Training Facilities in Marital and Family Therapy

This survey reports the results of a national survey of training programs in family therapy. Two hundred and forty-five programs responded to the survey questionnaire providing data for the development of a master list of training programs and a general assessment of the nature and magnitude of training efforts in the field. The survey included programs housed in diverse institutional settings. The data indicate the extent of growth and the increasing formalization of professional training in family therapy. A classification system is proposed for distinguishing among the major types of facilities providing family therapy training. Programs are compared in terms of the type, duration, and intensity of the training offered and the number of students enrolled.     

Potential Perils of the Demonstration-Consultation Interview in Family Therapy: A Case Study of Contextual Confusion

This article focuses on a specific aspect of consultation in contemporary family therapy, namely, problems that arise in the context of a consultation that simultaneously serves as a demonstration of a particular model of therapy. The demonstration-consultation interview is used widely in family therapy, but has received little attention in the literature. We use a case example of the apparent persistent deterioration in the clinical state of a patient following such a family interview with a visiting expert, and examine the possible contribution to the patient's deterioration that the demonstration-consultation context creates for the various participants. We offer provisional guidelines to minimize the risk of negative effects of the demonstration-consultation interview, pending empirical research into this phenomenon.     

Counseling Caregivers of Relatives with Schizophrenia: Themes,Interventions, and Caveats

As part of a controlled study of the effectiveness of a counseling program for family caregivers of patients with schizophrenia, we conducted a comprehensive examination of the process. The particular foci were on themes that arose during sessions, principal therapeutic interventions offered, and caveats for counselors working in the field. The most striking finding was the diverse range of themes, covering personal, coping, family, and social aspects of the caregiving experience. This required a correspondingly broad array of interventions. The implications are clear: confining counseling for caregivers to such traditional dimensions as education or attempts to reduce emotional expressiveness denies them the opportunity to deal with other equally relevant concerns.     

SEXUAL ABERRATION OR INSTINCTUAL VICISSITUDE? REVISITING FREUD'S “THE SEXUAL ABERRATIONS”

The author reconsiders Freud's “The Sexual Aberrations,” the first of his Three Essays on the Theory of Sexuality (1905), in light of contemporary psychoanalytic theory. Are the concepts of sexual aberration and norm still viable? The author argues that they are necessary but insufficient elements in current theory. He then presents a competing model in which sexuality can be reduced to a more elemental level of disturbance and wish, where it is an expression of a nonsexual wish—for example, to possess or control the object to eliminate separateness. The author presents clinical material to demonstrate this alternative model.     

THE USE OF FUNCTIONAL JOB ANALYSIS IN ESTABLISHING PERFORMANCE STANDARDS FOR HEAVY EQUIPMENT OPERATORS

Research recently completed for a large international craft union provided the opportunity for an empirical assessment of functional job analysis (FJA) as a method for developing job-related performance standards. Based on content-oriented test development procedures, work sample tests were developed to measure operator achievement of these training standards. According to the results the tests significantly differentiated between skill levels of operating engineers in which the significant criterion factor was the degree of independence and autonomy the operator could be permitted in doing the work. FJA proved to be a useful technique for defining the work of operating engineers so that the knowledges, skills and abilities required can be easily communicated to the courts and the public.