SOLUTION-FOCUSED THERAPY: TOWARD THE IDENTIFICATION OF THERAPEUTIC TASKS*

Brief therapy has often been regarded as “problem solving therapy.” This article discusses the development of a solution-focused approach to clinical practice. Solution-focused therapeutic tasks and interventions are described.     

An Assessment of the Determinants of Religious Participation*

Variations in patterns of church attendance are examined for a 1974 national sample of American Protestants and Catholics. Contrary to past results, socioeconomic status and alienation contribute little, but sociodemographic variables contribute more to the explained variance in church attendance. Region and sex affect church attendance more than education, occupation, or income. Religiosity and confidence in the clergy are the most important determinants of church attendance and together account for half of the total variance explained in church attendance.     

An application of multiple discrepancies theory (MDT) to seniors

MDT posits that satisfaction and happiness are functions of 7 perceived discrepancies, viz., between what one has and wants, relevant others have, needs, deserves, has had in the past, expected to have and expects to have. The theory and its historic antecedents are explained. The theory was applied to a sample of 450 seniors from 4 areas of Ontario. Briefly, MDT accounted for about a third of the variance in reported life satisfaction for the whole group and both sexes separately, and about a quarter of the variance in happiness.     

Hardiness and the relationship between stressors and outcomes

Using a sample of 468 participants, from two organizations, this study examined direct and moderating relationships between hardiness (a composite of challenge, control, and commitment), life and work stressors, and a variety of health-related outcomes. The results indicated that hardiness did not moderate the relationship between stressors and outcomes as reported by others (e.g. Kobasa 1982a). However, hardiness did have significant direct effects on emotional and psychological factors thought to be related to personal well-being and work performance. Hardy individuals reported higher levels of job satisfaction and fewer tensions at work dun did the less hardy. In general, hardy individuals experienced a higher quality of life and a more positive affect while being more energized and less negative about life. Hardy individuals also reported fewer somatic complaints and tended to be less depressed and anxious than individuals low in hardiness. In addition, hardiness was negatively related to all four measures of life and work stress implying that hardiness may not be independent of life demands.     

Suicide ideation,attempts and abuse among incarcerated gang and nongang delinquents

The present study examines suicide ideation and attempts as well as reported levels of physical and sexual abuse among gang and nongang-involved incarcerated youth. The self-report survey data were collected from 334 males and 61 females who were incarcerated in Nevada youth correctional facilities in the summer of 1994. Over half (58.3 percent) of the males and nearly half (45.2 percent) of the females reported being gang members. Surprisingly high rates of abuse (more than 70 percent for both physical and sexual abuse) were found among the incarcerated females of this study. Females reported significantly more suicide attempts and were more likely to have been physically and sexually abused than males. Nongang males reported significantly more suicide attempts and were more likely to report sexual abuse than gang-involved males. Among the gang-involved delinquents, females reported significantly more suicide attempts than males. In addition, gang members who reported sexual abuse were more likely to have higher levels of suicide ideationand to have attempted suicide. Implications for youth correction specialists and social workers are discussed.The data for this study were collected under Grant #000616 from the Nevada Agricultural Experiment Station.     

Bringing Two Worlds Together: A Collaborative Interview With JoEllen Patterson

JoEllen Patterson is Professor in the Marital and Family Therapy Program at the University of San Diego. She is also an Associate Clinical Professor of Family Medicine and Psychiatry at the University of California, San Diego, directing a medical family therapy clinic embedded in a Family Medicine residency (equivalent to General Practice in New Zealand). She also works in Pediatrics and Reproductive Medicine at UCSD. At present her work involves training family therapy students and family medicine residents to do interdisciplinary work using a biopsychosocial model. Research suggests that our bodies are influenced by our mental health; our immune systems and cardiovascular systems seem especially susceptible to mind‐body interplay. JoEllen is particularly interested in how family functioning influences the mind‐body system. In 2003, JoEllen Patterson received a Fulbright Senior Scholars award to visit the Wellington School of Medicine and Health Sciences, and the Child, Adolescent and Family Service in Lower Hutt, New Zealand. She spent two weeks between the clinical service and the academic department, teaching, consulting and advising. I was lucky enough to arrange this posting and to spend time with her during it.