USES OF CHILDREN'S MAKE-BELIEVE PLAY IN FAMILY THERAPY:THEORY AND CLINICAL EXAMPLES

A theoretical framework for developing, describing and analyzing family-therapeutic techniques involving make-believe play is presented and illustrated by clinical examples. This theoretical framework includes specifications of the therapeutic goals served by the technique and its procedural details (the therapist's position and roles, the method of intervention, the sources of play content and means, and the amount of planning) and an analysis of its rationale (the properties of the make-believe play involved, the targets of the intervention in the family system, the expected changes and their causes). This framework draws on a definition of the concept "make-believe play," a model for the analysis of make-believe play symbols and a model of family systems, which are briefly sketched in this article, preceding the presentation of the theoretical framework itself.     

Tobacco,Marijuana, and Alcohol Use in University Students: A Cluster Analysis

Abstract

Objective: Segmentation of populations may facilitate development of targeted substance abuse prevention programs. The authors aimed to partition a national sample of university students according to profiles based on substance use. Participants: The authors used 2008–2009 data from the National College Health Assessment from the American College Health Association. The sample consisted of 111,245 individuals from 158 institutions. Methods: The sample was partitioned using cluster analysis according to current substance use behaviors. The association of cluster membership with individual and institutional characteristics was examined. Results: Cluster analysis yielded 6 distinct clusters. Three individual factors—gender, year in school, and fraternity/sorority membership—were the most strongly associated with cluster membership. Conclusions: In a large sample of university students, the authors were able to identify 6 distinct patterns of substance abuse. It may be valuable to target specific populations of college-aged substance users based on individual factors. However, comprehensive intervention will require a multifaceted approach.     

Parents Differentiate Between Their Personal Values and Their Socialization Values: The Role of Adolescents' Values

This study focuses on the differentiation process, involving the emergence of a distinction between parents' own personal values and their socialization values (the values they want their children to adopt), and on the contribution of children's values to their parents' socialization values. Measures of personal and socialization values were administrated to 603 Israeli adolescents and their parents. As we hypothesized, parents differentiate between their personal values and their socialization values. Moreover, adolescents' values had a specific contribution to their parents' socialization values. These findings provide new support to the notion that the socialization process should be considered as the result of the interaction between parents and their adolescent children rather than as a unidirectional process affected by parents alone.     

Results from a strategic planning process: Benefits for a nonprofit organization

A nonprofit professional organization in education undertook a strategic planning process to address challenges, refine its mission and principles statement, and obtain feedback from the members in order to better meet their needs and move the organization forward in a cohesive and purposeful manner. Three key planning tools were used to collect data informing development of the new strategic plan. This article describes the design and implementation of these tools and reports key findings for each. We explain how we used the findings to inform revision of the mission statement and development of the strategic plan and discuss benefits of the process and implications for the future.     

Changes in type 1 diabetes health indicators from high school to college

ABSTRACT

Objective: Evaluate trajectories of type 1 diabetes health indicators from high school through the first year of college. Participants: Seventy-four students with type 1 diabetes who maintained pediatric endocrinology care during the first year of college. Methods: Hemoglobin A_1c (HbA1c), blood glucose monitoring frequency, body mass index (BMI), and clinic attendance data were collected via retrospective medical chart review in spring 2012. Group-based trajectory models evaluated diabetes-related health indicators over time and identified distinct growth trajectory groups. Results: BMI increased and clinic attendance decreased in the first year of college. Trajectories for other health indicators were heterogeneous and stable over time; 69% of students were classified as having stable good glycemic control. Racial minority youth and youth on conventional insulin regimens were disproportionally represented in higher-risk groups. Conclusions: Diabetes health indicators are stable or decline upon college entrance. Results signal the need for targeted support for college students with type 1 diabetes.     

Couples’ Sexual Communication and Dimensions of Sexual Function: A Meta-Analysis

Research and clinical data have shown that couples with sexual problems report a lack of sexual communication. However, no published meta-analyses have evaluated the relationship between sexual communication and sexual function. This meta-analysis examines the correlation between couples’ sexual communication and dimension of sexual function across 48 studies. Sexual communication was positively associated with sexual desire (r = .16), sexual arousal (r = .21), lubrication (r = .17), orgasm (r = .23), erectile function (r = .19), less pain (r = .12), and overall sexual function (r = .35). The effect sizes for sexual desire (r = .21; r = .12) and orgasm (r = .26; r = .16) were higher for women than for men. For overall sexual function, studies with married participants (r = .47) had a larger effect size than studies with participants with multiple relationship types (r = .31) or than studies with dating participants (r = .11). Effect sizes were larger for studies conducted outside of the United States (r = .39) compared to studies conducted in the United States (r = .12). We discuss the importance of addressing the relationship between sexual communication and sexual function, as well as future directions for research in this area.     

A Dyadic Approach to Understanding the Link Between Sexual Functioning and Sexual Satisfaction in Heterosexual Couples

Researchers have demonstrated that several dimensions of sexual functioning (e.g., sexual desire, arousal, orgasm) are associated with the sexual satisfaction of individuals in a committed mixed-sex (male–female) relationship. We extended this research by comparing a dyadic model that included both own (i.e., actor effect) and partner (i.e., partner effect) domains of sexual functioning to an individual model that included only actor effects. Participants were 124 mixed-sex couples who completed online measures of sexual functioning and sexual satisfaction. Data analysis using the actor–partner interdependence model (APIM) and structural equation modeling (SEM) indicated that the dyadic model had a better fit than the individual model. Women’s sexual desire and orgasm and men’s erectile functioning were significant positive predictors of both own and partner’s sexual satisfaction. These results are discussed in terms of the importance of taking a dyadic approach to research and clinical work related to sexual satisfaction.