The listening heart and the chi square: clinical and empirical perceptions in the family therapy of anorexia nervosa

Clinical and empirical methods are commonly considered to be complementary activities. However, many people in the fields of mental health and social welfare espouse a strong adherence to experimental, scientific methods for the evolution of theory and practice and consider only that which has been experimentally tested as‘really true”. Others would propose the clinical method as the main source of useful knowledge and are suspicious of enumeration and quantification as sources of useful information. Formal, empirical methodology is well and extensively described whilst there is less systematic exposition of the clinical method. Family therapy evolved in a context in which activity was visible and the emerging discipline was propelled by a theoretical framework with strongly scientific origins that was critical of the exclusive clinical method of pre-existing psychotherapies. This paper describes some of the clinically based contributions to the family therapy of anorexia nervosa and compares this information with that which comes out of the Maudsley trials of psychotherapies in anorexia nervosa.     

Psychoanalysis and systems in family therapy

This paper describes three frames of reference for understanding family function. The three frames are (1) The Life-cycle of the Family, (2) The Intergenerational, Historical Aspects of the Family, (3) The Interactional Structure of the Family. It is suggested that these three frames can provide a detailed formulation of family functioning and disturbance in order to plan rational foci, strategies, techniques and aims of family therapy.     

Children in family therapy

The distinctive skills of child psychotherapy can be utilized in the development of a form of conjoint family therapy especially applicable to the field of child psychiatry. It is suggested that the engagement of children in the process particularly enhances the specific characteristics and potentialities of this form of treatment.     

‘Why should we talk to you? You'll only tell the Court!’ On being an informer and a family therapist

The family therapy literature recognizes the constraints imposed on a therapist's freedom and impartiality in a statutory agency. This paper shows that clinical settings that are apparently independent are not free of such constraints. The wider professional welfare system has confused expectations of a clinical agency that it should provide simultaneously both therapy and a measure of social control. An account is given of one hospital-based family therapy team's struggles to find manoeuvrability in child-focused statutory cases, so as to be helpful both to families and referrers. One method of working is illustrated with a case example.     

A comparative study of family therapy in the treatment of opiate users in a London drug clinic

This study presents the results of a randomized treatment trial of family therapy and two control treatments for 119 outpatient opiate users. All treatments were combined with a methadone reduction programme. The control treatments were: (1) a 'standard' treatment (supportive psychotherapy) and (2) a 'low contact' intervention. Treatment outcome was evaluated six and twelve months after the initial assessment. Both the family therapy and minimal intervention groups had a significantly higher number of drug–free days at six and twelve months, compared to the standard treatment, despite receiving fewer treatment sessions. Across all treatments there was evidence for a gender difference in response to therapy in users who were in a couple relationship. In couples where both partners were using drugs women did significantly better than men. Men living with a non–drug–abusing partner fared better than men living with a drug–using partner. Across the treatment groups diminution in drug use was accompanied by improvements in psychosocial functioning. Unemployment, sharing needles and injecting drugs were predictive of poor outcome.     

Sources of information for discriminating dynamic human actions

Despite the importance of action identification and discrimination in action perception and social cognition more broadly, little research has investigated how these processes are achieved. To this end, we sought to identify the extent to which adults capitalize on featural versus configural sources of information when discriminating small-scale human actions such as grasp and place. Results across two experiments indicate adults are sensitive to both sources of information in action discrimination, but selectively attend to featural over configural action information. The findings also parallel what is known regarding face processing: processing of configural information is especially disrupted by inversion, whereas processing of featural information is specifically affected by low-pass filtering.     

Interpersonal Understanding Fuels Knowledge Acquisition

Beginning in infancy, humans acquire knowledge at a pace far outstripping that found in any other species. Recent evidence indicates that interpersonal understanding—in particular, skill at inferring others' intentions—plays a pivotal role in this achievement. Infants as young as 12 to 18 months actively utilize clues to others' intentions to guide their interpretation of language, emotion, and action more generally. In the language domain, for example, on hearing a new word, infants spontaneously check the speaker for intentional clues such as gaze direction, emotional expression, gestures, and body posture, and interpret the word in light of such information. By capitalizing on information about intentions, infants are able to avoid a wide range of potential errors, and to quickly learn relevant new skills. Current research is exploring the origins and developmental course of such early-emerging interpersonal skill, ultimately with an eye to understanding how disruptions in such abilities affect children's cognitive and social development.     

Infants recognize similar goals across dissimilar actions involving object manipulation

We investigated infants’ ability to recognize the similarity between observed and implied goals when actions differed in surface-level motion details. In two experiments, 10- to 12-month-olds were habituated to an actor manipulating an object and then shown test actions in which the actor contacted the object with a novel hand configuration that implied a goal either similar or dissimilar to the habituation event. Infants in both experiments looked significantly longer at test actions depicting a novel implied goal, suggesting that infants glossed over some surface-level motion details and compared implied goals.     

Infants' On-line Segmentation of Dynamic Human Action

Identifying the developmental origins of scientific thinking, as well as its endpoint, provides an essential framework for understanding its development. The origins of scientific thinking are claimed here to lie in attainments in epistemological understanding, beginning with the understanding achieved at about 4 years of age that assertions generated by human minds are distinguishable from an external reality against which they can be compared. Despite this achievement, children between 4 and 6 years of age exhibit an epistemological category mistake regarding the source of knowledge. They confuse a theory making it plausible that an event occurred and evidence indicating that the event did occur, as the source of their knowing that the event occurred. Appreciation of this distinction develops rapidly during this age range and reflects increasing mastery of an epistemological understanding we argue to be of foundational status for the development of scientific thinking, defined here as the consciously controlled coordination of theory and evidence.