Building a primary care discipline: Notes from a psychologist in family medicine

Psychologists of a variety of emphases have actively participated in the growth of family medicine as an academic discipline. Rather than simply collaborate, they have shaped the very nature of the field. This paper describes a number of contributions from psychologists in family systems and educational arenas. In particular, physician-psychologist collaborative work is highlighted.     

The Shaping of Family Therapy Education: An Update

The preparation and credentialing of marital and family therapists in the United States and Canada continues to be significantly affected by the role of accreditation in MFT graduate education. This report on a study of Commission on Accreditation for Marriage and Family Therapy Education accredited degree programs and non-accredited programs shows some significant differences between the two paths to preparation and credentialing. Accredited programs tend to have more faculty, lower faculty-student ratios, more Approved Supervisors, more financial aid, more programs requiring practica and internships, and more emphasis on professional identification with marital and family therapy. Nonaccredited programs provide more emphasis on psychopathology, psychodiagnostic testing, and cognitive behavioral therapy.     

Systems Theory and Family Therapy: From a Critique on Systems Theory to a Theory on System Change

Some system therapists reject the systemic view for various reasons, often related to violence, victimisation and power. This critique is based on an outdated narrow and incomplete knowledge of linear systems theory. A better understanding of these linear systems theories and of systems levels of organisation already answers much of the critique, but does not explain change. For the latter, a theory of how systems change is necessary for systems therapy in general and family therapy in particular. Modern dynamic systems and chaos theory are most useful to understand change, chaos, history, unpredictability and flexibility.     

Poetry in Existential Psychotherapy with Couples and Families

The use of poetry during the process of existential psychotherapy with couples and families is described and illustrated. In this approach, poems can be utilized to help the couple and/or family notice meaning potentials in the future, actualize and make use of such meaning potentials in the here and now, and re-collect and honor meanings previously actualized and deposited in the past.     

The Effects of Strategic and Behavioral Family Therapies on Child Behavior and Depression

The efficacy of behavioral and strategic approaches to child-focused family therapy for child behavior and depressive symptomatology was investigated. Participants were 49 clinic-referred families who were randomly assigned to either behavioral or strategic family therapy for 8 to 12 weeks and assessed at pre- and post-test. Results showed that both forms of therapy were equally effective in reducing parent-reported behavior problems and depression in children. In addition, the relationship between child and maternal depression was explored. Significant relationships were found between pre-test levels of depression in children as reported by mothers and mothers' self-reported depression, psychological stress and level of interpersonal discomfort. The results support a relationship between child and maternal depression. The findings also suggest that child-focused family therapy can be effective for both behavioral and depressive symptoms.     

Departure from normal assumptions: A promise for future psychometrics with substantive mathematical modeling

Normal assumptions have been used in many psychometric methods, to the extent that most researchers do not even question their adequacy. With the rapid advancement of computer technologies in recent years, psychometrics has extended its territory to include intensive cognitive diagnosis, etcetera, and substantive mathematical modeling ha become essential. As a natural consequence, it is time to consider departure from normal assumptions seriously. As examples of models which are not based on normality or its approximation, the logistic positive exponent family of models is discussed. These models include the item task complexity as the third parameter, which determines the single principle of ordering individuals on the ability scale.     

The Role of Family Processes and Coping Strategies in the Relationship Between Parental Chronic Illness and Childhood Internalizing Problems

Sixty-nine families (father, mother, and one child) in which the father had hemophilia, approximately half of whom were HIV positive, were assessed in an examination of the relationship between parental chronic illness, family functioning, child coping strategies, and child adjustment. Latent variable path analyses with partial least-squares estimation procedures (PLS) were used to test a model of the relationship between parental chronic illness, family process variables, child coping strategies, and child internalizing behavior problems. The severity of the father's illness predicted family process variables, which predicted the coping style of the child. The use of more avoidant coping strategies was associated with more internalizing problems.     

家长参与在家庭社会经济地位和高中生学习品质之间的中介作用——师生关系的调节作用

为了考察在中国背景下,家长参与在家庭社会经济地位与高中生学习品质之间的中介作用,以及师生关系对上述中介效应的调节。以东部某省13442名高中二年级学生为被试,采用家长的受教育程度、家长的职业以及家庭拥有物三个指标测量家庭社会经济地位。采用家长参与子女学习和家长参与子女日常生活两个指标测试家长参与度。采用学习兴趣、学习自信心、学习策略、自主学习能力、学习习惯五个分指标测量学生的学习品质。采用师生关系量表测量师生关系。结果表明：（1）家庭社会经济地位可以正向显著预测高中生的学习品质;（2）家长参与在家庭社会经济地位与高中生学习品质之间起完全中介作用;（3）家庭社会经济地位经由家长参与影响高中生学习品质的中介作用受到师生关系的调节;（4）因家庭社会经济地位不同造成的学生学习品质的差异,在一定程度上会受到师生关系的弥补作用。     

家庭社会经济地位对幼儿良好行为习惯的影响:父母教养方式与幼儿心理素质的中介作用

幼儿时期是培养个体良好行为习惯的重要关键期。以814名幼儿及其家长为研究对象,探讨家庭社会经济地位与幼儿良好行为习惯的关系,以及父母教养方式和幼儿心理素质的中介作用。结果表明：（1）家庭社会经济地位与幼儿良好行为习惯显著正相关;（2）父母教养方式与幼儿心理素质在家庭社会经济地位和良好行为习惯间起连续中介作用,且权威型教养方式与心理素质的链式中介作用显著高于专制型教养方式与心理素质的链式中介作用。因此,要促进幼儿养成良好行为习惯,应注重父母教养方式的选择与幼儿心理素质的培养。