics of childhood-onset schizophrenia, aware of their own biases towards psychosis, and skillful in its treatment. Guidelines are provided to help therapists identify their attitudes about schizophrenia and understand appropriate skills for treating the disorder.