The Treatment of Dissociation in Sexually Abused Children From a Family/Attachment Perspective.

This article outlines an approach to treatment of sexually abused children with dissociative symptoms. Dissociated self-states are seen as competing interpersonal approaches to handling the many emotional sequela of abuse, including anger, fear, and regressive needs. Parents' responses to their sexually abused children, complicated by guilt and their own histories of trauma, can promote dissociative coping in the children as they have difficulty processing their own real feelings of anger, fear, and responsibility. Children and parents may alternatively take victimizer, victim, and rescuer roles, thus mutually reinforcing a dissociative style of coping with these events. This article illustrates how sensitivity to these family dynamics, along with a problem-solving approach to the child's symptoms, can treat dissociative psychopathology in these children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Strategies for Coping With Business Trips: A Qualitative Exploratory Study.

This study aimed to better understand the impact of business trips on the traveler, the family, and the organization; to learn about maximizing the positive aspects of business travel; and to suggest measures to prevent and manage travel stress. Thirty-five business travelers (American, Israeli, and Swedish) were interviewed about the costs and benefits of their traveling, with a focus on gaining insight into coping strategies. Content analysis of the interviews showed that trips consist of 4 phases--(a) pretrip, (b) journey, (c) stay, and (d) posttrip--and that each phase is characterized by different coping strategies. Business travelers reported using proactive individual and organizational coping strategies in the pretrip phase and a combination of proactive and reactive coping strategies in the other phases. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Modeling Suspended Sediment during Construction in Great Barrier Reef World Heritage Area

A marina was constructed in the Great Barrier Reef World Heritage Area in close proximity to coral reefs that could be damaged by excess turbidity generated during construction. Since there was uncertainty about both the fate of suspended sediments and their effect on corals, initial water quality constraints were set very conservatively. In order to better understand the movement of suspended sediment during construction, a numerical model study was commissioned using three-dimensional, numerical, hydrodynamic, and Lagrangian particle tracking models. The study was successful in: (1) increasing the understanding of and reducing the uncertainty of sediment dispersal patterns under a range of common forcing conditions; (2) testing the variation in suspended sediment concentrations over sensitive areas for two different outfall locations; (3) offering evidence that a good choice in outfall locations will reduce the threat to corals; and importantly (4) presenting the results in a way that enhanced understanding by nontechnical reef managers. This final result was achieved by creating movies of sediment movement that clearly demonstrated the complex hydrodynamic processes involved with near-coastal water currents. Specific model results showed: (1) that a more seaward outfall increases effluent dispersal away from sensitive areas; (2) the highest concentrations of effluent over sensitive sites occur during no wind and neap tide conditions; and (3) prevailing southeast winds advect effluent offshore, away from sensitive sites.     

Unipolar Depression, Life Context Vulnerabilities, and Drinking to Cope.

This study followed baseline samples of 424 unipolar depressed patients and 424 community controls across 10 years to investigate the association between depression and alcohol-related coping and to examine how life context vulnerabilities underlie the risk for depressed individuals to rely on drinking to cope. Findings supported all hypotheses. Depressed patients engaged in more drinking to cope than did community controls. Within individuals, more negative life events and less family support were associated with more drinking to cope across the 4 observations. Depressed patients experienced more negative life events and less family support than did community controls. These underlying life context vulnerabilities explained the relationship between depressed patient status and drinking to cope. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Relations Between Contextual Risk, Earned Income, and the School Adjustment of Children From Economically Disadvantaged Families.

This longitudinal study examined the relations between multiple risk indexes representing contextual adversity, income-to-needs ratios, and the elementary school adjustment of children from economically disadvantaged families. The results provide evidence for volatility in family circumstances over 2-year intervals from preschool to 5th grade, for relations between the contextual risk indexes and change in externalizing behavior, and for relations between the income-to-needs ratios and change in academic competence. The results also show differences in the timing of the effects. Little evidence was found for persistence effects. Theoretical implications concern conceptualizations of the diverse and dynamic nature of the family circumstances experienced by disadvantaged children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evidence-Based Solutions for Overcoming Access Barriers, Decreasing Attrition, and Promoting Change With Underserved Families.

Various definitions exist for what constitutes family therapy. In this article, we consider family therapy to encompass any intervention that targets family interactions and conceptualizes problems as existing beyond individual clients. Numerous individual studies and several quantitative reviews have established family therapy as an effective treatment modality and the treatment of choice for many disorders. However, critiques of existing service provision highlight the unfortunate fact that numerous barriers to treatment exist at multiple levels of the broader ecology, preventing many families from benefiting from these services. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family-Focused Preventive Interventions: Evaluating Parental Risk Moderation of Substance Use Trajectories.

Four years of longitudinal data from 373 families participating in a randomized intervention-control clinical trial were used to examine whether intervention effects on adolescent alcohol and tobacco use trajectories were moderated by family risk, as defined by parental social emotional maladjustment. Consistent with earlier outcome evaluations based on analyses of covariance, analyses confirmed that both the Preparing for the Drug Free Years program and the Iowa Strengthening Families Program favorably influenced alcohol use index trajectories across the time frame of the study; only the latter program, however, evidenced positive effects on a tobacco use index. Concerning the primary research question, analyses provided no support for family risk moderation of any intervention effect. Findings indicate the feasibility of developing universal preventive interventions that offer comparable benefits to all families. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multisystemic Treatment: A Meta-Analysis of Outcome Studies.

Multisystemic treatment (MST) is a family- and home-based therapeutic approach that has been found to be effective in treating antisocial youths and that has recently been applied to youths with serious emotional disturbances. In light of the increasing dissemination of MST, this review examines the effectiveness of MST by quantifying and summarizing the magnitude of effects (treatment outcomes) across all eligible MST outcome studies. Included in a meta-analysis were 7 primary outcome studies and 4 secondary studies involving a total of 708 participants. Results indicated that across different presenting problems and samples, the average effect of MST was d = .55; following treatment, youths and their families treated with MST were functioning better than 70% of youths and families treated alternatively. Results also showed that the average effect of MST was larger in studies involving graduate student therapists (i.e., efficacy studies; d = .81) than in studies with therapists from the community (i.e., effectiveness studies; d = .26). In addition, MST demonstrated larger effects on measures of family relations than on measures of individual adjustment or peer relations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Researching disturbed family systems: State of the art.

Reviews the book, Family interaction and psychopathology: Theories, methods, and findings edited by T. Jacob (see record 1987-97733-000). Prior to this work, the literature on family interaction and psychopathology was scattered across many disciplines, making it difficult for scholars to take full advantage of the progress and pitfalls in family interaction research. This volume goes a long way toward remedying that situation. As the title suggests, the book is subdivided into three major sections: (a) Conceptual Foundations, (b) Methodological Issues and Strategies, and (c) Family Research on Specific Psychopathologies. Each of these sections can stand on its own as a comprehensive and current contribution to its respective area of concern. The book as a whole provides many guidelines and insights for study preparation and, consequently, may become a major resource for the prospective researcher. The reviewer strongly recommends this book to family psychologists to serve as a handbook on family psychopathology. Researchers informed by the theories, methods, and findings presented in Jacob's book, and who take advantage of powerful research techniques, will clearly be at an advantage in making significant contributions to this field in the years to come. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Couples psychotherapy: A psychodynamic model.

Psychoanalytic assumptions and goals need not be viewed or approached from a purely individual analytic perspective. Families and especially marriages offer a unique opportunity for systems-oriented intervention to add therapeutic depth by addressing psychodynamic interactions in vivo. Doing so requires integration in therapy, as well as in theory, of the manner in which individual psychodynamics manifest in primary interpersonal systems. A model is presented which aims at translating and instilling a useful degree of analytic insight in members of marital or family systems. Insight into transferential distortions and behavior is facilitated by introducing the metaphor of unconscious "hopes" and "expectations" in the interactive contexts of conjoint and individual sessions. It is suggested that such an expansion of systems-oriented approaches is a crucial step in adding depth and durability to change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)