This article reviews several factors that contribute to marital distress and co-occurring depression and also reviews empirically supported therapies. Gender contributes to marital distress and depression but does not appear to be the cause of either. Marital distress and depression appear to have bidirectional influence on each other. The depressed spouse's depression has a marked impact on the marital adjustment of the nondepressed spouse. Both marital distress and depression appear to be chronic. It is recommended that treatment be designed to help couples be supportive of each another, to adapt, and to cope with the depressive symptoms within the framework of their ongoing marital relations.

This is a critical review of live supervision with emphasis on technical innovations such as earphones or bug-in-the-ear, Teleprompters, and computers. A computer-assisted approach is described that overcomes many criticisms of live supervision. Direct supervision uses a computer monitor to unobtrusively provide information to the therapist about the supervisor's perceptions of the clients' and therapist's behavior, the expected therapeutic behaviors, and the therapist's "on target" behavior. Direct supervision has the advantage over other forms of supervision by providing an immediate, continuous, and permanent record for postsession supervision and for research into the supervisor-therapist-client process. The paper provides several suggestions for research.

As part of a larger study, the authors replicated Ferreira and Winter's (2) study of family interaction and decision‐making using families with a drug‐abusing child. Ferreira and Winter compared normal families and families with a child diagnosed as schizophrenic, delinquent, or maladjusted.

No abstract

Story-telling may have been overlooked as an educational and therapeutic technique in nursing's drive for scientific excellence. In the first of two articles, the authors explain how their interest in storytelling as a tool for nurses was kindled, and how they have developed the method of encouraging nurses to write and tell stories of their own experience in an attempt to come to terms with some of the ethical and moral issues they face. Next week, an example of a story written by a nurse is given.