Homeless persons who received emergency psychiatric screening in a public general hospital exhibi... more Homeless persons who received emergency psychiatric screening in a public general hospital exhibited patterns of gross geographic mobility. They did not uniformly avail themselves of community services, such as soup kitchens, and there were marked sex differences within the sample.
There is general agreement that, despite the common experience of suffering that the seriously me... more There is general agreement that, despite the common experience of suffering that the seriously mentally ill share, they are not one group but many different subtypes with varying levels of disability and need. In the last several decades, mental health researchers and service providers have been refining methods of classifying psychiatric patients into homogeneous subgroups based upon their symptom profiles. Criticisms of traditional psychiatric classification and mental health policy demands for specific knowledge regarding the service needs of mental patients have focused greater attention upon the problems of classifying and identifying the mentally ill. Improvements in the specificity of psychiatric treatments as well as innovations designed to match patients with the most appropriate treatment modality have encouraged this effort. The focus of the study was to follow a recently-generated line of research that uses an empirical and statistically-based approach to classifying psychiatric patients. By using the exploratory multivariate techniques of factor and cluster analysis, and applying confirmatory procedures to test the prognostic utility of a given classification scheme, an empirically-based classification scheme was generated to provide prognostic information about patients that may not be available when traditional, symptom-based diagnostic procedures are used alone. The study investigated the effects of using social functioning dimensions as well as symptom data to subgroup seriously mentally ill patients for the purpose of discerning differences between the subgroups on clinically-relevant criteria, such as needs for specific types of treatment. A cluster analysis of seven symptom and social functioning factors yielded five meaningful patient subtypes: "Young Adult Chronic," "High Functioning Chronic," "Mainstream Chronic," "Socially Isolated/Withdrawn," and "High Functioning Psychotic." The groups differed significantly on three of six areas of treatment needs: for residential services, outpatient services, and crisis services. Statistically significant differences were also found on the Resource Associated Functional Level (RAFL) rating. The five subtypes did not differ significantly in terms of DSM-III diagnosis. On sociodemographic variables, the groups differed in terms of education and employment status. When comparisons were made between the DSM-III Axis I diagnostic categories on these same external criteria, no differences were found on any of the six treatment needs or on prior service utilization. The Axis I groups did differ in terms of RAFL rating and employment status. Thus, the clustering scheme yielded information about the patients' treatment needs and service utilization that was not provided by the DSM-III diagnostic categorization. The implications and limitations of the findings are addressed and suggestions are made for further research
Foreword: My View of Imago (Randall C. Mason, Ph.D.). Acknowledgments. Introduction: A Theory of ... more Foreword: My View of Imago (Randall C. Mason, Ph.D.). Acknowledgments. Introduction: A Theory of Relationality (Wade Luquet, Ph.D.). Part One: Perspectives of the Founders. 1. The Evolution of Imago Relationship Therapy: A Personal and Professional Journey (Harville Hendrix, Ph.D.). 2. Relationship as a Living Laboratory (Helen LaKelly Hunt, Ph.D.). 3. Conscious Marriage as Covenant (Helen LaKelly Hunt, Ph.D.). Part Two: Perspectives on Comparisons with Other Models. 4. Family Systems Theory and Imago Therapy: A Theoretical Interpretation (Randy Gerson, Ph.D.). 5. An Exploration of Imago Relationship Therapy and Affect Theory (Joseph Zielinski, Ph.D.). 6. Relationship Knowing: Imago and Object Relations (Stephen R. Plumlee, M.Div., Ph.D.). 7. Contemporary Psychoanalytic Relational Theories and Imago: Concepts for Relational Healing (Mona R. Barbera, Ph.D.). Part Three: Perspectives on Clinical Theory. 8. Imago, Relationships, and Empathy (Randall C. Mason, Ph.D.). 9. Imago, Relation...
Foreword, Mo Therese Hannah Preface, Diane Sollee Introduction to PAIRS, Rita DeMaria Part One: T... more Foreword, Mo Therese Hannah Preface, Diane Sollee Introduction to PAIRS, Rita DeMaria Part One: The PAIRS Program in Context1. An Overview of the PAIRS Program, Rita DeMaria 2. The Saga of the Development of PAIRS, Lori H. Gordon 3. The Voices of the PAIRS Leaders, Barbara Bogartz Part Two: The PAIRS Program: Through the Voices of the Leaders4. The PAIRS Relationship Road Map, Robin Temple 5. Emotional Literacy and Healthy Relationships, Ann Ladd 6. Communication and Conflict Resolution, J. Thomas DeVoge and Joyce B. DeVoge 7. PAIRS and Family Systems, Bonnie Gordon-Rabinowitz and Marc D. Rabinowitz 8. Bonding and Emotional Literacy, Carlos Durana 9. Sensuality and Sexuality, Don Adam and Don Azevedo 10. Contracting: Clarifying Expectations, Ellen B. Purcell 11. Spirituality and the PAIRS Program, Teresa Adams 12. PAIRS Research, Carlos Durana Part Three: Special Populations and Adaptations13. Stepfamilies, Bill and Linda Wing 14. PEERS: Programs for Youth, Seth Eisenberg 15. PAIRS Short Programs, Kelly Simpson Part Four: Practical Realities16. Exploring Gender Issues in the PAIRS Program, Elaine Braff 17. PAIRS: Health and Wellness-Preliminary Considerations, Christine Hibbard and David Hibbard 18. Ethics, J. Thomas DeVoge Epilogue: Spiritual Partnership, Rabbi Morris Gordon Closing, Rabbi Morris Gordon Appendix Contributors Index
The Marriage Survival Kit: A Research-based Marital Therapy. Time for a Better Marriage. Marriage... more The Marriage Survival Kit: A Research-based Marital Therapy. Time for a Better Marriage. Marriage Enrichment: A.C.M.E. Style. Marriage Encounter: A Positive Preventative Enrichment Program. The Caring Couples Network (CCN). The PAIRS Program (Practical Application of Intimacy Skills. Imago Relationship Therapy: Creating a Conscious Marriage/Relationship. Relationship Enhancement. Enrichment/Problem-prevention Programs: Therapy-derived, Powerful Versatile. Structured Enrichment and Distance Writing for Couples. Helping Couples Fight for their Marriages: The Prep Approach, Prepare/Enrich Program: Version 2000. Couple Communication: A System for Equipping Partners to Talk, Listen, and Resolve Conflicts Effectively. Recent Advances in the Prediction of Marital Outcomes. Preparing Marital Distress: What Does Research Have to Offer.
This study investigated the rates of severe substance misuse, severe emotional disturbance, and d... more This study investigated the rates of severe substance misuse, severe emotional disturbance, and dual diagnosis in a meal-line population of mixed ethnicity, 75% of whom were homeless and the remainder near-homeless. Alcohol and/or drug use was reported by 93% and severe substance misuse was found in 39% of the population. Severe mental illness was found in 54% of the population. Both conditions, dual diagnosis, was found in 29% of the cases. A cluster analysis of the total population found three types: those with dual diagnosis (24.27%), those with serious substance misuse and personality disorder (39.3%), and those with neither severe disorder (37.3%). The ethnicity of the homeless individual was very weakly, if at all, associated with the disorders.
Homeless persons who received emergency psychiatric screening in a public general hospital exhibi... more Homeless persons who received emergency psychiatric screening in a public general hospital exhibited patterns of gross geographic mobility. They did not uniformly avail themselves of community services, such as soup kitchens, and there were marked sex differences within the sample.
There is general agreement that, despite the common experience of suffering that the seriously me... more There is general agreement that, despite the common experience of suffering that the seriously mentally ill share, they are not one group but many different subtypes with varying levels of disability and need. In the last several decades, mental health researchers and service providers have been refining methods of classifying psychiatric patients into homogeneous subgroups based upon their symptom profiles. Criticisms of traditional psychiatric classification and mental health policy demands for specific knowledge regarding the service needs of mental patients have focused greater attention upon the problems of classifying and identifying the mentally ill. Improvements in the specificity of psychiatric treatments as well as innovations designed to match patients with the most appropriate treatment modality have encouraged this effort. The focus of the study was to follow a recently-generated line of research that uses an empirical and statistically-based approach to classifying psychiatric patients. By using the exploratory multivariate techniques of factor and cluster analysis, and applying confirmatory procedures to test the prognostic utility of a given classification scheme, an empirically-based classification scheme was generated to provide prognostic information about patients that may not be available when traditional, symptom-based diagnostic procedures are used alone. The study investigated the effects of using social functioning dimensions as well as symptom data to subgroup seriously mentally ill patients for the purpose of discerning differences between the subgroups on clinically-relevant criteria, such as needs for specific types of treatment. A cluster analysis of seven symptom and social functioning factors yielded five meaningful patient subtypes: "Young Adult Chronic," "High Functioning Chronic," "Mainstream Chronic," "Socially Isolated/Withdrawn," and "High Functioning Psychotic." The groups differed significantly on three of six areas of treatment needs: for residential services, outpatient services, and crisis services. Statistically significant differences were also found on the Resource Associated Functional Level (RAFL) rating. The five subtypes did not differ significantly in terms of DSM-III diagnosis. On sociodemographic variables, the groups differed in terms of education and employment status. When comparisons were made between the DSM-III Axis I diagnostic categories on these same external criteria, no differences were found on any of the six treatment needs or on prior service utilization. The Axis I groups did differ in terms of RAFL rating and employment status. Thus, the clustering scheme yielded information about the patients' treatment needs and service utilization that was not provided by the DSM-III diagnostic categorization. The implications and limitations of the findings are addressed and suggestions are made for further research
Foreword: My View of Imago (Randall C. Mason, Ph.D.). Acknowledgments. Introduction: A Theory of ... more Foreword: My View of Imago (Randall C. Mason, Ph.D.). Acknowledgments. Introduction: A Theory of Relationality (Wade Luquet, Ph.D.). Part One: Perspectives of the Founders. 1. The Evolution of Imago Relationship Therapy: A Personal and Professional Journey (Harville Hendrix, Ph.D.). 2. Relationship as a Living Laboratory (Helen LaKelly Hunt, Ph.D.). 3. Conscious Marriage as Covenant (Helen LaKelly Hunt, Ph.D.). Part Two: Perspectives on Comparisons with Other Models. 4. Family Systems Theory and Imago Therapy: A Theoretical Interpretation (Randy Gerson, Ph.D.). 5. An Exploration of Imago Relationship Therapy and Affect Theory (Joseph Zielinski, Ph.D.). 6. Relationship Knowing: Imago and Object Relations (Stephen R. Plumlee, M.Div., Ph.D.). 7. Contemporary Psychoanalytic Relational Theories and Imago: Concepts for Relational Healing (Mona R. Barbera, Ph.D.). Part Three: Perspectives on Clinical Theory. 8. Imago, Relationships, and Empathy (Randall C. Mason, Ph.D.). 9. Imago, Relation...
Foreword, Mo Therese Hannah Preface, Diane Sollee Introduction to PAIRS, Rita DeMaria Part One: T... more Foreword, Mo Therese Hannah Preface, Diane Sollee Introduction to PAIRS, Rita DeMaria Part One: The PAIRS Program in Context1. An Overview of the PAIRS Program, Rita DeMaria 2. The Saga of the Development of PAIRS, Lori H. Gordon 3. The Voices of the PAIRS Leaders, Barbara Bogartz Part Two: The PAIRS Program: Through the Voices of the Leaders4. The PAIRS Relationship Road Map, Robin Temple 5. Emotional Literacy and Healthy Relationships, Ann Ladd 6. Communication and Conflict Resolution, J. Thomas DeVoge and Joyce B. DeVoge 7. PAIRS and Family Systems, Bonnie Gordon-Rabinowitz and Marc D. Rabinowitz 8. Bonding and Emotional Literacy, Carlos Durana 9. Sensuality and Sexuality, Don Adam and Don Azevedo 10. Contracting: Clarifying Expectations, Ellen B. Purcell 11. Spirituality and the PAIRS Program, Teresa Adams 12. PAIRS Research, Carlos Durana Part Three: Special Populations and Adaptations13. Stepfamilies, Bill and Linda Wing 14. PEERS: Programs for Youth, Seth Eisenberg 15. PAIRS Short Programs, Kelly Simpson Part Four: Practical Realities16. Exploring Gender Issues in the PAIRS Program, Elaine Braff 17. PAIRS: Health and Wellness-Preliminary Considerations, Christine Hibbard and David Hibbard 18. Ethics, J. Thomas DeVoge Epilogue: Spiritual Partnership, Rabbi Morris Gordon Closing, Rabbi Morris Gordon Appendix Contributors Index
The Marriage Survival Kit: A Research-based Marital Therapy. Time for a Better Marriage. Marriage... more The Marriage Survival Kit: A Research-based Marital Therapy. Time for a Better Marriage. Marriage Enrichment: A.C.M.E. Style. Marriage Encounter: A Positive Preventative Enrichment Program. The Caring Couples Network (CCN). The PAIRS Program (Practical Application of Intimacy Skills. Imago Relationship Therapy: Creating a Conscious Marriage/Relationship. Relationship Enhancement. Enrichment/Problem-prevention Programs: Therapy-derived, Powerful Versatile. Structured Enrichment and Distance Writing for Couples. Helping Couples Fight for their Marriages: The Prep Approach, Prepare/Enrich Program: Version 2000. Couple Communication: A System for Equipping Partners to Talk, Listen, and Resolve Conflicts Effectively. Recent Advances in the Prediction of Marital Outcomes. Preparing Marital Distress: What Does Research Have to Offer.
This study investigated the rates of severe substance misuse, severe emotional disturbance, and d... more This study investigated the rates of severe substance misuse, severe emotional disturbance, and dual diagnosis in a meal-line population of mixed ethnicity, 75% of whom were homeless and the remainder near-homeless. Alcohol and/or drug use was reported by 93% and severe substance misuse was found in 39% of the population. Severe mental illness was found in 54% of the population. Both conditions, dual diagnosis, was found in 29% of the cases. A cluster analysis of the total population found three types: those with dual diagnosis (24.27%), those with serious substance misuse and personality disorder (39.3%), and those with neither severe disorder (37.3%). The ethnicity of the homeless individual was very weakly, if at all, associated with the disorders.
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