“Is This How I'll Be for the Rest of My Life?”

Abstract

Obsessive-compulsive disorder (OCD) is an anxiety disorder affecting 2% to 3% of populations throughout the world. This paper provides an overview of symptoms (obsessional thoughts and compulsive behaviours) and current treatment options (medication and cognitive-behaviour therapy). A case study involving data obtained from an OCD sufferer and her mother is presented. Analysis of the data within the context of past literature highlights the economic and emotional costs of OCD which include years of psychiatric treatment, therapy, and medication, loss of productivity due to long-term unemployment, and individual and family stress. A framework for mental health social work practice assumes three key foci: (1) the family system as a whole; (2) individual family members; (3) a broader perspective that takes into account the need for adequate resources, community education and further research.     

Deactivating the Buttons: Integrating Radical Exposure Tapping with a Family Therapy Framework

The purpose of this paper is to describe and illustrate with case examples a brief intervention termed Radical Exposure Tapping (RET). RET can be integrated with family therapy to address stuck points where the therapy is hindered by a family member's affective block, an intense and unchangeable emotional reactivity to a specific trigger. RET draws from the methodology of Eye Movement Desensitization and Reprocessing (EMDR) and combines it with the tapping sequence of the Emotional Freedom Technique (EFT) to produce an intervention that is more flexible than EMDR, provides greater rigor than using the EFT technique alone and can be effective in a single session within the context of family therapy. The paper puts this work into context by first over viewing definitions of trauma and Post‐Traumatic Stress Disorder, arguing that family members' emotional reactivity may be a symptom of PTSD even when they would not qualify for the diagnosis because they had not experienced a life threatening event.     

Social distress and the police

Police work is generally assumed to be inherently stressful. However, research suggests that much of the stress associated with police work may be related to the organizational and administrative setting in which the work is conducted. This is consistent with the concept of social distress which proposes that stress is generated by the social system in which the individual functions. The implication of understanding police stress within this framework for the implementation of police stress management programs is discussed.Based on a paper presented to the Midwestern Criminal Justice Association, Chicago, IL, October 1989.     

Gender, home and family in cultural capital theory

The paper argues that Bourdieu's stress on early familiarization for the highest value of cultural capital is closely linked to his idea, strongly emphasized in Distinction, about the role of family and domestic life for individual development and social positions. The role of women, as mothers and homemakers, is crucial in this process. Yet, Bourdieu defines social origin as deriving from the father. The centrality to Bourdieu's thinking of a resilient traditional pattern of masculine domination and feminine submission constitutive of the Western gender habitus explains both his stress on ‘normalcy’ for the production of legitimate dispositions, and his resistance to incorporating into his thinking the implications of recent transformations in home family living, which have destabilized the gender order. It is thus important to consider contemporary feminist analyses of the family and home life and their significance for a renewed theory of cultural capital. The paper considers two sets of literature. Firstly, it addresses the manners in which home and family are conceptualized in Bourdieu's key texts where these issues were prominent in the development of his thinking on cultural capital. The second set of literature includes texts by feminist academics in the fields of family, gender and the body, which analyse the destabilizing of the gender order and everyday family living in contemporary society. Two questions are addressed on the basis of these reflections: (1) Is cultural capital an individual or a household resource? (2) How does cultural capital relate to personal interdependencies at the level of family and households?     

Compulsory residential care: An examination of treatment improvement of individual and family functioning

The aim of the present study was to examine the treatment progress of both adolescent's and their families' functioning in a new compulsory residential treatment program. The sample consisted of 339 admitted adolescents (56.3% boys). The mean age at time of entry was 15.69 (SD = 1.30). Adolescents stayed on average 9.42 months (SD = 4.66) in a new residential treatment program. Data on adolescents' internalizing and externalizing problems were assessed using self-reports, parent reports, and group care worker reports. In addition, adolescents reported their substance use and delinquency and parents also reported family functioning and level of perceived parental stress. The findings revealed a significant decrease in adolescents' self-reported internalizing and externalizing problems, delinquency, and substance use. According to parent ratings, a significant improvement was found concerning adolescents' problem behaviors during treatment. However, according care worker ratings, adolescents showed no improvement on internalizing problems and showed an increase in externalizing problems. Concerning families, although there was no improvement in family functioning, parental stress significantly improved over time. Further research should examine whether improvements experienced during treatment are maintained after treatment.     

Testing Family Stress and Family Investment Explanations for Conduct Problems Among African American Adolescents

The recent U.S. recession has resulted in higher rates of unemployment, underemployment, and child poverty, with African Americans disproportionately represented among the financially disadvantaged. Although past research has established the relationship between family financial hardship and various child adjustment problems, African Americans remain an understudied group. In the current study the authors used longitudinal data from the Family and Community Health Study (n = 422), an all African American sample, to investigate the impact of economic distress on adolescent conduct problems. They examined the extent to which this relationship can be explained by 2 frequently employed models: (a) the family stress model and (b) the family investment model. The authors extend past research by assessing the relative contributions of each model while controlling for the paths proposed by the other model. The results suggest that the family processes identified by the family stress model provide a more accurate explanation for why economic hardship is associated with increased conduct problems among African American adolescents.     

Functional Neurological Symptom Disorder (Conversion Disorder) from an Interactional Approach: A Composite Case Study

Functional neurological symptom disorder, alternatively termed conversion disorder (FNSD-CD) (Although the DSM-5 utilises the term 'conversion disorder', practitioners and consumers consider this to be an outdated, unsubstantiated and often stigmatising term. In accordance with this, the current terminology used in the field is 'functional neurological symptom disorder'), involves symptoms of altered voluntary motor or sensory functions without identifiable nervous system disease or pathology. It is considered a psychiatric disorder and is, thus, listed in the Diagnostic and Statistical Manual of Mental Disorders (5th Ed.; DSM-5). As per the nosology of the DSM-5, the discrete behavioural or psychological syndrome or pattern observed in FNSD-CD is assumed to be a function of a problem of, or a disorder within, the individual. Accordingly, the psychiatric approach to FNSD-CD, as set out in the DSM-5, invokes an assumption common to the medical model which is that of lineal (i.e., straight-line) causality, namely, causal events are arranged in a lineal sequence. The interactional approach, however, which is a development of general system theory in the field of family therapy, offers an alternative approach to understanding psychiatric disorders. Specifically, this approach places the emphasis on the relationships between individuals and their reciprocal influences on – including their psychological and emotional wellbeing with – one another. It draws on the assumption of nonlineal (i.e., circular) causality, namely, causal events are arranged in a circular sequence. From an interactional approach, therefore, FNSD-CD is thought to be a function of a problem of, or a deficit within, the individuals’ relationship/s, rather than within an individual, per se. This article utilises a composite case study to investigate FNSD-CD from an interactional approach.     

Multidimensional Family Therapy: A Science‐Based Treatment System

MDFT is a family‐based intervention for adolescent substance abuse and associated mental health and behavioural problems (Liddle, 2010). Integrative in several ways, MDFT uses an ecological or contextual conceptual framework to understand the developmental tasks of teens and their families. Research‐derived knowledge about risk and protective factors, and proximal causes, correlates and contributors to adolescent drug and related problems inform clinical thinking and interventions with every case. A multisystems approach, MDFT assesses and intervenes in four areas: (1) the adolescent as an individual and a member of a family and peer network; (2) the parent(s), both as individual adults and in his or her role as mother; father or caregiver; (3) the family environment and family relationships, as manifested in day‐to‐day family transactional patterns; and (4) extrafamilial sources of influence such as peers, school and juvenile justice. Interventions are made within and coordinated across domains. Progress in one area or with one person has implications for and use in others. Individual meetings with parent(s) and teen set the stage for family sessions, and family meetings may offer content and new outcomes that need to be brought to extrafamily meetings with juvenile justice or school personnel. MDFT was developed and tested as a treatment system rather than a one‐size‐fits‐all approach. A treatment system offers different versions of a clinical model that vary according to factors such as clinical sample characteristics (older versus younger adolescents, juvenile justice involved versus no involvement in juvenile justice systems), and treatment parameters (type of clinical setting and treatment dose).     

Family Sculpting: A Pilot Program for a Schizophrenic Group*

Verbal group therapy is a conventional treatment for schizophrenic patients. This report describes a pilot program of brief group therapy which utilized nonverbal sculpting techniques as the central therapeutic modality. Family sculpting provided a structured format for the patients to organize perceptions of self and family within specific contexts, to experience these perceptions in action, and employ them in resolving family conflicts.     

Crossover of resources and well-being within employee-partner dyads: through increased schedule control

ABSTRACT

This study examined whether one partner’s additional resources obtained from a workplace intervention influence the other partner’s perception of having those resources at home (crossover of resources). We also examined whether one partner’s decreased stress by increased work resources crosses over to the other partner’s stress levels (crossover of well-being). Longitudinal data came from IT employees and their married/cohabiting partners in midlife (N?=?327). A randomized workplace intervention significantly increased employee-reported schedule control at the 6-month follow-up, which, in turn, increased partner-reported employees’ work schedule flexibility to handle family responsibilities at the 12-month follow-up. The intervention also decreased partners’ perceived stress at the 12-month follow-up through the processes by which increases in schedule control predicted decreases in employees’ perceived stress, which further predicted decreased levels of partners’ perceived stress. Notably, crossover of resources and well-being were found in couples who lived with children in the household, but not in couples without children. Our findings suggest that benefits of workplace support can permeate into the family domain, by increasing partner-perceived family resources and well-being.     

The TAL-Family of Rules for Bankruptcy Problems

This paper analyzes a family of rules for bankruptcy problems that generalizes the Talmud rule (T) and encompasses both the constrained equal-awards rule (A) and the constrained equal-losses rule (L). The family is defined by means of a parameter that can be interpreted as a measure of the distributive power of the rule. We provide a systematic study of the structural properties of the rules within the family and its connections with the existing literature.     

On being affected: feeling in the folding of multiple catastrophes

ABSTRACT

How possible is it for a life of ongoing feeling to hold, given the world’s current becomings? Much of this article will consider three of the most pervasive of the current disruptions as disruptions of living and feeling: climate change, social change, and, in more detail, what I will call a ‘third media revolution’. All three of these disruptions (and many others) are themselves multiple. They all fold through each other. Living and feeling thus find themselves in the midst of catastrophic multiplicity. This catastrophic multiplicity haunts much of what’s going on. Questions concerning what can be felt within this folding of catastrophes into each other are important contemporary questions. Feeling itself – what it is, what it does, and what the future of feeling might be – has become both a field of struggle, and a complex and open-ended question. A secondary set of questions here will concern the future of studies in relation to these questions of living and feeling – of Cultural Studies, Media Studies, disciplinarity in general, and finally ‘study’, as discussed by Moten and Harney (2013. The undercommons. New York: Minor Compositions).     

Understanding the roles of subjective and objective aspects of time in the work-family interface

The experience of time has been posited as an important predictor of work-family conflict; however, few studies have considered subjective and objective aspects of time conjointly. This study examined the reported number of hours dedicated to work and family as indices of objective aspects of time, and perceived time pressure (in the work and family domains respectively) as an important feature of the subjective nature of temporal experiences within the work-family interface. Results indicate that the stress of having insufficient time to fulfill commitments in one domain (i.e., perceived time pressure) predicts work-family conflict, and that perceived time pressures predict the amount of time allocated to a domain. Additionally, findings suggest that domain boundaries are not symmetrical, with work boundaries being more rigidly constructed than family boundaries. Work-to-family and family-to-work conflict were generally related to overall health, turnover intentions, and work performance, as expected.     

Still the Favorite? Parents' Differential Treatment of Siblings Entering Young Adulthood

This study examined within‐family stability in parents' differential treatment of siblings from adolescence to young adulthood and the effect of differential treatment in young adulthood on grown siblings' relationship quality. The author used longitudinal data on parent–child and sibling relations from the sibling sample of the National Longitudinal Study of Adolescent Health (N = 1,470 sibling dyads). Within‐dyad fixed effects regression models revealed that the adolescent sibling who was closer to parents went on to be the young adult sibling who was closer to and received more material support from parents. Results from an actor–partner interdependence model revealed that differential parental financial assistance of young adult siblings predicted worse sibling relationship quality. These findings demonstrate the lasting importance of affect between parents and offspring earlier in the family life course and the relevance of within‐family inequalities for understanding family relations.     

Family and Nonfamily Role Configurations in Two British Cohorts

The aim of this paper is to examine variations in the combination of social roles during times of social change. We specify a latent class approach to examine role configurations for individuals in their early 30s, establishing a typology of how work‐ and family‐related roles combine within individuals born 12 years apart and examine their antecedents. Drawing on data collected for two British Birth Cohorts born in 1958 (N = 10,706) and 1970 (N = 11,005), we provide empirical evidence of both consistency and change in life course patterns. Findings are discussed in terms of destandardization, differentiation, and individualization of the life course in times of social change and their implications for family research within a life course perspective.     

(Re)Conceptualizing Family Communication: Applying Deetz’s Conceptual Frameworks within the Field of Family Communication

This article explores trends in metatheoretical approaches to research within family communication studies. In particular, in this work I critique the traditional philosophical perspective, arguing that the isolation of paradigms, and the positioning of research as post-positivist or interpretivist or critical, limits the production and capacity of knowledge, and therefore the field as a whole. As a response, I put forth Deetz’s (2001) discursive orientations as a more inclusive and comprehensive perspective from which family communication research should be conducted, with the crux of the argument being that the fluid nature of Deetz’s orientations positions knowledge as existing between and within, therefore allowing research to be both/and instead of either/or, and subsequently producing knowledge that is inherently more complete and inclusive.     

Exploring changes in family functioning when a child participates in a School-Based Filial Therapy program

Child focus is a central construct within Bowen family systems theory (Bowen theory). A clinical implication is that mental health treatment focusing on a child may unwittingly reinforce the operation of child-focused processes, which undermine rather than enhance child well-being. The concept of child focus in Bowen theory presents significant implications for professionals working in school settings and in fields such as children's mental health, which are inherently child-focused. Bowen theory is the guiding theoretical framework for School-Based Filial Therapy (SBFT). SBFT is a play therapy intervention that was initially established in remote and outer-regional New South Wales, Australia in response to the low availability of children's mental health services and the significant barriers associated with caregiver engagement in children's mental health treatment. It involves trained school personnel facilitating therapeutic play sessions with children experiencing emotional–behavioural problems. The intervention occurs on school grounds, during school hours, and children's family members do not participate in the intervention. This mixed-methods study examines the impact of children's participation in SBFT upon family functioning. Interviews with caregivers (n = 10) of children who participated in 10 SBFT sessions were analysed using content analysis. Quantitative data were collected using the Differentiation of Self Inventory – Short Form and Visual Analogue Scale – Family Functioning. A Wilcoxon signed rank test was used to analyse the pre- and post-data. Qualitative outcomes indicated changes in the categories of child functioning, caregiver functioning, and extended family functioning, whilst child-focused processes remained dominant but changed in intensity and valence following SBFT.     

The genetic connections of Alzheimer's disease: An emerging source of caregiver stress

The purpose of this study was to expand and refine current theoretical conceptualization of dementia caregiving by identifying and analyzing new potential sources of stress. A qualitative analysis of unsolicited letters (N=51) written by family caregivers of persons diagnosed with Alzheimer's disease (AD) was conducted. Content analysis of the data confirmed that providing care for persons diagnosed with AD could impart emotional, physiological, and financial stress on caregivers. The data also revealed an emerging source of stress for family caregivers—fears and uncertainties regarding possible genetic connections between family caregivers and relatives suffering from AD. These results strongly suggest that concerns with genetic connections should be included in theoretical models of stress and dementia caregiving. Implications include the need for increased dissemination of information regarding genetic connections and AD, as well as increased support for family members if and when genetic connections are discovered.