Both partners are viewed as participants in the eruption of violence, which is seen as an aspect of the couple's homeostatic patterns that maintain relationship rules and prevent change. The article provides theoretical information and case examples, and suggests treatment implications and goals for couples therapy.
The severely dysfunctional family is a clinical phenomenon that includes families with a wide range of serious symptoms. These families have been characteristically difficult to engage in treatment, and many do not respond well to traditional family therapy techniques. Some of these families do respond to innovative approaches such as paradox. However, many agencies do not have the capability to implement such highly specialized procedures, nor do all severely dysfunctional families respond well to these techniques. Thus, this paper presents a generic approach to the severely dysfunctional family; the emphasis is on facilitating engagement and maintaining sensitivity to the family's need for stability.
Knowledge of how maltreatment and trauma aects personality functioning in abused children has been greatly enhanced by clinical theory and research in developmental psychology. Developmental research and theory has allowed the child abuse field to move beyond symptom-lists toward broader models of how trauma impacts major domains of personality functioning. However, these models continue to be based largely on discrete theories of development that parallel, if not confound, one another. This paper attempts to expand our understanding of the traumatized child by using the synthetic model of personality development expounded by Fred Pine that promotes a more holistic and comprehensive view of the abused child and, thus, enhances clinical theory and intervention.
Home daycare is a huge cottage industry in America, but no studies exist that examine the positive or negative impact of daycare on the biological children of providers. This paper presents two case studies that describe the unintended negative impact of home daycare on the social and emotional development of the children of providers. In one case, a homeschooled, psychosomatically ill adolescent scorns her experiences with home daycare. The other case describes an oppositional 10-year-old boy's positive and negative reactions. These cases serve to illustrate several critical issues that biological children face when parents decide to operate a daycare program from their home. A special focus is on the vulnerable child whose ability to cope with other children may be compromised by temperamental factors or a history of family or personal trauma. Implications are discussed.
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