The myth of the surrogate∗

There is as yet no method in general use comparable to couple sex therapy for the treatment of individuals. It is proposed that the development of such a method is impeded not only by the stressful nature of newly‐created treatment relationships, but also by the age‐old belief that this stress can be eliminated by finding the right substitute partner. This belief has sustained inappropriately simple strategies for the treatment of individuals despite negative findings, giving it the status of a myth. Although Masters and Johnson recognize that the stress cannot be so easily eliminated, in their reliance on the surrogate to bypass this stress, they have lent indirect support to the myth. As a consequence, we now have the myth of the surrogate, a treatment conception that creates performance pressure in the surrogate and thus is likely to reinforce performance anxiety in the patient. Guidelines for alternative methods are suggested, including the use of a co‐therapy structure, with body‐work a potential rather than a requirement and with more attention paid to the subjective experiences of the participants.     

Constructing Copulas with Given Diagonal and Opposite Diagonal Sections

A method for constructing copulas with given diagonal and opposite diagonal sections is presented. It makes use of a recently developed method for constructing cross-copulas with given horizontal and vertical sections. Conditions guaranteeing the existence of a cross-copula with the given diagonal and opposite diagonal sections are derived. It is shown how the new method facilitates the construction of families of copulas that simultaneously model tail dependences of upper-upper, upper-lower, lower-lower and lower-upper type.     

Social support in later life: a study of three areas

Summary The research reported in this article examines elderly people'sfamily and community networks in three urban areas of England:Bethnal Green, Wolverhampton and Woodford. These were the locationsfor a number of major studies in the 1940s and 1950s. Four decadeson from the original studies, a social network approach wasused to explore changes in the social relationships in thesethree areas. The research sought to assess whom older peopleidentified as 'important' in their lives, and the role suchpeople played in the provision and receipt of support. The studyfound that respondents do not mobilize the whole of their socialnetwork when looking for support. Instead, a section of thesocial network is drawn upon (mainly immediate family) to providespecific kinds of assistance. In addition, locally availablefriends offer complementary or alternative sources of help.This is a change from the earlier Wolverhampton and BethnalGreen studies, although it is consistent with the significanceof friendship highlighted in the original study of Woodford.The paper also reports clear evidence of older people beingactive in reciprocal exchanges across their networks, particularlyin respect of confiding in and talking to people about healthissues but much less so in relation to instrumental support,such as help with household chores, transport and financialadvice.     

Effects of a Foster Parent Training Program on Young Children’s Attachment Behaviors: Preliminary Evidence from a Randomized Clinical Trial

Young children who enter foster care experience disruptions in care and maltreatment at a point when maintaining attachment relationships is a key, biologically based task. In previous research, we have found that young children experience challenges as they form attachments with new caregivers. They tend to push their new caregivers away, even though such children are especially in need of nurturing care. Further, many caregivers do not respond in nurturing ways when their children are distressed, which we have found is problematic for young children in foster care. We developed an intervention that is designed to help caregivers provide nurturance even when children do not elicit it, and even when it does not come naturally to them. This paper presents preliminary findings of the effectiveness of this intervention on children’s attachment behaviors. Forty-six children were randomly assigned to either the experimental intervention or to an educational intervention. For three consecutive days, attachment behaviors were reported across three distress-eliciting situations. Children whose parents had received the experimental intervention showed significantly less avoidance than children whose parents had received the educational intervention. These preliminary results suggest that the intervention is successful in helping children develop trusting relationships with new caregivers.     

The Mother–Infant Feeding Relationship Across the First Year and the Development of Feeding Difficulties in Low‐Risk Premature Infants

Although feeding problems are common during infancy and are typically accompanied by relational difficulties, little research observed the mother–infant feeding relationship across the first year as an antecedent to the development of feeding difficulties. We followed 76 low‐risk premature infants and their mothers from the transition to oral feeding in the neonatal period to the end of the first year. Prior to hospital discharge, microlevel patterns of maternal touch and gaze were coded during feeding and nonfeeding interactions, global patterns of maternal adaptation were assessed, and infants' neurobehavioral status was tested. Psychomotor development was evaluated at 4 months. At 1 year, feeding difficulties were determined on the basis of maternal interview and direct observations of feeding interactions. Mothers of infants who exhibited feeding difficulties at 1 year showed less affectionate touch and gaze during nonfeeding interactions and more gaze aversion and lower adaptability during feeding interactions already in the neonatal period. Infants with feeding difficulties demonstrated poorer psychomotor performance at 4 months. Feeding interactions of infants with feeding difficulties at 1 year were characterized by higher maternal intrusiveness, lower infant involvement, and greater infant withdrawal. Less maternal affectionate touch and lower maternal adaptation in the neonatal period, poor infant psychomotor skills, and higher maternal intrusiveness and lower infant involvement at 1 year predicted feeding difficulties. The findings underscore the role of the relational components across the first year in the development of feeding difficulties.