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| Family Process Heft 2/2008 |
| 1/2008 - 2/2008 - 3/2008 - 4/2008 - Überblick Imber-Black, Evan (2008): Mining the Treasures in Qualitative Research. In: Family Process 47(2), S. 137-138 Connor, Jennifer J., Bean Robinson & Elizabeth Wieling (2008): Vulvar Pain: A Phenomenological Study of Couples in Search of Effective Diagnosis and Treatment. In: Family Process 47(2), S. 139-155 abstract: Vulvar vestibulitis syndrome (VVS), a vulvar pain disorder, continues to puzzle medical and mental health professionals due to its unknown etiology and lack of effective treatment. This study used transcendental phenomenology methodology to explore the experiences of couples in which the woman has a diagnosis of VVS. Sixteen in-depth semi-structured interviews were conducted with 13 heterosexual couples and 3 women. Four essences emerged: (1) In search of. the medical journey required extensive searching for knowledgeable and respectful practitioners to provide treatment. (2) The process of developing a personal understanding of this disorder led many couples to question their role in causing and maintaining VVS. (3) Developing strategies for coping with painful intercourse led to three strategies: becoming non-sexual, using alternatives to vaginal sex, and altering or enduring painful intercourse. (4) Feelings of isolation were experienced as adapting to this chronic pain syndrome was often a lonely process. Clinical suggestions included: treating the couple, not just the woman with VVS; encouraging couples to broaden definitions about the importance and primacy of vaginal intercourse and suggest alternative sexual activities less likely to cause vulvar pain; developing shared meaning as a couple, and assisting couples in locating physicians and resources. Suggestions are relevant for couples with VVS and those with chronic health problems affecting sexual relationships. Parra-Cardona, Jose Ruben, David Cordova, Kendal Holtrop, Francisco A. Villarruel & Elizabeth Wieling (2008): Shared Ancestry, Evolving Stories: Similar and Contrasting Life Experiences Described by Foreign Born and U.S. Born Latino Parents. In: Family Process 47(2), S. 157-172 abstract: As the Latino population in the United States continues to increase, so does the necessity for in-depth knowledge about their life experiences. This qualitative study sought to privilege the voices of Latino parents by utilizing focus group discussions. Specifically, participants described the life experiences that have the greatest influence on their parenting efforts. Similar and contrasting themes were identified based on participant country of origin (i.e., foreign born vs. U.S. born). Findings described the participants' commitment to being good parents, as well as the ways in which their parenting efforts are influenced by experiences of adversity and discrimination, Latino cultural values, gender roles, and resilience. The results of this investigation can inform researchers and mental health professionals working with Latino families. Sheinberg, Marcia & Fiona True (2008): Treating Family Relational Trauma: A Recursive Process Using a Decision Dialogue. In: Family Process 47(2), S. 173-195 abstract: This article describes a therapeutic process that combines individual and family sessions to maximize therapeutic opportunities to bring forward, understand, validate, and empower children's experience as equal participants in family therapy. The aim is to strengthen relational bonds within the family. Drawing from earlier work with families where incest had occurred, the authors present a recursive process that utilizes a "decision dialogue" to link individual and family sessions. Clinical examples are provided. Scheinkman, Michele (2008): The Multi-level Approach: A Road Map for Couples Therapy. In: Family Process 47(2), S. 197-213 abstract: This paper presents a multi-level framework and road map to guide the therapeutic process. Starting with the couple's reactive pattern, the multi-level approach first orients the therapist on how to create a "holding environment." It then suggests how the therapist, in collaboration with the couple, can proceed to explore interactional, sociocultural/organizational, intrapsychic, and intergenerational processes that might be fueling the couple's dynamics. Central to this approach is the construct of the vulnerability cycle, a nexus of integration that helps the therapist stay anchored while moving through the many layers of therapeutic work. The overall goal is to help the partners move from reactivity to responsibility for their own feelings and behavior; from impasse to a greater ability to reflect, express feelings, listen, negotiate, and make choices about how to be in the relationship. This paper describes a range of concepts and interventions from basic to complex; it is intended as an organizational tool for practice and clinical training. Dorian, Marina, Jorge I. Ramirez Garcia, Steven R. Lopez & Brenda Hernandez (2008): Acceptance and Expressed Emotion in Mexican American Caregivers of Relatives with Schizophrenia. In: Family Process 47(2), S. 215-228 abstract: The relation between Expressed Emotion (EE) and caregiver acceptance was tested with the use of video-recorded interactions between 31 Mexican American family caregivers and their relatives with schizophrenia. Borrowing the concept from Integrative Behavioral Couple Therapy, acceptance was defined as caregiver's engagement with the ill relative along with low levels of expectations for behavioral change. Three aspects of caregiver acceptance were measured: global acceptance of the patient, unified detachment (i.e., nonblaming but engaged problem discussion), and low aversive responses to patient behavior (e.g., criticisms and demanding change). Relative to high EE caregivers, low EE caregivers were consistently more accepting of their ill relatives across the three measures of acceptance. Unified detachment was negatively associated with emotional overinvolvement and aversive responses were positively related to criticism. Warmth was not related to acceptance. The findings suggest that the study of acceptance in family caregivers is a heuristic avenue for future research due to its potential to shed light on specifically what family members do in caring for their ill relatives with schizophrenia. Busby, Dean M. & Brandt C. Gardner (2008): How do I Analyze Thee? Let Me Count the Ways: Considering Empathy in Couple Relationships using Self and Partner Ratings. In: Family Process 47(2), S. 229-242 abstract: In this article we describe some of the benefits and challenges of using self ratings and ratings of the partner to measure empathy and similar terms in couple research. If both members of the dyad are assessed, there will be four measures of the same variable. How to use these 4 measures in research and clinical work is a central question in this paper. We demonstrate 3 different latent models that can be used to analyze these ratings based on different theoretical premises. Using empathy as the independent variable with a longitudinal sample of 275 couples, structural equation models are used to evaluate the strength of these models in predicting relationship satisfaction. The findings indicate that the model that is consistent with the social constructionist perspective that focuses on the perceptions within the same person is a good fit to the data. Other models that compare ratings between members of the dyad do not fit the data well. The results demonstrate that perceptions of empathy do have a significant influence on relationship satisfaction across time, especially for females. However, it is largely males' perceptions of empathy of the self and the partner that influence relationship satisfaction for females. Allen, Elizabeth S., Galena Kline Rhoades, Scott M. Stanley, Howard J. Markman, Tamara Williams, Jessica Melton & Mari L. Clements (2008): Premarital Precursors of Marital Infidelity. In: Family Process 47(2), S. 243-259 abstract: Premarital precursors of infidelity were evaluated in a sample of 72 couples (N=144) who were taking part in a longitudinal study of marriage. Premarital self-report and observational data were compared for couples who experienced infidelity and those who did not experience infidelity in the first years of marriage. Couples in which the male engaged in marital infidelity were characterized, premaritally, by significantly lower male sexual satisfaction, lower male positive communication, and higher female invalidation, whereas couples in which the female went on to engage in infidelity were characterized, premaritally, by significantly lower levels of female positive communication, higher levels of male and female negative communication, and higher levels of male and female invalidation. Implications of the findings for future research on the prediction and prevention of infidelity are discussed. Solomon, Zahava & Rachel Dekel (2008): The Contribution of Loneliness and Posttraumatic Stress Disorder to Marital Adjustment Following War Captivity: A Longitudinal Study. In: Family Process 47(2), S. 261-275 abstract: This prospective study examined the relative contribution of loneliness and posttraumatic stress disorder (PTSD) to marital adjustment among Israeli veterans of the 1973 Yom Kippur war. Specifically, we examined the mediating role of loneliness as measured in 1991 in the association between PTSD as measured in 1991 and marital adjustment as measured in 2003. Our sample consisted of 225 participants divided into 2 groups: ex-prisoners of war (ex-POWs) (N=122) and a comparison group comprised of veterans who fought in the same war but who had not experienced captivity (N=103). The findings demonstrate that ex-POWs display lower levels of marital adjustment and higher levels of PTSD than controls. Loneliness was found to mediate the relationship between PTSD as measured in 1991 and marital adjustment as measured in 2003 for both ex-POWs and controls. Further, for ex-POWs, loneliness contributes to marital adjustment above and beyond the contribution of PTSD as measured in 2003. The theoretical implications of loneliness for the marital relationships of traumatized ex-POWs are discussed. |
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