Marital Conflict Among Parents: Implications for Family Therapy with Adolescent Conduct Disorder

Conduct disorder is associated with several causative and maintaining factors, with family functioning being an important one. This is especially true in the Indian context, where a lot of the problem behaviors manifested by adolescents with conduct disorders are in the family context. Marital relationship of the parents is a key aspect of family functioning, affecting a number of other dimensions of family functioning, including adolescent adjustment. The paper highlights the role of parents’ marital conflict in the emergence and maintenance of adolescent conduct problems. The importance of family therapy in managing adolescent conduct disorder is discussed through case examples from India. Shalini Anant, MPhil, PhD Scholar, Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore 560029, India. Ahalya Raguram, PhD, Additional Professor, Department of Clinical Psychology, NIMHANS, Bangalore 560029, India. Address correspondence to Shalini Anant (shalinianant@gmail.com).     

认知评价在婚姻冲突与儿童问题行为之间的作用:中介还是缓冲

以303名2～6年级小学生为被试,通过测查儿童对婚姻冲突的感知、认知评价和儿童问题行为,探讨婚姻冲突与儿童问题行为的关系,并针对认知因素在婚姻冲突影响儿童问题行为过程中的作用,比较认知中介和认知缓冲两种模型。结果发现:认知评价在儿童感知的婚姻冲突与其内部问题行为之间起中介作用;儿童感知的婚姻冲突直接影响儿童外部问题行为。最后,结合认知中介和认知缓冲模型的本质对结果进行了讨论。     

A practice-based study of cultural humility and well-being among psychotherapy clients

One trend in psychotherapy research involves examining client factors to better understand change. Some have framed client factors as virtues. Humility is one virtue that has gained attention with evidence that suggests humility may help facilitate therapeutic change. A specific type of humility, cultural humility, however, has not been closely examined as a client factor. Cultural humility is a relational virtue that addresses an individual's ability to be open towards cultural differences and can be helpful in buffering diverse relational dynamics (e.g., student and teacher, family members and friends with different beliefs). In this study, we examined client change in cultural humility and well-being using group-based trajectory modelling. We also examined differentiation as a predictor of trajectory membership and compared trajectories on levels of symptoms. Results suggested that a subgroup of clients showed significant increases in cultural humility and well-being. Further analyses found that clients with higher levels of initial differentiation were more likely to belong to the growth trajectory. This same trajectory also decreased in symptoms over time.     

Adolescent Adjustment to Perceived Marital Conflict

The cognitive-contextual framework of Grych and Fincham (1990) and the emotional-security framework of Davies and Cummings (1994) were used to explore both the direct and indirect pathways between marital conflict and adolescent adjustment. Two hundred and three non-clinic adolescents (114 females and 89 males) from intact families completed self-report questionnaires concerning their adjustment behavior, perceptions of parental conflict, and attachment to parents and peers. Marital conflict was found to have a direct effect upon adolescent adjustment, with adolescents from high-conflict homes displaying greater adjustment difficulties. Indirect effects of conflict were evident through both the adolescents' cognitive appraisals of conflict, and the adolescents' perceptions of the parent-child relationship. Differential gender effects were obtained, highlighting the importance of adolescent gender as a mediating variable. These findings were used to propose that an integrated, cognitive-emotional framework might be necessary to fully understand the conflict/adjustment relationship.     

The Nuts and Bolts of Behavioral Observation of Marital and Family Interaction

Despite considerable discussion in the literature about the advantages of observational research and the relative benefits of different coding systems and strategies, little is written about the actual implementation of this assessment strategy. This paper presents an overall framework as well as the essential components involved in collecting (selection of task, setting, unit of analysis, and coding system) and coding (transcribing, selecting and training coders, transforming data, and analyzing reliability) of observational data. To achieve success with observational methods, we emphasize several issues, including (a) the research question as the motivator for all decisions, (b) the interrelatedness of tasks, and (c) the implications of decisions early in the process for later stages of analysis and interpretation. Investigators are encouraged to communicate the details of their observational and coding procedures so that these methods are readily accessible for purposes of replication and comparison.     

Program for advanced studies in integrative psychotherapy: Family,couple, and individual therapy (an interdisciplinary program)

This article describes briefly an advanced program in integrative marital and family therapy and individual psychotherapy established at the Hebrew University of Jersusalem in 1993–94 and its first two years of successful operation.     

Effects on fathers of children with down syndrome

This study investigated research evidence for eight assertions found in the literature about effects on fathers of children with disabilities. Eighty-seven fathers of children with Down syndrome completed questionnaire instruments designed to measure demographic variables, adaptation, stress, personality, social support and marital functioning. The results provided little support for most of the assertions. It is concluded that the existing literature provides a somewhat erroneous perspective of the experiences of such fathers. These findings reinforce the need for further research specifically with fathers of children with mental retardation.     

Living alone,marital status,gender and health

Non-married people have generally been found to be less healthy than the married. It has been suggested that this difference may be brought about by the greater lack of social integration of those living alone. This hypothesis was tested by comparing the health of those living alone with those living with another person in the four non-married categories of never married, separated, divorced and widowed for women and men separately, initially controlling for age, education and income and subsequently adding five proximate indices of social integration. The person lived with was further categorized as an adult, cohabitee, child aged 4 or under, child aged 5 to 17, adult child, parent, relative or non-relative. The three indices of health were the 30-item General Health Questionnaire of psychological distress. a 15-item checklist of common physical symptoms and alcohol intake. The main differences obtained were that women living alone drank more alcohol than those cohabiting or living with a child aged 4 or under, and that widowers living alone were more psychologically distressed than those living with an adult child, even when social integration was controlled. The results suggested that living alone was not generally associated with poor health and so could not account for the difference between the married and non-married.     

A situational analysis of the relationship between spouse-specific assertiveness and marital adjustment

This study examined the relationship between marital adjustment and spousespecific assertiveness, conceptualized in terms of defense of rights, in a sample of 115 married women, 27 of whom were in a distressed marriage. Subjects indicated their likely behavioral responses in 11 commonly occurring marital conflict situations and provided ratings of the expected effectiveness of their responses, the amount of resentment they would experience in the situations, and the frequency of occurrence of the situations in their marage. Marital adjustment was found to be directly related to response effectiveness and level of assertive responding and inversely related to situational resentment and frequency of transgression by spouse. Surprisingly, the level of assertive responding was less strongly related to marital adjustment than were any of the other principal variables. A multiple regression analysis indicated that the set of experimental variables accounted for 45% of the variance in marital adjustment. All of the principal variables uniquely accounted for significant levels of variance in marital adjustment. Viewed collectively, the results of this study indicate that (1) parameters of marital conflict situations have considerable importance for the marital adjustment of women and (2) explication of the relationship between marital conflict and marital adjustment requires investigation of a variety of behavioral, affective, and contextual variables.