Open-ended interviews with 24 couples therapy clients regarding their experience of the process of change revealed shifts in clusters of affect, communication, and cognition. Six additional contextual preconditions for change were also identified. The change process within couples was uniformly reported to be gradual.
Western Studies show that father involvement is predictive of adolescent development; however, there are few studies that demonstrate this relationship in Chinese cultures, including Taiwan. The purpose of this study is to examine the impact of father involvement on adolescents' development in areas of academic achievement, self‐esteem, internalizing, and externalizing behaviors in Taiwan. This study utilized dyadic data of 1043 10th graders from wave 5 of a longitudinal study on adolescent development in Taiwan. The study utilized student reports of father involvement, child academic achievement, externalizing behaviors, internalizing behaviors, and self‐esteem. Structural equation modeling results indicate father involvement significantly predicts child academic achievement, externalizing behaviors, internalizing behaviors, and self‐esteem. Gender analysis shows that male adolescents exhibited more externalizing behaviors, whereas female adolescents exhibited more internalizing behaviors. The findings of this study provide evidence that father involvement is important for the overall wellbeing of adolescents in Chinese cultures.
A case is made for why it may now be in the best interest of insurance companies to reimburse for marital therapy to treat marital distress. Relevant literature is reviewed with a considerable focus on the reasons that insurance companies would benefit from reimbursing marital therapy - the high costs of marital distress, the growing link between marital distress and a host of related physical and mental health problems, as well as the availability of empirically supported treatments for marital distress. This is followed by a focus on the major reasons insurance companies cite for not reimbursing marital therapy, along with a discussion of advances in several growing bodies of research to address these concerns. Main arguments include the direct medical offset costs of couple and family therapy (including for high utilizers of health insurance), and the fact that insurance companies already find it cost effective to reimburse for prevention of other health and psychological problems. This is followed by implications for practitioners and researchers.
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