Single-Case Experimental Designs in Family Therapy Research: Limitations and Considerations

Recent authors have encouraged the use of single-case experimental design in family therapy research. However, several issues related to the application of these designs have not been addressed. The present article suggests that the applicability of single-case methods to family therapy research may be limited. The first issue raised is the general lack of adequate dependent measures of family interaction that fulfill the requirements of the single-case experimental designs. Suggestions for development of appropriate measures are given. Second, the necessary reliance on relatively weak single-case designs often allows only relatively weak conclusions. Finally, the strategy of beginning the single-case study of family functioning and family therapy in laboratory settings is suggested.     

Family Characteristics and Posttraumatic Stress Disorder: A Follow-Up of Israeli Combat Stress Reaction Casualties

This study assessed the role of family status and family relationships in the course of combat-related posttraumatic stress disorder (PTSD). The sample consisted of 382 Israeli soldiers who suffered a combat stress reaction episode during the 1982 Lebanon War. Results showed that one year after the war married soldiers had higher rates of PTSD than did unmarried soldiers. Furthermore, higher rates of PTSD were associated with low expressiveness, low cohesiveness, and high conflict in the casualties' families. Theoretical, methodological, and clinical implications are discussed.     

Cognitive impairment in preschoolers: Identification using the personality inventory for children-revised

This study evaluated the clinical validity of the Intellectual Screening, Development, and Achievement scales of the Personality Inventory for Children-Revised (PIC-R), as well as the newly derived PIC-R Factor IV scale, in identifying cognitive impairment in a clinic-referred sample of preschoolers. The clinical validity of these PIC-R subscales was also compared to that of the Minnesota Child Development Inventory (MCDI). The results showed that the PIC-R scales and Factor IV were reasonably successful in identifying cognitively impaired preschoolers, but much less successful in identifying cognitively normal preschoolers. Overall, the MCDI was the most successful in correctly identifying the preschoolers' cognitive status.     

Individual Marital Therapy: A Critical Reappraisal

The belief that individual marital therapy (IMT) is an ineffective form of treatment for marriage problems and markedly inferior to the conjoint approaches has become almost an article of faith in family therapy circles. This position was originally advanced in the influential reviews of the research literature conducted by Gurman and Kniskern, and their conclusions have been cited in numerous other articles. This paper re-reviews the research studies purportedly supporting this conclusion and finds almost all of them to be invalidated by gross flaws in design and implementation. It is argued that from the highly inadequate evidence available, no conclusions can be reached concerning either the absolute or relative effectiveness of IMT.     

Quantifying Family Process:Issues in the Analysis of Interaction Sequences

The analysis of behavior sequences can be a useful technique for understanding family process and has been increasingly employed as a result of developments in family theory. Some of the most popular sequential analytic methods are reviewed, and problems of applying these methodologies to investigations of family interaction are discussed. Independence-of-observations, nonstationarity, and autocontingency are differentiated as three distinct types of serial dependence. In addition, issues concerning the choice of data type, analysis of low base rate behaviors, and the decision as to whether to correct for base rates are considered. Guidelines are presented for dealing with each of these issues in the context of the research or clinical question being addressed.     

The Ramsay Family in Virginia Woolf''s To the Lighthouse: A Study of Arrest at Stage Three of Family Development as Delineated in Solomon''s "A Developmental, Conceptual Premise for Family Therapy"

The five stages of family development and their phase-specific tasks as delineated by Michael A. Solomon in an article that appeared in this journal (1973) are given dramatic representation by Virginia Woolf in her novel To the Lighthouse (1927). The novel begins with the Ramsay family system arrested at the third stage of development; and it is only after the death of Mrs. Ramsay that the remaining family members begin to attend to the phase-specific tasks of stages four and five, and family development commences.