Engagement: A Critical Aspect of Family Therapy Practice*

Engagement must be appreciated as an integral ongoing aspect of therapy. It can provide therapists with a wealth of information about the structure and functioning of the family. Engagement/counter-engagement, assessment and interventions are essential, interdependent processes which occur throughout treatment. Ways of enhancing the engagement process are discussed.     

Terrestrial vertebrates in urban ecosystems: developing hypotheses for the Gwynns Falls Watershed in Baltimore,Maryland

We review the literature on terrestrial vertebrates in urban and urbanizing areas in terms of the new paradigm in ecology that focuses on the origin, spatial pattern, and current influences of habitat patches. Studies of terrestrial vertebrates have documented differences in species composition along an urban-rural gradient and have identified some of the key land use features associated with these differences. We use information from a database developed for the Gwynns Falls Watershed in Baltimore City and County, Maryland to demonstrate how a study of forest-dependent breeding birds could be used to identify mechanisms that account for differences in the bird communities of forest patches in urban areas, and to provide useful information to planners and managers involved in wildlife conservation and management.     

From the Editor: Contending with the Power of Words

Sociological Forum -     

Semiparametric mixture models and repeated measures: the multinomial cut point model

Summary.  Suppose that we have m repeated measures on each subject, and we model the observation vectors with a finite mixture model.  We further assume that the repeated measures are conditionally independent. We present methods to estimate the shape of the component distributions along with various features of the component distributions such as the medians, means and variances. We make no distributional assumptions on the components; indeed, we allow different shapes for different components.     

Regular physical exercise in patients with type II diabetes mellitus

It is widely accepted that regular physical exercise helps diabetic patients control blood glucose, reduce cardiovascular risk factors, and prevent other related complications. In spite of the undoubted benefits of regular physical exercise, diabetic patients with chronic complications should be aware of potential hazards of practicing exercise. To avoid some harmful consequences of acute exercise, it is necessary to adopt a vigilant attitude with these risk patients and to carefully adjust type and intensity of exercise to the individual situation. This article intends to summarize and analyze the current literature concerning the preventive and therapeutic effects of regular exercise in diabetic patients, pointing out its physiological influence on blood glucose regulation, and to analyze the potential risks of acute physical exercise and the precautions given to patients with a variety of complications.     

Estimation of Polygons and Areas

Abstract.  In forestry the problem of estimating areas is central. This paper addresses area estimation through fitting of a polygon to observed coordinate data. Coordinates of corners and points along the sides of a simple closed polygon are measured with independent random errors. This paper focuses on procedures to adjust the coordinates for estimation of the polygon and its area. Different new techniques that consider different amounts of prior information are described and compared. The different techniques use restricted least squares, maximum likelihood and the expectation maximization algorithm. In a simulation study it is shown that the root mean square errors of the estimates are decreased when coordinates are adjusted before estimation. Minor further improvement is achieved by using prior information about the order and the distribution of the points along the sides of the polygon. This paper has its origin in forestry but there are also other applications.     

THERAPIST-CONDUCTED CONSULTATION: USING CLIENTS AS CONSULTANTS TO THEIR OWN THERAPY

Using qualitative research methodology, the authors developed an in-session therapeutic procedure called the therapist-conducted consultation (TCC) which is designed to enhance the therapist-client collaborative relationship. In the TCC, the therapist and client(s) relinquish their traditional roles and discuss the client's treatment. During this process, clients are invited to (a) share their perspective of treatment, (b) assess whether treatment is meeting their goals, and (c) suggest how treatment could change to improve their experience. The three-stage model of the TCC that resulted from the research is presented with a case example.