Family Support Groups for Family Members of Mentally Ill Offenders: Therapeutic Factors

This study investigates therapeutic factors of a Family Support Group (FSG) intervention for family members of mentally ill offenders. Seventeen family members completed the ‘Group Therapeutic Factors‐Client Questionnaire’ (GTF‐CQ‐28) during four sessions of two FSGs. Results indicate that family members experienced the following therapeutic factors over the course of treatment: the relational climate, interactional confirmation, expressing and experiencing mutual positive feelings, forgetting own problems, hope from seeing progress in others, guidance from therapists, and getting interpersonal feedback treatment. The therapeutic factors, including learning by observation, support from the group, and universality of problems, correlated with a decrease in self‐blame, improved emotional well‐being, and experiencing less loss of control over one's life, respectively. Further, family members were satisfied with what the FSG has provided for them personally and for the relation with their relative. Finally, clinical implications of the FSG are discussed. The study sheds light on valuable therapeutic factors within an FSG and the important role of therapists.     

Organizational changes at a postal sorting terminal—their effects upon work satisfaction, psychosomatic complaints and sick leave

This paper describes a longitudinal study evaluating organizational changes at a postal sorting terminal in Sweden. One hundred postal workers were followed up for 1 year after the changes were put in place. Information about psychosocial factors, sleep disturbances and gastrointestinal complaints were collected by questionnaires administered at the onset of the changes and at 8 and 12 months later. Sick leave during the 1-year follow up was compared with that during the year before the changes were introduced. A significant increase in skill discretion and in authority over decisions occurred during the study period. The reported increase in skill discretion and authority over decisions correlated with a reduction in difficulties with sleep and with gastrointestinal complaints. Changes in reported contact with team mates and superiors also correlated with changes in the reporting of sleep difficulties and gastrointestinal complaints. There was a significant reduction in sick leave. The results indicate that the organizational changes improved the quality of work and at the same time reduced sick leave and psychosomatic complaints.     

Self‐Mutilation and Homeless Youth: The Role of Family Abuse,Street Experiences,and Mental Disorders

Self‐mutilation, which is the act of deliberately harming oneself, has been overlooked in studies of homeless and runaway youth. Given their high rates of abuse and mental health disorders, which are associated with self‐mutilation, homeless and runaway youth provide an ideal sample in which to investigate factors associated with self‐mutilation among a nonclinical population. Based on interviews with 428 homeless and runaway youth aged 16 to 19 years in 4 Midwestern states, the current study revealed widespread prevalence of self‐mutilation among these young people. Multivariate analyses indicated that sexual abuse, ever having stayed on the street, deviant subsistence strategies, and meeting diagnostic criteria for depression were positively associated with self‐mutilation. The findings are interpreted using stress theory and affect‐regulation models.