Using system differences to orchestrate change: a systems-guides intervention model

Successful community-based interventions require that change agents give attention to the complexities of interwoven systems, described in the literature as complicated or complex, purposeful or purposive. The author further notes the separate standards, norms, principles and/or goals (here-named systems-guides) of systems. This paper describes the author's experience as a consultant to a multi-system collaboration where observed tensions among participants resulted in the author's implementation of a three-step systems-guides model, which can increase change agents' effectiveness with systems. The steps comprise: detection (of systems, systems-guides, and discrepancies between them; here through observation); documentation (of discrepancies; here through small group discussions); dissemination (to systems participants; here to the collaboration). Two small but fundamental systems changes emerged from systems participants, not from the change agent/author who facilitated systems members' recognition of discrepancies. A major limitation in the implementation of this systems-guides model centers on the critical necessity of the close relationship change agents must have with the involved systems.     

Values in Family Therapy Practice and Research: An Invitation for Reflection

Values have been shown to be a pervasive part of both marriage and family therapy (MFT) clinical practice and research. Yet, many therapists and researchers remain unclear about how values affect their work. This article examines the influence of Western philosophical assumptions and therapy traditions in light of current understandings of values in therapy. The influence of values in MFT research processes is similarly examined. Implications for how family therapy professionals can be more reflective and sophisticated in their understanding of values in clinical practice and scientific inquiry are discussed. Suggestions for addressing values in MFT training also are given.     

Involving Family in Psychosocial Interventions for Chronic Illness

ABSTRACT— Interactions with close family members have consequences for the emotional and physical well-being of individuals who are dealing with a chronic physical illness. Therefore, inclusion of a close family member in psychosocial interventions for chronic illnesses is a logical treatment approach that has the potential to boost the effects of intervention on the patient and also benefit the family member. However, randomized, controlled studies indicate that such family-oriented interventions generally have small effects. The efficacy of these treatment approaches might be enhanced by targeting specific interactions that emerging research identifies as promoting or derailing healthy behaviors and by better incorporating strategies from family caregiver interventions. In addition, family-oriented interventions should be more fully evaluated, by assessing the benefits for both patients and family members. Future research in this area can tell us much about how and when to involve family in treatment of specific chronic illnesses and, in turn, may inform conceptual models of the impact of family interactions on health.     

青少年期母子性格与家庭亲密度的关系:性格喜好的作用

研究旨在考察性格喜好与母子性格、家庭成员亲密度的关系以及性格喜好在其他两个变量之间的中介作用。成都市632对初高中学生及其母亲分别自评并填写了艾森克人格问卷,同时评价喜欢对方性格的程度。另外,青少年还报告了与家庭成员的亲密程度。通过相关分析、多元方差分析、层级回归分析以及结构方程模型建模,结果发现：性格喜好与母亲性格、青少年性格均有显著关系,青少年对母亲的性格喜好程度与家庭成员间的亲密感有显著正相关。青少年性格和青少年对母亲的性格喜好程度能直接预测家庭成员亲密度,同时青少年和母亲的性格还通过青少年对母亲的性格喜好程度间接作用于家庭亲密度,提示性格喜好在二者的关系中发挥了重要的中介作用。     

Sexuality and the Longing for Salvation

Sexuality, with all its expressiveness, strongly reflects the deep vibrations that exist in the human psyche. In this article, we try to show that sexuality can also manifest itself in the darkest realm of real addiction, and, as it were, can become a cry for salvation; and further, that sexuality is the powerful reflection of an aching body, longing for purification, and thus, salvation.     

Cancer Family History Reporting: Impact of Method and Psychosocial Factors

Family history is one the greatest risk factors for disease and one of the most important informational tools in medical genetics for the purpose of diagnosis, risk assessment, prevention and treatment. However, research is needed on the comparability of different methods of cancer family history assessment and the influence of psychosocial factors in family history reports. The purpose of this study was to determine if individuals had discrepancies between written and interview reports of cancer family history and the role of psychosocial factors in these discrepancies. Oncology patients (n=104) were administered a survey to assess psychosocial factors (i.e., information-seeking, worry, perceived risk, and health literacy) and were asked to provide family history in a written and an interview form. Randomization determined which form individuals received first. No differences in the amount of missing data or the amount of unspecified data were noted between the written and interview method. Psychosocial factors did not differentiate between those who had discrepancies in family history reports and those who did not have discrepancies in family history reports; although there was a trend for those with lower literacy and those who were blunters to be more discrepant on type of cancer diagnosis. In sum, this preliminary study indicates that written and interview methods of family history assessment for first degree relatives may be used interchangeably. The ability to use written methods will facilitate collection of basic family history information in the oncology clinic.     

Parents’ Perceptions of Functioning in Families Having a Child with a Genetic Condition

In a study of families having a child with a genetic condition, patterns of family functioning were identified through cluster analysis of families with two spouses. Patterns were based on both parents’ assessments of family satisfaction and hardiness, as measured respectively by the Family APGAR and Family Hardiness Index. The validity and clinical significance of the clusters were supported by demonstrating that cluster membership distinguished between parental reports of their own quality of life and their child’s functional status, as measured by the Quality of Life Index and the Functional Status II, respectively. The clusters were non-categorical in the sense that they did not depend on the type of genetic condition. These findings point to the importance of addressing family functioning as part of genetic counseling.     

The Ethnic Context of Child and Adolescent Problem Behavior: Implications for Child and Family Interventions

This article links the empirical literature on race and ethnicity in developmental psychopathology with interventions designed to reduce adolescent problem behavior. We present a conceptual framework in which culture is endogenous to the socialization of youth and the development of specific self-regulatory strategies. The importance of cultural influence is identified at three levels: (a) intrapersonal developmental processes (e.g., ethnic identity development, development of coping modifies mechanisms and self-regulatory mechanisms), (b) family socialization processes (e.g., racial and ethnic socialization), and (c) interaction with larger societal contexts (e.g., maintenance of bicultural competence in adapting to mainstream and ethnic cultures). We discuss limitations of current assessment and intervention practices that focus on reducing adolescent problem behavior with respect to the cultural issues identified above. We propose that empirically supported adaptive and tailored interventions for adolescent problem behavior are optimal for serving multicultural children and families. To empower such interventions to better serve children and families of color, it is essential that assessments that guide the adaptation and tailoring process include culturally salient dynamics such as ethnic identity, racial socialization, and culturally informed parenting practices. This work is supported by an NRSA grant to the first author, and the following for the second author: grants DA07031, DA13773, and DA16110 from the National Institute on Drug Abuse.     

企业管理者的情绪智力、自我效能感、成就动机研究

采用问卷法对211名企业管理者的情绪智力、自我效能感、成就动机的特征及它们与企业管理者绩效的关系进行了研究。研究表明,不同管理层级、不同管理岗位、不同地区的企业管理者的情绪智力、自我效能感、成就动机存在显著差异;企业管理者的年龄、性别、文化水平、所在企业的性质和规模对情绪智力、自我效能感、成就动机没有显著影响。研究还表明,情绪智力、自我效能感、成就动机对高层、中层、基层企业管理者的绩效有不同的预测力。     

The Primary Triangle and Variation in Nuclear Family Functioning

The triangle, a concept in Bowen theory, is the emotional molecule in the family system that shapes the human over the course of life. This longitudinal study explored the influence of the family of origin primary triangle on 51 couples’ family of procreation functioning over 10 years. The quantitative analysis found associations between family of procreation functioning and three variables: distance versus openness in the family of origin primary triangle, the degree of inside and outside positions in the primary triangle, and the degree of family projection as expressed in worry. In addition, the three triangle relationships correlated with each other, supporting the idea that each relationship influenced the other. Using qualitative methods, a focused analysis elaborated on the quantitative findings.