ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00001.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

This article examines and clarifies controversies about the concept of illness in the field of family therapy. We contend that illness, as traditionally understood in all cultures, is a relational, transactional concept that is highly congruent with core principles of present‐day family theories. Family therapists need not buy into a biotechnical, reductionistic reframing of illness as disease. Rather, it is more appropriate to conceptualize and work with illness as a narrative placed in a biopsychosocial context. Such a narrative includes how shared responsibility for coping and for finding solutions can take place, without becoming involved in disputes about causal model

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00003.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Depression is ubiquitous in primary family caregivers of Alzheimer's Disease (AD) patients, but its relationship to the overall behavior patterns of these families has received little attention thus far. The focus of the exploratory study reported here was on one aspect of this issue — affective responses between caregiver and other family members as they relate to level of depressive symptoms in the primary caregivers. Family affective responses, especially negative responses, have proven of particular salience in studies of major psychiatric disorders. Would they be equally salient in a study of depressive symptoms in primary caregivers of Alzheimer's patients? Apparently so. Thirty caregivers and extended family members participated in problem‐solving family interaction tasks that were videotaped, transcribed, and coded on affect. Two variables representing angry and sad responses of extended family members to the caregiver accounted for over 44% of the variance in caregiver depressive symptoms. The relevance of these findings for treatment approaches and future research efforts are discus

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00019.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

This study attempted to delineate styles of family interaction and behavior during war. Sixty‐six families were randomly selected during the first week of the Gulf War and were telephone‐interviewed using a semi‐structured questionnaire. Qualitative methodology was used to analyze the interview transcripts. Three themes emerged: the emotional atmosphere (degree of expressed stress), mode of family organization, and extent and form of interpersonal relationship. When these categories were considered, four types of families were found: (1) the Anxious Family, characterized by high level of stress, low role distribution, negative interaction style; (2) the Cautious Family, with high stress, clear role allocation, positive interaction among members; (3) the Confident Family, typified by low stress level, clear role allocation, and positive non‐interaction; and (4) the Indifferent family, characterized by low stress level, no role allocation, and negative non‐interaction. These findings are discussed in terms of recent attempts to clarify the concept and describe the process of family coping, as well as in terms of understanding family behavior in other stressful s

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00035.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Viewing therapy as a conversation among participants, rather than as an interview concluding with an intervention selected by an expert, allows one to consider the contributions of each member of the conversation in comparable terms. I propose a distinction between intimate interaction, in which meaning is co‐created or shared, and non‐intimate interaction, in which meaning is rejected, provided, or misunderstood. I suggest that intimate interaction between therapists and clients is therapeutic and that non‐intimate interaction rarely is. However, it is in the acknowledgment and repair of the inevitable lapses of intimate interaction that occur between therapists and clients that there is an opportunity for a profoundly meaningful collabor

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00045.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Perhaps there are advantages, at this stage of our knowledge, to be looking for the adaptive mechanisms of divorcing families where children are involved, rather than focusing primarily on concepts of risk, dysfunction, and disaster. Perhaps what is truly remarkable is that divorcing families are not more disturbed, given the stigmatization, the uncharted nature of this complex upheaval with little normative frame, and diminished financial resources. As a modest offering in this regard, a 3‐year longitudinal study is presented of a nonclinical postseparation family with an adolescent who neither entered nor required treatment. Specifically, their successful resolutions invented for dealing with day‐to‐day divorce dilemmas and challenges are exp

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00061.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

A new computer‐based quantification procedure was applied to data obtained from administering the Kvebaek Family Sculpture Technique (KFST) to 92 mothers of children with recent onset of rheumatic symptoms (median = 7 months). Four family configuration types (close, hierarchical, unspecified, and skewed) were defined on the basis of distance and structural parameters of the configuration. The types differed with regard to the childhood environment of the mother, chronic family difficulties, and the psychosocial functioning of the primary patient. Comparisons of the families of the mothers that did (n = 23) and did not (n = 69) wish a change of family configuration showed that the families of the mothers who wished change differed with regard to configuration types, distance variables, and psychosocial characteristics. The results are discussed in the context of structural family‐systems theory. The computerized scoring procedure opens new possibilities for research about various family members' perspectives and assessment of changes in family configurations during therapy or over t

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00085.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00099.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00101.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0014-7370    

DOI:10.1111/j.1545-5300.1992.00103.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY