Research on the treatment of couple distress

This article reviews the research on couple therapy over the last decade. The research shows that couple therapy positively impacts 70% of couples receiving treatment. The effectiveness rates of couple therapy are comparable to the effectiveness rates of individual therapies and vastly superior to control groups not receiving treatment. The relationship between couple distress and individual disorders such as depression and anxiety has become well established over the past decade. Research also indicates that couple therapy clearly has an important role in the treatment of many disorders. Findings over the decade have been especially promising for integrative behavioral couples therapy and emotion-focused therapy, which are two evidence-based treatments for couples. Research has also begun to identify moderators and mediators of change in couple therapy. Finally, a new and exciting line of research has focused on delineating the principles of change in couple therapy that transcends approach.     

Nothing is as Practical as a Good Theory: Bowen Theory and the Workplace — a Personal Application

Bowen Family Systems Theory is most commonly used to understand and predict family process. It is also applied to other potentially intense relationship systems, especially the workplace. It has been used by workplace consultants and by individuals to understand, and to manage, their own workplace functioning. This paper will draw from several key Bowen concepts to analyse common workplace dilemmas and to suggest responses that may assist the functioning of the individual and the system. The author's own experience as a manager in a child and adolescent mental health programme will be used as the case study to illustrate the theory's application.     

Preference Aggregation With Incomplete Information

We show in an environment of incomplete information that monotonicity and the Pareto property applied only when there is common knowledge of Pareto dominance imply (i) there must exist a common prior over the smallest common knowledge event, and (ii) aggregation must be ex ante and ex post utilitarian with respect to that common prior and individual von Neumann–Morgenstern utility indices.     

Local Utility Functions and Local Probability Transformations

This note shows that, under appropriate conditions, preferences may be locally approximated by the linear utility or risk-neutral preference functional associated with a local probability transformation.     

A LINEAR MODEL WITH ERRORS LACKING A VARIANCE1

The problem discussed is that of estimating β= (β¹, …, β_k) in the model Y=βX +ε when X has a specified multivariate distribution and the error ε does not necessarily have a finite second moment, for example, ε symmetric stable. We construct a moment estimator based on the empirical characteristic function and establish asymptotic unbiassedness and normality. Most of the paper is concerned with the case when X is normal. Forms of the suggested estimator are given in (2.5), (4.6) and (5.5).     

Changes in Young Children’s Family Structures and Child Care Arrangements

Family structure change can disrupt the settings of children’s daily lives. Most scholarship focuses on disruption in the home environment. Moving beyond the home, this study explores the association between changes in family structure and changes in several dimensions of early child care. With longitudinal data from the NICHD Study of Early Child Care and Youth Development (n = 1,298), first-difference models reveal that family structure transitions are associated with changes in the type and quantity of early care as well as the number of care arrangements used, especially during the latter part of infancy. Given prior evidence linking these child care dimensions to behavioral and cognitive outcomes, these results suggest a policy-relevant mechanism by which family change may create inequalities among children.     

Identification of risk factors for psychological disturbance in adopted children

A postal survey explored the prevalence of emotional and behavioural problems in 97 adopted children using Achenbach's Child Behaviour Checklist. Possible predictors of high problem scores were sought in the pre-placement history and in aspects of the adoptive placement. The adopted children studied had significantly higher problem scores than a non-clinic population. Problem scores were significantly higher in children with a history of pre-placement abuse. Abused children also had significantly more placements prior to adoption and were older at adoption. Racial congruence of adopted family, sex of child and ethnicity did not affect problem scores. Sibling contact was positively associated with high problem scores. The findings have important implications for adoption policy and the management of intractable child abuse and require further more detailed investigation. © 1998 John Wiley & Sons, Ltd.     

Folic acid supplement use and the risk of gestational hypertension and preeclampsia

Background

Hypertensive disorders of pregnancy are among the leading causes of maternal morbidity and mortality. Studies suggest that the use of folic acid may lower the risk of hypertensive disorders in pregnant women.