Brief strategic family therapy: lessons learned in efficacy research and challenges to blending research and practice

In this article, we present key lessons that we have learned from (1) a long program of research on an empirically supported treatment, brief strategic family therapy (BSFT), and (2) our ongoing research and training efforts related to transporting BSFT to the front lines of practice. After briefly presenting the rationale for working with the family when addressing behavior problems and substance abuse in adolescent populations, particularly among Hispanic adolescents, we summarize key findings from our 30-year program of research. The article closes by identifying barriers to the widespread adoption of empirically supported treatments and by presenting current work within the National Institute on Drug Abuse's Clinical Trials Network that attempts to address these barriers and obstacles.     

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.     

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     

Elaborate reflections on a simple manifesto

In an earlier article (^{McFall, 1991}), I urged clinical psychologists to work toward the goal of integrating science and practice and proposed the adoption of a principle and two corollaries aimed at achieving this goal. In general, I argued that all aspects of clinical psychology must be guided by the highest scientific and ethical standards, that clinical practice be limited to empirically supported procedures, and that clinical training be devoted to producing clinical scientists. In the present article, I elaborate and defend these points by offering reflections on a number of submitted questions provoked by the earlier article. I address four major issues: the philosophical foundations for a scientific epistemology, the implications of this epistemology for clinical practice, the implications for clinical training, and the likely impact of adopting this epistemology on the field of clinical psychology.     

Belief in luck and luckiness: Conceptual clarification and new measure validation

Research on the dimensionality and measurement of luck beliefs has yet to produce a clear conceptual and metrical consensus. This research theorizes a bidimensional model of luck beliefs that is tested through a series of studies (total n = 1205) validating the new Belief in Luck and Luckiness Scale. Unlike existing conceptualizations and measures, this new model is applicable to both believers and non-believers in luck, and reveals belief in luck and personal luckiness to be discrete, uncorrelated, and respectively unidimensional constructs.     

Cognition and Emotion over twenty-five years

In the 25 years since its foundation, Cognition and Emotion has become a leading psychological journal of research on emotion. Here we review some of the ways in which this has occurred. Questions have included how parallel systems of cognition and emotion can operate in emotion regulation and psychological therapies (including the issue of free will), how the cognitive approach to emotion works, how emotion affects attention, memory, and decision making, and how emotion research is moving beyond the individual mind into the space of the interpersonal.     

The physical activity and sport anxiety scale (PASAS): Scale development and psychometric analysis

Research suggests that social anxiety may be elicited in athletic or sporting situations, resulting in decreased physical activity due to avoidance behavior. Given the myriad physical and psychological health consequences of a non-active lifestyle, valid assessment of social anxiety and avoidance in this domain is warranted. However, none of the common measures of social anxiety appear to assess social anxiety in physical activity or sporting domains. Therefore, the purpose of this study was to develop and evaluate a brief measure of social anxiety in physical activities and sports. A 16-item self-report questionnaire, the Physical Activity and Sport Anxiety Scale (PASAS), was extracted from a larger pool on empirical and theoretical grounds. The PASAS demonstrated excellent internal consistency across a number of samples, and excellent temporal stability. The PASAS also demonstrated good convergent and divergent validity, and is related to self-perceived performance biases as postulated by cognitive-behavioral models of social anxiety.     

Development and initial validation of the Brief Adolescent Life Event Scale (BALES)

We report initial validity analyses of the Brief Adolescent Life Event Scale (BALES). This instrument addresses negative and positive events pertinent to the well being of adolescent boys and girls, and is designed for use in studies utilizing an extended research protocol. Selection of items was guided by emerging perspectives on positive psychology , action theory , and personality vulnerability , as well as by new developments in statistical modeling theory. The 36 items of the scale tap negative and positive events, each of which addresses interpersonal and achievement life domains. Using a large sample of early-adolescents ( N = 895), we confirmed the hypothesized structure that includes four domain-level latent factors (i.e., negative interpersonal events, negative achievement events, positive interpersonal events, positive achievement events), and two overarching factors (negative events and positive events). Indices of positive and negative events predicted adolescent depressive symptoms in expected ways, and positive events buffered the effect of negative events on depressive symptoms. These findings encourage an informed use of the BALES and highlight considerations involved in the development of brief measures of stress and coping processes.