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Family Assessment: Rationale, Methods and Future Directions PDF

218 Pages·1988·13.394 MB·English
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FAMILY ASSESSMENT Rationale, Methods, and Future Directions APPLIED CLINICAL PSYCHOLOGY Series Editors: Alan S. Bellack, Medical College of Pennsylvania at EPPI, Philadelphia, Pennsylvania, and Michel Hersen, University of Pittsburgh, Pittsburgh, Pennsylvania Current Volumes in this Series CHILDHOOD AGGRESSION AND VIOLENCE Sources of Influence, Prevention, and Control Edited by David H. Crowell, Ian M. Evans, and Clifford R. O'Donnell FAMILY ASSESSMENT Rationale, Methods, and Future Directions Theodore Jacob and DanielL. Tennenbaum FAMILY INTERACTION AND PSYCHOPATHOLOGY Theories, Methods, and Findings Edited by Theodore Jacob HANDBOOK OF ASSESSMENT IN CHILDHOOD PSYCHOPATHOLOGY Applied Issues in Differential Diagnosis and Treatment Evaluation Edited by Cynthia L. Frame and Johnny L. Matson HANDBOOK OF TREATMENT APPROACHES IN CHILDHOOD PSYCHOPATHOLOGY Edited by Johnny L. Matson A PRIMER OF HUMAN BEHAVIORAL PHARMACOLOGY Alan Poling THE PRIV A IE PRACTICE OF BEHAVIOR THERAPY Sheldon J. Kaplan SEVERE BEHAVIOR DISORDERS IN THE MENTALLY RETARDED Nondrug Approaches to Treatment Edited by Rowland P. Barrett TREATING ADDICTIVE BEHAVIORS Processes of Change Edited by William R. Miller and Nick Heather A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon actual ship ment. For further information please contact the publisher. FAMILY ASSESSMENT Rationale, Methods, and Future Directions Theodore Jacob University of Arizona Tucson, Arizona and Daniel L. Tennenbaum Kent Stale University Kent, Ohio SPRINGER SCIENCE+BUSINESS MEDIA, LLC Library of Congress Cataloging in Publication Data jacob, Theodore. Family assessment: rationale, methods, and future directions 1 Theodore Jacob and Daniel L. Tennenbaum. p. cm.-(Applied clinica! psychology) Bibliography: p. Includes index. ISBN 978-0-306-42755-8 ISBN 978-1-4899-0801-8 (eBook) DOI 10.1007/978-1-4899-0801-8 1. Family psychotherapy. 1. Tennenbaum, Daniel L. Il. Title. III. Series. [DNLM: 1. Fami ly. 2. Interpersonal Relations. 3. Psychopathology-methods. WM 100 ll53f] RC488.5.]347 1988 616.89'156-dc19 88-2319 CIP This limited facsimile edition has been issued for the purpose of keeping this title available to the scientific community. 10 9 8 7 6 5 4 3 2 © 1988 Springer Science+Business Media New York Originally published by Plenum Press, New York in 1988 AII rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means. electronic. mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher PREFACE The purpose of this book is to review existing and developing family assessment methods relevant to the study of psycho pathology. It is our intention not only to inform clinical re searchers of the many valuable family assessment methods that are available, but also to encourage the incorporation of such procedures into future research efforts. In so doing, we believe that our understanding of the etiology, course, treatment, and prevention of adult and childhood disorders will be greatly enriched. The book begins with an overview of the larger social and intellectual forces which have led to the current interest in study ing family influences on psychopathology in children and adoles cence. For each "stream of influence," we attempt to highlight theoretical and methodological contributions relevant to the fami ly's role in the etiology, exacerbation, and treatment of childhood disorders. Next, a framework for classifying family measurement procedures is introduced in which three major dimensions are emphasized: unit of analysis, source of data, and construct as sessed. The third and most important chapter provides detailed reviews of a selected number of methods within each of the major groupings that have been delimited, references and brief descrip tions of other measures that cannot be reviewed in detail, and a discussion of the promising and developing techniques that are known to the authors. Finally a concluding chapter attempts to identify major gaps in this literature, elaborates on several devel- v vi PREFACE oping techniques referred to in the previous chapter, indicates critical issues of methodology (strengths and limitations) that characterize the various types of family measures, and suggests theoretical and methodological studies that future research efforts could profitably address. Our efforts in preparing this volume were aided by many people. The initial impetus for this undertaking was an invitation by Hussain Tuma to contribute a chapter on family assessment to his edited book, Assessment and Diagnosis of Child and Adolescent Psychopathology. In the early formative period, David Reiss ex erted an important influence on the organization and direction of our thinking. We would also like to thank Cynthia Bost, Sheri Johnson, Deborah Bremer, Richard Finklestein, and especially Kay Bargiel for their contributions to this project. Additionally, we are very grateful for the support we received from various individuals and agencies: forT. J., the University of Arizona De partment of Family Studies, and NIAAA Grants ROl AA03037 and K02 AA00027; and for D.T., the Kent State University Depart ment of Psychology, and an NIAAA Postdoctoral Fellowship in Alcohol Epidemiology at the University of Pittsburgh under the direction of Nancy Day. Finally, our own families have been a continuing source of inspiration throughout this process: on Ted's side-Miriam, Charlotte, Jules, Brian, and Julie; and on Dan's side-Iris, Stella, Elie, Vallery, and Marc. To them, we dedicate this book. Theodore Jacob DanielL. Tennenbaum Tucson and Kent CONTENTS 1. Family Research: Streams of Influence . . . . . . . . . . . . . 1 I. Family Sociology . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 II. Systems/Communications Theory . . . . . . . . . . . 4 III. Child and Developmental Psychology . . . . . . . . 6 IV. Social Learning Theory . . . . . . . . . . . . . . . . . . . . . 8 2. Classifying Family Measurement Procedures . . . . . . . . 13 I. Data Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 II. Unit of Assessment . . . . . . . . . . . . . . . . . . . . . . . . 15 III. Constructs Assessed . . . . . . . . . . . . . . . . . . . . . . . 16 A. Affect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 B. Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 C. Communication . . . . . . . . . . . . . . . . . . . . . . . 19 D. Systems Properties . . . . . . . . . . . . . . . . . . . . . 20 3. Detailed Review of Methods . . . . . . . . . . . . . . . . . . . . . 23 I. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 II. Individual Assessments . . . . . . . . . . . . . . . . . . . . . 25 A. Communication Deviance . . . . . . . . . . . . . . 26 III. Relationship Assessments: Questionnaires Regarding Marital Relationships . . . . . . . . . . . . . 30 A. Marital Adjustment Test (MAT) . . . . . . . . . 31 B. Dyadic Adjustment Scale (DA) . . . . . . . . . . 33 C. Areas of Change Questionnaire (ACQ) . . 36 v.ii viii CONTENTS D. Marital Satisfaction Inventory (MSI) . . . . . . 39 E. Primary Communication Inventory (PCI) . 41 F. The Sexual Interaction Inventory (SII) . . . 43 G. Relationship Belief Inventory (RBI) . . . . . . . 46 H. Conflict Tactic Scales (CT) . . . . . . . . . . . . . . 49 I. Other Marital Scales . . . . . . . . . . . . . . . . . . . 51 IV. Relationship Assessments: Questionnaires Regarding Parent-Child Relationships . . . . . . . 52 A. Structural Analysis of Social Behavior (SASB)................................ 53 B. Child Report of Parental Behavior Inventory (CRPBI) . . . . . . . . . . . . . . . . . . . . . 57 C. Parent-Adolescent Communication Scale (PAC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 D. Parent-Child Areas of Change Questionnaire (PC-ACQ) . . . . . . . . . . . . . . 63 V. Relationship Assessments: Questionnaires Regarding Sibling Relationships . . . . . . . . . . . . . 66 A. The Sibling Relationship Questionnaire . . 67 VI. Relationship Assessments: Questionnaires Regarding Whole Families . . . . . . . . . . . . . . . . . . 70 A. Family Environment Scale (FES) . . . . . . . . . 70 B. Family Adaptability and Cohesion Scales II (FACES II) . . . . . . . . . . . . . . . . . . . . . . . . . . 74 C. Family Assessment Measures (FAM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 D. Family Crisis-Oriented Personal Evaluation Scales (F-COPES) . . . . . . . . . . . . 82 VII. Relationship Assessments: Structured Interviews . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 A. Expressed Emotion . . . . . . . . . . . . . . . . . . . . 85 B. Family Ritual Interview . . . . . . . . . . . . . . . . 89 VIII. Relationship Assessments: Quasi- Observational Procedures . . . . . . . . . . . . . . . . . . . 92 A. Parent Daily Report (PDR) . . . . . . . . . . . . . . 93 B. Spouse Observation Checklist (SOC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 C. Parent-Adolescent Observation Schedule (PCOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 CONTENTS ix D. Sibling Observation Schedule (SOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 IX. Laboratory Observational Procedures: ()utcome ~easures...... .. . . . . . . . . . . . . . . . . . 100 A. Card Sort Procedure . . . . . . . . . . . . . . . . . . . 101 B. Revealed Difference Technique (ROT) . . . 106 C. Family Hierarchy Test . . . . . . . . . . . . . . . . . . 110 X. Laboratory Observational Procedures: Coding Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 A. Marital Interaction Coding System (MICS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 B. Specific Affect Coding System (SPAFF) . . 121 C. Relational Communication Coding System (RELCOM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 D. Constraining and Enabling Coding System (CECS) . . . . . . . . . . . . . . . . . . . . . . . . 130 E. Other Laboratory Coding Systems . . . . . . . 133 F. Coding of Family Interactions with Younger Children . . . . . . . . . . . . . . . . . . . . . 136 XI. Laboratory Observational Procedures: Rating Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 A. The Marital Communication Rating Scale (MCRaS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 B. The Communication Rapid Assessment Scale (CRAS) . . . . . . . . . . . . . . . . . . . . . . . . . . 141 XII. Naturalistic Observational Procedures . . . . . . . . 144 A. Family Interaction Coding System (FICS) 145 B. Home Observation Assessment Method (HOAM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 C. Home Interaction Scoring System (HISS) . 153 4. Conclusions and Future Directions . . . . . . . . . . . . . . . . 159 I. General Limitations of Report and Observational Methods . . . . . . . . . . . . . . . . . . . . . 159 II. Within-Method Assessments . . . . . . . . . . . . . . . . 161 III. Correspondence between Methods . . . . . . . . . . 165 IV. Underdeveloped Assessment Targets and Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

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