Family systems play a crucial, albeit complex, role in pediatric chronic illness. Unfortunately, very few psychosocial interventions are available to help these stressed families navigate the developmental steps of chronic illness. A new intervention (MEND) addresses the needs of these families and applies to a broad range of chronic illnesses. This article presents this family systems intervention as well as includes preliminary program evaluation data on 22 families that graduated from the program. Results show consistently strong effects across an array of psychosocial measures. Conclusions from this preliminary study suggest that families entering MEND present with high levels of stress due to the child's chronic illness, but after MEND, the level of stress and other functioning measures are comparable to those seen in healthy families, suggesting that the program offers a significant benefit to families with pediatric chronic illness.
Participant supervision is a unique application of live supervision in which a supervisor and supervisee see clients conjointly. Although minimally discussed in the family therapy literature, it has notable advantages, chief among them being a shared clinical experience that increases attunement to supervisee skill and development, the modeling of skillful intervention, and a higher degree of collegiality. However, it is not without its challenges, including supervisee vulnerability and anxiety, diffusion of responsibility, and limited time for case discussion. This article highlights the experience of one supervisor and three doctoral-level supervisees engaging in participant supervision over the course of a 2-year period. Using illustrative examples, we discuss our experience of the advantages and challenges of participant supervision, and provide recommendations for establishing a collaborative relational context within which supervisory benefits can be maximized.
Two studies (N = 52) examined how love emerged in arranged marriages involving participants from 12 different countries of origin and 6 different religions. The first study (n = 30), mainly qualitative in design, found that selfreported love grew from a mean of 3.9 to 8.5 on a 10-point scale. A number of factors were identified that appeared to contribute to the growth of love, the most important of which was commitment. In the second study (n = 22), mainly quantitative in design, 36 factors that might contribute to the growth of love were assessed, with participants indicating on a 13-point scale (from -6 to +6) whether each factor made their love grow weaker or stronger. Love grew from a mean of 5.1 to 9.2, and sacrifice and commitment emerged as the most powerful factors in strengthening love. These and other factors appear to work because they make people feel vulnerable in each other’s presence, a hypothesis that is consistent with a growing body of laboratory research. The fact that love can grow in some arranged marriages—and that this process can apparently be analyzed and understood scientifically—raises the possibility that practices that are used to strengthen love in arranged marriages could be introduced into autonomous marriages in Western cultures, where love normally weakens over time.
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