The counseling relationship with a woman should provide validation for her relational skill and opportunity to practice relational competence within the counseling relationship. Males may also have the need to develop relational competence to secure a strong sense of self. If so, a relational model of counseling would apply to them as well. (FC)

Argues that personal experience and social life are inherently meaningful and that qualitative research designs can contribute to theory-building in counseling and psychotherapy. To illustrate the use of qualitative research designs and methods of analysis, a study of family members' views of family therapy is described. (RJM)

Discusses the value of home-based mental health services for Indian families alienated from traditional support systems or resistant to the clinic setting. Examines historical factors relevant to dysfunctional Indian families, components of effective therapy, funding issues, and limits of confidentiality. Contains 14 references and 4 composite…

Dentists and dental hygienists are in a unique position to identify an eating disorder patient from observed oral manifestations and to refer the patient for psychological therapy. The inclusion of information on general and oral complications of bulimia and anorexia nervosa in dental and dental hygiene curriculum was examined. (MLW)

Presents paradigmatic case of "failure to know" involving a 36-year-old man treated in psychoanalytic therapy. Reviews issues such as the construction of narrative meaning, the concept of alexithymia, and the object-relational concept of the "unthought known." Discusses transference-countertransference matrix. (JBJ)

This article describes an interaction guidance model in which videotapes are used with families of young children, to help parents understand developmental issues, explore feelings regarding problematic relationships, help change parental representations of maladaptive relationships, and observe differences between fathers and mothers in parenting…

The Growing Up FAST program involves working with adolescents and their parents and includes rites of passage, multicultural issues, and a solution-focused perspective. Discusses the program's development and theoretical background, as well as its specific goals, current valuative efforts, and implementation strategies. (RJM)

Clarified efficacy of psychological treatments for insomnia through a meta-analysis of 66 outcome studies representing 139 treatment groups. Psychological treatments produced considerable enhancement of both sleep patterns and the subjective experience of sleep. Participants who were clinically referred and who did not regularly use sedatives…

Randomly assigned 54 body dysmorphic disorder (BDD) subjects to cognitive behavior therapy or no treatment. BDD symptoms were significantly decreased in therapy subjects and the disorder was eliminated in 82 percent of cases at posttreatment and 77 percent at follow-up. Subjects' overall psychological symptoms and self-esteem also improved. (RJM)

Evaluated the hypothesis that the apparent superiority of behavioral interventions among children is due to differences in the methodological quality of studies of behavioral and nonbehavioral treatments. Meta-analytic results found little support for this hypothesis. Because meta-analysis is a correlational technique, these results should be…

Describes how adventure therapy can be adapted to help individuals suffering from bulimia develop effective coping mechanisms, increase self-esteem, and gain appreciation for their bodies. Goal is for participants to recognize compulsive behavior in relation to their attitudes and to understand underlying processes that lead to those behaviors and…

Offers an alternative approach to school behavior problems by focusing on "exceptions," specific circumstances in which the stated problem occurs less frequently. Presents the "5-E Method" of utilizing exceptions through a case study. Although not a panacea, this positive method may prove useful to counselors. (RJM)

Investigated the influence of loss of face and acculturation on the group psychotherapy expectations of Asian American students (n=134). Results showed acculturation was a significant predictor of positive attitudes toward group counseling whereas loss of face was not. Argues that not all Asian Americans have negative orientations toward group…

Explored group leader cognitions and the function experience plays in leaders' cognitive schemas. Participants (n=60) wrote down their thoughts while viewing a 20-minute videotape of a group session. Examination of the 1,299 thoughts revealed a cognitive-behavior schemata that involved all the elements necessary for effective cognitive skill…