The working alliance as a model for interdisciplinary collaboration

Rehabilitation and health care researchers are increasingly called upon to examine contemporary disability issues from an interdisciplinary perspective. Therefore, the purpose of this article is to (a) borrow from the counseling literature to introduce the working alliance, a model developed by Bordin [1] to facilitate positive therapeutic relationships; and (b) to discuss its application to interdisciplinary research. The authors, who represent the fields of nursing, rehabilitation, and health communication, describe characteristics of the working alliance and draw upon their experiences to illustrate the key components of effective working alliances (bonds, goals, and tasks). We also introduce strategies for resolving disagreements and conclude the article with a discussion regarding the multiple rewards that can be acquired from interdisciplinary research.     

A bereavement model for working with families of handicapped children

SUMMARY. This paper presents a model for counselling families of young handicapped children. It is argued that the process that parents go through following the birth of a handicapped child is akin to bereavement following loss. Therefore, professionals on a wide range of disciplines should be sensitive to the grief that parents are experiencing. The authors have used Le Poidevin s theory of adjustment to loss to structure their own theories and to devise a checklist to aid other professionals. Their experience indicates that the birth of the handicapped child may act as a catalyst for psychological growth in parents—mast particularly mothers.     

The feminist/emotionally focused therapy practice model: an integrated approach for couple therapy

Emotionally focused therapy (EFT) is a well-developed, empirically tested practice model for couple therapy that integrates systems, experiential, and attachment theories. Feminist family therapy theory has provided a critique of biased assumptions about gender at play in traditional family therapy practice and the historical absence of discussions of power in family therapy theory. This article presents an integrated feminist/EFT practice model for use in couple therapy, using a case from practice to illustrate key concepts. Broadly, the integrated model addresses gender roles and individual emotional experience using a systemic framework for understanding couple interaction. The model provides practitioners with a sophisticated, comprehensive, and relevant practice approach for working with the issues and challenges emerging for contemporary heterosexual couples.     

Close relationships research: a resource for couple and family therapists

This article describes the relatively new field of close relationships research, offering a representative list of topics studied by relationship researchers. Some of the common interests shared by both close relationships researchers and couple and family therapists are described, with the shared emphasis on relationships as an anchor for both fields. Some representative love theories are discussed, and Love Styles theory and research are presented in considerable detail. A clinical case example indicates how love styles research may be employed to advantage by couple therapists, and the utility of other close relationships theories and measures for therapy is briefly discussed.     

Preparative study regarding the implementation of a muscular fatigue model in a virtual task simulator

Muscle fatigue is considered as one of the major risk factors for developing musculoskeletal disorders. The aim of this project was to select an adequate fatigue assessment model for an implementation in Dassault Systemes digital human modeling software. A review of existing MET models has been done resulting in a decision to use the extended Ma's model (2010). In this project, only shoulder and elbow joints have been tested and more subjects will be necessary for further validation. The model has been compared to several endurance time (ET) static studies. Two dynamic experiments were also performed by two different subjects. The results showed that because of the inter-individual variability, a simple prediction curve or value, can't well predict individual measured ET (or task failure). There is a need for a chart representation which also shows standard deviation (SD) range. Considering the SD range, the results were included in the prediction. Thus, this range may help the human factors expert to nuance the prediction results while considering environment factors and some realities specific to the industry.     

Globalization,the ambivalence of European integration and the possibilities for a post-disciplinary EU studies

Using the work of Manuel Castells as a starting point, this article explores the ambivalent relationship between globalization and European integration and the variety of ways in which the mainstream political science of the EU has attempted to deal with this issue. The analysis here suggests that various ‘mainstreaming’ disciplinary norms induce types of work that fail to address fully the somewhat paradoxical and counter-intuitive range of possible relationships between globalization and European integration. The article explores critically four possible analytical ways out of this paradox—abandonment of the concept of globalization, the development of definition precision in globalization studies, the reorientation of work to focus on globalization as discourse, and inter- and post-disciplinarity. The argument suggests that orthodox discussions of the relationship require a notion of social geography that sits at odds with much of the literature on globalization and while greater dialogue between disciplines is to be welcomed, a series of profound epistemological questions need to be confronted if studies of the interplay between global and social process are to be liberated from their disciplinary chains.     

Object relations couple therapy for a married Korean man with sexual dysfunction

This study uses James Donovan's object relations couple therapy to examine the triangle of focus (conflict style, couple characteristics, and family of origin) and triangle of conflict (anxiety, defence mechanisms, and hidden emotions) of a married Korean man with sexual dysfunction (reduced sexual desire, premature ejaculation, and erectile dysfunction). This qualitative study uses thematic analysis to identify, describe, and analyse a family therapy case study. The aim of this study is to examine the couple's interaction patterns and experiences of conflicts related to the husband's erectile dysfunction. The researchers induced patterns or topics by repeatedly reading and comparing the data. Then, they textualised and analysed the relevant data. To ensure the reliability and validity of the data analysis, the researchers conducted shared coding sessions to review and discuss the initial codes and the generated main themes and subthemes, triangulating the qualitative data. Findings show that a newlywed husband's sexual dysfunction is associated with his emotional resistance towards his wife's unilateral pursuit over their sexual relationship and the negative emotions triggered by their dysfunctional interactions. Further, couple characteristics, conflict style (dysfunctional interactions), and family-of-origin factors (transference and patrilocality) influenced their sexual relationship. Therefore, therapists who counsel Korean couples with sexual issues may pay attention to the sociocultural factors, interactional patterns, and psychological factors associated with unresolved issues with their families of origin.     

A model for predicting dating violence: anxious attachment, angry temperament, and need for relationship control

Structural equation modeling (SEM) was used to test a model incorporating anxious attachment, angry temperament, and attempts to control one's partner as predictors of the severity and frequency of dating violence. To date, these concepts have not been clearly established as having direct or indirect effects on dating violence. It was hypothesized that anxious attachment and angry temperament would influence the need for and attempts to control one's partner which, in turn, would predict a person's actual use of force. College students (213 males; 199 females) completed measures assessing these constructs. Cross-validation was accomplished through using two successive freshmen samples. Statistics indicated the application of the model fit well to both samples. All specified paths were significant except for the direct path from anxious attachment to need for control in the second sample. While exploratory, this model seemed satisfactory for explaining potentially causal relationships of attachment, anger, and attempts to control one's partner leading to dating violence.     

Discursive psychology as a method of analysis for the study of couple and family therapy

The field of couple and family therapy has benefitted from evidence generated from qualitative approaches. Evidence developed from approaches relying on language and social interaction using naturally occurring recordings of real‐world practice has the benefit of facilitating practice‐based recommendations and informing practice. The aim of this article is to provide an overview of one approach to discourse analysis, Discursive Psychology (DP), demonstrating how a social constructionist framework and focus on discourse can provide an important contribution to the field of therapy. To illustrate the methodological decision‐making process for researchers and/or practitioners who utilize DP, we draw upon a video‐recorded therapeutic session involving Tom Andersen. To conclude, we make recommendations for practitioners using DP to explore and examine therapeutic practice.     

Using culture and the intersubjective perspective as a resource: A case study of an African-American couple

In this article a White Jewish-American therapist shares what she learned from her work with an African-American couple using a semi-structured protocol for planned short-term marital therapy. Twenty-eight months after the original treatment, the author met again with the couple for an audiotaped follow-up interview. Marital satisfaction for both partners was tracked with an Index of Marital Satisfaction over the course of the treatment and the follow-up process. The empirical findings augment the story of the couple and the therapist. During the middle phase, the therapy reached an impasse. With the goal of creating a cognitive shift, the therapist used the couple's culture as a resource for therapeutic change. The cultural metaphor is considered as the vital step in overcoming the treatment impasse. The major finding is that cultural responsiveness does not end with the engagement and assessment of clients. The culture of the clients and the culture of the therapist provide powerful metaphors and rich resources to introduce change possibilities. With this couple, when culture was combined with an appreciation of the intersubjective meanings for both clients and therapist, culturally responsive and effective therapy became possible.     

A simultaneous-equations model of the relationship between public sector bargaining legislation and unionization

This paper estimates a simultaneous-equations model with public sector bargaining laws and union membership treated as jointly-determined variables. The extent of public sector unionization has a significant positive influence on the passage of prolabor bargaining legislation and bargaining legislation has strong, independent effects on the extent of public sector unionization. We gratefully acknowledge the research support provided by Minbo Kim and Parisun Chantonahom.     

Overcoming hopelessness and social isolation: the ENGAGE model for working with neglecting families toward permanence

The Adoption and Safe Families Act of 1997 (ASFA) mandates policies designed to increase the frequency and speed with which permanency is achieved for children in the child welfare system. ASFA's focus is on child safety, permanency, and well-being. The expectation that parents correct neglectful conditions within specified time frames places an increased ethical responsibility on child welfare staff. Carrying out this responsibility requires vigorous and innovative approaches to engaging and working with neglectful families. Drawing on a well-established conceptual framework for understanding the determinants of effective parenting, the authors derive the ENGAGE (Engagement, Needs assessment, Goal setting, Assessment of progress, Goal achievement, Ending work) model for achieving permanency within the policy structure. The model incorporates creative client engagement, assessment of family needs, mutual goal setting, the goal achievement process, termination, and aftercare.     

A curriculum model for a community development approach to community-based rehabilitation

Community-based rehabilitation (CBR) is not a new concept but has become the focus for groups such as the World Health Organisation and other international aid agencies in facilitating the availability of rehabilitation services in developing countries throughout the world. Although much of the literature debates institutional versus community-based services and auxiliary versus fully trained personnel, little information is available to address the curriculum issues relating to training personnel to undertake CBR activities. The purpose of this paper is to present a curriculum model for preparing and implementing short programme workshops to encourage the development of CBR in different cultural settings. The curriculum model has foundations which are firmly rooted in curriculum and educational theory and concepts. It provides a flexible adult learning approach to introduce the broad concepts of CBR, providing the participants with culturally relevant, concrete, practical tools to allow the implementation of CBR activities. The workshop model has been used successfully with participants from diverse or homogeneous backgrounds.     

A model for short-term group therapy on a children's inpatient unit

The paper describes the group therapy model which has evolved over the past two years on the Child Psychiatry Inpatient Unit of North Carolina Memorial Hospital. It begins with a brief review of the literature concerning group therapy with latency-aged children. The setting and patient population are described. Vignettes from group sessions are used to illustrate techniques which have evolved to deal with this particular setting and population. These include a leadership style characterized by much clarification, modeling, and limit setting; extensive focus on beginning and terminating; clearly defined behavioral limits; the use of time out; and use of play materials requiring little skill or attention as anxiety binders as well as projective media; and observation and supervisory discussions open to all members of the treatment team. The paper concludes with a discussion of the potentials and limitations of group therapy in such a setting. The thesis is that this model is effective in diagnosing developmental levels, in developing interpersonal skills, in substituting verbalization for action, and in mastering separation anxieties, though the setting limits the extent to which controlled regression, transference, and group pressures can develop and be used to produce change.     

Beyond transaction markets,toward relationship marketing in the human firm: A socio-economic model

Relationship marketing involving a long-term, symbiotic, learning partnership between buyer and seller is an important new development that is dramatically different from transaction oriented marketing in which the aim of the seller is simply to close a specific sale. The socio-economic model developed in this paper explains the firm's choice of marketing orientation, i.e., where the firm will locate on the spectrum from transaction orientation to relationship marketing orientation. This choice is determined by 1) the economic incentives from markets it participates in, 2) the customer's orientation, 3) the internal organizational capabilities of the seller, 4) the “macro” societal influence, 5) the “micro” social influences of extra firm institutions and infrastructures, 6) special product related factors, and 7) the technological opportunities available to the seller. There is good reason to believe that businesses fail to invest sufficiently in their buyer-seller relationships. Therefore, society would gain if governments were to foster the development of relationship marketing.     

A return to work program for injured workers: a reassignment model

The current workers' compensation system does not encourage permanently restricted workers who are disabled due to work related injuries to return to work. Workers are often labeled permanently disabled and are released from their positions with their employers. However, according to the Americans with Disabilities Act of 1990, these individuals may be qualified to return to productive employment. This paper will describe a Reassignment Model for occupational therapy supported by the rehabilitation frame of reference. This Model presents reassignment to a vacant position as a reasonable accommodation to return injured workers to productive employment. A case study will illustrate the successful implementation of the model. The potential benefits of using this Model will be described for clients, society, employers, and the occupational therapy profession.