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.     

Involving parents in the treatment of behaviorally disordered children

Effective psychiatric treatment for children requires the active participation of the children's parents. This paper describes a training model that has been applied successfully to diverse groups of parents of hospitalized children. Lecture, role-playing, and other techniques are used to help parents implement social learning concepts with their children. Applications range from the judicious use of praise to elaborate contingency management systems, depending upon the abilities and needs of the parents. The authors argue that this model has wide applicability and is especially amenable to an outpatient setting.     

Workplace hazards and workers’ desires for union representation

This paper investigates “voice” responses to hazardous and otherwise disagreeable working conditions in the form of workers’ expressed desires for union representation. Using data from three surveys conducted between 1977 and 1982, workers exposed to significant health and safety risks on the job are found to be substantially more likely to report a willingness to vote pro-union than are comparable workers not similarly exposed. This finding is obtained using both subjective and objective measures of hazard and both union and nonunion workers. Management resistance, however, appears to play a strong role in determining the actual extent of unionization. Between 41 and 48 percent of workers in hazardous jobs desire union representation but have not achieved it. Support for this research was obtained from the Institute of Industrial Relations, University of California, Berkeley. Computational help was provided by Keun Lee and Glenn Shor. Valuable comments on an earlier draft were obtained from William Dickens.     

The older lesbian

This research uncovers a pattern of support and the existence of a relationship network that runs strongly counter to the stereotyped view that lesbians in later life find themselves friendless and without support. The hypothesis that the older lesbian has developed friendship networks to replace missing or weak kin ties is substantiated. The findings are based on 20 in-depth, structured interviews with lesbians whose ages range from 50 to 73.     

An evaluation of the fidelity of implementation of a school-based drug abuse prevention program: project toward no drug abuse (TND)

This article provides an implementation fidelity evaluation of the fourth experimental trial of Project Towards No Drug Abuse (TND). Two theoretical content components of the curriculum were examined to increase our understanding of the active ingredients of successful drug abuse prevention programs. A total of 18 senior high schools were randomly assigned by block to receive one of three conditions: cognitive perception information curriculum, cognitive perception information + behavioral skills curriculum, or standard care (control). These curricula were delivered to both regular and continuation high schools students (n=2331) by trained project health educators and regular classroom teachers. Across all program schools, the two different curricula were implemented as intended, were received favorably by students, and showed significant improvements in knowledge specific to the theoretical content being delivered. This pattern of results suggests that the experimental manipulations worked as intended, and thus, permit the attribution of future behavioral outcome differences between conditions to differences in content of Project TND material provided rather than to differences in the fidelity of delivery. Further, our findings indicate that Project TND can be implemented effectively with low and high risk youth in a general environment as well as with high risk youth in a more specialized environment.