The vulnerability cycle: working with impasses in couple therapy

In this article, we propose the vulnerability cycle as a construct for understanding and working with couples' impasses. We expand the interactional concept of couples' reciprocal patterns to include behavioral and subjective dimensions, and articulate specific processes that trigger and maintain couples' entanglements. We consider the vulnerability cycle as a nexus of integration in which "vulnerabilities" and "survival positions" are key ideas that bring together interactional, sociocultural, intrapsychic, and intergenerational levels of meaning and process. The vulnerability cycle diagram is presented as a tool for organizing information. We suggest a therapeutic approach for deconstructing couples' impasses and facilitating new patterns through deliberate modes of questioning, a freeze-frame technique, stimulation of calmness and reflection, separating present from past, and elicitation of alternative meanings, behaviors, empathy, and choice. This approach encourages the therapist and couple to work collaboratively in promoting change and resilience.     

The “hot hand” reconsidered: A meta-analytic approach

ObjectivesExtensive searches for the “hot hand” have been performed in a variety of sports since the pioneering study of Gilovich, Vallone, and Tversky (1985), but empirical evidence for the existence of the effect is still fairly limited. The current review reconsiders the hot hand in sports using a meta-analytic approach.DesignMean effect size and 95% confidence interval were determined using a random effects model. Heterogeneity of the mean effect size was examined applying Cochran's Q test and the “75 percent rule”.MethodTo be included in the meta-analysis, studies had to provide an empirical investigation of the hot hand phenomenon related to sport and exercise behavior. Approximately 250 papers were located, but the final dataset included only 22 publications that met inclusion criteria, with 30 studies and 56 independent effect sizes. The articles extended over a period of twenty-seven years from 1985 until 2012.ResultsThe analysis of the effects yielded a minor positive mean effect size of .02, p = .49, using a random effects model, which is sufficient evidence for arguing against the existence of the hot hand. Due to the limited sample of studies available, only a few candidate-variables could be extracted and further examined as potential moderator variables. However, none of the considered variables had the power to explain the heterogeneity of effect sizes.ConclusionsThe present study provides additional support for Gilovich et al.'s claim that a general hot hand effect probably does not exist in sport. The scientific implications of this review for prospect advances in the field are presented and discussed.     

Facilitating relational empowerment in couple therapy

Couples in distressed relationships often get caught up in power struggles, "Power Over" interactions that are informed by both neurobiology (e.g., the fight-flight reaction) and by cultural assumptions (e.g., competition, individualism, and patriarchy). This article seeks to widen the discourse about power by highlighting "Power To" and "Power With." Power To includes the ability to self-regulate, to read and manage one's own emotions, and to have voice while respecting the other's voice. Power With reflects the couple's commitment to conurture the relationship through empathy, respect, and generosity. Power To and Power With are proposed to constitute relational empowerment, the ability to navigate one's inner world and the interpersonal realm. The neurobiology of both couples' reactivity and relational empowerment are considered. Techniques are offered to facilitate Power To and Power With, interventions that interrupt couples' cycles of reactivity and allow them to make more thoughtful choices. Emotion regulation and empathy are particularly important skills of relational empowerment, and examples are offered to increase these capacities in couple therapy. The therapeutic perspective offered in this article challenges cultural practices and assumptions that keep intimate partners polarized in power struggles, and explores how relational empowerment can foster an egalitarian, mutually respectful relationship.     

Healing Intergenerational Wounds: An Integrative Relational–Neurobiological Approach

Old resentments and unfinished business from the family of origin can constrain adults in current relationships with parents or siblings and negatively affect relationships with partners or children. This article explores how old wounds get reactivated in current relationships and contribute to the intergenerational transmission of painful legacies and trauma. Building on intergenerational family theory and interpersonal neurobiology, the dynamics of reactivity and pathways for growth are explored. While much of the time the human brain is on autopilot, driven by habits and emotional reactivity, we are capable of bringing prefrontal thoughtfulness and choice to close relationships. Rather than being victims of parents or our past, we can become authors of our own relational life. Interventions are offered to help adult clients “wake from the spell of childhood,” heal intergenerational wounds, and “grow up” relationships with family of origin. The damage caused by parent‐blaming in therapy is explored and contrasted with Ivan Boszormenyi‐Nagy's emphasis on rejunctive action and cultivating resources of trustworthiness in intergenerational relationships. The family is considered both in its cultural context—including stressors and resources for resilience—and in its life cycle context. Aging in the intergenerational family is discussed, focusing on ways adult children and their parents can grow and flourish with the challenges at this time of life. Throughout, the theme of relational ethics—how we can live according to our values and “reach for our best self” in intergenerational relationships—informs the discussion.     

A visual approach to statistical power analysis on the microcomputer

Computer programs for statistical power analysis typically require the user to provide a series of values and respond by reporting the corresponding power. These programs provide essentially the same functions as a published text, albeit in a more convenient form. In this paper, we describe a program that instead uses innovative graphic techniques to provide insight into the interaction among the factors that determine power. For example, fort tests, the means and standard deviations of the two distributions, sample sizes, and alpha are displayed as bar graphs. As the researcher modifies these values, the corresponding values of beta (also displayed as a bar graph) and power are updated and displayed immediately. By displaying all of the factors that are instrumental in determining power, the program ensures that each will be addressed By allowing the user to determine the impact that any modifications will have on power, the program encourages an appropriate balance between alpha and beta while working within the constraints imposed by a limited sample size. The program also allows the user to generate tables and graphs to document the impact of the various factors on power. In addition, the program enables the user to run on-screen Monte Carlo simulations to demonstrate the importance of adequate statistical power, and as such, it can serve as a unique educational tool.     

Statistical power analysis for one-way analysis of variance: A computer program

To facilitate the computation of statistical power for analysis of variance, Cohen developed the index of effect sizef, defined as theSD between groups divided by theSD within groups. A microcomputer program for statistical power allows the user to compute the value off in any of several ways: by specifying the mean andSD for every cell in the ANOVA; by specifying the mean value for the two extreme cells and the pattern of dispersion for the remaining cells; by estimating the proportion of variance in the dependent variable that will be explained by group membership; and/or with reference to conventions for small, medium, and large effects. The program will compute power for any single set of parameters; it will also allow the user to generate tables and graphs showing how power will vary as a function of effect size, sample size, andα.     

Relational narratives of the self.

The prevailing view of the self in contemporary Western culture is of the autonomous, separate individual. This article considers shifts toward a more relational view in thinking about the self, in developmental psychology and in therapy, especially family therapy. From diverse perspectives this relational narrative of the self is explored, highlighting relational formulations about autonomy, power, and connection/disconnection. Therapeutic approaches that are grounded in a relational narrative are considered. Finally, this article explores, through clinical vignettes, the impact on individuals and their significant others when they shift to a more relational view of the self in their own lives.