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"Carson, David K"
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Case Studies in Couples Therapy
This up-to-date, highly readable, theory-based, and application-oriented book fills a crucial void in literature on couple therapy. Few books in the couple therapy market bridge the gap between theory and practice; texts tend to lean in one direction or the other, either emphasizing theory and research with little practical application, or taking a cookbook approach that describes specific techniques and interventions that are divorced from any conceptual or theoretical base. However, couples therapy requires a high degree of abstract/conceptual thinking, as well as ingenuity, inventiveness and skill on the part of the therapist. Case Studies in Couples Therapy blends the best of all worlds: clinical applications with challenging and diverse couples that have been derived from the most influential theories and models in couples and family therapy, all written by highly experienced and respected voices in the field.
In Case Studies in Couples Therapy, readers will grasp the essentials of major theories and approaches in a few pages and then see how concepts and principles are applied in the work of well-known clinicians. The case studies incorporate a wide variety of couples from diverse backgrounds in a number of different life situations. It is simultaneously narrow (including specific processes and interventions applied with real clients) and broad (clearly outlining a broad array of theories and concepts) in scope, and the interventions in it are directly linked to theoretical perspectives in a clear and systematic way. Students and clinicians alike will find the theoretical overview sections of each chapter clear and easy to follow, and each chapter's thorough descriptions of effective, practical interventions will give readers a strong sense of the connections between theory and practice.
eBook
Improving the Positive Predictive Value of Screening for Developmental Language Disorder
In a previous study, we reported the results of an early language screening program in which 306 children were screened using a parent-report questionnaire sent through the mail (Klee et al., 1998). A sample of the children screened were given clinical evaluations within a month of screening ( n =64) and again 1 year later ( n =36). Although the screening program correctly identified 91% of 2-year-olds with language delay, it produced a large number of over-referrals. In the present study we examine a revised screening criterion designed to reduce the number of false positives. The revised criterion generated fewer positive screens overall than the original and resulted in improved specificity (96% vs. 87%) and positive predictive value (77% vs. 51%), while maintaining the high sensitivity (91%) and negative predictive value (98%) of the original criterion. We also propose a screening score based on the new criterion, designed to inform the process of deciding which children to bring in for further evaluation.
Journal Article
Counseling and Family Therapy in India: Evolving Professions in a Rapidly Developing Nation
Outpatient counseling is a relatively new concept and form of clinical practice in India. This article provides an overview of the need for and current status of counseling and family therapy in India. Examples of training programs are presented, and future prospects for the counseling and family therapy professions are highlighted. The authors discuss therapeutic issues that clinicians may need to consider when working with Indian clients, as well as some of the potential barriers to counseling individuals, couples, and families in or from the Indian subcontinent. The future of these professions looks bright and parallels India’s rapid development as a nation.
Journal Article
When Lightning Strikes: Reexamining Creativity in Psychotherapy
Creativity is paramount to the therapeutic process. This article explored the role of creativity in counseling and psychotherapy through a critical analysis of several key articles in a special issue of The Journal of Clinical Activities, Assignments, & Handouts in Psychotherapy Practice (L. L. Hecker, 2002). Implications for counselors/therapists and the future of the field are discussed.
Journal Article
The Unconverted Subconscious in Psychotherapy: Biblical Foundations, Psychological Explorations and Clinical Applications
More than forty years ago the famous Christian missionary to India, E. Stanley Jones, introduced the concept of the unconverted subconscious (UnS). Jones asserted that the UnS was a major reason why Christians sometimes do not grow in their faith, fail miserably in their walk with Christ, and are divisive and even abusive within the Body of Christ. Moreover, he believed that parts of the UnS can contribute to a divided self, psychological disorders, addictive behavior, deep emotional pain, and relational brokenness. However, Jones did not elaborate on how this process works in the human psyche nor specifically the ramifications of the UnS in the life of the believer. In this article we discuss the UnS and its implications for working with Christian and non-Christian clients. We explore the UnS in light of both Scripture and psychology and then provide an overview of our clinical approach.
Journal Article
Phonological Profiles of 2-Year-Olds With Delayed Language Development: Predicting Clinical Outcomes at Age 3
Twenty-eight 2-year-olds were screened for language development using the Language Development Survey (LDS; L. Rescorla, 1989) and underwent a clinical evaluation within a month following LDS administration. Six measures of phonological development were derived from 20-min language samples of parent-child play interactions, including number of different consonants, number of different consonants in the initial and final positions, number of different consonant clusters in the initial and final position, and percentage of closed syllables shapes. Comparisons were made among 3 groups: (a) those who screened positive on the LDS (LDS+) who were within normal limits on follow-up, (b) those who were identified as language delayed (LD), and (c) children who were language normal (LN). Results revealed that children who were LDS+ and LD had comparable phonetic profiles. The LD group had significantly lower scores on all phonetic measures tested, as compared to the LN group. Clinical recommendations were available on a subset of 13 children who were reassessed at age 3. Children who received \"monitor\" or \"treatment\" recommendations at age 3 had significantly lower z scores on measures of phonetic development recorded at 2 years of age than toddlers who received a recommendation of \"no concerns\" at 3 years. Our preliminary findings indicated that the more delayed the 2-year-old child was in phonological development, the more at risk the child was for continuing delays at age 3.
Journal Article
Self-Reported Parenting Behavior and Child Temperament in Families of Toddlers With and Without Speech—Language Delay
This study examined self-reported parenting behaviors, and child temperament and behavior, based on parental perceptions of 47 toddlers ages 25 to 31 months. Data were obtained via parental reports and direct assessment. Children were identified as having a speech—language delay (SLD, n = 17) or as typically developing (n = 30) based on standardized testing. The results indicated that parents of toddlers with SLD reported themselves as being significantly less nurturing and more punitive in their discipline than parents of children who were typically developing. Parental accounts also revealed that children with SLD were more detached and underreactive than children without a delay. The implications of these findings are considered with regard to providing intervention to children with early speech—language delay.
Journal Article
Concurrent and Predictive Validity of an Early Language Screening Program
The efficacy of screening 2-year-old children for language delay using a parent-report questionnaire was investigated in three studies. The Language Development Survey (Rescorla, 1989) was mailed to 650 families at the time of their child's second birthday. Fifty-three percent of the surveys received by parents were completed and returned. Screening outcomes were then compared, in double-blind fashion, with the results of comprehensive clinical evaluations at ages 2 ( N = 64) and 3 ( N = 36). Parents' report of the size of their children's expressive vocabularies was highly correlated with clinical language measures at age 2. Children who screened positive performed significantly poorer than children who screened negative on standardized language tests and on measures taken from spontaneous conversation. The screening program demonstrated excellent sensitivity and specificity for identifying language delay at age 2 but somewhat lower levels for predicting developmental status one year later.
Journal Article
Family Characteristics and Adolescent Competence in India: Investigation of Youth in Southern Orissa
Examined the relationship between a host of family characteristics and indicators of adolescent competence in 107 eighth and ninth graders in Orissa state, India. Families of more socially competent students tended to be verbally and emotionally expressive, and democratic with respect to discipline, input, and decision making. (SLD)
Journal Article