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.     

A University-Sponsored Career Development Center for Nonstudents

As colleges and universities grow increasingly more responsive to the communities in which they reside, programs are required that address the needs of the nonstudent. Georgia State University's program for nonstudents is reviewed after 5 years of operation, and recommendations are made for adapting it to other settings.     

A Comparative Analysis of Entrepreneur and College Business Student Values

ABSTRACT Both entrepreneurs and senior-level college business students were surveyed to determine similarities and differences in their values, under the premise that students who share similar values with those held by entrepreneurs may have promise of entrepreneurial potential. All respondents were administered the Rokeach Value Survey which, through a process of rank-ordering, is used to determine two hierarchies of value importance for individuals. The first hierarchy reflects an individual's terminal value system, or those values associated with end-states of existence. The second hierarchy reflects an individual's instrumental value system, or those values associated with modes of conduct. The resulting data provided a tabulation of medians, rank order composites and levels of significance for the terminal and instrumental values, respectively, of both samples. Rank order composites were used as general indices in comparing the position of a particular value in the total hierarchy of values and for comparing the position of a particular value across the two groups. Emphasis was placed on those values which were ranked very low or very high by the entrepreneurs. Comparisons of student value rankings relative to those values the entrepreneurs held highest and lowest were then conducted. The findings indicated that there were value differences between the total sample of entrepreneurs and students, as well as between female entrepreneurs and female student values, but there were few differences between male entrepreneur and male student values. In addition to the above comparisons, median analysis between entrepreneur and student terminal and instrumental values were conducted. An examination of the general population of entrepreneurs and students revealed that twelve of the eighteen terminal values of the entrepreneurs and students were significantly different at the (.05) level Only four of the eighteen instrumental values were significantly different (.05) level between the entrepreneurs and students. The median analysis between male entrepreneurs and male student values showed no significant differences. However, the median analysis between female entrepreneur and female student values showed that seven of the eighteen instrumental and eleven of the eighteen terminal values were significantly different at the (.05) level. Although not examined, it is likely that individual students in the sample do share the value profiles of the entrepreneurs. If so, and if generally accepted value profiles are established for entrepreneurs, such students might be counseled to consider the entrepreneurial life.     

Family Functioning and Mental Illness: A Comparison of Psychiatric and Nonclinical Families

The primary objective of the present investigation was to examine adaptive functioning in the families of patients with a wide range of psychiatric disorders. Seven dimensions of family functioning, as measured by the Family Assessment Device (FAD), were compared across families of patients with a schizophrenia spectrum disorder (n = 61 ), bipolar disorder (n = 60 ), major depression (n = 111 ), anxiety disorder (n = 15 ), eating disorder (n = 26 ), substance abuse disorder (n = 48 ), and adjustment disorder (n = 46 ). Families in each psychiatric group were also compared to a control group of nonclinical families (N = 353 ). Results indicated that regardless of specific diagnosis, having a family member in an acute phase of a psychiatric illness was a risk factor for poor family functioning compared to the functioning of control families. However, with few exceptions, the type of the patient's psychiatric illness did not predict significant differences in family functioning. Thus, having a family member with a psychiatric illness is a general stressor for families, and family interventions should be considered for most patients who require a psychiatric hospitalization for either the onset of, or an acute exacerbation of, any psychiatric disorder.     

Aspects of Consumer Satisfaction With Brief Family Therapy

In an evaluative study of brief family therapy, 279 families were administered a Family Satisfaction Questionnaire in their own homes, six months after treatment terminated. This questionnaire was designed to assess several aspects of the families' satisfaction with services received. The identified patient in all families was a child with academic and/or behavioral problems at school. A variety of outcome measures were also obtained both at treatment termination and at the six-month follow-up. Families were generally satisfied with the overall services received but expressed widely varying degrees of satisfaction with various aspects of treatment. Very little dissatisfaction was expressed regarding the availability of services (less than 7 per cent), but a sizeable proportion of families (45 per cent) did not feel that the services provided were comprehensive and adequate. Despite concerns regarding comprehensiveness and adequacy of the service, the majority of families were functioning well at the time of follow-up as assessed by a number of independent measures. Global satisfaction should not be regarded as the only index of treatment effectiveness, as many families who were dissatisfied experienced successful treatment outcomes.     

Client,Treatment, and Therapist Variables Related To Outcome in Brief,Systems-Oriented Family Therapy

Client, therapist, and treatment characteristics were examined with respect to how much of the variance they could account for in a variety of outcome measures. Multiple regression analyses were used to examine relationships among each of the client, therapist, and treatment characteristics studied and the various outcome measures. For the 219 families that were treated with brief family therapy, only a relatively low amount of variance in any of the outcome measures could be accounted for. The amount of explained variance, however, varied considerably from one outcome measure to the other. When the more homogeneous groups of clients (single parents or adolescent identified patients) were considered, the amount of explained variance generally showed an increase. Different sets of client, therapist, and treatment variables accounted for the variance in these outcome measures across client groups, demonstrating both the complexities of the relationships and the relative independence of various outcome measures. New variables are suggested for future research.