Second order change and evidence‐based practice

Since its inception, family therapy (FT) has been distinguished by its explicit theoretical and practical focus on families and relationships as systems, with an emphasis on second order rather than first order change. As a result of these conceptual underpinnings we suggest that FT needs to look for manifestations of change which differ from individually focused disciplines such as clinical psychology. Studies of second order change have most commonly appeared in the form of conceptual papers and doctoral dissertations. We begin by revisiting the conceptual underpinnings of second order change. Building on this framework, we develop these aspects of change within the framework of recent developments in the empirical study of change. Finally, we point towards some promising directions for further evaluative work of FT as well as ways to incorporate some of these principles into training of FT students.     

The direct product model for the mtmm matrix parameterized as a second order factor analysis model

The composite direct product model for the multitrait-multimethod matrix is reparameterized as a second-order factor analysis model. This facilitates the use of widely available computer programs such as LISREL and LISCOMP for fitting the model.Bruce Bloxom. Paul Horst and Karl Jöreskog contributed helpful comments to an earlier version of this paper. Their suggestions are gratefully acknowledged.     

Completeness of instruction and strategy transfer

Three experiments assessed the effects on strategy transfer of supplements to keyword method instruction. One supplement consisted of more comprehensive instructions regarding how, when, why, and where to apply the strategy. A second supplement involved additional practice with the strategy during instruction. The combined effects of more elaborate directions and practice were also examined. With grade-school children, the supplements generally increased transfer of the keyword strategy, but transfer was most successful when training included comprehensive information about the strategy. In contrast, with adults high transfer was obtained regardless of keyword instructional variation. The results are related to other developmental data and are particularly germane to claims that with more complete instruction younger children are capable of intellectual feats carried out by older individuals given minimal prompting.     

A comprehensive dining program for mentally retarded adults

Twenty-six types of behavior (e.g. uses fork in socially appropriate manner, chews food before swallowing) were treated in a course of independence training, using 80 institutionalized retarded adults (40 experimentals and 40 no-treatment controls). The 3-month long training phase incorporated a number of treatment components including in vivo modeling, peer social reinforcement, self-evaluation and monitoring; then a four-month follow-up. A group (i.e. experimentals and controls) by sex, by time, analysis of variance was computed with repeated measures on the last dimension (pre, post, follow-up measures = time). A significant difference was obtained between the experimentals and controls on post-test and follow-up     

A comparison of two approaches to education about carrier testing for cystic fibrosis

We tested the efficacy of two types of educational materials for genetic counseling: a traditional information brochure and one adding a role model story. Brochures were alternated weekly at a prenatal genetics center. Subjects were asked to read the brochure and fill out a questionnaire covering demographics and variables from the health belief model (impact, barriers, motivation, susceptibility, knowledge, severity). A group of 409 pregnant women and 251 male partners participated. Study design was quasiexperimental, using a post-test only comparison group. The brochure with modeling enhanced the perception of both risk and the severity of the disease and was inversely associated with the assessment of barriers, but did not directly impact on the decision to pursue testing; only 12% chose to be tested, with no significant differences between groups. While suggestive, the study is not confirmatory and should be repeated with a more heterogenous group of women.     

Ethical issues in genetic counseling: A comparison of M.S. counselor and medical geneticist perspectives

New technologies available in the field of medical genetics have increased the importance of responsible ethical decision-making among genetic counselors. A 1985 national survey of M.D. and Ph.D. genetic counselors assessed ethical attitudes using case scenarios designed to simulate dilemmas faced in genetic counseling (Wertz and Fletcher, 1988b). The current study focuses on attitudes of M.S. genetic counselors using similar scenarios, allowing for effective comparisons. M.S. counselors were more willing than M.D. and Ph.D. counselors to maintain patient confidentiality when screening for Huntington's Disease and occupational diseases, and a greater number would agree to counsel patients pursuing prenatal testing for sex selection. A majority of M.S. counselors would disclose an XY karyotype to a phenotypically female patient. M.S. counselors reasoned that respect for patient autonomy and patient confidentiality justified their decisions in many cases. The importance of these principles is discussed and questioned.     

The Yale Children''s Inventory—A screening tool for attention deficits and related disorders. Normative data for boys

Norwegian populated-based normative data on the Yale Children's Inventory (YCI) were provided for boys. All parents of boys aged 8 through 11 years in the county of Hammerfest received the YCI, and 77% responded. Mean scores on the YCI scales attention, activity, tractability, and fine motor were significantly lower in the Norwegian sample compared to the US normative data. Factor analysis of the 40 scale items yielded factors that corresponded generally well to the YCI scale constructs derived from US samples. We conclude that the scale constructs of the YCI seem to be transferable across these two cultures, but that restandardization is warranted. Further research is needed to establish cut-off values for clinical screening purposes. The Yale Children's Inventory has the potential to become a valuable screening tool for behavioral problems at school-age.     

Male Partners' Role in Latinas' Amniocentesis Decisions

There has been relatively little research on men's experiences with fetal diagnosis or their role in their female partners' decisions about whether to be tested. This issue may be of particular salience in the delivery of genetic services to Latino groups, where it is often assumed that lower rates of genetic service utilization are linked to men's refusal to allow their wives to be tested. Here we present data from a multimethod study on the use of amniocentesis by Mexican-origin women in Southern California. We focus on the role male partners played in the women's amniocentesis decisions. Contrary to expectation, we found that women made the majority of the decisions about amniocentesis, although their partners' presence at the genetic consultation where the amniocentesis was offered proved an important predictive factor in amniocentesis uptake.     

两种参照作用下的视觉定位

本实验采用多点视觉定位作业,研究视觉定位中的两种参照对定位成绩的影响。实验采用一些附加线条与三个刺激形成有特征的刺激图和无特征的刺激图,并与没有附加线条的情况进行了比较。有特征的刺激图是指这些附加的线条与刺激点构成一定的特征,如一个字母或图形等;无特征的刺激图指刺激点不能与附加线条构成有规律的特征。结果发现,当有附加线条的图形呈现时,被试的定位误差大于控制组,表现出一级参照对视觉定位的干扰作用,而且在呈现时间为100ms、200ms、300ms时,都是如此。在有特征组内,不同的特征对定位精确性的影响依赖于时间因素。     

多媒体语境条件下的第二语言词汇学习

语境学习是一种重要的第二语言词汇学习方式。与传统的文本语境相比,多媒体语境能够为学习者的词汇学习创造更为真实、生动、形象的语境条件。根据近年来语境学习方面的研究成果,该文将讨论语境学习的概念、多媒体语境学习的特点、学习效果的相关因素等问题,并对该领域需进一步研究的问题进行初步的分析。