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doi: 10.1111/j.1752-0606.1980.tb01330.xpmid: N/A
Therapists in training as marriage and family therapists often do not learn techniques for bringing about change. They also do not learn ways to conceal from colleagues and from clients the fact that they do not know how to solve the presenting problems of couples in distress. Both general and specific techniques are reviewed for concealing ignorance as well as ways to make correct excuses for failure. The presentation is designed for therapists who find themselves not knowing what to do with a couple in a particular case and for therapists who do not know what to do with any case.
doi: 10.1111/j.1752-0606.1980.tb01331.xpmid: N/A
This paper presents a five year follow‐up investigation of former marital therapy clients and aims at answering the two questions: “Does Marital Therapy do any lasting good?” and if it does, “Which kinds of marital therapy do the most lasting good?” Conjoint and non‐conjoint forms of marital therapy were compared to divorce rates and whether or not a poor, moderate or good outcome resulted. The findings generally indicated conjoint forms of marital therapy were superior to non‐conjoint forms.
Nelson, Richard C.; Friest, Wendell P.
doi: 10.1111/j.1752-0606.1980.tb01332.xpmid: N/A
Choice Awareness is presented as a system which has helped couples make more constructive cognitive, affective, and behavioral choices. This system defines choice as behavior over which we have some control. Thus, choice is seen as a constant. CREST choices, caring, ruling, enjoying, sorrowing, and thinking/ working, include most behaviors, and are useful in enabling individuals to explore past behaviors and plan future interactions. Choice Awareness Workshops present the system through a structured group process which is useful in enriching a variety of relationships, including marriage. Research with the workshop process suggests gains in real‐ideal marriage relationship congruence, and provides support for Choice Awareness theory.
Doherty, William J.; Ryder, Robert G.
doi: 10.1111/j.1752-0606.1980.tb01333.xpmid: N/A
Noting that Parent Effectiveness Training (P.E.T.) has achieved a measure of uncritical acceptance among professionals and laypersons, the authors express reservations about the program. In particular, RE. T. is criticized for its emphasis on one‐sided techniques in the parent‐child relationship as well as its tendency to reduce complex problems to simplistic formulas. RE.T.'s central metaphor of parent‐as‐therapist is identified and found wanting. Finally, the authors pose a number of potential hazards of RE.T. for individuals and families, and observe that some of the issues raised here may have applicability beyond P.E.T. to the parent education movement in general
Keller, James F.; Elliott, Stephen S.
doi: 10.1111/j.1752-0606.1980.tb01334.xpmid: N/A
The present outcome study is a preliminary report on whether personality changes occur in parents receiving behavioral family therapy. Behavioral techniques for changing the identified patient's presenting problem were taught to the parents and each family member was given a weekly behavioral homework assignment intended to change the dysfunctional interactions assessed in the family. An analysis of pre and post measures using Cattell's 16PF questionnaire showed a significant decrease in the parent's self‐sufficiency index, indicating increased group dependence. The mean number of sessions was 12.6. The results of this study raise questions about the nature of the personality changes occurring in family therapy of this type. Family therapists, often‐times assuming the role of the “expert” for the family, may be unwittingly fostering group dependence and losses in confidence for parents receiving such family guidance.
Otto, Mary L.; Smith, David G.
doi: 10.1111/j.1752-0606.1980.tb01335.xpmid: N/A
The frequency of child abuse, together with its generational pattern of reocurrence, has created a need for additional models for child abuse treatment. Presented herein is a six‐step child abuse intervention model based upon cognitive‐behavioral change strategies. Allowing immediate alleviation of abuse when only one adult family member is in contact with the assisting agency, the proposed model provides for the restructuring of parenting style to increase the probabilities of permanent change. This model is currently being utilized by one of the authors to assist self‐referred abusive patients in a group setting.
doi: 10.1111/j.1752-0606.1980.tb01336.xpmid: N/A
Only minimal attention has been focused on the impact that long‐term verbal memory deficits have on an adolescent and his family despite the fact that these deficits may disrupt the adolescents vocational, social, and emotional functioning as well as place significant emotional demands on other family members. This paper presents a case study of an adolescent and his family in an attempt to provide a detailed description of the multitude of problems created by the adolescents verbal memory deficits and to foster greater collaboration between neuropsychologists and family therapists in their efforts to help families resolve their problems.
doi: 10.1111/j.1752-0606.1980.tb01337.xpmid: N/A
The multilateral approach to causation posits four possible causes which need to be considered in the assessment and treatment of discord between partners in a primary relationship. These causes include the precipitating event, the reaction of a person to the precipitating event, the interactional dynamics of the partners, and the goals and objectives of the relationship which are being frustrated. A multilateral approach permits a person to accept his or her own legitimate responsibility for behavior and feelings without a responsibility “underload” or “overload.” The use of multilateral causation is intended as a therapeutic safeguard against oversimplification.
doi: 10.1111/j.1752-0606.1980.tb01338.xpmid: N/A
Changes in the pattern of delivery of mental health services have led to dramatic increases in the number of patients discharged from mental hospitals. These post‐hospital mental patients represent a new challenge to the field of family therapy. Of the approximately 1 million patient admissions to state and county mental hospitals, general hospitals, and private psychiatric hospitals, over 380,000 are married, and more than half of the remaining patients are estimated to be living with family. Almost 135,000 admissions receive family therapy during their hospitalization, and an estimated 650,000 mental patients will return to their families upon discharge.
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