Abstract:
:Intense negative emotions and maladaptive behavioral strategies to reduce emotional distress occur not only in patients with various forms of psychopathology but also in their committed partners. One common strategy to reduce distress is for partners to accommodate to the symptoms of the disorder, which reduces distress short term but maintains symptoms long term. Accommodation is believed to be motivated by the partner reacting behaviorally to the patient's emotions, but the emotions of the partner in this context have yet to be examined. This pilot study examined how partner accommodation related to specific patterns of emotional coregulation between patients with binge eating disorder (BED) and their partners, before and after a couple-based intervention for BED. Vocally encoded emotional arousal was measured during couples' (n = 11) conversations about BED. As predicted, partners' emotional reactivity to patients' emotional arousal was associated with high accommodation before treatment. Thus, partners may use accommodation as a strategy to reduce both the patients' and their own distress. After treatment, partners' arousal was no longer associated with the patients' emotional arousal; instead, partners showed greater emotional stability over time, specifically when accommodation was low. Additionally, patients were less emotionally aroused after treatment. Therefore, treatment may have decreased overall emotionality of patients and altered the association between accommodation and partners' emotional reactivity. If replicated, this understanding of the emotional context associated with accommodation in BED can inform couple-based treatment by targeting specific emotional precipitants of behaviors that maintain symptoms. :La emociones negativas intensas y las estrategias conductuales desadaptativas para reducir el distrés emocional se producen no solo en pacientes con varias formas de psicopatología, sino también en sus parejas estables. Una estrategia común para disminuir el distrés es que las parejas se adapten a los síntomas del trastorno, lo cual reduce el distrés a corto plazo pero mantiene los síntomas a largo plazo. Se cree que la adaptación está motivada por la reacción conductual de la pareja a las emociones del paciente, pero las emociones de la pareja en este contexto aún no se han analizado. Este estudio piloto examinó cómo la adaptación de la pareja está relacionada con patrones específicos de corregulación emocional entre los pacientes con trastorno por atracón de alimentos y sus parejas, antes y después de una intervención en la pareja por trastorno por atracón de alimentos. Se midió la excitación emocional codificada en la voz durante conversaciones de las parejas (n = 11) acerca del trastorno por atracón de alimentos. Como se anticipó, la reacción emocional de las parejas a la excitación emocional de los pacientes estuvo asociada con una alta adaptación antes del tratamiento. Por lo tanto, las parejas pueden usar la adaptación como estrategia para reducir tanto el distrés de los pacientes como el propio. Después del tratamiento, la excitación de las parejas dejó de estar asociada con la excitación emocional de los pacientes. En cambio, las parejas demostraron una mayor estabilidad emocional con el tiempo, específicamente cuando la adaptación fue baja. Además, los pacientes estuvieron menos excitados emocionalmente después del tratamiento. En consecuencia, el tratamiento pudo haber disminuido la emocionalidad general de los pacientes y modificado la asociación entre la adaptación y la reacción emocional de las parejas. Si se reproduce, esta comprensión del contexto emocional asociada con la adaptación en los trastornos por atracón de alimentos puede fundamentar el tratamiento basado en la pareja abordando precipitantes emocionales específicos de conductas que mantienen los síntomas. :强烈负面情绪和不良适应行为策略来降低情绪困扰不仅发生在各种精神病患者中间,而且发生在其稳定伴侣中间。一个常见减轻困扰的策略是伴侣适应紊乱症状,这会减轻短期困扰但长期症状维持不变。适应被认为是伴侣行为上对患者情绪反应所激发,然而在这一背景下伴侣的情绪还没有研究. 该试点研究考察了以伴侣为基础的针对过食症干预措施之前和之后伴侣适应如何与过食症患者和其伴侣情绪共同管理特定模式相关联。我们在伴侣双方(n = 11)关于过食症进行对话过程中测量了通过声音加码的情绪唤醒。和预期一样,配偶对于患者情绪唤醒和情绪反应和治疗前高度适应相关。因此,伴侣可能使用适应作为一种策略来降低患者以及自身困扰。治疗后,伴侣唤醒不再和患者情绪唤醒相关联。相反,伴侣表现出更强的长期情绪稳定性,特别是当适应较低时。此外,患者在治疗后情绪唤醒较少。因此,治疗可能会总体降低患者情绪化并改变适应和伴侣情绪反应之间的关联。如果通过复制,对于过食症适应情绪背景的这一理解可以通过针对特定维持症状行为情绪促使因素来影响伴侣为基础的治疗。.
journal_name
Fam Processjournal_title
Family processauthors
Weber DM,Fischer MS,Baucom DH,Baucom BRW,Kirby JS,Runfola CD,Matherne CE,Bulik CMdoi
10.1111/famp.12391subject
Has Abstractpub_date
2019-12-01 00:00:00pages
920-935issue
4eissn
0014-7370issn
1545-5300journal_volume
58pub_type
杂志文章相关文献
FAMILY PROCESS文献大全abstract::The reliability and validity of the 12-item General Functioning (GF) subscale of the McMaster Family Assessment Device (FAD) is reported here. Psychometric properties of the FAD have been previously determined, but no independent assessment has been made of the GF subscale, which was used to measure family functioning...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1988.00097.x
更新日期:1988-03-01 00:00:00
abstract::Caregiving relationships are significant factors in the development, mediation, or moderation of childhood mental health problems. However, epidemiological and clinical research has been limited by lack of reliable, succinct, and standardized methods of assessing parent-child relationship constructs. The Relational Pr...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12123
更新日期:2015-03-01 00:00:00
abstract::In this study a method of retrospective case supervision is presented aimed at helping the supervisee to become a better self-supervisor. The method pays special attention to the therapist's self-reflection and has the therapist's inner conversation as a central concept. The starting point of the method is an assignme...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12220
更新日期:2017-06-01 00:00:00
abstract::This article describes the rationale and methodology of a supervisory approach that recruits family-of-origin members as resources to help resolve professional dilemmas. We have found that professional impasses resonate with family-of-origin themes. As supervisory consultants, family-of-origin members have access to f...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.2004.00028.x
更新日期:2004-09-01 00:00:00
abstract::The process of leaving an abusive partner has been theorized using the Stages of Change Model. Although useful, this model does not account for changes in relational boundaries unique to the process of leaving. Using family stress and feminist perspectives, this study sought to integrate boundary ambiguity into the St...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12104
更新日期:2015-06-01 00:00:00
abstract::The purpose of this article is to present a framework that reconciles the goals of advocates for victims of domestic violence with the goals of clinical researchers who study this phenomenon. I will be discussing the tension between those goals, and the way a research model can complement advocacy goals. ...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1994.00081.x
更新日期:1994-03-01 00:00:00
abstract::With a large and growing share of American families now forming outside of marriage, triangular infant-mother-father relationship systems in "fragile families" have begun to attract the interest of family scholars and clinicians. A relatively novel conceptualization has concerned the feasibility of intervening to supp...
journal_title:Family process
pub_type: 杂志文章,评审
doi:10.1111/j.1545-5300.2012.01402.x
更新日期:2012-09-01 00:00:00
abstract::Attempting family therapy in the context of a family-clinician system poses extreme difficulties for the therapist. He cannot be effective if he diagnoses only the family system. He must broaden his analysis to include other clinicians' transactions with the family. Once he accomplishes this perceptual leap, he can in...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1982.00435.x
更新日期:1982-12-01 00:00:00
abstract::The aim of this investigation was to examine the context of recurrent crying episodes during family therapy sessions. We tested the relative contribution of social versus individual intrapsychic variables within a 10-session, videotaped, structural family therapy. Segments of therapy before crying episodes when compar...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1991.00337.x
更新日期:1991-09-01 00:00:00
abstract::Child maltreatment is a major public health issue in the United States. In the federal fiscal year 2017, approximately 7.5 million children were referred to child welfare services (CSW) in the nation. Developmental, emotional, behavioral, and cognitive problems are prevalent among children referred to CWS. For those i...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12627
更新日期:2020-12-31 00:00:00
abstract::Values are integral to all social systemic operations and therefore to the heart of the therapeutic process. For the therapist, values are an essential component in defining and assessing a problem, determining goals, and selecting therapeutic strategy. Therapists do not have a choice about whether they need to deal w...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1985.00323.x
更新日期:1985-09-01 00:00:00
abstract::In view of the dramatic rise in the divorce rate, this paper proposes that separation and divorce be viewed as normal phases of the family life cycle and be reframed in positive terms, such as a couple "being ready for a new relationship" or children "being the lucky possessors of two families instead of one." It furt...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1984.00571.x
更新日期:1984-12-01 00:00:00
abstract::Couple-based treatments for alcohol use disorders (AUDs) produce higher rates of abstinence than individual-based treatments and posit that active involvement of both identified patients (IPs) and significant others (SOs) is partly responsible for these improvements. Separate research on couples' communication has sug...
journal_title:Family process
pub_type: 杂志文章,随机对照试验
doi:10.1111/famp.12150
更新日期:2016-03-01 00:00:00
abstract::Previous investigations have found specific communication patterns in couples dealing with depression, specifically when depression concurs with conjugal conflicts. The presence of these patterns can reflect couples' difficulties in engaging in collaborative communication during their sessions, posing a real challenge...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12494
更新日期:2020-09-01 00:00:00
abstract::Social stress theory proposes that stress resulting from one's social position in society leads to fewer coping resources, and subsequently causes an increase in mental health problems. Guided by this framework, we investigated whether the relationship between perceived discrimination and depressive symptoms was moder...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12054
更新日期:2014-03-01 00:00:00
abstract::The Open Dialogue approach promotes collaboration with clients and families in decisions about the direction of therapy. This creates potential problems for Open Dialogue therapists who seek collaboration but also have responsibility for managing the session. Using conversation analysis, we examined 14 hours of video ...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12586
更新日期:2020-11-21 00:00:00
abstract::This study was conducted to explore the relationship among retrospective reports of family-of-origin functioning, reported perceptions of a laboratory-based conflict resolution discussion, and outsiders' ratings of communication behaviors between young adult dating couples, with a special focus on predicted gender dif...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1997.00297.x
更新日期:1997-09-01 00:00:00
abstract::This exploratory study looks at how families of Holocaust survivors work through the traumatic past by considering the coping patterns adapted by family members. Life-story interviews (Rosenthal, 1993) with 57 individuals from 20 families, in which there were two to three generations, were used in order to learn about...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.2003.42208.x
更新日期:2003-07-01 00:00:00
abstract::Panel data from married adults (N = 1,853) in the General Social Survey, a probability sample of the adult household population of the United States, were used to evaluate (a) the longitudinal association between extramarital sex and marital dissolution 2 years later, (b) whether probability of marital dissolution dif...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12472
更新日期:2020-09-01 00:00:00
abstract::Trends in popular belief about same-sex relationships have undergone noteworthy change in the United States over the last decade. Yet this change has been marked by stark polarizations and has occurred at varying rates depending upon regional, community, racial, religious, and individual family context. For queer yout...
journal_title:Family process
pub_type: 杂志文章,评审
doi:10.1111/famp.12170
更新日期:2015-09-01 00:00:00
abstract::Most children with psychosocial problems do not present for treatment in mental health settings. They are managed by primary care physicians. Children with psychosocial problems often have parents and/or families with psychosocial distress. The present study measured associations between parental reports of child, par...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1999.00341.x
更新日期:1999-10-01 00:00:00
abstract::This article presents ideas and reflections emerging during a project on family therapy with drug abusers. Initially inspired by the writings of Stanton and Todd on the subject, the project developed into a recursive and self-reflective process, characterized by increasing doubts about the usefulness of categorization...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1990.00273.x
更新日期:1990-09-01 00:00:00
abstract::This study investigated codependency in Caucasian individuals within the framework of Bowen's Family Systems Theory. The sample consisted of a group of couples, in which one member of the couple was a recovering alcoholic in an aftercare program, and a group of matched, comparison couples. Participants completed a dem...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1998.00513.x
更新日期:1998-01-01 00:00:00
abstract::The present study examined the role of prebirth parent characteristics as predictors of maternal gatekeeping (mothers' attempts to encourage or discourage fathers' interaction with their infant) and fathering behavior. Parents' idealization of their relationships within their families of origin, beliefs about the role...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.2008.00268.x
更新日期:2008-12-01 00:00:00
abstract::In the novels of Charles Williams, characters are faced with the mundane but profound choice between "charity and selfishness," the City and Infamy. Williams' "way of exchange" and "doctrine of substitution" have direct parallels in contextual family therapy. In Descent Into Hell, he explores the long-term effects of ...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1987.00283.x
更新日期:1987-06-01 00:00:00
abstract::Using a sample of 279 (52% female) Latino youth in 9th grade (M = 14.57, SD = .56), we examined profiles of family cohesion and parenting practices and their relation to youth adjustment. The results of latent profile analyses revealed four family profiles: Engaged, Supportive, Intrusive, and Disengaged. Latino youth ...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/famp.12314
更新日期:2018-09-01 00:00:00
abstract::A large number of studies of family and marital conflictual interaction purport to describe relational processes, yet close examination reveals a scarcity of process analyses. Many studies are interactional or systemic in name only. Three basic criteria are proposed as necessary for the development of a systems method...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1985.00175.x
更新日期:1985-06-01 00:00:00
abstract::Many experienced marital therapists will acknowledge that it is difficult for them to really understand the dynamics of a couple's interaction and to plan the direction of couple therapy. This article presents a new tool, a Profile of Marital Functioning and Interaction, for developing a broad, many-faceted, but still...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.1986.00571.x
更新日期:1986-12-01 00:00:00
abstract::The efficacy of Solution-Focused Family Therapy (SFFT) for helping three families with aggressive and oppositional-acting children (aged 8-9) was examined. The N = 1 multiple-baseline design with three replications used validated measures, a treatment manual, and a treatment integrity measure. The interventions lasted...
journal_title:Family process
pub_type: 杂志文章
doi:10.1111/j.1545-5300.2003.00361.x
更新日期:2003-10-01 00:00:00
abstract::This article explores the challenges presented by the mandate for evidence-based practice for family therapists who identify with the philosophical stance of social construction. The history of psychotherapy outcome research is reviewed, as are current findings that provide empirical evidence for an engaged, dialogic ...
journal_title:Family process
pub_type: 杂志文章,评审
doi:10.1111/famp.12111
更新日期:2015-03-01 00:00:00