A Critical Methodological Review of Discourse and Conversation Analysis Studies of Family Therapy

Discourse (DA) and conversation (CA) analysis, two qualitative research methods, have been recently suggested as potentially promising for the study of family therapy due to common epistemological adherences and their potential for an in situ study of therapeutic dialog. However, to date, there is no systematic methodological review of the few existing DA and CA studies of family therapy. This study aims at addressing this lack by critically reviewing published DA and CA studies of family therapy on methodological grounds. Twenty‐eight articles in total are reviewed in relation to certain methodological axes identified in the relevant literature. These include choice of method, framing of research question(s), data/sampling, type of analysis, epistemological perspective, content/type of knowledge claims, and attendance to criteria for good quality practice. It is argued that the reviewed studies show “glimpses” of the methods’ potential for family therapy research despite the identification of certain “shortcomings” regarding their methodological rigor. These include unclearly framed research questions and the predominance of case study designs. They also include inconsistencies between choice of method, stated or unstated epistemological orientations and knowledge claims, and limited attendance to criteria for good quality practice. In conclusion, it is argued that DA and CA can add to the existing quantitative and qualitative methods for family therapy research. They can both offer unique ways for a detailed study of the actual therapeutic dialog, provided that future attempts strive for a methodologically rigorous practice and against their uncritical deployment.     

The fear of the body in psychotherapy

This paper identifies the fear of attending to and engaging with the patient's body and the therapist's body, regardless of therapeutic orientation, as a topic rarely explored in books and articles but pervasively experienced because of the cultural norms brought to the consulting room. It explores how we might name the constituent parts of this fear and describes how they inter-link. A case study then exemplifies learning about and transforming such fear in both patient and therapist. Finally, the paper offers suggestions of how therapists might increase their awareness and turn this fear into a tool which extends their range of skills.     

Psychometric analysis of the Empathy Quotient (EQ)

This study assessed the dimensionality of the Empathy Quotient (EQ) using two statistical approaches: Rasch and Confirmatory Factor Analysis (CFA). Participants included N = 658 with an autism spectrum condition diagnosis (ASC), N = 1375 family members of this group, and N = 3344 typical controls. Data were applied to the Rasch model (Rating Scale) using WINSTEPS. The Rasch model explained 83% of the variance. Reliability estimates were greater than .90. Analysis of differential item functioning (DIF) demonstrated item invariance between the sexes. Principal Components Analysis (PCA) of the residual factor showed separation into Agree and Disagree response subgroups. CFA suggested that 26-item model with response factors had the best fit statistics (RMSEA.05, CFI .93). A shorter 15-item three-factor model had an omega (ω) of .779, suggesting a hierarchical factor of empathy underlies these sub-factors. The EQ is an appropriate measure of the construct of empathy and can be measured along a single dimension.     

Evidence of differential performance on simultaneous and sequential lineups for individuals with autism-spectrum traits

Given the impaired facial recognition of autistic individuals, we examined whether certain autism-spectrum traits affected eyewitness identification performance in a general adult population. In a sample of 120 individuals, levels of autism-spectrum traits were examined in relation to performance on simultaneous vs. sequential lineups using a signal detection paradigm. For simultaneous lineups, total Autism Spectrum Quotient (AQ) scores and scores on the excessive Attention to detail subscale were related to fewer hits and a more conservative response criterion. Attention to detail interacted with lineup type in that it was significantly related to improved discrimination accuracy and a less conservative response criterion in sequential lineups, but with impaired discrimination accuracy and a more conservative response criterion in simultaneous lineups. Higher AQ scores on the Attention switching subscale resulted in fewer hits, lower discrimination accuracy, and a more conservative response criterion with sequential lineups. Additionally, partial disguises led to more false alarms but not decreased accuracy. More thorough investigations of the effect of lineup type on identifications are needed before policy changes are recommended.     

New Sexism in Couple Therapy: A Discursive Analysis

The persistence of gender inequality in postindustrial societies is puzzling in light of a plethora of changes that destabilize it, including shifts in economy, legislation, and the proliferation of feminist politics. In family relations, such persistence manifests as a disconnect between couples aspiring to be more egalitarian yet continuing to enact traditional gender roles and hierarchies. There is an emerging consensus that gender inequality persists because of people's continued reliance on sexist ideology or gendered assumptions that constitute women as innately distinct from and inferior to men. Sexist ideology changes its form to accommodate to changing socio‐economic conditions. Contemporary forms of sexism are old ways of legitimizing male power articulated in new and creative ways, often by incorporating feminist arguments. To effectively recognize and address “new sexism,” scholars and practitioners require new, innovative research frameworks. Our objective in writing this article is two‐fold. First, we seek to advance discursive (i.e., focused on language in use) approaches to the study of sexism. Second, we present the results of a discursive analysis of “new” sexist discourse in the context of couple therapy. The study provides preliminary evidence that, despite endorsing egalitarian norms, couples studied continue to rely on gender binaries and remain entrenched in old‐fashioned patterns of gender inequality. Implications of these results for the practice of couple therapy and for future research are discussed.     

The Effectiveness of Functional Family Therapy for Adolescent Behavioral and Substance Misuse Problems: A Meta‐Analysis

A systematic review of published and unpublished English language articles identified 14 studies containing 18 comparisons between functional family therapy (FFT) and another condition in the treatment of adolescent disruptive behavior and substance use disorders. In 11 of these comparisons, assignment to conditions was random, while nonrandom assignment occurred in seven studies. For both random and nonrandom comparisons, separate meta‐analyses were conducted for subgroups of studies depending on the type of comparison group used. Data from studies of untreated control groups (CTL), treatment as usual (TAU), and well‐defined alternative treatments (ALTs) were analyzed separately. Effect sizes from these six meta‐analyses were as follows: random assignment FFT versus CTL (k = 3, d = 0.48, p < .01); random assignment FFT versus TAU (k = 3, d = .20, ns); random assignment FFT versus ALT (k = 5, d = .35, p < .05); nonrandom assignment FFT versus CTL (k = 2, d = .90, ns); nonrandom assignment FFT versus TAU (k = 2, d = .08, ns); and nonrandom assignment FFT versus ALT (k = 3, d = .75, p < .001). These results provide support for the effectiveness of FFT compared with untreated controls and well‐defined ALTs, such as cognitive behavior therapy, other models of family therapy, and individual and group therapy for adolescents.     

What Are They Thinking? A National Study of Stability and Change in Divorce Ideation

This study reports on a nationally representative sample of married individuals ages 25–50 (N = 3,000) surveyed twice (1 year apart) to investigate the phenomenon of divorce ideation, or what people are thinking when they are thinking about divorce. Twenty‐eight percent of respondents had thought their marriage was in serious trouble in the past but not recently. Another 25% had thoughts about divorce in the last 6 months. Latent Class Analysis revealed three distinct groups among those thinking about divorce at Time 1: soft thinkers (49%), long‐term‐serious thinkers (45%), and conflicted thinkers (6%). Yet, divorce ideation was not static; 31% of Time 1 thinkers were not thinking about it 1 year later (and 36% of nonthinkers at Time 1 were thinking about it 1 year later). Also, Latent Transition Analysis revealed 49% of Time 1 long‐term‐serious thinkers, 56% of soft thinkers, and 51% of conflicted thinkers had shifted groups at Time 2, mostly in the direction of less and softer thinking about divorce. Overall, divorce ideation is common but dynamic, and it is not necessarily an indication of imminent marital dissolution.     

Tracking Multiple Statistics: Simultaneous Learning of Object Names and Categories in English and Mandarin Speakers

Two experiments were conducted to examine adult learners' ability to extract multiple statistics in simultaneously presented visual and auditory input. Experiment 1 used a cross‐situational learning paradigm to test whether English speakers were able to use co‐occurrences to learn word‐to‐object mappings and concurrently form object categories based on the commonalities across training stimuli. Experiment 2 replicated the first experiment and further examined whether speakers of Mandarin, a language in which final syllables of object names are more predictive of category membership than English, were able to learn words and form object categories when trained with the same type of structures. The results indicate that both groups of learners successfully extracted multiple levels of co‐occurrence and used them to learn words and object categories simultaneously. However, marked individual differences in performance were also found, suggesting possible interference and competition in processing the two concurrent streams of regularities.     

Modeling differentiation of cognitive abilities within the higher-order factor model using moderated factor analysis

Receptive foreign language proficiency is usually measured with reading and listening comprehension tasks. A novel approach to assess such proficiencies – viewing comprehension – is based on the presentation of short instructional videos followed by one or more comprehension questions concerning the preceding video stimulus. In order to evaluate a newly developed viewing comprehension test 485 German high school students completed reading, listening, and viewing comprehension tests, all measuring the receptive proficiency in English as a foreign language. Fluid and crystallized intelligence were measured as predictors of performance. Relative to traditional comprehension tasks, the viewing comprehension task has similar psychometric qualities. The three comprehension tests are very highly but not perfectly correlated with each other. Relations with fluid and crystallized intelligence show systematic differences between the three comprehension tasks. The high overlap between foreign language comprehension measures and between crystallized intelligence and language comprehension ability can be taken as support for a uni-dimensional interpretation. Implications for the assessment of language proficiency are discussed.