MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Family Process' source. Mon, 30 Jan 2012 10:59:46 +0100 http://www.medworm.com/index.php?rid=5481429&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01379.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=5481429 Thu, 01 Dec 2011 05:00:00 +0100 5481429 http://www.medworm.com/index.php?rid=5481428&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01368.x 以下三种风格的话题有何共同之处呢?《国王的演讲》(于2011年获得2010年度奥斯卡最佳影片,改编自先前默默无闻的英国作家大卫•赛德勒的一部戏剧),《皮普先生》(新西兰作家劳埃德•琼斯的一部小说,2006年进入曼布克奖决选名单),以及《叙事治疗法》(由史蒂芬•马蒂根新近撰写出版,对叙事思想进行阐述)。本篇文学评论提出串联这些不同风格作品的单一主题是对所谓”内部知识”的理解。¿Qué tienen en común los siguientes títulos? El discurso del rey (una película ganadora de un Oscar en 2011 como mejor película del año 2010 que fue adaptada de una obra escrita por un autor británico anteriormente desconocido, David Seidler), El señor Pip (una novela escrit... Family Process journals http://www.medworm.com/rss/comments.php?id=5481428 Thu, 01 Dec 2011 05:00:00 +0100 5481428 http://www.medworm.com/index.php?rid=5481427&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01375.x We describe the ROSCE, a structured, evidence‐informed, learner‐centered approach to the assessment of clinical skills developed at the University of Rochester Medical Center. The ROSCE emphasizes direct observation of trainees demonstrating clinical competencies. The format integrates both formative and summative assessment methods. It can readily be adapted to a wide variety of educational and training settings.本文讨论家庭治疗培训中对低本高效、结果导向评测不断增长的需求。我们描述了罗切斯特客观结构化的临床评估(ROSCE)。该评估是罗切斯特大学医疗中心开发的临床技能评估,是一种结构化、循证以及以学习者为中心的方法。ROSCE评估强调直接观察受训者展示的临床水平。该评估格式整合... Family Process journals http://www.medworm.com/rss/comments.php?id=5481427 Thu, 01 Dec 2011 05:00:00 +0100 5481427 http://www.medworm.com/index.php?rid=5481426&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01369.x This article highlights “disciplined improvisation” as a metaphor for community‐based work with multi‐stressed families. It introduces Collaborative Helping maps as a tool that both helps workers think their way through complex situations with families and provides a structure to support constructive conversations between workers and families about challenging situations. The article illustrates this map through a clinical vignette and uses interviews with workers to highlight ways in which the map can both enhance worker thinking and support constructive conversations between workers and families about problems that could easily divide them and lead to polarization and escalating tension.本文以”谨慎的即兴创作”来比喻接触多重压力家庭的社区努力。文章�... Family Process journals http://www.medworm.com/rss/comments.php?id=5481426 Thu, 01 Dec 2011 05:00:00 +0100 5481426 http://www.medworm.com/index.php?rid=5481425&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01374.x Current clinical models for addressing infidelity tend not to make social context issues a central focus; yet, societal gender and power structures, such as female responsibility for relationships and limited male vulnerability, affect the etiology of affairs and create power imbalances in intimate relationships. How therapists respond to these societal influences may either limit or enhance the mutual healing of both persons in the relationship. Thus attention to these societal processes is an ethical issue. This paper presents one perspective, the Relational Justice Approach, for working with infidelity. It places gender, power, and culture at the center of intervention in couple therapy, and includes three stages: (1) creating an equitable foundation for healing, (2) placing the infidel... Family Process journals http://www.medworm.com/rss/comments.php?id=5481425 Thu, 01 Dec 2011 05:00:00 +0100 5481425 http://www.medworm.com/index.php?rid=5481424&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01373.x Through a poststructural lens, we examine how power may show itself in relationships between supervisees and supervisors, producing both helpful and harmful effects. Drawing from our own experiences, as well as conversations with other members of our supervisory group, we demonstrate how privileged discourses around professional status, gender, and race may bring about difficulties including a sense of doubt, worry, inadequacy, and a fear of speaking up. We also illustrate how these difficulties can be addressed in a manner that may lessen their influence, while increasing supervisees’ sense of agency.我们通过后结构主义视角考察被监督者与监督者两者关系中的权力以何种方式显露出来,产生积极和消极两方面的影响。我们以本人的亲身经历�... Family Process journals http://www.medworm.com/rss/comments.php?id=5481424 Thu, 01 Dec 2011 05:00:00 +0100 5481424 http://www.medworm.com/index.php?rid=5481423&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01376.x In this article I describe my personal journey from working as private practitioner to participating in the wider South African society. Post‐apartheid South African society struggles with overwhelming problems related to poverty, illness, violence, sexism, and racism. Moreover, in those communities where the trauma is most severe, professional resources are scarce. I propose a participatory approach which invites therapists to respond to these socio‐economic and political challenges and the problems that arise from them by thinking and acting outside the constraints of their consultation rooms and of traditional therapeutic conversations, into active participation in ways that might support healing and social transformation. I use two examples to illustrate and discuss the participato... Family Process journals http://www.medworm.com/rss/comments.php?id=5481423 Thu, 01 Dec 2011 05:00:00 +0100 5481423 http://www.medworm.com/index.php?rid=5481422&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01372.x The objective of the MC is to promote marital health for as broad a population of couples as possible, much like regular physical health checkups. This first paper from the largest MC study to date examines whether the MC engaged previously unreached couples who might benefit from intervention. Interview and survey data suggested that the MC attracted couples across the distress continuum and was perceived by couples as more accessible than traditional therapy. Notably, the MC attracted a substantial number of couples who had not previously participated in marital interventions. The motivational health checkup model appeared to encourage a broad range of couples who might not have otherwise sought relationship services to deliberately take care of their marital health. Clinical implication... Family Process journals http://www.medworm.com/rss/comments.php?id=5481422 Thu, 01 Dec 2011 05:00:00 +0100 5481422 http://www.medworm.com/index.php?rid=5481421&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01371.x This article reviews parental reactions to nonconforming gender developments and poses that the parental mandates of protection and acceptance are problematized by the difference of gender norms between the child and the family, as well as the child and the environment. Through multiple therapeutic modalities—parental coaching and education, parent support group, and child and family therapy—the author illustrates interventions supporting both parents and prepubescent children in their negotiation of safety, connection, and fluidity. Case vignettes illustrate the method in action.家有异性特质孩子的家庭需要协调两种性别体系之间的互动。这两种性别体系一个是源于家庭、社会和文化经历的严格的性别二分法,另一个是由其孩子明确表�... Family Process journals http://www.medworm.com/rss/comments.php?id=5481421 Thu, 01 Dec 2011 05:00:00 +0100 5481421 http://www.medworm.com/index.php?rid=5481420&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01370.x Foster care is a system created to protect children from an unsafe home environment yet multiple foster home placements, conflictual or nonexistent relationships between foster parents and birth parents, long, drawn out court battles, and living in an on‐going state of not knowing when or if they will be going home are just some of the challenges many children in care are expected to manage. This paper presents a guide for therapists working with families involved in foster care. Utilizing ideas from the postmodern therapies and structural family therapy, suggestions will be provided about who needs to talk to whom about what, when to have these necessary conversations, and how to talk to people in a way that mobilizes adults to take action for the children, with the goal of minimizing p... Family Process journals http://www.medworm.com/rss/comments.php?id=5481420 Thu, 01 Dec 2011 05:00:00 +0100 5481420 http://www.medworm.com/index.php?rid=5481419&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01378.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=5481419 Thu, 01 Dec 2011 05:00:00 +0100 5481419 http://www.medworm.com/index.php?rid=5481418&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01377.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=5481418 Thu, 01 Dec 2011 05:00:00 +0100 5481418 http://www.medworm.com/index.php?rid=5178454&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01366.x In refugee resettlement, positive psychosocial outcomes for youth and adults depend to a great extent on their families. Yet refugee families find few empirically based services geared toward them. Preventive mental health interventions that aim to stop, lessen, or delay possible negative individual mental health and behavioral sequelae through improving family and community protective resources in resettled refugee families are needed. This paper describes 8 characteristics that preventive mental health interventions should address to meet the needs of refugee families, including: Feasibility, Acceptability, Culturally Tailored, Multilevel, Time Focused, Prosaicness, Effectiveness, and Adaptability. To address these 8 characteristics in the complex environment of refugee resettlement requ... Family Process journals http://www.medworm.com/rss/comments.php?id=5178454 Tue, 30 Aug 2011 23:26:29 +0100 5178454 http://www.medworm.com/index.php?rid=5178453&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01359.x With marked advances in early detection and aggressive multimodality treatment, many adult cancers are now associated with good prognoses for disease‐free survival. A burgeoning literature examining posttreatment quality‐of‐life issues has highlighted the numerous challenges experienced by patients and families in the aftermath of cancer treatment, further underscoring a need for new family‐based psychosocial support interventions for cancer survivors and their families. This paper describes the clinical protocol for one such intervention, a 1‐day “workshop” version of a multiple family group (MFG) for head and neck cancer survivors and their families. Data are reported from our experiences in running five 1‐day workshops. Families uniformly reported that they were highly s... Family Process journals http://www.medworm.com/rss/comments.php?id=5178453 Tue, 30 Aug 2011 23:26:28 +0100 5178453 http://www.medworm.com/index.php?rid=5178452&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01363.x Guidelines for Evidence‐Based Treatments in Family Therapy are intended to help guide clinicians, researchers, and policy makers in identifying specific clinical interventions and treatment programs for couples and families that have scientifically based evidence to support their efficacy. In contrast to criteria, which simply identify treatments that “work” and have been employed in the evaluation of other psychotherapies, these guidelines propose a three‐tiered levels‐of‐evidence‐based model that moves from “evidence‐informed,” to “evidence‐based,” to “evidence‐based and ready for dissemination and transportation within diverse community settings.” Each level reflects an interaction between the specificity of the intervention, the strength and readth of th... Family Process journals http://www.medworm.com/rss/comments.php?id=5178452 Tue, 30 Aug 2011 23:26:27 +0100 5178452 http://www.medworm.com/index.php?rid=5178451&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01365.x This study examined the differences among lesbians, gay men, and heterosexuals at two points in time (1975 and 2000) using responses of 6,864 participants from two archival data sets. Groups were compared on variables representing equality of behaviors between partners in seven realms: traditionally “feminine” housework, traditionally “masculine” housework, finances, support, communication, requesting/refusing sex, and decision‐making. In addition, the current study compared monogamy agreements and monogamy behaviors reported by the two cohorts of couple types. Overall, the results indicate that on the equality variables, there have been many statistically significant behavioral shifts among the different sexual orientations across 25 years. In addition, all couple types reported... Family Process journals http://www.medworm.com/rss/comments.php?id=5178451 Tue, 30 Aug 2011 23:26:26 +0100 5178451 http://www.medworm.com/index.php?rid=5178450&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01364.x 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 ... Family Process journals http://www.medworm.com/rss/comments.php?id=5178450 Tue, 30 Aug 2011 23:26:24 +0100 5178450 http://www.medworm.com/index.php?rid=5178449&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01361.x This article, focusing on intervention, presents the other 3 Blueprint components—Planning, Conversing, and Feedback. Articulated through the Blueprint, intervention is a clinical experimental process in which therapists formulate hypotheses about the set of constraints (the Web) within a client system that prevents problem resolution, develop a therapeutic Plan based on those hypotheses, implement the Plan through a coconstructed dialogue with the clients, and then evaluate the results. If the intervention is not successful, the results become feedback to modify the Web, revise the Plan, and intervene again. Guided by the therapeutic alliance, this process repeats until the presenting problems resolve. IPCM Planning sequentially integrates the major empirically and yet‐to‐be empiric... Family Process journals http://www.medworm.com/rss/comments.php?id=5178449 Tue, 30 Aug 2011 23:26:23 +0100 5178449 http://www.medworm.com/index.php?rid=5178448&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01362.x This article (and its companion article) presents a comprehensive, integrative, multisystemic, and empirically informed psychotherapeutic perspective to help therapists and psychotherapy trainers successfully address these challenges—Integrative Problem Centered Metaframeworks (IPCM) Therapy. This first article presents and illustrates IPCM's theoretical foundation, core concepts, and “case formulating” components. It delineates a Blueprint for the practice and teaching of 21st century psychotherapists who can meld science and art into best practice.RESUMENDurante los últimos 20 años la psicoterapia y la terapia familiar se han visto inundadas de una plétora de tratamientos validados empíricamente para trastornos particulares. Esta tendencia irá en aumento. Cada vez más se les ... Family Process journals http://www.medworm.com/rss/comments.php?id=5178448 Tue, 30 Aug 2011 23:26:22 +0100 5178448 http://www.medworm.com/index.php?rid=5178447&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01360.x As has been true in every other realm of psychotherapy, couple therapy research generally has had very little impact on the day‐to‐day practice of couple therapists. To a significant degree, this unfortunate disconnection may be attributable to an overemphasis by researchers in the field on treatment packages and therapeutic methods/techniques. Insufficient attention has been paid to other important sources of influence on treatment outcomes, especially the couple therapist herself/himself. It is argued that effective couple therapy requires a good “fit” between the person of the therapist and her primary theoretical orientation, and that couple therapists may be more influenced by research that addresses process aspects of the therapeutic approaches to which they have their primar... Family Process journals http://www.medworm.com/rss/comments.php?id=5178447 Tue, 30 Aug 2011 23:26:21 +0100 5178447 http://www.medworm.com/index.php?rid=5178446&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01367.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=5178446 Tue, 30 Aug 2011 23:26:21 +0100 5178446 http://www.medworm.com/index.php?rid=4818341&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01358.x The purpose of this study was to examine the “lived experience” of Asian Indian (AI)–White couples in interracial marriages. Ten highly educated AI–White professional couples were individually interviewed about their subjective experience of being in an interracial marriage, the challenges and strengths of this marriage, and the potential role of culture in their marriages. Data were analyzed using the Consensual Qualitative Research methodology. Results indicated that the couples' marital experiences were influenced by a complex intersection of ecosystemic factors with significant psychological impacts. These findings highlight shortcomings in drawing simplistic conclusions regarding the success or failure of an interracial marriage and have important implications for theory, rese... Family Process journals http://www.medworm.com/rss/comments.php?id=4818341 Fri, 13 May 2011 17:31:03 +0100 4818341 http://www.medworm.com/index.php?rid=4818340&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01357.x Military couples who have experienced deployment and reintegration in current U.S. military operations frequently experience stress regarding the dangers and effects of such experiences. The current study evaluated a sample of 300 couples with an active duty Army husband and civilian spouse who experienced a deployment within the year before the survey (conducted in 2007). Wives generally reported greater levels of emotional stress compared with husbands. Overall, higher levels of stress were found for couples who reported lower income and greater economic strain, perceive the need for more support and are unsure about how to get support, have more marital conflict, and are generally less satisfied with the Army and the current mission. Husband combat exposure was also associated with more... Family Process journals http://www.medworm.com/rss/comments.php?id=4818340 Fri, 13 May 2011 17:31:01 +0100 4818340 http://www.medworm.com/index.php?rid=4818339&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01356.x We examine how representations of marriage, assessed prenatally, predict different types of marital conflict (cooperation, avoidance/capitulation, stonewalling, and child involvement in parental conflict) at 7 years postpartum (N=132 individuals). We assessed representations of marriage prenatally by interviewing spouses about their own parents' marriage, and then rated the content and insightfulness of their memories. Results show that marital representations characterized by higher insight predict higher cooperation and lower child involvement in parental conflict, whereas content of marital representations was not a significant predictor of marital conflict. Further, individuals who remember negative memories from their parents' marriage with high insight were lowest on child involvemen... Family Process journals http://www.medworm.com/rss/comments.php?id=4818339 Fri, 13 May 2011 17:30:59 +0100 4818339 http://www.medworm.com/index.php?rid=4818338&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01355.x This study examined enactments as a therapy process and change mechanism to promote secure attachment in couple therapy. Sixteen couples were randomly assigned to 1 of 2 experimental groups—1 group received 3 therapist‐centered sessions followed by 3 enactment‐based sessions, and a second group received 3 enactment‐based sessions followed by 3 therapist‐centered sessions. To measure between‐session and within‐session change, each spouse completed presession and postsession measures of attachment security each week. Results showed that couples who received enactment‐based sessions first reported greater increases in attachment security than those receiving therapist‐centered sessions first. These same couples continued to show improvement after switching to the therapist�... Family Process journals http://www.medworm.com/rss/comments.php?id=4818338 Fri, 13 May 2011 17:30:58 +0100 4818338 http://www.medworm.com/index.php?rid=4818337&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01354.x This study examined relationship factors associated with paternal functioning among young, high‐risk fathers, with an emphasis on the role of a young mother's relational competence on her partner's paternal functioning. Participants included 60 young fathers and their coparenting partners, who were identified before childbirth and followed over 2 years. Fathers were identified as being at high risk for paternal failure based on a history of school dropout, psychopathology, and/or serial fatherhood. It was hypothesized that young men who were more relationally competent before childbirth would function more adequately as fathers, despite their high‐risk status. Based on principles of family systems theory, it was also predicted that young men with more relationally competent partners wo... Family Process journals http://www.medworm.com/rss/comments.php?id=4818337 Fri, 13 May 2011 17:30:56 +0100 4818337 http://www.medworm.com/index.php?rid=4818336&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01353.x This manuscript illustrates methods for utilizing measurements of individuals to identify group contextual effects on individual outcomes. Contextual effects can be identified by 1 of 3 methods: (1) divergence of the simple within‐ and between‐group regression coefficients, (2) the presence of a cross‐level interaction of the within‐ and between‐group predictor variable, or (3) the effect of discrepancies within the group. These methods can be used to incorporate group context into an individual model and can be utilized for any individual process variable that might be affected by a group context. Example data include measures of hassles and coping adequacy of inner city, poor, African American new mothers, and their family members.RESUMENEn este manuscrito se describen métodos... Family Process journals http://www.medworm.com/rss/comments.php?id=4818336 Fri, 13 May 2011 17:30:54 +0100 4818336 http://www.medworm.com/index.php?rid=4818335&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01352.x This qualitative study used a grounded theory methodology to analyze life‐story interviews obtained from 10 family business owners regarding their experiences in their businesses with the goal of understanding the complexities of family business succession. The grounded theory that emerged from this study is best understood as a potential web of constraints that can bear on the succession process. Coding of these interviews revealed four key influences, which seem to have the potential to facilitate or constrain the family business owner's approach to succession. Influence 1, “The business within,” captures intrapsychic dynamics of differentiation and control. Influence 2, “The marriage,” addresses how traditional gender roles shape succession. Influence 3, “The adult children,... Family Process journals http://www.medworm.com/rss/comments.php?id=4818335 Fri, 13 May 2011 17:30:53 +0100 4818335 http://www.medworm.com/index.php?rid=4818334&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01351.x This manuscript describes the implementation of two community‐based programs of research with Latino immigrant populations exposed to intense contextual challenges. We provide background on our program of research and specific implementation of an evidence‐based parenting intervention. We also describe how our research efforts were seriously affected by immigration‐related events such as the ICE raids in Utah and a history of discrimination and exclusion affecting Latino immigrants in Michigan. These external political and social challenges have affected the very core principles of our efforts to implement community‐based approaches. The current manuscript describes key lessons that we have learned in this process. Finally, reflections for research, practice, and social policy are ... Family Process journals http://www.medworm.com/rss/comments.php?id=4818334 Fri, 13 May 2011 17:30:51 +0100 4818334 http://www.medworm.com/index.php?rid=4818333&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01350.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=4818333 Fri, 13 May 2011 17:30:51 +0100 4818333 http://www.medworm.com/index.php?rid=4534795&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2011.01349.x In this account of an on‐going reflecting team, a group of 4 therapists describe how they preserve multiple perspectives, yet join their voices to create coherent, meaningful reflections. This reflecting approach emphasizes developing a theme and creating variations on this theme, in a manner resembling a musical fugue. In addition, the practicalities of creating and sustaining a reflecting team in a private practice context are described.RESUMENEn este informe de un equipo de reflexión en curso, un grupo de cuatro terapeutas describe cómo ellos preservan perspectivas múltiples y aún así unen sus voces para crear reflexiones coherentes y significativas. Este enfoque reflexivo hace hincapié en el desarrollo de un tema y en la creación de variaciones sobre este tema de manera simila... Family Process journals http://www.medworm.com/rss/comments.php?id=4534795 Tue, 01 Mar 2011 00:00:00 +0100 4534795 http://www.medworm.com/index.php?rid=4534794&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01348.x We examined parenting of adolescents with Consensual Qualitative Research analyses of five 90‐minute focus groups with 45 Mexican immigrant parents residing in a high‐crime and low‐income neighborhood. Parents identified gangs as their major challenge in parenting. Relatedly, they endorsed control‐oriented practices to ensure the safety of their adolescents. In addition, parents used practices that aimed to build strong, trusting relationships with their adolescents. The co‐occurrence of parenting strategies that promote strong parent–adolescent bonds along with strict monitoring highlights the need to conceptualize parenting with both controlling as well as supportive dimensions. Moreover, the parents' narratives pertaining to the dangers in their neighborhood suggest that int... Family Process journals http://www.medworm.com/rss/comments.php?id=4534794 Tue, 01 Mar 2011 00:00:00 +0100 4534794 http://www.medworm.com/index.php?rid=4534793&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01347.x Despite increases in single‐parent families among Mexican Americans, few studies have examined the association of family structure and family adjustment. Utilizing a diverse sample of 738 Mexican‐American families (21.7% single parent), the current study examined differences across family structure on early adolescent outcomes, family functioning, and parent–child relationship variables. Results revealed that early adolescents in single‐parent families reported greater school misconduct, conduct disorder/oppositional deviant disorder, and major depressive disorder symptoms, and greater parent–child conflict than their counterparts in 2‐parent families. Single‐parent mothers reported greater economic hardship, depression, and family stress. Family stress and parent–child con... Family Process journals http://www.medworm.com/rss/comments.php?id=4534793 Tue, 01 Mar 2011 00:00:00 +0100 4534793 http://www.medworm.com/index.php?rid=4534792&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01346.x Among the challenges facing single mothers, a particularly difficult one is how to help children develop “male‐positive” attitudes in situations when the parents have broken up and children have no active relationship with the father. Despite a large academic literature on single mothering, there is strikingly little discussion on this topic. Using symbolic interactionism and family systems theory, we offer psychoeducational messages for single mothers who want to raise their children with male‐positive attitudes. We also call for a new cultural conversation on an issue ignored for too long.RESUMENEntre los desafíos que enfrentan las madres solteras, uno particularmente difícil es cómo ayudar a los niños a desarrollar “actitudes positivas hacia el sexo masculino” en situaci... Family Process journals http://www.medworm.com/rss/comments.php?id=4534792 Tue, 01 Mar 2011 00:00:00 +0100 4534792 http://www.medworm.com/index.php?rid=4534791&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01345.x Using grounded theory methodology 24 participants were asked to discuss how the death of a previous spouse, either theirs or their partner's, was currently affecting their second marriage. Participants were interviewed individually and as a couple. The central category was memories of the deceased spouse. Six additional categories emerged from the data: past spouse on pedestal, current/past comparison, insecurity of current spouse, curiosity about past spouse/relationship, partner's response to curiosity, and impact on the current relationship. Existing literature, auditors, and participant feedback were all used to validate the results. Expanding on a tentative theory (Brimhall, Wampler, & Kimball, 2008), provisional hypotheses were developed, thus helping clinicians who work with com... Family Process journals http://www.medworm.com/rss/comments.php?id=4534791 Tue, 01 Mar 2011 00:00:00 +0100 4534791 http://www.medworm.com/index.php?rid=4534790&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01344.x In conclusion, secondary migration and relocation were family efforts to enhance family and community protective resources and to mitigate shortcomings in resettlement conditions. Policymakers could provide newly resettled refugees jobs, better housing and family reunification. Practitioners could devise ways to better engage and support those families who consider moving.RESUMENEl propósito de este estudio era comprender la emigración secundaria y la reubicación de los refugiados africanos reasentados en los Estados Unidos. La emigración secundaria se refiere a mudanzas a otro estado mientras que la reubicación se refiere a mudanzas dentro del mismo estado. De 73 familias de refugiados de Burundi y Liberia recientemente reasentadas que se controlaron durante un año a través de entr... Family Process journals http://www.medworm.com/rss/comments.php?id=4534790 Tue, 01 Mar 2011 00:00:00 +0100 4534790 http://www.medworm.com/index.php?rid=4534789&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01343.x Information communication technologies (ICTs) are a ubiquitous feature of immigrant family life. Affordable, widely accessible, and highly adaptable ICTs have transformed the immigrant experience into a transnational process with family networks redesigned but not lost. Being a transnational family is not a new phenomenon. Transnationalism, however, has historically been reserved for the wealthier professional and political immigrant class who were able to freely travel and use expensive forms of communication before the emergence of accessible technologies. This paper systematically reviews the research literature to investigate the potential impact of ICTs on the lives of transnational families and how these families utilize them. The wide penetration of ICTs also puts into question some... Family Process journals http://www.medworm.com/rss/comments.php?id=4534789 Tue, 01 Mar 2011 00:00:00 +0100 4534789 http://www.medworm.com/index.php?rid=4534788&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01342.x This is a personal recollection of the first 8 years of Family Process, the volumes published under the first Editor, Jay Haley, and strongly influenced by the Mental Research Institute at Palo Alto, of which Haley was a member. The later influence of the group's “double bind” hypothesis of schizophrenia is explored. Some ideas about the influence of theory on practice are suggested. Several examples of experiments in the social setting of family work are picked out of these volumes because of their influence on later programs. Finally, the essay offers a retrospective appreciation of the influence of Gregory Bateson on the mood of “revolution” forecast in the opening years of Family Process.RESUMENEsta es una remembranza personal de los primeros ocho años de Family Process, es de... Family Process journals http://www.medworm.com/rss/comments.php?id=4534788 Tue, 01 Mar 2011 00:00:00 +0100 4534788 http://www.medworm.com/index.php?rid=4534787&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01341.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=4534787 Tue, 01 Mar 2011 00:00:00 +0100 4534787 http://www.medworm.com/index.php?rid=4170742&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01340.x All abstracts are available in Spanish and Mandarin Chinese on Wiley Online Library (http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1545‐5300). Please pass this information on to your international colleagues and students.This investigation examines the impact of homophobic stigmatization on the well‐being of 17‐year‐old adolescents who were conceived through donor insemination and whose mothers enrolled before they were born in the largest, longest‐running, prospective study of lesbian families, with a 93% retention rate to date. The data for the current report were collected through questionnaires completed by the adolescents and their mothers. The adolescents (39 girls and 39 boys) were queried about family connection and compatibility. They were also asked to indicate i... Family Process journals http://www.medworm.com/rss/comments.php?id=4170742 Tue, 16 Nov 2010 16:44:50 +0100 4170742 http://www.medworm.com/index.php?rid=4170741&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01339.x Four action researchers present a case study of a project conducted by members of a national family therapy organization and members of a local family therapy institute, which describes their efforts to collaborate with local disaster recovery workers 2 years after Hurricane Katrina. The aim of the collaboration was to create a local action research team to study best practices that strengthen resilience after disaster. The authors discuss choice points and dilemmas faced in finding collaborative partners and in clarifying what constitutes an invitation to work in a community. The case study illuminates tensions and understandings between outsiders and a community still facing the long‐term effects of a disaster.RESUMENCuatro investigadores participativos presentan un estudio de casos de... Family Process journals http://www.medworm.com/rss/comments.php?id=4170741 Tue, 16 Nov 2010 16:44:49 +0100 4170741 http://www.medworm.com/index.php?rid=4170740&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01338.x All abstracts are available in Spanish and Mandarin Chinese on Wiley Online Library (http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1545‐5300). Please pass this information on to your international colleagues and students.Although literature supports the association between harmonious coparenting practices and lowered child problems, little is known about coparenting influences among family constellations in the foster care system. Via a compilation of a new coparenting practices measure, we examined similarities and differences on foster parent‐derived perceptions of support/flexibility, shared communication, conflict/triangulation, and total coparenting between foster and biological parents and their independent contribution to child internalizing and externalizing problems. Se... Family Process journals http://www.medworm.com/rss/comments.php?id=4170740 Tue, 16 Nov 2010 16:44:48 +0100 4170740 http://www.medworm.com/index.php?rid=4170738&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01337.x This study suggests that individuals exhibit different relationships between avoidance coping and psychological outcomes and that average stress reported by members of a family moderates the relationship between avoidance coping and psychological distress.RESUMENLas familias son sistemas influyentes y pueden ser un contexto importante en el cual considerar el estrés y el proceso de afrontamiento. Hasta la fecha, muchos estudios se han centrado en modelar el estrés y el proceso de afrontamiento para el individuo, aislado de la familia. El propósito de este análisis secundario fue investigar un modelo transversal de estrés y afrontamiento para madres afroamericanas con VIH positivo convocadas en centros de salud especializados en VIH de South Florida (n=214) y sus familiares (n=294). Se... Family Process journals http://www.medworm.com/rss/comments.php?id=4170738 Tue, 16 Nov 2010 16:44:47 +0100 4170738 http://www.medworm.com/index.php?rid=4170737&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01336.x This article utilizes key constructs of the narrative metaphor: that stories organize, structure, and give meaning to events in our lives. When stories are used as a way to understand the lives of couples, they have the potential for enhancing individual and relational growth. It is proposed that knowing both our own and our partner's story and development goals increases the likelihood of making an investment in self/other and relational growth. It is further suggested that helping couples develop narratives with a sense of “We” promotes a more generative perspective. These ideas were developed in a small qualitative pilot study with long‐married, middle‐class, heterosexual couples, which suggested that the synthesis of each partner's life story into a couple story promoted indivi... Family Process journals http://www.medworm.com/rss/comments.php?id=4170737 Tue, 16 Nov 2010 16:44:46 +0100 4170737 http://www.medworm.com/index.php?rid=4170736&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01335.x To read this article in Spanish, please see this article's Supporting Information on Wiley Online Library (http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1545‐5300). Please pass this information on to your international colleagues and students.Jealousy is a powerful emotional force in couples' relationships. In just seconds it can turn love into rage and tenderness into acts of control, intimidation, and even suicide or murder. Yet it has been surprisingly neglected in the couples therapy field. In this paper we define jealousy broadly as a hub of contradictory feelings, thoughts, beliefs, actions, and reactions, and consider how it can range from a normative predicament to extreme obsessive manifestations. We ground jealousy in couples' basic relational tasks and utilize the const... Family Process journals http://www.medworm.com/rss/comments.php?id=4170736 Tue, 16 Nov 2010 16:44:45 +0100 4170736 http://www.medworm.com/index.php?rid=4170735&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01334.x All abstracts are available in Spanish and Mandarin Chinese on Wiley Online Library (http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1545‐5300). Please pass this information on to your international colleagues and students.Systemic therapy is a widely used psychotherapy approach. Yet there exist few systematic reviews on its efficacy. A meta‐content analysis was performed to analyze the efficacy of systemic therapy for the treatment of mental disorders in adulthood. All randomized (or matched) controlled trials (RCT) evaluating systemic/systems oriented therapy in various settings (family, couple, individual, group, multifamily group therapy) with adult index patients suffering from mental disorders were identified by database searches and cross‐references in other reviews. Incl... Family Process journals http://www.medworm.com/rss/comments.php?id=4170735 Tue, 16 Nov 2010 16:44:43 +0100 4170735 http://www.medworm.com/index.php?rid=4170734&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01333.x All abstracts are available in Spanish and Mandarin Chinese on Wiley Online Library (http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1545‐5300). Please pass this information on to your international colleagues and students.Behavioral couples therapy (BCT) is an evidence‐based couple therapy intervention for married or cohabitating substance abusers and their partners. This paper provides readers with a substantive and methodological review of Fals‐Stewart, O'Farrell, and colleagues' program of research on BCT. The 23 studies included in this review provide support for the efficacy of BCT for improving substance use behavior, dyadic adjustment, child psychosocial outcomes, and reducing partner violence. This review includes a description of BCT, summaries of primary and secondary... Family Process journals http://www.medworm.com/rss/comments.php?id=4170734 Tue, 16 Nov 2010 16:44:42 +0100 4170734 http://www.medworm.com/index.php?rid=4170733&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01332.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=4170733 Tue, 16 Nov 2010 16:44:41 +0100 4170733 http://www.medworm.com/index.php?rid=3956783&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01331.x A social ecological model of resilience is used to show that resilience is dependent on a family's ability to both access available resources that sustain individual and collective well‐being, as well as participate effectively in the social discourse that defines which resources are culturally and contextually meaningful. In this paper both clinical evidence and a review of the research inform an integrated social ecological model of practice that is focused on advocating for the mental health resources necessary to nurture resilience, including the individual and family processes of coconstruction of meaning. Family therapists can help marginalized families living in challenging contexts develop skills as both navigators who access resources, as well as negotiators who are able to conv... Family Process journals http://www.medworm.com/rss/comments.php?id=3956783 Tue, 31 Aug 2010 23:00:00 +0100 3956783 http://www.medworm.com/index.php?rid=3956782&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01330.x All abstracts are available in Spanish and Mandarin Chinese on Wiley Online Library (http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1545‐5300 (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3956782 Tue, 31 Aug 2010 23:00:00 +0100 3956782 http://www.medworm.com/index.php?rid=3956781&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01329.x Providing training for people working with some of the most marginalized families in Guatemala and Peru meant establishing credibility as a facilitator; entering organizations as a learner; cocreating training agendas; and working in a format that paralleled a strength‐based, resilience focus in therapy. Strategies used for different phases of the work are detailed: multiple ways to gather information, shadowing staff, delivering topics on demand, and creating learning environments with a focus on families as teachers. Key processes included moving in and out of the role of facilitator and participant, entering into the trainings from different vantage points within the organizations, and designing activities with an eye to how they would impact work relationships of staff and clients. (... Family Process journals http://www.medworm.com/rss/comments.php?id=3956781 Tue, 31 Aug 2010 23:00:00 +0100 3956781 http://www.medworm.com/index.php?rid=3956780&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01328.x This paper introduces Socio‐Emotional Relationship Therapy (SERT), an approach designed to intervene in socio‐cultural processes that limit couples' ability to develop mutually supportive relationships, especially within heterosexual relationships. SERT integrates recent advances in neurobiology and the social context of emotion with social constructionist assumptions regarding the fluid and contextual nature of gender, culture, personal identities, and relationship patterns. It advances social constructionist practice through in‐session experiential work focused on 4 conditions foundational to mutual support—mutual influence, shared vulnerability, shared relationship responsibility, and mutual attunement. In contrast to couple therapy models that mask power issues, therapist neutr... Family Process journals http://www.medworm.com/rss/comments.php?id=3956780 Tue, 31 Aug 2010 23:00:00 +0100 3956780 http://www.medworm.com/index.php?rid=3956779&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01327.x This article makes a distinction between three different epistemologies: individualizing, systems, and poststructural. It then makes the argument that one can integrate theories within epistemologies and one can adopt practices and some theoretical concepts across theories and across epistemologies, but that it is impossible to integrate theories across epistemologies. It further states that although social constructionism has influenced much of contemporary psychological thinking, because of the divergence between a structural and a poststructural approach, constructionism looks different depending upon one's epistemological stance. Examples of integration within epistemologies and of what looks like integration across epistemologies (but is not) further illustrate these important distinc... Family Process journals http://www.medworm.com/rss/comments.php?id=3956779 Tue, 31 Aug 2010 23:00:00 +0100 3956779 http://www.medworm.com/index.php?rid=3956778&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01326.x This paper addresses the growing diversity and complexity of spirituality in society and within families. This requires a broadly inclusive, multifaith approach in clinical training and practice. Increasingly, individuals, couples, and families seek, combine, and reshape spiritual beliefs and practices—within and among faiths and outside organized religion—to fit their lives and relationships. With rising faith conversion and interfaith marriages, the paper examines challenges in multifaith families, particularly with marriage, childrearing, and the death of a loved one. Clinical guidelines, cautions, and case examples are offered to explore the role and significance of spiritual beliefs and practices in couple and family relationships; to identify spiritual sources of distress and rel... Family Process journals http://www.medworm.com/rss/comments.php?id=3956778 Tue, 31 Aug 2010 23:00:00 +0100 3956778 http://www.medworm.com/index.php?rid=3956777&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01325.x This paper presents current narratives about masculinity that question simplistic negative stereotypes of machismo for Latino heterosexual men. Various models of masculinity within Latino cultures are described using evidence from ethnographic studies, research data, and clinical observation. Therapeutic advantages of including positive cultural masculine traits such as respect and dignity are illustrated with an extensive case study. The case highlights contradictions in the coexistence of constructions of masculinity and traces progressive stages for transforming these constructions. In this strength‐based approach, attention is directed to elements of cultural memory that reclaim a strong relational ethic present in the indigenous cultures. “Within the culture” definitions of masc... Family Process journals http://www.medworm.com/rss/comments.php?id=3956777 Tue, 31 Aug 2010 23:00:00 +0100 3956777 http://www.medworm.com/index.php?rid=3956776&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01324.x Psychotherapists often believe if couples improve their communication and emotional dynamics, good sex follows. In practice we often find otherwise and have many questions about how to proceed to work with sexuality issues more directly. This paper presents the many challenges working with sex including the following: the fluidity and multidimensionality of sex and gender, the incongruities and paradoxes in sexual behavior, thoughts, attractions, feelings, and sensations, and the powerful feelings, impasses, surprises, and confusion therapists often experience doing the work. In essence, what is queer about sex? Using the couple as client, expansive ways of thinking and working with sexuality are presented including the development of inclusive models of sex, gender, and sexual response, a... Family Process journals http://www.medworm.com/rss/comments.php?id=3956776 Tue, 31 Aug 2010 23:00:00 +0100 3956776 http://www.medworm.com/index.php?rid=3956775&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01323.x This article challenges family therapists to recognize the enormous societal pressure on LGBTQ parents to produce heterosexual, gender‐normative children, and the expectations on their children, especially those questioning their own sex or gender identities. (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3956775 Tue, 31 Aug 2010 23:00:00 +0100 3956775 http://www.medworm.com/index.php?rid=3956774&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01322.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3956774 Tue, 31 Aug 2010 23:00:00 +0100 3956774 http://www.medworm.com/index.php?rid=3839905&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01321.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience (http://interscience.wiley.com/journal/famp (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3839905 Mon, 31 May 2010 23:00:00 +0100 3839905 http://www.medworm.com/index.php?rid=3839904&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01319.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience (http://interscience.wiley.com/journal/famp (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3839904 Mon, 31 May 2010 23:00:00 +0100 3839904 http://www.medworm.com/index.php?rid=3839903&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01318.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience (http://interscience.wiley.com/journal/famp (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3839903 Mon, 31 May 2010 23:00:00 +0100 3839903 http://www.medworm.com/index.php?rid=3839902&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01317.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience (http://interscience.wiley.com/journal/famp (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3839902 Mon, 31 May 2010 23:00:00 +0100 3839902 http://www.medworm.com/index.php?rid=3839901&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01316.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience (http://interscience.wiley.com/journal/famp (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3839901 Mon, 31 May 2010 23:00:00 +0100 3839901 http://www.medworm.com/index.php?rid=3584387&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01314.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3584387 Fri, 21 May 2010 14:24:57 +0100 3584387 http://www.medworm.com/index.php?rid=3584394&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01321.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full-text page on Wiley InterScience (http://interscience.wiley.com/journal/famp). The current study examined gender differences in communication about sex-related topics in a community sample of urban, African-American mothers and adolescents living in impoverished neighborhoods with high HIV rates. One hundred and sixty-two mother[ndash]adolescent dyads completed self-report measures of sex-related communication. Youth also reported on their sexual risk. We identified the range of sexual-based topics that adolescents discussed with their mothers, fathers, friends, and at school. The relationship between the frequency of sexual communication and sexual risk was examined. We also investigated c... Family Process journals http://www.medworm.com/rss/comments.php?id=3584394 Wed, 19 May 2010 23:00:00 +0100 3584394 http://www.medworm.com/index.php?rid=3584393&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01320.x To read this article in Spanish, please see this article's Supporting Information on Wiley InterScience (http://interscience.wiley.com/journal/famp). To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full-text page on Wiley InterScience (http://interscience.wiley.com/journal/famp). The aim of the study is to explore the process of microtransitions in families with adolescent children. Original methodological procedures were designed in order to have families as the objects of study and to analyze data with particular attention to the family process of change. A family interview focused on the adolescent and family change was conducted with 12 families having an adolescent child. As indicators of change, we used coordination and oscillation. Ou... Family Process journals http://www.medworm.com/rss/comments.php?id=3584393 Wed, 19 May 2010 23:00:00 +0100 3584393 http://www.medworm.com/index.php?rid=3584392&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01319.x This study examines the relationship between the therapeutic alliance and distress using the couple rather than the individual as the unit of analysis. One hundred and seventy-three couples receiving treatment for relational distress at two university clinics participated in this study. The actor[ndash]partner interdependence model was used to analyze the relationship of each partner's between- and within-system alliance scores and distress at session four. Results provide support for actor effects on relational distress for both male and female partners and for actor effects on psychological distress for female partners. Limited support was found for partner effects on distress. Furthermore, results indicate that the alliance between partners is a stronger predictor of improvement in earl... Family Process journals http://www.medworm.com/rss/comments.php?id=3584392 Wed, 19 May 2010 23:00:00 +0100 3584392 http://www.medworm.com/index.php?rid=3584391&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01318.x This report examines the effect of Structural Ecosystems Therapy (SET) for (n=143) HIV+ African-American women on rate of relapse to substance use relative to both a person-centered approach (PCA) to therapy and a community control (CC) group. A prior report has shown SET to decrease psychological distress and family hassles relative to these 2 comparison groups. In new analyses, SET and CC had a significant protective effect against relapse as compared with PCA. There is evidence that SET's protective effect on relapse was related to reductions in family hassles, whereas there was not a direct impact of change in psychological distress on rates of relapse. Lower retention in PCA, perhaps caused by the lack of a directive component to PCA, may have put these women at greater risk for relap... Family Process journals http://www.medworm.com/rss/comments.php?id=3584391 Wed, 19 May 2010 23:00:00 +0100 3584391 http://www.medworm.com/index.php?rid=3584390&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01317.x This study is one of the first to illustrate the relevance of spousal communication in understanding caregiver distress and depression. Frecuentemente, las investigaciones sobre demencia han documentado índices altos de depresión y angustia en esposas que cuidan a su pareja con demencia. Sin embargo, el papel que juega la comunicación matrimonial a la hora de comprender la angustia de las cuidadoras no se ha analizado suficientemente. Los estudios realizados con parejas sanas demostraron que existe una asociación entre la comunicación matrimonial, y el bienestar psicológico o el estado depresivo de los integrantes de la pareja respectivamente (p. ej.: Heene, Buysee, & Van Oost, 2005). En el presente estudio se investiga la relación entre la depresión de las cuidadoras y la comunica... Family Process journals http://www.medworm.com/rss/comments.php?id=3584390 Wed, 19 May 2010 23:00:00 +0100 3584390 http://www.medworm.com/index.php?rid=3584389&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01316.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full-text page on Wiley InterScience (http://interscience.wiley.com/journal/famp). Using new methods designed to assess coparenting between incarcerated mothers of preschool-aged children and the maternal grandmothers caring for the children during their absence, we examined relationships between coparenting quality during the mother's jail stay and both concurrent child behavior problems and later coparenting interactions following mothers' release and community reentry. Forty mother[ndash]grandmother dyads participated in joint coparenting discussions during the incarceration, with a smaller subset completing a parallel activity at home 1 month postrelease. Both women also participated in ind... Family Process journals http://www.medworm.com/rss/comments.php?id=3584389 Wed, 19 May 2010 23:00:00 +0100 3584389 http://www.medworm.com/index.php?rid=3584388&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01315.x This article presents an emergent conceptual model of the features and links between cumulative disadvantage, maternal distress, and parenting practices in low-income families in which parental incarceration has occurred. The model emerged from the integration of extant conceptual and empirical research with grounded theory analysis of longitudinal ethnographic data from Welfare, Children, and Families: A Three-City Study. Fourteen exemplar family cases were used in the analysis. Results indicated that mothers in these families experienced life in the context of cumulative disadvantage, reporting a cascade of difficulties characterized by neighborhood worries, provider concerns, bureaucratic difficulties, violent intimate relationships, and the inability to meet children's needs. Mothers, ... Family Process journals http://www.medworm.com/rss/comments.php?id=3584388 Wed, 19 May 2010 23:00:00 +0100 3584388 http://www.medworm.com/index.php?rid=3265712&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01303.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3265712 Fri, 12 Feb 2010 15:33:57 +0100 3265712 http://www.medworm.com/index.php?rid=3265722&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01313.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3265722 Thu, 11 Feb 2010 00:00:00 +0100 3265722 http://www.medworm.com/index.php?rid=3265721&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01312.x Some authors have argued that certain acts of family therapists[mdash]despite their best intentions[mdash]may represent a form of colonizing the family. When acting as a colonizer, a therapist is understood as becoming overly responsible for the family and focusing too strongly on change. In so doing, the therapist disrespects the family's pace, and neglects their own resources for change. This paper aims to highlight the need for therapists to be hypersensitive both to the resources of families entering therapy as well as to the impact of prevailing ideologies on their own positioning in the session. The kind of sensitivity advocated here is dialectical in the sense that every family is understood as having potentials promoting dynamism, happiness, and well-being as well as potentials con... Family Process journals http://www.medworm.com/rss/comments.php?id=3265721 Thu, 11 Feb 2010 00:00:00 +0100 3265721 http://www.medworm.com/index.php?rid=3265720&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01311.x Men's difficulty with emotional intimacy is a problem that therapists regularly encounter in working with heterosexual couples in therapy. The first part of this article describes historical and cultural factors that contribute to this dilemma in men's marriages and same-sex friendships. Therapeutic men's groups can provide a corrective experience for men, helping them to develop emotional intimacy skills while augmenting their work in couples therapy. A model for such groups is presented, including guidelines for referral, screening, and collaboration with other therapists. Our therapeutic approach encourages relationship-based learning through direct emotional expression and supportive feedback. We emphasize the development of friendship skills, core attributes of friendship (connection,... Family Process journals http://www.medworm.com/rss/comments.php?id=3265720 Thu, 11 Feb 2010 00:00:00 +0100 3265720 http://www.medworm.com/index.php?rid=3265719&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01310.x In this longitudinal study, we examine whether the effect of parental separation on kindergarten children's behavioral/emotional problems varies according to the level of family conflict, and children's parental representations. One hundred and eighty seven children were assessed at ages 5 and 6. Family conflict was assessed using parents' ratings. Children's parental representations were assessed using a story-stem task. A multiinformant approach (parent, teacher, child) was employed to assess children's behavioral/emotional problems. Bivariate results showed that separation, family conflict, and negative parental representations were associated with children's behavioral/emotional problems. However, in multivariate analyses, when controlling for gender and symptoms at age 5, we found tha... Family Process journals http://www.medworm.com/rss/comments.php?id=3265719 Thu, 11 Feb 2010 00:00:00 +0100 3265719 http://www.medworm.com/index.php?rid=3265718&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01309.x This study tested a model predicting behavior symptoms in preschoolers with asthma. Specifically, it examined the role that asthma severity and children's representations of family functioning may play in the development of child behavior problems in a sample of 53 low-income preschoolers. The study included parent report of asthma severity and a narrative story-stem method to assess children's representations of both general and disease-specific family processes. A regression model tested the inclusion of both types of family processes in predicting child internalizing and externalizing behavior. Disease severity and children's family narratives independently predicted children's behavior over and above the combined effects of demographic variables including child age, socioeconomic statu... Family Process journals http://www.medworm.com/rss/comments.php?id=3265718 Thu, 11 Feb 2010 00:00:00 +0100 3265718 http://www.medworm.com/index.php?rid=3265717&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01308.x This study used model-fitting analyses to include both wives and husbands in a test of these two alternative models of the role of coparenting in the family system. Our data suggested that both the traditional indirect model (marital health to coparenting to parenting practices), and the alternative predictor model where coparenting alliance directly and simultaneously predicts marital health and parenting practices, fit for both spouses. This suggests that dynamic and multiple roles may be played by coparenting in the overall family system, and raises important practical implications for family clinicians. A medida que las investigaciones sobre sistemas familiares se han expandido, también lo han hecho las investigaciones de cómo los compañeros conyugales comparten la crianza de sus hi... Family Process journals http://www.medworm.com/rss/comments.php?id=3265717 Thu, 11 Feb 2010 00:00:00 +0100 3265717 http://www.medworm.com/index.php?rid=3265716&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01307.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full-text page on Wiley InterScience (http://interscience.wiley.com/journal/famp). The aim of our study is to examine the interface between children's physiological changes and the specificities of parental conflict, and to develop a procedure in which such information can be shared with the family for therapeutic change. Children from 20 families were exposed to parental conflict discussion (CD) while their arousals were measured through skin conductance and heart rate sensors. It was found that regardless of the subject of the argument, 80% of the time they were complaining about each other. Likewise, 80% of the time the children were responding to the parents' own interpersonal tension, incl... Family Process journals http://www.medworm.com/rss/comments.php?id=3265716 Thu, 11 Feb 2010 00:00:00 +0100 3265716 http://www.medworm.com/index.php?rid=3265715&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01306.x This study uses the case of transracially adopted multiracial adults to highlight an alternative family context and thus process of African American enculturation. Interpretive analyses of interviews with 25 adult multiracial adoptees produced 4 patterns in their bicultural identity formation: (1) claiming whiteness culturally but not racially, (2) learning to "be Black"[mdash]peers as agents of enculturation, (3) biological pathways to authentic Black kinship, and (4) bicultural kinship beyond Black and White. Conceptualizing race as an ascribed extended kinship network and using notions of "groundedness" from bicultural identity literature, the relational aspects of participants' identity development are highlighted. Culturally relevant concepts of bicultural identity are proposed for pr... Family Process journals http://www.medworm.com/rss/comments.php?id=3265715 Thu, 11 Feb 2010 00:00:00 +0100 3265715 http://www.medworm.com/index.php?rid=3265714&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01305.x To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full-text page on Wiley InterScience (http://interscience.wiley.com/journal/famp). Hope may be the most laden shorthand term of all time. Everyone wants it; few know how to articulate what it is. Although family therapists frequently work to restore hope with hopeless families, they have contributed little to the abundant literature on hope. I present a new conceptualization of hope[mdash]reasonable hope[mdash]that reflects how family therapists think and practice. By subscribing to reasonable hope, clinicians enhance their ability to offer accompaniment and bear witness to clients. I describe clinical practices that, informed by reasonable hope, also facilitate its cocreation. Finally, I sugge... Family Process journals http://www.medworm.com/rss/comments.php?id=3265714 Thu, 11 Feb 2010 00:00:00 +0100 3265714 http://www.medworm.com/index.php?rid=3265713&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2010.01304.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3265713 Thu, 11 Feb 2010 00:00:00 +0100 3265713 http://www.medworm.com/index.php?rid=3021793&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01295.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=3021793 Tue, 24 Nov 2009 16:21:07 +0100 3021793 http://www.medworm.com/index.php?rid=3021800&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01302.x This article provides a glimpse into the development of family therapy in China, by reviewing family therapy articles written in Chinese and published in journals in China that are not, therefore, readily accessible to the international community. A content analysis of journals published between 1978 and 2006 revealed 199 family therapy articles in 109 Chinese journals. Most of the studies were conducted by psychiatry or medical professionals, and were based on general systems theory or a systemic family therapy model. The articles focused on the promotion of family therapy theories and interventions in China, but did not specify the application of theory to specific clientele or symptoms. After the year 2000, a threefold increase in the number of family therapy publications was noted. The... Family Process journals http://www.medworm.com/rss/comments.php?id=3021800 Mon, 23 Nov 2009 00:00:00 +0100 3021800 http://www.medworm.com/index.php?rid=3021799&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01301.x The study assessed the effects of war captivity on posttraumatic stress symptoms and marital adjustment among Prisoners of War (POWs) from the Yom Kippur War. It was hypothesized that men's perception of level of forgiveness mediates the relation between posttraumatic symptoms and marital adjustment. The sample consisted of 157 Israeli veterans divided into 3 groups: 21 POWs with Posttraumatic Stress Disorder (PTSD), 58 former POWs without PTSD, and 70 control veterans. The findings indicated that former POWs with PTSD reported lower levels of marital satisfaction and forgiveness than veterans in the other 2 groups. In addition, men's perception of level of forgiveness mediated the relationship between their posttraumatic symptoms and their marital adjustment. The theoretical and clinical ... Family Process journals http://www.medworm.com/rss/comments.php?id=3021799 Mon, 23 Nov 2009 00:00:00 +0100 3021799 http://www.medworm.com/index.php?rid=3021798&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01300.x Gottman has proposed that there are 3 functional styles of conflict management in couple relationships, labeled Avoidant, Validating, and Volatile, and 1 dysfunctional style, labeled Hostile. Using a sample of 1,983 couples in a committed relationship, we test the association of perceived matches or mismatches on these conflict styles with relationship outcome variables. The results indicate that 32% of the participants perceive there is a mismatch with their conflict style and that of their partner. The Volatile-Avoidant mismatch was particularly problematic and was associated with more stonewalling, relationship problems, and lower levels of relationship satisfaction and stability than the Validating matched style and than other mismatched styles. The most problematic style was the Hosti... Family Process journals http://www.medworm.com/rss/comments.php?id=3021798 Mon, 23 Nov 2009 00:00:00 +0100 3021798 http://www.medworm.com/index.php?rid=3021797&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01299.x This study examined the effects of Pathways Triple P (PTP), an early intervention program designed to promote positive parent-child relationships. Sixty parents met the inclusion criteria of borderline to clinically significant relationship disturbance and child emotional and behavioral problems. They were randomly allocated into PTP or a wait-list (WL) control group. PTP was delivered in a group format for 9 weeks and consisted of parent skills training and cognitive behavior therapy targeting negative attributions for child behavior. Significant intervention effects were found for improving parent-child relationships and reducing behavior problems with gains maintained at 3-month follow-up. Limitations of the study and implications for future research are discussed. Programa de paternida... Family Process journals http://www.medworm.com/rss/comments.php?id=3021797 Mon, 23 Nov 2009 00:00:00 +0100 3021797 http://www.medworm.com/index.php?rid=3021796&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01298.x The current study examined the coparenting and toddler's interactive styles in family coalitions. According to structural family theory, boundaries between generations are clear in alliances, but disturbed in coalitions: the parents look to the child to regulate their conflictual relationship and the child attempts to meet this need. In a normative sample studied longitudinally during the Lausanne Trilogue Play situation (LTP, N=38), 15 coalition cases were detected. Styles of coparenting and of child's interactions were determined and compared in coalition and alliance cases at 18 months. Findings confirm the structural family model by showing the specific ways in which the coparenting and the toddler's interactive styles are associated in 3 different patterns of coalitions: binding, deto... Family Process journals http://www.medworm.com/rss/comments.php?id=3021796 Mon, 23 Nov 2009 00:00:00 +0100 3021796 http://www.medworm.com/index.php?rid=3021795&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01297.x This article first notes the benefits of family pets and their importance for resilience. It then examines their role in couple and family processes and their involvement in relational dynamics and tensions. Next, it addresses bereavement in the loss of a cherished pet, influences complicating grief, and facilitation of mourning and adaptation. Finally, it explores the ways that clients' pets and the use of therapists' companion animals in animal-assisted therapy can inform and enrich couple and family therapy as valuable resources in healing. Vínculos entre animales y humanos II: El rol de las mascotas en los sistemas familiares y en la terapia familiar La gran mayoría de los dueños de mascotas consideran a sus animales de compañía como miembros de la familia, sin embargo, el rol de ... Family Process journals http://www.medworm.com/rss/comments.php?id=3021795 Mon, 23 Nov 2009 00:00:00 +0100 3021795 http://www.medworm.com/index.php?rid=3021794&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01296.x This article briefly surveys the evolution of human-animal bonds, reviews research on their health and mental health benefits, and examines their profound relational significance across the life course. Finally, the emerging field of animal-assisted interventions is described, noting applications in hospital and eldercare settings, and in innovative school, prison, farm, and community programs. The aim of this overview paper is to stimulate more attention to these vital bonds in systems-oriented theory, practice, and research. A companion paper in this issue focuses on the role of pets and relational dynamics in family systems and family therapy (Walsh, 2009a). Vínculos entre animales y humanos I: La importancia de los animales de compañía en las relaciones La importancia de los víncul... Family Process journals http://www.medworm.com/rss/comments.php?id=3021794 Mon, 23 Nov 2009 00:00:00 +0100 3021794 http://www.medworm.com/index.php?rid=2687177&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01283.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=2687177 Tue, 11 Aug 2009 11:31:28 +0100 2687177 http://www.medworm.com/index.php?rid=2687188&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01294.x This research project examined the adolescent/young adult-parent relationships of African Jamaican immigrants currently living in Canada. Specifically, we focused on the transmission of cultural values and beliefs within these relationships and how the adolescents navigated and negotiated potential changes in these values because of their acculturative experiences. An examination of various mundane family/cultural practices provided insight into perceived transmission attempts by parents and the adolescent/young adult interpretation of these attempts. Twenty in-depth interviews were conducted with adolescent/young adult members of African Jamaican immigrant families living in Canada. Using Grounded Theory methodology (Glaser & Strauss, 1967), several themes emerged during the analysis of t... Family Process journals http://www.medworm.com/rss/comments.php?id=2687188 Sun, 09 Aug 2009 23:00:00 +0100 2687188 http://www.medworm.com/index.php?rid=2687187&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01293.x Very little is known about the married life of couples with schizophrenia. In this paper, authors report perceptions and experiences of 5 married couples with schizophrenia on their strategies in forming and maintaining healthy marriage. Our data reveal that participants had realistic expectations of marriage, and recognized benefits as well as obstacles in their marriages with respect to their recovery. This paper examines the importance of extended family members, mental health professionals, and the larger society's attitudes toward marriage as a factor in the recovery process for persons with schizophrenia. The authors identify implications for mental health professionals regarding the respect of client dignity and the applicability of a strengths perspective when working with couples ... Family Process journals http://www.medworm.com/rss/comments.php?id=2687187 Sun, 09 Aug 2009 23:00:00 +0100 2687187 http://www.medworm.com/index.php?rid=2687186&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01292.x The objective of this case series is to explore the applicability of FFT in a non-Western culture. Ten patients with bipolar disorder and their family members attended the 9-month FFT as adjunctive to pharmacotherapy in an outpatient specialty clinic in Izmir, Turkey. Patients improved in Global Assessment of Functioning Scores and Clinical Global Impression Scores from pre- to posttreatment. Case studies are given, which illustrate the differences between Western and non-Western families coping with bipolar disorder. FFT was easily applied to a Turkish sample with few changes in format or focus. Adaptations included substitution of oral for written therapeutic tasks or homework assignments. Randomized controlled trials are needed to test the clinical effectiveness of FFT and other psychos... Family Process journals http://www.medworm.com/rss/comments.php?id=2687186 Sun, 09 Aug 2009 23:00:00 +0100 2687186 http://www.medworm.com/index.php?rid=2687185&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01291.x Community mental health agencies are consistently challenged to provide realistic and effective home-based family-centered treatment that meets local needs and can realistically fit within available budget and resource capabilities. Integrated Family and Systems Treatment (I-FAST) is developed based on existing evidence-based approaches for working with at-risk children, adolescents, and families and a strengths perspective. I-FAST identified 3 evidence-based, core treatment components and integrated them into a coherent treatment protocol; this is done in a way that builds on and is integrated with mental health agencies' existing expertise in home-based treatment. This is an intervention development study in which we conducted an initial feasibility trial of I-FAST for treating families ... Family Process journals http://www.medworm.com/rss/comments.php?id=2687185 Sun, 09 Aug 2009 23:00:00 +0100 2687185 http://www.medworm.com/index.php?rid=2687184&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01290.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=2687184 Sun, 09 Aug 2009 23:00:00 +0100 2687184 http://www.medworm.com/index.php?rid=2687183&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01289.x This article tells the story of a couple presenting for sex therapy due to their unconsummated marriage, and is told to exemplify how sex therapy and couples therapy can be integrated in order to best meet the needs of couples. As the story unfolds, the multilayered facets of the presenting issue are revealed. The therapy incorporates and weaves together family of origin history, intrapsychic and cognitive issues, relational dynamics, patterns of interaction, and physiological/medical concerns into a postmodern couples therapy with behavioral interventions. This combined approach recognizes the value of each method on its own and their greater usefulness when blended together. Si bien la sexualidad es un asunto importante y generalmente complejo para muchas parejas, tradicionalmente no ha ... Family Process journals http://www.medworm.com/rss/comments.php?id=2687183 Sun, 09 Aug 2009 23:00:00 +0100 2687183 http://www.medworm.com/index.php?rid=2687182&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01288.x Written to honor the immense contribution of Michael White as a leader in the development of narrative therapy, this historical essay contrasts the origins of psychoanalysis, family therapy and narrative therapy. Changes in the understanding of therapeutic strategies, methods of training and supervision, styles of leadership, the involvement of audiences in the therapeutic and training processes, and conceptions of the nature of the mind are described. A style of direct demonstration of methods, especially of the formulation of questions, is important in narrative work. The central master-role of the therapist in analysis and family therapy is replaced in narrative work by eliciting local knowledge, and the recruitment of audiences to the work. This is consistent with narrative therapy's "... Family Process journals http://www.medworm.com/rss/comments.php?id=2687182 Sun, 09 Aug 2009 23:00:00 +0100 2687182 http://www.medworm.com/index.php?rid=2687181&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01287.x This paper reviews Michael White's early work with communities and extends ideas and practices from that work into the realm of consulting with organizations. We draw on Michael's writing and the records of two specific projects, as well as the recollections of team members in those projects, to describe how ideas and practices that were originally developed in working with individuals and families came to be applied in community settings. Specifically, we show how the central intention of the work is to use narrative ideas and practices in ways that allow communities to articulate, appreciate, document, utilize, and share their own knowledges of life and skills of living. We discuss the basic narrative ideas of stories, double listening, telling and retelling, making documents, and linkin... Family Process journals http://www.medworm.com/rss/comments.php?id=2687181 Sun, 09 Aug 2009 23:00:00 +0100 2687181 http://www.medworm.com/index.php?rid=2687180&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01286.x The philosophical groundwork of Gilles Deleuze is examined for its relevance for narrative practice in therapy and conflict resolution. Deleuze builds particularly on Foucault's analytics of power as "actions upon actions" and represents power relations diagrammatically in terms of lines of power. He also conceptualizes lines of flight through which people become other. These concepts are explored in relation to a conversation with a couple about a crisis in their relationship. Tracing lines of power and lines of flight are promoted as fresh descriptions of professional practice that fit well with the goals of narrative practice. Se estudia la relevancia del trabajo preliminar filosófico de Gilles Deleuze para la práctica narrativa en la terapia y la resolución de conflictos. Deleuze se... Family Process journals http://www.medworm.com/rss/comments.php?id=2687180 Sun, 09 Aug 2009 23:00:00 +0100 2687180 http://www.medworm.com/index.php?rid=2687179&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01285.x This paper describes recent developments in the use of the "absent but implicit" in narrative therapy. Michael White used the term "absent but implicit" to convey the understanding that in the expression of any experience of life, there is a discernment we make between the expressed experience and other experiences that have already been given meaning and provide a contrasting backdrop, which "shapes" the expression being foregrounded. In therapeutic conversations, we can use the concept of the "absent but implicit" to enquire into the stories of self that lie beyond the problem story. We review as a foundation for appreciating this particular practice the ways in which narrative therapy supports an exploration of the accounts of life that lie "outside of" the problem story. We follow this... Family Process journals http://www.medworm.com/rss/comments.php?id=2687179 Sun, 09 Aug 2009 23:00:00 +0100 2687179 http://www.medworm.com/index.php?rid=2687178&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01284.x (Source: Family Process) Family Process journals http://www.medworm.com/rss/comments.php?id=2687178 Sun, 09 Aug 2009 23:00:00 +0100 2687178 http://www.medworm.com/index.php?rid=2498478&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01275.x The stark contrast between frequent calls for research and practice that are applicable across a broad spectrum of cultural and ethnically diverse groups and the dearth of empirical knowledge about Latino families provided the impetus for this special issue on advances in Latino family research. A focus on empirically based practice frames the issue, focusing specifically on how concepts (expressed emotion, parenting style) can be used within interventions, how Latino parents perceive efforts to deliver evidence-based interventions, and how pilot projects that delivered culturally adapted interventions in three separate cities impacted family functioning. In all, the introduction highlights the complexities for researchers in meeting the needs of the field to ensure that effective interven... Family Process journals http://www.medworm.com/rss/comments.php?id=2498478 Sun, 31 May 2009 23:00:00 +0100 2498478 http://www.medworm.com/index.php?rid=2498485&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01282.x In this commentary, I outline the common and distinctive components in the cultural adaptation studies in this special issue and compare cultural adaptations with universalistic and culture-specific perspectives. The term cultural attunement may be more reflective than cultural adaptation insofar as the cultural additions in these studies make the treatments more accessible by adding language translation, cultural values, and contextual stressors. These additions most likely enhance the level of engagement and retention in therapy for Latino families. The work ahead requires a deeper examination of the cultural theories of psychological distress and the cultural theories of change in therapy. A final proposal is made in this commentary for considering the bicultural aspects of the cultural... Family Process journals http://www.medworm.com/rss/comments.php?id=2498485 Mon, 18 May 2009 23:00:00 +0100 2498485 http://www.medworm.com/index.php?rid=2498484&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01281.x This paper describes the process for and safety/feasibility of adapting the Beardslee Preventive Intervention Program for Depression for use with predominantly low income, Latino families. Utilizing a Stage I model for protocol development, the adaptation involved literature review, focus groups, pilot testing of the adapted manual, and open trial of the adapted intervention with 9 families experiencing maternal depression. Adaptations included conducting the intervention in either Spanish or English, expanding the intervention to include the contextual experience of Latino families in the United States with special attention to cultural metaphors, and using a strength-based, family-centered approach. The families completed preintervention measures for maternal depression, child behavioral... Family Process journals http://www.medworm.com/rss/comments.php?id=2498484 Mon, 18 May 2009 23:00:00 +0100 2498484 http://www.medworm.com/index.php?rid=2498483&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01280.x The increasing utilization of evidence-based treatments has highlighted the need for treatment development efforts that can craft interventions that are effective with Hispanic substance abusing youth and their families. The list of evidence-based treatments is extremely limited in its inclusion of interventions that are explicitly responsive to the unique characteristics and treatment needs of young Hispanics and that have been rigorously tested with this population. Some treatments that have been tested with Hispanics do not articulate the manner in which cultural characteristics and therapy processes interact. Other treatments have emphasized the important role of culture but have not been tested rigorously. The value of well designed interventions built upon an appreciation for unique ... Family Process journals http://www.medworm.com/rss/comments.php?id=2498483 Mon, 18 May 2009 23:00:00 +0100 2498483 http://www.medworm.com/index.php?rid=2498482&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01279.x This study evaluates the initial efficacy of the Parent-Child Interaction Therapy (PCIT) for Puerto Rican preschool children aged 4[ndash]6 years with a diagnosis of attention-deficit/hyperactivity disorder (ADHD), combined or predominantly hyperactive type, and significant behavior problems. Thirty-two families were randomly assigned to PCIT (n=20) or a 3.5-month waiting-list condition (WL; n=12). Participants from both groups completed pretreatment and posttreatment assessments. Outcome measures included child's ADHD symptoms and behavior problems, parent or family functioning, and parents' satisfaction with treatment. ANCOVAs with pretreatment measures entered as covariates were significant for all posttreatment outcomes, except mother's depression, and in the expected direction (p (Sou... Family Process journals http://www.medworm.com/rss/comments.php?id=2498482 Mon, 18 May 2009 23:00:00 +0100 2498482 http://www.medworm.com/index.php?rid=2498481&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01278.x This study contributes to the cultural adaptation/fidelity balance debate by highlighting the necessity of exploring ways to develop culturally adapted interventions characterized by high cultural relevance, as well as high fidelity to the core components that have established efficacy for evidence-based parenting interventions. A pesar de las circunstancias únicas y difíciles que enfrentan las familias de inmigrantes latinos, aún se debate si es necesario adaptar culturalmente las intervenciones basadas en evidencia para esta población. Siguiendo el método de muestreo teórico, en la investigación cualitativa actual se realizaron entrevistas a grupos focales de 83 padres latinos inmigrantes a fin de analizar la relevancia de la adaptación cultural de una intervención sobre crianza... Family Process journals http://www.medworm.com/rss/comments.php?id=2498481 Mon, 18 May 2009 23:00:00 +0100 2498481 http://www.medworm.com/index.php?rid=2498480&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01277.x Current literature presents four primary parenting styles: authoritative, authoritarian, permissive, and neglectful. These styles provide an important shortcut for a constellation of parenting behaviors that have been characterized as consisting of warmth, demandingness, and autonomy granting. Empirically, only warmth and demandingness are typically measured. Research reporting on parenting styles in Latino samples has been equivocal leading to questions about conceptualization and measurement of parenting styles in this ethnic/cultural group. This lack of consensus may result from the chasm between concepts (e.g., authoritarian parenting) and observable parenting behaviors (e.g., warmth) in this ethnic group. The present research aimed to examine parenting styles and dimensions in a sampl... Family Process journals http://www.medworm.com/rss/comments.php?id=2498480 Mon, 18 May 2009 23:00:00 +0100 2498480 http://www.medworm.com/index.php?rid=2498479&cid=s_38727_46_f&fid=38727&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1545-5300.2009.01276.x We examined the distribution of expressed emotion (EE) and its indices in a sample of 224 family caregivers of individuals with schizophrenia pooled from 5 studies, 3 reflecting a contemporary sample of Mexican Americans (MA 2000, N=126), 1 of an earlier study of Mexican Americans (MA 1980, N=44), and the other of an earlier study of Anglo Americans (AA, N=54). Chi-square and path analyses revealed no significant differences between the 2 MA samples in rates of high EE, critical comments, hostility, and emotional over-involvement (EOI). Only caregiver warmth differed for the 2 MA samples; MA 1980 had higher warmth than MA 2000. Significant differences were consistently found between the combined MA samples and the AA sample; AAs had higher rates of high EE, more critical comments, less war... Family Process journals http://www.medworm.com/rss/comments.php?id=2498479 Mon, 18 May 2009 23:00:00 +0100 2498479