摘要:

This article presents a method for conducting a couple session that illustrates a theoretically valid role for action techniques (as opposed to verbal methods) in post‐Milan systemic interviewing. Useful in an opening meeting or in consultation, it pointedly activates client resources while deemphasizing current problems. The interview format begins with contracting for ground‐rules and listing clients' strengths. Each partner then creates and enacts: a scene illustrating that partner's ideal future for the relationship; a related past painful scene (usually from childhood); and a “reform” of that scene “as it should have occurred.” Both partners play multiple roles in all scenes. Last and least, each partner succinctly describes his or her view of the current problem. In the enactments, rapid shifts in time dimension and multiple novel roles played by both partners efficiently promote in the couple the release from constraining beliefs and interactional patterns that is ordinarily sought by purely verbal methods in Milan‐derived system

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00121.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Effective ways for joining family therapy with other treatment modalities are becoming increasingly important as the efficacy of family therapy gains acceptance in the medical and mental health community. When one interfaces family therapy with medical and psychopharmacological treatments, which find the sources of symptoms within individuals, rather than interpersonal systems, careful attention must be paid to the mind and body relationships that guide interactions between family behavior and the somatic physiology of each family member. We present six mind‐body patterns of symptom generation found to be particularly useful for designing multimodality treatments and for communicating the treatment rationale to medical and psychiatric clinicians or to family members. Case examples illustrate their clinical us

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00137.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

The degree to which expressed emotion (EE) attitudes in key relatives reflect ongoing transactional processes in families is a topic of controversy. The associations between EE attitudes, as measured during an acute hospitalization (using the Camberwell Family Interview) and during the aftercare period (using 5‐minute speech samples), and interactional behavior in parents of recent‐onset schizophrenics (this article) and in patients themselves (second article), were investigated. In the first study, EE attitudes manifested by parents during the aftercare period were stronger correlates of their interactional behaviors during the aftercare period than were EE attitudes measured during the inpatient period, despite the frequent correspondence between the two EE measures. The pattern of attitudes shown between the inpatient and outpatient periods also predicted transactional styles in parents during the outpatient period, findings not accounted for by clinical attributes of patients. When high‐EE attitudes persist during the aftercare period and are reflected in transactional behaviors, the risk for subsequent patient relapse may be enh

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00153.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

This article examines the extent to which expressed emotion (EE) indexes not only relatives' behavior toward schizophrenic patients but also patients' behavior toward their relatives. The coping styles (CS) of schizophrenic patients were assessed during interactions with their parents and were compared with parental EE attitudes assessed during an acute hospitalization and during the aftercare period. It was found that parental EE attitudes measured during the inpatient period strongly predicted patients' outpatient transactional behavior: patients interacting with low‐EE relatives showed significantly fewer critical and more autonomous statements than patients interacting with high‐EE relatives. Further, the dominant patient coping style (autonomous, neutral, externalizing, or internalizing) was strongly related to the relatives' interactional affective style (AS) and to their pattern of EE attitudes. Patient coping style was not related to clinical attributes of these patients themselves. This article and its preceding companion (17) together suggest that EE indexes a transactional process so that the quality of both parents' and patients' transactional behaviors may predict subsequent patient function

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00169.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Many family therapists have observed that the family's choice of seat in the family therapy session provides information concerning the inner structure of the family. The purpose of this study was to study certain aspects of this observation. The selection of seats in family therapy sessions and the mutual distances between family members were investigated for 13 families. The inner structure of the family is described in terms of the existence of problematic relationships and the distribution and quality of power as assessed by the family therapists. The family members' selection of seats in the family therapy session was compared to the sitting order at meals, watching TV at home, and family drawings. It was found that the distance between the father and the patient (a son or daughter) and the location of the father and the mother in relation to each other in the family therapy are more related to the inner structure of the family than to situational factors.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00183.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

This article provides a comprehensive review of the literature regarding nonmedical approaches to the understanding and treatment of intractable hiccups. The author provides a rationale for an interactional view and presents a case in which post‐surgical hiccups were successfully treated, using principles developed by the Mental Research Institute. Of particular interest is the manner in which the therapist managed a system that included the victim's wife, a physician, and other medical personnel who were all trying to eliminate the hiccups. Interventions were designed primarily to alter meanings attributed to the hiccups and, thus, to intervene in the system that was maintaining the problem. This article is presented as a response to Weakland's call for research and practice in family somatic

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00191.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

The study attempted to replicate and extend the results of an earlier study by Wild and Shapiro (16), establishing the utility of Mosher and Hornsby's (8) 20 Questions Task as a means of differentiating families with schizophrenic patients from those of psychiatrically hospitalized but nonschizophrenic individuals. In the current study, Wild and Shapiro's original design was expanded and revised by (a) diagnosing patients using Research Diagnostic Criteria rather than hospital diagnoses and (b) including families with schizophrenic daughters and/or one‐parent families, in addition to intact families with schizophrenic sons. Families were comparable on age, intelligence, and socioeconomic variables. The results failed to replicate those reported by Wild and Shapiro, and indicated that the 20 Questions Task was sensitive to differences in family constellation and offspring gender as well as offspring diagnosis. The findings suggest that forms of familial communication deviance detected with the 20 Questions Task may not be unique to families of schizophrenics, thus highlighting the need to expand research on family communication deviance in families with schizophrenic offspring to families with varied family constellations and characteristic

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00207.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

The development of a new observational measure of family functioning using a Q‐sort methodology is described. The Q‐sort is 5one way of obtaining observer measures of family that complements both microcoding and global ratings of family processes. Evidence for construct validity is presented along with a discussion of the advantages and disadvantages of the Q‐sort approach to family observ

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00223.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Family functioning of 20 alcoholic male veterans and their female partners was assessed in relation to drinking (wet) and abstinent (dry) intervals. Repeated measures analyses performed on the McMaster Family Assessment Device (FAD) indicated that on all 7 scales of the FAD, alcoholics and their mates perceived family functioning to be better during dry than wet periods. In contrast to their alcoholic mates, female partners gave healthier ratings to all FAD scales except Roles in the dry condition and Affective Involvement in the wet condition. According to published cutoff scores for healthy and unhealthy family functioning, alcoholics as a group viewed their wet and dry family functioning as unhealthy, although the female group regarded the family's dry Problem Solving and Behavioral Control as healthy. These findings suggest that the family functioning of alcohol‐involved couples is biphasic, oscillating between drinking and abstinent period

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00239.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1989.00251.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY