Predicting interpersonal competence in young adulthood: The roles of family,self, and peer systems during adolescence

The present investigation examines the impact of family, self, and peer systems, evaluated during early adolescence, on the development of interpersonal competence in young adulthood. The participants were 110 Caucasian individuals, their mothers, and one of their teachers. At the first assessment, the participants ranged in age from 11.5 to 15.1 years old. Approximately six years later, the participants completed a second evaluation involving assessment of interpersonal competence. Increased interparental conflict and parental divorce predicted decreased self-esteem. Decreased self-esteem predicted poorer peer-adolescent relationships, which, in turn, forecasted poorer adult interpersonal competence. The results suggest that living in a distressed family leads to diminished self-esteem which can influence the quality of peer relationships and place an adolescent on a trejectory toward difficulties in interpersonal competence during adulthood.     

Oral contraceptive use among African American adolescents: Individual and community influences

Side effects of oral contraceptives are a noteworthy problem, particularly among low-income young women who reside in inner-city communities. The problem may be compounded by inadequate family planning services, particularly when such services are provided by general medical practices with high volumes of clients. This study examined the prevalence and correlates of pill-related side effects, with particular attention to the role of clinic characteristics. Participants were 177 pregnant and parenting African American adolescents and young women (average age=18.34). The experience of a pill-related side effect was the most frequently cited barrier to birth control use, and it was significantly related to contraceptive behavior. Finally, although participants attending comprehensive clinics experienced more barriers to medical service use than those attending neighborhood clinics, they reported fewer problems with pill-related side effects and better psychological functioning. Implications for future research and policy are discussed. This study was completed with the assistance of grants from the Illinois Department of Alcoholism and Substance Abuse, the National Institute of Child Health and Human Development, and the Office of Research on Women's Health to Jean Rhodes. Portions of this paper were presented at the 1993 Biennial Meeting of the Society for Community Research and Action, Williamsburg, Virginia. The authors gratefully acknowledge the assistance of Julian Rappaport, Joel Meyers, Hope Landrine, Lori Ebert, the Reverend Annette Collins, Margaret Daniels, Khya Lawrence, and the professionals and participants at the service settings.     

Brief therapy in the Israeli kibbutz

Analysis of results of therapy in an unselected sample of 211 kibbutz patients seen over a three year period by the author in his capacity as kibbutz member and psychiatrist indicated that over 70% of the identified patients responded very satisfactorily to brief therapy. About one-third of the clients did not need more than a single comprehensive therapy session to achieve continuous improvement. In a minority of the cases more than 10 sessions were required. The results were significantly better in cases treated by brief therapy than in the sample treated by long-term therapy, where the pre-treatment severity was determined to be greater. The paper describes the unique aspects of brief therapy in the kibbutz setting, giving an outline of the author's model of intervention, using all components of the individual, family, and community ecosystem.     

Ritual experience and its emergence with story: An experience in meaning

The purpose of this research investigation was to understand the essential features and structures of ritual through the perceptions of 36 women's stories of their families of origin and how this may have had impact on their current sense of affiliation and meaning. Various theoretical perspectives were reviewed with a phenomenological lens. The study utilized findings from previous research in the areas of ritual, gender, and meaning. Results indicated a central theme of high ritual perspective affecting high current affiliation perspective. Ritual was a female-centered experience in the families. An experience of affiliation in one's family of origin seemed to indicate the creation of an affiliation template that allows one to recognize and experience a sense of relatedness in current connections.     

“That reminds me of a story...”: The therapeutic use of cautionary tales

This story about stories illustrates two kinds of cautionary tales and attempts to account for why and how they are useful in therapy.     

Co-constructed narratives around being “sick”: A minimalist model

The amount of physical damage may have no fixed relation to how much and in what ways a patient's life is disrupted. The authors discuss a model which addresses the bio-psycho-social complexity of a patient's illness and the narrative constructions which the patient, family members, and health care professionals influence to co-create the patient's identification with being sick. This minimalist model invites the reader to consider a variety of interrelated variable lenses through which to view the narratives around a patient's illness. Clinical case examples are used to illustrate the dominant story themes.     

Fitting a square peg in a square hole: Using metaphor in narrative therapy

This paper examines the assumptions of the narrative mode of therapy and the assumptions of therapeutic metaphors. The premise is that the use of metaphor fits the assumptions of narrative therapy and can enhance and expand narrative therapy. This paper examines the structure and types of metaphor, explores their fit within the narrative model, and gives three case examples which illustrate the use of metaphor in narrative therapy.Kevin Lyness, MS, is a doctoral candidate, MFT Program, 1269 Fowler House, Purdue University, West Lafayette, IN 47907-1268, and a doctoral candidate in the MFT Program, Purdue University. Volker Thomas, PhD, is assistant professor, Marriage and Family Therapy Program, 1269 Fowler House, Purdue University, West Lafayette, IN 47907-1269. Reprint requests should be sent to the first author.     

Of thorns and roses: The use of the “brier rose” fairy tale in therapy with families of gifted children

Fairy tales have been used successfully in addressing difficult therapeutic issues in indirect ways. This paper describes how the Grimm's tale Brier Rose can help engage families with an academically gifted child in family therapy. The metaphor concepts of derivational search, indirection, and embedded commands are briefly discussed, the fairy tale is summarized, and the story is applied to the three metaphor concepts.     

Availability to peer group treatment in residential care as a function of relational ethics

Forty-five adolescent boys from abusive and depriving homes were not doing well in positive peer culture residential care. Despite their backgrounds, given a modified form of the Relational Ethics Scale, they indicated that their relational life with their families of origin was trustworthy, fair, and worthy of continued devotion. In contrast, on the Firo-B these same boys demonstrated distrust of others outside of their families and an unwillingness to get involved. These results support the inference from contextual family theory that peer group interventions cannot bypass identification and resolution of the injustices that took place in the family of origin.This project was fully supported by Teen Ranch, Inc., Marlette, MI 48453.