A REVIEW AND EVALUATION OF MARITAL AND FAMILY THERAPIES FOR AFFECTIVE DISORDERS

Although the efficacy of individual treatments of affective disorders has been well-documented, there are also significant limitations to existing treatments. In the last decade attention has focused increasingley on the interpersonal context of affective illness, and on marital and family relationships in particular. As a result, a number of approaches have been developed which directly involve family members in treatment. In this article we evaluate the current status of marital and family therapies for affective illness. We begin with a discussion of several lines of research bearing on the relationships between family processes and affective illness. The available treatment outcome data evaluating the efficacy of marital and family interventions are then reviewed, with particular attention paid to predictors of treatment success and cost efficacy issues. Finally, we suggest several priorities for future research.     

Grandparent caregivers

Although grandparent caregiving is not a new phenomenon in the United States, there has been a dramatic increase in grandparent-headed households in the last two decades. Many of these care providers are older and feel somewhat unprepared to raise a new generation of children. As a result, grandparent caregivers are at risk for multiple physical, mental, and emotional problems due to the stresses and strains of care provision. This article summarizes characteristics of grandparent caregivers in our society, the challenges that they face, and how organizations are attempting to assist these older adults with their care provision responsibilities. Recommendations for future research and intervention design will also be discussed.     

More Than Protest: Further Explorations of Alternative Metaphors in Narrative Therapy

In the experience of non‐narratively trained therapists, as well as some narratively trained therapists, the ‘protest metaphor’ for framing externalising conversations retains signature status. Yet this metaphor does not adequately represent the breadth of narrative work. As therapist and client reflecting on our joint work, we explore what using a range of metaphors offers to narratively informed therapeutic work. The concept of ‘resistance practices’ from Stacey (1997) is revisited, alternative metaphors employed in externalising conversations are reviewed, and power is re‐examined. We then review the effects on practice that ensue from drawing on a range of alternative metaphors, illustrating our account with extracts from letters and comments on sessions.     

The Relevance of Personal Therapy in the Education of MSW Students

Much controversy exists among social work educators about the effectiveness and relevance of personal therapy during a MSW program. The current study examined this issue by surveying social work faculty at the 12 single-track clinical programs in North America (n = 148) and MSW students (n = 139) at one of these programs. Significantly more of the MSW students surveyed felt that personal therapy was essential or important to their social work education than did the faculty. Students surveyed expressed a desire to increase self-awareness and a willingness to participate in therapy when needed.     

Asian American Interracial and Interethnic Marriages: Differences by Education and Nativity1

Using the 1990 U.S. census data, we apply log‐linear models to examine Asian Americans' interracial marriage with whites and interethnic marriages between Asian ethnic groups. Japanese and Filipino Americans are most likely to marry whites, followed by Chinese and Korean Americans. Southeast Asian and Asian Indian Americans are least likely to marry whites. We further explore how interracial marriage differs by couples' educational and nativity combinations. The impact of educational attainment, generally, is very strong but is modest for Japanese Americans, the most assimilated group, and for Southeast Asian Americans, the least assimilated group. Interracial marriage is more likely for native than for immigrant couples, but immigrants marrying natives are more likely to marry whites than persons of their own ethnic group. Interethnic marriage between Asian ethnic groups is limited to several ethnic groups, but is much more frequent among natives than among immigrants. Japanese and Chinese Americans, who have lived in the United States for several generations, have the highest rate of interethnic marriage. We have shown two forms of integration for Asian Americans – integration into mainstream society through interracial marriage for both immigrants and natives and integration into Asian American pan‐ethnicity through interethnic marriage for later‐generation natives.     

Policies,Procedures, and People: Sources of Support for Government?

Objective . Many have written about the public's low opinion of the federal government; however, the theoretical sources and consequences of political trust have been empirically elusive. Drawing on the procedural justice framework, this study investigates the structure and consequences of people's mistrust of the federal government. Methods . Using data from various years of the National Election Study (NES), this research investigates the relationship between policy, procedural, and personal concerns and support of government. Results . Judgments about policy outputs, the process by which these policies develop, and the people involved in this process are shown to be sources of governmental trust, and certain aspects of trust are shown to have important behavioral consequences. Conclusions . These findings help to explain the failure of previous research into the causes and consequences of political trust. The various policy and process judgments that the NES Index combines play important independent roles in explaining political trust itself and its relationship with political behaviors and other attitudes.     

Race and psychological distress: the South african stress and health study

We analyze data from the South African Stress and Health Study, a nationally representative in-person psychiatric epidemiologic survey of 4,351 adults conducted as part of the World Mental Health Survey Initiative between January 2002 and June 2004. All blacks (Africans, Coloreds, and Indians) initially report higher levels of non-specific distress and anger/hostility than whites. Access to socioeconomic resources helps explain differences in non-specific distress between Coloreds and whites and Indians and whites. However, only when social stressors are considered do we find few differences in psychological distress (i.e., non-specific distress and anger/hostility) between Africans and whites. In addition, self-esteem and mastery have independent effects on non-specific distress and anger/hostility, but differences between Coloreds and whites in feelings of anger/hostility are not completely explained by self-esteem and mastery. The findings contribute to the international body of work on social stress theory, challenge underlying assumptions of the minority status perspective, and raise a series of questions regarding mental health disparities among South Africans.     

Support for Resilience Theory with Female Adolescents Who Are Violent: A MIMIC Model

Resilience theory has been shown to explain aggression and violence in adolescents in general. No studies were found that supported this theory specifically with female adolescents. A multiple indicators multiple causes (MIMIC) model was developed from the review of the literature. Structural equation modeling was then used to quantitatively test this theoretical MIMIC model. Results indicate that the direct effect of the demographic contingencies are significantly related to violent behavior: race (β = ?.53, t = 0.04, p < .001), community supports (β = ?0.55, t = ?0.04, p < .001), and subsidized income supports (β = 0.54, t = 0.04, p < .001). These results suggest demographic contingencies play an important role in predicting violent behavior in female adolescents.     

The Influence of Self-Selection on Older Adults' Active Living in a Naturally Occurring Retirement Community

A cross-sectional, single-case study of older adults (N = 197) in a Midwestern rural naturally occurring retirement community compared the active living behavior and salience of socio-physical characteristics for three subsets of older residents: (1) in-migrants who moved based on recreational opportunities; (2) in-migrants who moved for other reasons; and (3) long-time residents. Some older adults with preferences for outdoor recreation self-selected into the naturally occurring retirement community due to opportunities for water-based activities. Self-selectors engaged in light recreation activities more frequently and for longer durations, received more frequent spousal encouragement to be active, and identified more types of activity companions than in-migrants who had moved for other reasons.