MARITAL PARADIGMS: COMPATIBILITY, TREATMENT, AND OUTCOME IN MARITAL THERAPY

Marital paradigms comprise the guiding images that serve as reference models for a couple's relationship. Such individualized images can be understood as variations on a small set of basic themes. An understanding of clients' marital paradigms can help foeus treatment on the most appropriategoals usingapproaches and techniques that are most effective for a particular couple. An unselected group of 103 couples seen in systems-oriented marital therapy were reviewed, to identify outcome and treatment issues as a function of marital paradigm. Based on outcome criteria that took marital paradigm into account, 92% of 38 cases where both partners identified with the same basic paradigm were judged to be treatment successes, while only 60% of the cases where the partners identified with different paradigms could be considered successful outcomes. Clinical approaches based on experience with marital therapy conducted within a paradigmatic framework are presented.     

The Expectation-Threshold model of reproductive decision making

It is proposed that as expectations about parenting become increasingly high, couples have an increasing tendency to decide to have a(or another) child. Similarly, as parenting expectations become increasingly low, couples have an increasing tendency to decide on sterilization. Couples without extremely high or low expectations continue to use contraceptives. Expectations are defined as Subjective Expected Utilities (SEUs) for having or not having a child. Preliminary results support the model and suggest that the threshold for making these decisions is not at neutral, but is conservative so that couples must have fairly high or low expectations before making such binding decisions are parenting or sterilization. The fact that data reveal that this exists supports the Expectancy-Threshold model, but it also requires a change in SEU Theory's maximization rule for some kinds of decisions.The authors wish to thank Carole Baker, former executive Director of the National Alliance for Optional Parenthood, and the board members of that organization for their cooperation, and Dr. Barbara Beach who helped with the data analysis. Funding was provided, in part, by The Center for Studies in Demography and Ecology, University of Washington, through a grant, No. 5 P30 HDO 9397, from the National Institute for Child Health and Human Development     

The Inseparability of “Career” and “Personal” Counseling

In this article it is argued that “career” and “personal” counseling should not be viewed as different types of counseling because: (a) the holistic philosophy of counseling emphasizes helping “whole” persons whose lives contain many important and meaningful roles; (b) recent research on the implications of gender and race for career development further demonstrates the inseparability of our career and “personal” lives; and (c) there are numerous commonalities in the “career” and “personal” counseling process.     

Money Isn't Everything: Wives' Earnings and Housework Time

The autonomy perspective of housework time predicts that wives' housework time falls steadily as their earnings rise, because wives use additional financial resources to outsource or forego time in housework. We argue, however, that wives' ability to reduce their housework varies by household task. That is, we expect that increases in wives' earnings will allow them to forego or outsource some tasks, but not others. As a result, we hypothesize more rapid declines in wives' housework time for low-earning wives as their earnings increase than for high-earning wives who have already stopped performing household tasks that are the easiest and cheapest to outsource or forego. Using fixed-effects models and data from the Panel Study of Income Dynamics, we find considerable support for our hypothesis. We further conclude that past evidence that wives who out-earn their husbands spend additional time in housework to compensate for their gender-deviant success in the labor market is due to the failure to account for the non-linear relationship between wives' absolute earnings and their housework time.     

Parents' Definition of Effective Child Disability Support Services: Implications for Implementing Family-Centered Practice

The current study examined parents' perspectives of services within a community-based childhood disability program in the process of enhancing the family centeredness of its services. Qualitative interviews were conducted with 39 mothers and 22 fathers approximately 18 months after entering the service delivery system. Parents reported that effective service delivery requires service coordinators with interpersonal and practice skills working within an adequately resourced service system that has policies and procedures that are responsive to family needs. Parent feedback was congruent with the principles of family-centered practice and has important implications for the implementation of family-centered services.     

Measuring Family Caregiver Perceptions of Support in Caring for Children and Youth With Mental Health Concerns

ABSTRACT

This correlational study assessed how families of children with mental illness perceived the levels of support they received from informal and formal resource providers and the associations between perceived support and child outcomes. Adult caregivers (N = 904) of youth receiving public mental health care services were administered the Family Caregiver Perceptions of Support Scale developed by the authors to assess family caregiver perceptions of support prior to and at termination of services. Factor analysis identified three types of caregiver anticipated supports: informal support resources, support for treatment plan influence, and health care resources. The domains were significantly and positively associated with one another but did not uniformly correlate with youth mental health outcomes. The study provides preliminary evidence that treatment gains in youth mental health outcomes are observed when caregivers perceive support in treatment processes. Suggestions for future research are made, stressing the importance of caregivers and providers working together and describing needs related to future scale improvements.     

Meta-Analysis as a Research Synthesis Methodology: Cause for Concern

ABSTRACT

The use of meta-analysis is growing in popularity. It is based on the fundamental notion of the effect size, and a critical assumption is that effect sizes based on different measures are directly comparable. In this article it is argued that the direct comparability of effect sizes across measures implies the invariance of the effect sizes across these measures. A model of standardized mean difference (SMD) effect size invariance is developed, based on multifacet generalizability theory, which shows that SMD effect size invariance requires certain validity invariance conditions to hold. One implication of these findings is that the direct comparability of SMD effect sizes based on different measurement procedures is an empirical matter requiring testing prior to conducting a meta-analysis. Findings are also discussed suggesting that violations of one of these conditions—universe score validity invariance—can bring about substantial differences across SMD effect sizes as a function of measurement procedure. These findings suggest the need for a more refined use of meta-analysis since meta-analytic results may be adversely impacted by the lack of direct comparability of effect sizes based on different measures.     

Elder Mediation in Theory and Practice: Study Results From a National Caregiver Mediation Demonstration Project

Mediation is a process through which a third party facilitates discussion among disputing parties to help them identify interests and ideally reach an amicable solution. Elder mediation is a growing subspecialty to address conflicts involving older adults, primarily involving caregiving or finances. Mediation is theorized to empower participants but critics argue that it can exacerbate power imbalances among parties and coerce consensus. These contested claims are examined through study of a national caregiver mediation demonstration project. Study implications underscore the importance of gerontological social work expertise to ensure the empowerment of vulnerable older adults in mediation sessions.