Nonverbal relational control in family communication

A nonverbal component for an observational coding system of verbal relational control, the Family Relational Communication Control Coding System (FRCCCS; Friedlander & Heatherington, 1989) was developed and validated for research with families or other groups. In so doing, it was demonstrated that nonverbal relational control behaviors can be reliably identified and that these behaviors enhance communicative meaning in predictable ways. First, a pool of nonverbal behaviors with relational control meaning (e.g., head nod, raised eyebrow) was identified from consultation with family therapy researchers and from the literature. Second, the behaviors that were retained from the results of a content validity test were perceived by three independent samples as commonly understood, discrete attempts to either gain control (one-up) or relinquish control (one down) of a social relationship. Still other behaviors were eliminated based on results of a cluster analysis, the interpretation of which was the basis for composing operational definitions for four classes of nonverbal behaviors. Finally, assessments of the interjudge reliability and criterion validity of the nonverbal coding scheme supported its psychometric adequacy. Comparison of effect sizes showed that these discrete nonverbal behaviors accounted for over twice the variance in observers' perceptions as the verbal behaviors.     

THE EFFECTIVENESS OF FAMILY INTERVENTIONS IN THE TREATMENT OF PHYSICAL ILLNESS

Although a large body of research demonstrates that the family has a powerful influence on physical health, the evidence for the effectiveness of family interventions in physical illness is less conclusive. Family therapy and other family interventions appear to be most effective in chronic childhood illnesses such as asthma and diabetes. Family interventions have also been shown to be effective in the management of some cardiovascular and neurologic disorders and for the treatment of obesity. Family therapy appears to be more effective than individual therapy for some groups of patients with anorexia nervosa. This research supports the increasingly important role of medical family therapy in the new health care system. Recommendations for future research are discussed.     

Implicit Family Process Rules in Eating-Disordered and Non-Eating-Disordered Families

Family environment has been shown to be one of the factors related to the presence of eating disorders among young-adult females. Clinical experience and theories about eating disorders postulate that implicit family rules are an intricate part of family process that may have a great effect on the creation and maintenance of such problems. This study compared implicit family process rules (specifically rules pertaining to kindness; expressiveness and connection; constraining thoughts, feelings, and self; inappropriate caretaking; and monitoring) in families with a young-adult female diagnosed with an eating disorder—either anorexia nervosa, bulimia nervosa, or eating disorder not otherwise specified—and families with a young-adult female without an eating disorder diagnosis. One hundred two families (51 eating disordered and 51 comparison) participated in the study. Mothers, fathers, young-adult female children, and siblings completed the Family Implicit Rules Profile ( Harper, Stoll, & Larson, 2007 ). Results indicated that eating-disordered families are governed by a greater proportion of constraining family rules than are non-eating-disordered families. Additionally, eating-disordered youth reported a lower proportion of facilitative family rules and a higher proportion of constraining family rules than did parents and siblings. Theoretical, research, and clinical implications are discussed.     

In Defence of a Modern Medical Model: Purism and Eclecticism in Family Therapy*

Family therapists criticise the ‘medical model’ for relying on linear causality, focusing on pathology rather than health processes and tending to coerce the family into preconceived models. These criticisms might be legitimately levelled at 19th Century models but not at modern medical models which include the circularity of general systems theory, attention to ecological field, and understanding of reciprocal influences of many factors such as emotions, antibodies, genetic endowment, nutrition, interpersonal relations, environmental stress, and symbiotic micro-organisms. This modernised medical model is consistent with modern family therapy theory which integrates general systems theory, ecological theory, communication theory, small group process, role theory and metaphoric communications. Family therapy purists define themselves by contrasting their differences with ‘the medical model’. Eclecticists tend to be practitioners who use broad theoretical frames of reference and commonsense, straight-forward, direct intervention where it is likely to work but will resort to indirect, metaphoric or paradoxical intervention for the more complex and resistant family.     

The use of Theory in Family Therapy Research: Content Analysis and Update

In this study, we evaluated 275 empirical studies from Journal of Marital and Family Therapy and Family Process from 2010 to 2015 on their use of theory, and compared our findings to those of a similar previous analysis (Hawley & Geske, 2000). Overall, theory seems to have become much better incorporated in empirical family therapy research, with only 16.4% of the articles not using theory in either their introductory or discussion sections. Theory appeared better incorporated in the introductory sections than in the discussion sections. Systems theory remained the most commonly used conceptual framework, followed by attachment theory. We discuss areas for improving theory incorporation in family therapy research, and offer suggestions for both family therapy researchers and educators.     

A BLUEPRINT FOR INCREASING THE RELEVANCE OF FAMILY THERAPY RESEARCH

Family therapy research and psychotherapy research in general have been criticized for their lack of relevance to clinical practice. This paper presents a fivestage model that family therapy researchers can follow to increase the relevance of their work for clinicians and other consumers of family therapy research. Using lessons derived from private industry, the research model is based on a marketing and developmental perspective.     

Too close and too rigid: applying the Circumplex Model of Family Systems to first-generation family firms

Despite growing research interest in family businesses, little is known about the characteristics of the families engaging in them. The present paper uses Olson's (Journal of Psychotherapy & the Family, 1988, 4(12), 7-49; Journal of Family Therapy, 2000, 22, 144-167) Circumplex Model of Marital and Family Systems to look at first-generation family firms. We describe existing typologies of family businesses and discuss similarities between the characteristics of first-generation family firms and the rigidly enmeshed family type described in the Circumplex Model. The Steinberg family business (Gibbon & Hadekel (1990) Steinberg: The breakup of a family empire. ON, Canada: MacMillan) serves to illustrate the difficulties of rigidly enmeshed first-generation family firms. Implications for understanding troubled family businesses are discussed together with guidelines for the assessment of a family business in crisis and for intervention: enhancing open communication; allowing for more flexible leadership style, roles, and rules; and maintaining a balance between togetherness and separateness.     

BOOK REVIEWS

Book reviewed in this article:
Nichols, Michael P. Family therapy: Concepts and methods.
Stahmann, Robert F and Hiebert, William H. (Eds.). Counseling in marital and sexual problems:
Anderson, Carol M. and Stewart, Susan. Mastering resistance:
Doherty, William J and Baird, Macaran A Family therapy and family medicine: Toward the primary care of families.
Bagarozzi, Dennis, Jurich, Anthony and Jackson, Robert. Marital and family therapy: New perspectives in theory, research and practice.     

Using natural language processing technology for qualitative data analysis

Social researchers often apply qualitative research methods to study groups and their communications artifacts. The use of computer-mediated communications has dramatically increased the volume of text available, but coding such text requires considerable manual effort. We discuss how systems that process text in human languages (i.e. natural language processing [NLP]) might partially automate content analysis by extracting theoretical evidence. We present a case study of the use of NLP for qualitative analysis in which the NLP rules showed good performance on a number of codes. With the current level of performance, use of an NLP system could reduce the amount of text to be examined by a human coder by an order of magnitude or more, potentially increasing the speed of coding by a comparable degree. The paper is significant as it is one of the first to demonstrate the use of high-level NLP techniques for qualitative data analysis.     

The Link Between the Marital Bond and Future Triadic Family Interactions

This study examined how the marital bond, as indexed through the Oral History Interview (OHI), is related to future triadic family interactions. Families (N = 108), with a 7–9‐year‐old child, participated in a longitudinal study (the Family Health Project) examining children's emotional development throughout the transition to adolescence. Parental cohesion and family cohesion, warmth, structure, and problem solving were assessed via behavioral observation during family problem‐solving discussions and parent‐child teaching interactions 18–24 months after the OHI. Results indicated that the marital bond was predictive of parental cohesion, family cohesion, warmth, and structure during teaching interactions. The marital bond was not significantly predictive of family problem solving or parental cohesion in problem‐solving interactions.     

Family Rituals in Low‐Income African American Families at Risk for Trauma Exposure and Associations with Toddlers’ Regulation of Distress

This study included 75 mother‐father‐toddler triadic low‐income families. Mothers and fathers reported separately on their own posttraumatic stress disorder (PTSD) symptoms and family rituals while children were rated by an independent observer during an emotionally eliciting task on key indicators of regulation of distress. Regression analyses supported a significant association between key dimensions of family rituals and Toddlers’ regulation of distress: occurrence, continuation, and spirituality. Effect sizes of tested relationships were strong, ranging from 25% to 36% of variance in children's distress explained. Family rituals are a salient intervention target in families and specifically help support children's developing emotion regulation competencies. Certain dimensions of family rituals may be particularly relevant to African American families, considering cultural resiliency factors. Clinical implications are discussed.     

Qualitative research in family therapy: publication trends from 1980 to 1999

In the early 1990s, scholars from a variety of disciplines encouraged greater inclusion of qualitative research methodology in the mental health field. Moon, Dillon, and Sprenkle (1990) hoped their paper “Family therapy and qualitative research” would serve as a stimulus for further development of qualitative research in the field of family therapy. Ten years later, entering the new millennium, has the field been influenced by recommendations for an increase in use of qualitative methodology in family therapy? A content analysis was conducted on articles published in the marriage and family therapy literature from 1980 to 1999. Of the numerous articles examined in four journals, 131 articles were published using qualitative research methodology. Findings support the contention that qualitative research is increasing, but still accounts for a small number of research articles published in marriage and family therapy journals.     

Therapeutic change in Colombian families dealing with violence: therapists, clients, and referring systems in conversation

There is a gap in the Marriage and Family Therapy literature regarding clients', therapists', and family judges' theories of change in relational therapy for family violence. We conducted in-depth interviews with eleven court-referred families, their therapists, and two family judges in Bogota, Colombia. Interviews focused on their expectations of therapy outcomes, their understanding of change, and their evaluation of individual and relational therapy outcomes. We followed a grounded theory approach to data analysis. Analyses showed that therapists, family judges, and clients hold different expectations and theories regarding therapeutic change. Findings are discussed based on existing research on clients' and therapists' ideas about change. Implications for future research and practice are presented.     

Family Mapping: A Cumulative Measure of Family Structure and Instability

Family structure is an important area of study given the growing rates of family instability. The research, however, is limited due to broad definitions and measurement methods that only consider one time point. Using a sample of young adults (N = 398), our goal was to develop a user-friendly implementation procedure and coding system that efficiently captures a broad range of information. The coding system offered includes multiple levels of detail and hundreds of previously untapped variables. Examinations of standard methods versus the cumulative family mapping method revealed additional variance explained in measures of substance use, providing early indications of measurement utility.     

Interview With Michael Kerr

The following article was written by Dr Michael Kerr in response to questions put to him by Barbara Fraser; Linda Mackay and Lu Pease when he visited Australia two years ago. These three family therapists took it upon themselves to prepare this interview in recognition of Dr Kerr's unique vantage point on Bowen Theory and family therapy. Michael Kerr was trained by Murray Bowen in the 1970s and subsequently went on to work as faculty at the Georgetown Family centre. He succeeded Bowen as director of the centre where he has devoted his professional life to the understanding, application and extension of theory. He is the co‐author with Dr Bowen of Family Evaluation: An Approach Based on Bowen Theory (Kerr & Bowen, 1988), which remains the most esteemed text on this theory. He is also the editor of Family Systems: A Journal of Natural Systems Thinking in Psychiatry and The Sciences. Bowen's Family Systems Theory grew out of years of research from the 1950s‐1970s, which included observations of inpatient families with a schizophrenic member and using data from Bowen's own interactions with his family of origin (Bowen, 1978). The theory continues to be influential in family therapy with its most well‐known contributions being the process of triangling, the intergenerational transmission of family patterns and the concept of differentiation of self. (Brown, 1999). The following discussion from Dr Kerr brings a fresh perspective on the current applications and developments of this systems theory     

BOOK REVIEWS

Book reviewed in this article:
Weeks, Gerald R. & L'Abate, Luciano. Paradoxical psychotherapy: Theory and practice with individuals, couples, and families.
Kempler, Walter. Experiential psychotherapy within families.
Kempler, Walter. Experiential psychotherapy within families.
Box, Sally, Copley, Beta, Magagna, Jeanne and Moustaki, Errica (Eds.). Psychotherapy with families: An analytic approach.
Capra, Fritjof. The turning point: Science, society and the rising culture.
Wolberg, Louis & Aronson, Marvin (Eds.). Group and family therapy, 1981.
Green, Robert J. & Framo, James L. (Eds.). Family therapy: Major contributions.
Wile, Daniel B., Couples therapy: A nontraditional approach.
Willi, Jürg. Couples in collusion.
Becvar, Raphael J. & Becvar, Dorothy Stroh. Systems theory and family therapy: A primer.
Pinney, E. G. & Slipp, S. Glossary of group and family therapy.
Brown, Kristi (Ed.). Family counseling: An annotated bibliography.
Glick, Ira D., Weber, David H., Rubinstein, David & Patten, John T. Family therapy and research: An annotated bibliography.
Olson, David H. & Markoff, Roxanne (Eds.).Inventory of marriage and family literature.     

The prevalence of later life family concerns in the marriage and family therapy journal literature (1976-1985): a content analysis*

This study assessed the frequency with which the marital and family therapy journal literature focused on problems associated with aging in a family context. Content analysis was used to assess the prevalence of later life family concerns in two leading journals, Family Process and the Journal of Marital and Family Therapy, during a 10-year period (1976-1985). Results indicate that neither journal covered later life family issues to any appreciable degree. It is concluded that elders in marital and family relationships constitute a new frontier for the extension and elaboration of family therapy.     

Family Therapy: Out from Behind the Hero Narrative

Schools of family therapy have been highly selective in their presentation of the theory/practice nexus. Family therapy's method of teaching (the infamous workshop format) has hampered it's growth as a practice and academic discipline. An inadvertent, unhelpful legacy of Gregory Bateson has been that lesser scholars have aped his capacity to draw on other fields of knowledge without his rigour, or his propriety. Family therapy's cavalier dealings with bodies of knowledge and its reliance on miraculous case studies has resulted in the bypassing of individual suffering. The heroic narrative that has dominated family therapy has precluded other styles of stories for therapists, theorists and clients. Family therapy has been dominated by the myth of the hero, with its accompanying motif of the puer eternus (the eternal youth). Family therapy has been forever reinventing itself, forever the ‘new kid on the block’. This fascination with newness has interfered with family therapy's capacity, at times, to consolidate its genuine value as a therapeutic entity.     

The use of theory in family therapy research: a content analysis of family therapy journals

Ninety-five studies from Family Process and Journal of Marital and Family Therapy were evaluated with regard to their use of theory. While a majority of the articles were judged to use theory in either an explicit or an implicit manner, 42% did not appear to draw on theory in either the introductory or discussion sections. Studies that used qualitative methods appeared to use theory more frequently and explicitly than those using quantitative methods alone. Systems theory was found to be the most common conceptual framework, followed by feminism. We conclude that the link between theory and research in family therapy needs strengthening and suggest that the role of theory in family therapy be reexamined.     

Using a computer simulation game to teach family time use concepts

A computer simulation game designed to give students insights into family time use concepts has been used in an introductory family resource management class at Ohio State University and other universities. The game allows for planning for time use changes over the family life cycle. The game can give students insights into economic and sociological models of time use. It is possible that future versions of the game could be used in family counseling.His research interests include derivation of optimal decision-making rules for families and family financial management.Her research interests include financial management over the life course including financial ratios, baby boomers, and retirement. She received her Ph.D. in 1993 from The Ohio State University in Family Resource Management.His research interests include the time trade-offs made between couples, financial planning over the life cycle, and the interaction of time and money between families and their home-based businesses. He received his Ph.D. in 1993 from The Ohio State University in Family Resource Management.