Patient‐focused research supported practices in an intensive family therapy unit

The aim of this study is to explain how families evaluate and describe the use of two measures, the session rating scale and the outcome rating scale, in order to monitor therapeutic work. This study is methodologically based on modifications of methodical hermeneutics and consensual qualitative research. The results confirm the feasibility of these scales although some difficulties were identified. The analysis of the family interviews identified four conversational processes: communicating, focusing, structuring and exploration. These arise through the application of the scales, indicating their usefulness as conversational tools. In general, it is suggested that all the measurements and tools applied can be seen as therapeutic tools that are especially useful for establishing conversations and strengthening collaboration between service users and therapists. This brings the practice of monitoring therapeutic work into close contact with postmodern‐oriented forms of therapy.     

焦虑障碍的系统式家庭治疗

焦虑障碍是最常见的心理障碍之一.其具有症状重、病程慢、复发率高、社会功能明显缺损等特点,给个人、家庭和社会造成了巨大的负担.家庭环境因素在焦虑障碍的发病、转归和预后方面都起到重要作用.本文介绍了国内外关于焦虑障碍患者家庭特点和家庭互动模式的研究结果.系统式家庭治疗作为一种家庭治疗模式,具有其独特的治疗理念和方法,国内外研究结果表明系统式家庭治疗用于焦虑障碍具有良好疗效.今后,还应该运用更加多元化的研究方法探讨中国焦虑症家庭动力学特点和家庭功能,并采用更加严格的随机对照设计,进一步证实系统式家庭治疗对焦虑障碍的治疗效果.     

Parenting Practices of Anxious and Nonanxious Mothers: A Multi-Method,Multi-Informant Approach

Anxious and nonanxious mothers were compared on theoretically derived parenting and family environment variables (i.e., overcontrol, warmth, criticism, anxious modeling) using multiple informants and methods. Mother-child dyads completed questionnaires about parenting and were observed during an interactional task. Findings reveal that, after controlling for race and child anxiety, maternal anxiety was associated with less warmth and more anxious modeling based on maternal-report. However, maternal anxiety was not related to any parenting domain based on child-report or independent observer (IO) ratings. Findings are discussed in the context of the impact of maternal anxiety on parenting and suggest that child, rather than maternal, anxiety may have a greater influence on maternal behavior.     

A Review of: “Sperry,L., Carlson,J., & Peluso,P. R. (2006)”

Abstract

The study tested the relation between parents' differentiation and offspring's social anxiety, using a sample of university students and their parents to reflect family patterns across three generations. The main finding confirmed that parents' levels of differentiation (differentiation of self and family differentiation) and social anxiety were positively related to those of their offspring. This lends support to Bowen's (1978; Kerr & Bowen, 1988) contention of transmission of the family emotional process across generations. Moreover, students' social anxiety was found to be inversely related to their parents' levels of differentiation. The importance of addressing family issues in the treatment of individuals with problems related to social anxiety is indicated.     

Overprotective Parenting: Helping Parents Provide Children the Right Amount of Risk and Responsibility

Overprotective parenting in low-risk environments may have negative consequences for the psychosocial development of children and youth. Though not well studied, a number of different bodies of literature can be used to speculate on the reasons for overprotective parenting and the impact it has on children. In this article, the social and familial dynamics leading to overprotection are discussed. It is shown that overprotection among middle-class families may result from poorly informed parents regarding the psychosocial developmental needs of their children for risk and responsibility and a lack of familiarity with population-wide data which shows that many of today's youth are safer that at any previous time in history. Focusing on the “risk-taker's advantage,” this article uses a case example to illustrate a three-part model of intervention to help challenge overprotective parenting while opening up safe opportunities for youth to experience manageable amounts of risk and responsibility.     

Children and Adolescents with Medically Unexplained Symptoms: A Systematic Review of the Literature

Abstract

Medically unexplained symptoms (MUS) in children and adolescents are confounding and concerning for patients, parents, and health care practitioners. Our goal was to review and summarize the literature for family therapists working with a diverse, challenging patient population coping with MUS. A search of multiple databases from 1994 to 2018 was conducted using MUS and related terms. The literature was then organized into subcategories based on its relevance to family therapists, particularly medical family therapists collaborating with primary care physicians. We conclude with a discussion about gaps in the literature and suggestions for clinical management.     

Social support and work–family conflict: A test of an indirect effects model

Most work–family research on social support is based on matching domain relationships, that is, social support in the work domain is related to work interfering with family conflict (WIF) and social support in the family domain is related to family interfering with work conflict (FIW). In this research, based on the conservation of resources (COR) model, we examined the cross domain indirect relationship between social support in the work domain and FIW and the cross domain indirect relationship between social support in the family domain and WIF. We tested this model across three samples in two studies. In Study 1, we examined the cross domain influence of supervisory and spouse support on work–family conflict using two large random samples (N = 1130; N = 2769). In Study 2, we tested an expanded model of social support to include both generic and work–family specific support, and examined the cross domain indirect relationships between these two types of support on work–family conflict using a sample of 435 employees. Specifically, we proposed that social support systems in the work domain such as family friendly organizational policies, family supportive organizational climate, perceived organizational support, and perceived supervisory support will be indirectly and negatively related to FIW via WIF and that spouse/partner support will be indirectly and negatively related to WIF via FIW. Results for Study 1 provided support for the cross domain indirect effects model and results for Study 2 provided support for the cross domain indirect effects for work–family specific social support systems. We discuss implications of these results for the theory and practice of managing work–family conflict.     

The Impact of Experience with the Aged upon the Time Perspective of Young Adults

With the use of questionnaire returns from 214 male and 286 female upper-year high school students, a model of adolescent drug use is proposed. The model hypothesizes that the parents' child-rearing practices produce within the child a personality which shapes his attitudes toward the use of drugs, which in turn affect the child's use of marijuana, alcohol, and tobacco. The personality dimension in the model is Authoritarianism. The model proved more successful in predicting illicit than licit drug use. Further, love on the part of the mother and positive control on the part of the father were the most salient dimensions within the model with regard to child-rearing practices.