A Conceptual Model and Clinical Framework for Integrating Mindfulness into Family Therapy with Adolescents

Individual and group‐based psychotherapeutic interventions increasingly incorporate mindfulness‐based principles and practices. These practices include a versatile set of skills such as labeling and attending to present‐moment experiences, acting with awareness, and avoiding automatic reactivity. A primary motivation for integrating mindfulness into these therapies is compelling evidence that it enhances emotion regulation. Research also demonstrates that family relationships have a profound influence on emotion regulation capacities, which are central to family functioning and prosocial behavior more broadly. Despite this evidence, no framework exists to describe how mindfulness might integrate into family therapy. This paper describes the benefits of mindfulness‐based interventions, highlighting how and why informal mindfulness practices might enhance emotion regulation when integrated with family therapy. We provide a clinical framework for integrating mindfulness into family therapy, particularly as it applies to families with adolescents. A brief case example details sample methods showing how incorporating mindfulness practices into family therapy may enhance treatment outcomes. A range of assessment modalities from biological to behavioral demonstrates the breadth with which the benefits of a family‐based mindfulness intervention might be evaluated.     

Influence of Efficacy and Resilience on Problem Solving in the United States,Taiwan, and China

This study explores factors that influence problem‐solving coping style across cultures. There was no significant difference in applying problem solving across U.S., Taiwanese, and Chinese samples. The effective predictors of problem solving in the U.S. and Chinese samples were self‐efficacy and trait resilience, respectively. In the Taiwanese sample, predictors were self‐efficacy and trait resilience. Trait resilience was found to mediate the effect of self‐efficacy on problem solving in the Taiwanese and Chinese samples. Practical implications are discussed. Este estudio explora factores que influyen en el estilo de afrontamiento a la resolución de problemas aplicado a distintas culturas. No se halló una diferencia significativa en la aplicación de resolución de problemas entre muestras estadounidenses, taiwaneses y chinas. Los predictores efectivos de la resolución de problemas en las muestras estadounidense y china fueron respectivamente la autoeficacia y los rasgos de resiliencia. En la muestra taiwanesa, los predictores fueron las autoeficacia y los rasgos de resiliencia. Se halló que los rasgos de resiliencia mediaron el efecto de la autoeficacia sobre la resolución de problemas en las muestras taiwanesa y china. Se discuten las implicaciones prácticas.     

Integrated,Family‐based,Partial Hospital Treatment for Complex Pediatric Illness

This paper describes a unique treatment program for complex pediatric illness. The Hasbro Children's Partial Hospital Program uses a family systems orientation, integrated care, and a partial hospital setting to treat children with a wide range of pediatric illnesses that have failed outpatient and inpatient treatments. We have treated more than 2000 children with at least 80 different ICD‐9 diagnoses. The multidisciplinary treatment team functions as a meta‐family for children and their families who present with illness and family beliefs that impede successful outcomes with standard care. The three features: family systems orientation, integrated care, and partial hospital setting, hopefully interact to create an environment that helps families expand and modify their explanatory models regarding participating in effective medical care. The goal of treatment is for both children and their parents to feel empowered to take control of the illness. Parents completing standardized measures at intake describe their children and families as experiencing significant emotional distress, low levels of general family functioning, and poor quality of life. Although the children are described as having distinct behavioral differences, the families are described as responding to the experience of a seriously ill child in similar ways. A treatment program that addresses the noncategorical aspects of how families respond to illness while addressing the specific diseases of the children can allow children and their families to respond favorably to treatment.     

Beyond the Couple: A Qualitative Analysis of Successful In‐law Relationships in Iran

In‐laws can play a significant role in the success or failure of marriages around the world. In the Middle East, recent quantitative research indicates that having trouble with in‐laws is a major predictor of divorce in Iran. To explore this further, we undertook a qualitative (grounded theory) analysis of in‐depth interviews with 17 Iranian daughters‐in‐law, five sons‐in‐law, three mothers‐in‐law, three fathers‐in‐law, and three expert family clinicians. Emergent concepts, themes, and coding categories were consistent with a Family Triad Model (FTM) of successful marital and in‐law relationships, wherein each spouse must (a) form we‐ness with their partner, (b) establish flexible boundaries between themselves and their families of origin, and (c) join their in‐laws. A higher‐order core category suggested that optimal couple and family functioning depends on the coherence or balance of these functions across the triadic role components of spouse, child‐in‐law, and family‐in‐law (or family‐of‐origin). In the changing cultural context of Iran, where blood relations have traditionally held primacy over marital relations, such triadic coherence appears crucial to marital success, at least from the perspective of many women. Our FTM results also highlight the importance of taking in‐laws into account when planning educational, preventative, or clinical interventions.     

The orientation of young and older adults' mental representations of their home town with familiar and new landmarks

Familiarity with an environment produces refined mental representations in adults of all ages, but it is not clear whether these representations tend to have a north-up orientation and whether familiarity facilitates the learning of new spatial information, especially in ageing. Thirty-two young and 32 older adults studied a map of their home town that included familiar and new fictitious landmarks, then performed pointing tasks, some aligned with the cardinal points south–north (SN), and others counter-aligned, north–south (NS). A measure of visuo-spatial working memory (VSWM) and a questionnaire on pleasure in exploring were also administered. The results showed that performance was better when pointing SN than NS (alignment effect), whereas pointing performance for familiar landmarks was similar for SN and NS alignments (no alignment effect). No interaction involving age was found. VSWM emerged as a significant predictor of pointing performance. Spatial mental representations of familiar environments are elaborate and flexible as regards familiar landmarks, in both young and older adults; and a familiar layout does not seem to enhance older adults' spatial memory as regards new landmarks.     

How to separate coordinate and categorical spatial relation components in integrated spatial representations: A new methodology for analysing sketch maps

Spatial relations between landmarks can be represented by means of categories and coordinates. In the present research, this paradigm was applied to sketch maps based on information acquired in goal-directed behaviour of exploration of a university campus area. The first aim was to investigate whether categorical and coordinate information can be considered conceptually independent in sketch maps. The second aim was to assess which kind of distance measure served better to represent coordinate information in the present case study, and finally to assess the factorial structure of coordinate and categorical data. Analytic methodology as well as statistical analysis were found to confirm that separating coordinate and categorical components was formally as well as empirically appropriate. A series of confirmatory factor analyses showed the best fit for the model with two correlated components, as well as an acceptable reliability of measures emerged. The two components were moderately correlated. Moreover, the adoption of Manhattan distance seemed to be the most effective method to represent coordinate spatial relations in spatial sketch maps of areas acquired through navigation.     

Historia nacional e historia familiar. Un estudio sobre la transmisión y el cambio ideológico entre generaciones

Resumen

Este artículo está dedicado a explorar la relación entre dinámica familiar y adquisición de la ideología y la representación histórica en el seno de la familia. En primer lugar se explora la ideología política que tienen miembros de dos cohortes generacionales (padres/madres e hijos/hijas) de diversas unidades familiares, clasificándose las díadas así obtenidas en función de su acuerdo o desacuerdo en las variables consideradas. Estos datos son luego puestos en relación con diversos aspectos de la dinámica familiar obtenidos a través de historias familiares y de observaciones de conversaciones en familia. Los resultados muestran que las familias con mayores desacuerdos ideológicos y diferencias en la interpretación sobre la historia de España son las que informan explícitamente sobre acontecimientos traumáticos en relación con la guerra civil y la posguerra en sus historias familiares.     

Emoción expresada: Introducción al concepto,evaluación e implicaciones pronosticas y terapéuticas

RESUMEN

Los autores comienzan analizando el concepto de emoción expresada y los modos de evaluarla en el nucleo familiar de pacientes esquizofrénicos, clarificando sus dos componentes básicos: implicación emocional excesiva y actitud crítica. Seguidamente repasan diversos estudios en torno a la validez y utilidad de este constructo y otros en relación con cuestiones de carácter conceptual y metodológico. Finalmente abordan las implicaciones y desarrollos terapéuticos, centrándose en las intervenciones sociales llevadas a cabo en Gran Bretaña y en la terapia familiar conductual y ofreciendo algunos de sus resultados. El trabajo concluye que la revisión de los estudios sobre emoción expresada en familiares de sujetos esquizofrénicos pone de relieve la adecuación y utilidad de estas medidas, ofreciendo algunas pautas para investigaciones futuras.     

The Effects of a Multiple Family Therapy on Adolescents with Eating Disorders: An Outcome Study

Multiple Family Therapy (MFT) has gained increasing popularity in the treatment of eating disorders and many programs have been developed over the past decade. Still, there is little evidence in the literature on the effectiveness on MFT for treating eating disorders. The present study examines the effects of a particular model of Multiple Family Therapy on eating disorder symptoms, quality of life, and percentage of Expected Body Weight (%EBW) in adolescents with eating disorders (ED). Eighty‐two adolescents with ED, aged between 11 and 19 years, were assessed before and after treatment using the Eating Disorders Inventory 2 (EDI‐2), the Outcome Questionnaire 45 (OQ‐45) and %EBW. Results showed a significant increase in %EBW between the beginning and end of treatment, with a large effect size. 52.4% of patients achieved an EBW above 85%. Symptoms relative to all EDI dimensions (except for bulimia) significantly decreased during treatment. The three dimensions related to quality of life assessment also improved over the course of MFT. At the end of treatment, 70.7% of patients had a total OQ‐45 score below clinical significance. This study suggests that Multiple Family Therapy may benefit adolescents with eating disorders, with improvement on several outcome measures (%EBW, ED symptoms, and quality of life). However, the lack of a comparison group entails caution when drawing conclusions.     

Factors Impacting the Mental Health of the Caregivers of Children with Asthma in China: Effects of Family Socioeconomic Status,Symptoms Control,Proneness to Shame,and Family Functioning

Caregiver mental health is widely considered to be an important factor influencing children's asthma symptoms. The present study aimed to examine key factors that contribute to caregiver mental health in pediatric asthma with a Chinese sample. Two hundred participants reported their family socioeconomic status (SES), proneness to shame, asthma symptoms control of their child, family functioning, and their depression and anxiety symptoms. Results suggested that low family SES, low family functioning, and a high level of shame proneness were associated with high levels of anxiety and depression for caregivers. Family functioning mediated the effects of SES and shame on caregiver mental health and also moderated the effects of SES and shame on caregiver depression. This study highlights the importance of reducing experience of shame and enhancing family functioning in families affected by pediatric asthma.