The Inclusion of Fathers In Family Therapy: A Research Based Perspective

This paper summarizes the results of research on the role of fathers in families and family therapy with particular reference to preparation for fatherhood, father involvement in family life as a protective factor, fathers' deviant behaviour as a risk factor, fathers' communication and coping styles, fatherhood and different types of marriages, and the effects of the workplace on fathers' behaviour within the family. Available research suggests that, with respect to problem formation, the behaviour of fathers may serve as either a risk factor or as a protective factor. With respect to problem resolution, fathers may be a powerful therapeutic resource or seriously compromise effectiveness of family therapy. The implications of research for clinical practice are discussed.     

Cognitive-Behavioral Self-Regulation of the Frequency, Duration, and Intensity of Anger

Within a self-regulation format, cognitive, behavioral, and (combined) cognitive-behavioral techniques were evaluated for effects on the frequency, duration, and intensity of anger. Twenty-seven subjects randomly assigned to three groups each received one of the three treatments after a baseline of self-monitoring and then completed another phase of self-monitoring. Results revealed a significant reduction in the frequency and duration of anger (but not anger intensity) under self-intervention, regardless of treatment type. These effects were preserved for a week following treatment. Thus, self-regulation may prevent incidents of anger and even cut short the persistence of anger, but once anger occurs, it tends to register about the same maximum intensity; this peak intensity is typically reached at the onset of the anger which then wanes at a decreasing rate over time. Further research is called for to determine the long-term durability of the treatment gains obtained and the generalizability of these findings in clinical populations.     

An Integrative Brief Treatment Approach for Obsessive-Compulsive Disorder

This article reports on the integrated application of cognitive therapy, transactional analysis techniques, and the behavioral technique of response prevention using self-instructional training and behavioral substitution in a brief therapy approach. These methods were applied in the case of a young man who presented with compulsions to perform repetitive and ordering rituals with the belief that it would prevent his girlfriend from becoming pregnant. A 21-year-old white male who had performed 3 to 5 hours of rituals daily for several years was able to eliminate the majority of his compulsive behaviors and reduce his level of anxiety after eight clinical therapy sessions. Results were maintained at 6-month follow-up. The clear precipitating factors and the unusual maintaining variables for the disorder in the client are described. The author discusses the case in light of current theoretical, therapeutic, and biomedical understandings of the disorder.     

In-home treatment for families in crisis and its supervision: A systemic multi-level approach

The author discusses his experience with a five-phase model which built on congruency at all systemic levels of in-home family treatment and its supervision. Five phases are presented, as well as the group process during supervision. In-home family treatment confronts the family helper with different tasks in each phase of the treatment process and with different expectations within the professional network and the institutional context.The author's work as a supervisor and trainer of in-home family treatment was made possible by Diakonisches Werk Hannover. Grateful acknowledgment is made to Heike Müller, Claudia Eckert, and all their colleagues for their trust and support, to Winiger Beuse for his professional friendship, and most importantly to Dr. Carole Gammer and Prof. Dr. Martin Kirschenbaum for their helpful comments on an earlier version of this paper. Thank you Sandy and Susan. In this article the German expression Sozialpädagogischer/r Familienhelfer/in is translated into family helper. In Hannover, as in many other German cities, family helpers are graduate social workers. Family therapy training is not obligatory but appreciated.     

Structural family therapy with Mexican-American family systems

Characteristics of traditional Mexican-American families with consequent family rules that affect these family systems are discussed along with selected clinical cases. The specific cases discussed involve: (1) interactions with family of origin in intercultural marriages, (2) intracultural differences in levels of acculturation and traditional family rules, and (3) extended family impact in response to severe life crisis. The development of therapeutic processes from structural and strategic family therapy approaches, which reflect appreciation for cultural differences and strengths, is suggested.This material was presented at the annual meeting of the Texas Association for Marriage and Family Therapy, January, 1994, San Antonio, TX.     

“Operationalism” in psychotherapy: A possible means of putting a sorry state of theory in better order?

It will be shown in this paper that the study of the actual conduct of psychotherapy, at least in its classical form with a patient speaking his or her mind in any way the patient desires and a therapist helping the patient pursue those thoughts and wishes and conflicts and hopes for better luck in real life than before, is more conducive to agreement among rather different therapists, to clearer reasoning over psychotherapeutic interventions, and to more promising theoretical articulations than anything available in the theoretical texts of psychotherapy.     

Fostering a safe atmosphere: A first step in discussing gender in family therapy training programs

Several important aspects of raising gender issues in family therapy training programs have been identified in the last few years. However, an important first step has often not been made explicit: the need to establish an open and safe environment in which these issues can be discussed. Such a safe environment can be developed by using theoretical perspectives with which family therapy students and faculty are already familiar. This paper offers three theoretical perspectives as examples and makes suggestions for facilitating an atmosphere that is conducive to discussing gender issues.The author wishes to thank Dr. Fred P. Piercy for his helpful comments and contributions to this paper.     

The quantity and quality of marital interaction related to marital satisfaction: A behavioral analysis

An assessment instrument is presented for the evaluation of the quantity and quality of dyadic interaction, as well as for the daily recording of behaviors presented and omitted which influence marital satisfaction. Comparison of data from ten happy couples and from ten couples entering therapy indicated two distinct dysfunctional patterns among distressed couples, with significantly different patterns of time-together and positive/negative ratios differentiating the happy versus therapy groups. Independent behavioral recording for 14 consecutive days significantly increased husband-wife agreement on a traditional adjustment questionnaire without significantly increasing or decreasing the level of satisfaction being assessed. There was no difference between groups as to interspousal agreement on amount of time together. However, the happy couples agreed on daily quality ratings of the 72 15-minute segments significantly more often than did the distressed couples. Couples at the extremes of the happy-distressed continuum reported rewarding and punishing, respectively, in response to the partners presence, regardless of behaviors emitted. Midrange happy couples defined "pleasant" as positive behaviors presented; midrange distressed couples defined "pleasant" as negative behaviors omitted. Theoretical and clinical implications of behavioral analysis of sequential patterns are discussed.     

ASSESSING AND TRAINING TEACHERS IN THE GENERAUZED USE OF BEHAVIOR MODIFICATION WITH AUTISTIC CHILDREN1

This study investigated the feasibility of developing reliable, valid criteria for measuring and training the skills necessary to teach autistic children. The behaviors of 11 teachers and 12 autistic children were recorded in a series of different teaching situations. Teacher-training was initiated at different times for different teachers. The results showed: (1) it was possible to assess empirically whether a teacher was correctly using defined behavior-modification techniques; (2) generally, for any given session, systematic improvement in the child's behavior did not occur unless the teacher working in that session had been trained to use the techniques to a high criterion; (3) all 11 teachers were rapidly trained to use these techniques; and (4) the teachers learned generalized skills effective with a variety of children and target behaviors.     

Applied behavior analysis at West Virginia University: A brief history

The development of an emphasis on applied behavior analysis in the Department of Psychology at West Virginia University is traced. The emphasis began primarily in the early 1970s, under the leadership of Roger Maley and Jon Krapfl, and has continued to expand and evolve with the participation of numerous behavior analysts and behavior therapists, both inside and outside the department. The development has been facilitated by several factors: establishment of a strong behavioral emphasis in the three Clinical graduate programs; change of the graduate program in Experimental Psychology to a program in basic Behavior Analysis; development of nonclinical applied behavior analysis within the Behavior Analysis program; establishment of a joint graduate program with Educational Psychology; establishment of a Community/Systems graduate program; and organization of numerous conferences. Several factors are described that seem to assure a stable role for behavior analysis in the department: a stable and supportive "culture" within the department; American Psychological Association accreditation of the clinical training; a good reputation both within the university and in psychology; and a broader community of behavior analysts and behavior therapists.