摘要:

This article examines the treatment of a Jamaican woman with panic disorder, with a specific focus on the role of culture and the use of multiple formulations of the clinical problem. The work suggests that complex decisions are sometimes called for in assessing whether treatment should advocate against a cultural norm of the clients. The work further suggests that conceptualization of the problem from the vantage point of multiple frameworks is warranted in some instances, but that it requires considerable thought in order to achieve an integrated, coherent treatment plan.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00105.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00114.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00116.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Time is one of the most basic social constructions. There are several different “times” (individual, social, cultural). This article deals with the time variable in systemic therapy — most important variable, but often underestimated by therapists — and seeks to illustrate, with clinical examples, the peculiar interplay of past, present, and future in the therapy session. The co‐creation of the past and future in the therapeutic system is also considered, together with the different temporal horizons of the family therapist and the observation team. In our view, time is one of the key issues in successful therapy: consideration of time can open new perspectives in both therapy and

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00119.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00131.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

This article describes an innovative Adolescent In‐Home Treatment Program that was designed as a hospital alternative for families with adolescents in serious crises. Using multiple‐impact, in‐home, and in‐office techniques, a mental health team systemically intervenes with families to assist them in resolving this major developmental event. Since the program's inception, over 160 high‐risk adolescents have completed the 90‐day course of treatment. Preliminary data gathered from an early group of families and clinicians suggest the potential of significant improvements in family and adolescent functioning, and the attainment of clinical goals among the majority of fami

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00135.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Family rituals are considered part of a generational process that fosters a sense of identity for individual members and is reflective of the family's shared belief system. The symbolic significance attached to family rituals is considered central to the force of family rituals. Three questions were addressed in the study: (1) Are the dimensions of family rituals viewed similarly across generations?; (2) Is level of ritualization related to adolescent identity?; (3) If there is disagreement about the relative level of ritualization in a family, is there a negative relation to adolescent identity? A total of 77 families with an adolescent member completed the Family Ritual Questionnaire, and the adolescents completed a measure of self‐esteem. Results of a factor analysis demonstrated shared representation of family rituals across two generations, with one factor loading on the symbolic qualities of family rituals and the second factor loading on the routine aspects of family rituals. Positive relations were found between adolescent identity and the family's report of symbolic significance and affect associated with family rituals. A negative relation was found between mother‐adolescent disagreement about family rituals and adolescent feelings of belonging. Distinguishing between meaning and routine aspects of family rituals is discussed as well as clinical implicati

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00151.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

This study was designed to assess the expressed emotion (EE) status in the spouses of depressed patients and the patients themselves, to relate the EE status to the severity of depression as measured by the Beck Depression Inventory (BDI), and to compare the prevalence of high EE between the target and control group. Seventeen depressed patients and their spouses, and 20 control couples participated in the study. The Five‐Minute Speech Sample was used to assess the EE status. High EE was significantly more common in spouses of depressed patients and the patients themselves than in controls. There was a significant relationship between the EE status of the patients and their spouses. High EE in the patient and in the spouse corresponded significantly with a high BDI score of the patient. These findings underline the importance that in EE research the patients' EE status as well as their present mental health state must also be taken into accoun

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00163.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00172.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Using the Family Health Scale, Part I of an instrument developed for this study, two randomly selected groups of certified family therapists rated either nonfundamentalist or fundamentalist families in therapy on eight recognized indicators of family health. Factor analysis yielded eight factors accounting for 66% of the variance between groups. Cannonical discriminant function analysis revealed that therapists rated fundamentalist families as significantly less healthy on three of the eight factors and more healthy on one factor. Part II of this instrument, the Religion Impact Scale assessed the effects of church community and church teachings upon families. For fundamentalists, the church and concomitant belief system had a significant impact upon family organization and functioning. Theoretical and clinical implications of these findings are discussed.

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00175.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY