Short Paper Section The reliability of video viewing of family therapy interviews*

The use of video-taped material is common in family therapy practice and training. It is assumed that the video material conveys the same impression as when the interaction is viewed ‘live’. In this study the same eight interviews were viewed by two groups of experienced therapists, one group ‘in vivo’ and the other ‘via video’. The groups were required to rank concepts derived from Structural Family Therapy as relevant to each of the interviews. On six of the eight interviews there was substantial agreement in the ranking of concepts by the two groups lending general support to the assumption that judgements of family interactions are not influenced by the medium through which they are observed.     

Training family therapists in observational skills

A study was conducted to develop procedures for training observational skills using concepts derived from structural family therapy. Experienced family therapists provided operational definitions of key concepts in family interaction, and videotaped segments of interactions were prepared which exemplified the concepts. A group of trainee family therapists was compared with a group of experienced therapists in the way they applied the concepts to interaction sequences in therapeutic sessions. In demonstrating that inexperienced trainees can be instructed relatively rapidly to identify and use structural concepts, the results suggested that this analytical approach to the training of family therapists shows considerable promise.     

Assessment of HIV counselling and social care services in a London hospital

The use of, and satisfaction with, counselling and social care services was investigated among HIV-infected clients attending HIV specialist climes at Guy's Hospital and Southwark Social Services, London. A survey of 71 clients with HIV infection was carried out using a self-administered questionnaire. The greatest demand was for advice about income support, housing, counselling for the HIV test, counselling for depression or anxiety, psychological support for coping with HIV, help with sleeping problems, mobility allowance, and help with furniture/household appliances. Overall, 57% thought the service was good or excellent; 66% of respondents thought they would use the services in the future. Over nine in ten clients had used the psychosocial support services at some stage since their HIV diagnosis, although only two-thirds anticipated that they would have need of these services in the future. The psychosocial support service will need to remain responsive to the shift in demand for this service, as well as the changing needs of clients who use it.     

Stress and coping in the practice of family therapy: a British survey

A sample of 171 members of the Association for Family Therapy (UK) was surveyed and data obtained on their general level of experienced stress, the sources and levels of experienced stresses they encountered in their practica, and the professional and private coping strategies they used to mitigate the effects of these stressors. The results indicate that stress can be experienced in all practice contexts, with important factors in its overall configuration being personal/professional worth and agency expectation. Family therapists appear to prefer coping strategies of a more social nature and there is an ambivalent attitude towards'therapy for therapists'.     

The development of therapeutic consultations in child-focused family work

This paper outlines the theoretical influences that have led to our use of a consultation approach to work with children and families. Winnicott's notion of therapeutic consultation, the narrative approach in family therapy, the use of letters in therapeutic work and the two-plus-one model of therapeutic contact are discussed. A model of the consultation interview and process is presented together with examples of consultation letters responding to typical client expectations of the process.     

Alternative approaches to equity: Dissonance reduction pro-social motivation and strategic accommodation

Reviews, compares and evaluates a self-justijication and a decision theoretical conceptualization of equity. It is argued that the latter approach reveals an important and often neglected distinction between equity as a goal of social interaction and equity as an interpersonal strategy employed in rhe pursuit of other valued goals. Associated problems of definition and measurement are discussed. After a review of relevant research it is concluded that equity serves predominantly as an accommodative interpersonal strategy, and that future research should focus on analyzing the various functional bases of equity, their relationships, and their eflects on behaviour.