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Gemeenschappelijke coping ontstaat als relatiepartners een stressvol gezondheidsprobleem zien als iets “van ons”, in plaats van iets “van mij” en zij er gezamenlijk mee omgaan. Uit onderzoek blijkt dat linguïstische coping (praten in de wij-vorm) en andere vormen van gemeenschappelijke coping zinvol zijn bij verschillende chronische ziekten, maar de literatuur geeft maar zelden aan hoe artsen het wij-gevoel en het teamwork actief kunnen bevorderen, zodat patiënten en hun partner ook kunnen profiteren van de gezondheidsvoordelen die dit lijkt op te leveren. In dit artikel worden de klinische en wetenschappelijke kenmerken belicht van een narratieve interventie voor het bevorderen van gemeenschappelijke coping bij koppels waarvan een partner een chronische ziekte heeft. De illustratieve ziekte is diabetes, maar met enige aanpassingen is dit protocol ook geschikt voor andere chronische aandoeningen. De gemeenschappelijke coping-interventie is gebaseerd op de systemische en narratieve modellen van het in stand houden van problemen en verandering, en deze is het resultaat van onderzoek naar- en klinische ervaring met gezinsconsultaties in de afgelopen decennia. In tegenstelling tot de meer directieve en educatieve benaderingen bestaat deze interventie volledig uit vragen, zonder directe suggesties of aanwijzingen voor hoe de patiënt, partner of relatie zou moeten veranderen. Deze vragen maken deel uit van acht opeenvolgende modules (Coping-uitdagingen, Verloop en focus, Ziekte als indringer van buitenaf, Jullie als koppel, Eerder teamwork bij het verwerken van tegenslagen, Huidig en toekomstig teamwork, Belemmeringen voor teamwork en Afronding) en deze worden in dit artikel gedetailleerd beschreven.

The Delaware Project, initiated in a conference at the University of Delaware, aims to redefine psychological clinical science training in ways that emphasize continuity across a spectrum of intervention development activities ranging from basic research to implementation and dissemination. The project generated specific recommendations for elevating dissemination and implementation, both at different stages of clinical science training and in different training settings, and highlighted several experiential training innovations to foster this goal. The project also helped sharpen competing priorities of two broad approaches to intervention science: one emphasizing translation, or moving from basic research to systematic applications in practice, and the other privileging dissemination–implementation per se, where a priority is understanding and maximizing the accessibility, acceptability, adaptability, and sustainability of interventions in the contexts where practitioners deliver them. The training of future clinical scientists will be crucial to reconciling these perspectives on how best to address significant public health problems.

In a study of spousal support for smoking cessation, 34 couples in which one partner continued to smoke despite having a heart or lung problem used an adaptation of Cohen & Lichtenstein's (1990) Partner Interaction Questionnaire to describe the spouse's attempts to help the primary (ill) smoker quit. Female smokers received less support for quitting from their spouse or partner than male smokers did, regardless of whether the support was positive or negative, whether the partner also smoked, or whether the smoker or partner rated the partner's support behavior. Female patients in a treatment sub-sample were also less likely than men to achieve stable 1-year cessation if the couple had rated partner support at baseline as coercive or unhelpful. Given known gender differences in relapse risk, cessation interventions for health-compromised female smokers might profitably include partners in addition to the smokers themselves.

The model of brief therapy developed by Fisch, Weak‐land, Watzlawick, and colleagues in Palo Alto is based on identifying and interrupting ironic processesthat occur when repeated attempts to solve a problem keep the problem going or make it worse. Formulations of ironic problem‐solution loops provide a template for assessment and strategic intervention, indicating where to look to understand what keeps a problem going (look for “more of the same” solution) and what needs to happen for the complaint to be resolved (someone must apply “less of the same” solution). Supporting research is preliminary but suggests this approach may be well suited for change‐resistant clients.

Findings of investigator allegiance bias underscore the limited scientific value of comparative outcome designs, especially those that compare broad therapy approaches or treatment packages. Luborsky et al.'s contribution will be diminished, however, if it leads researchers to search for common factors at the expense of studying how and for whom specific treatments work.

The MMPI and Moos' Menstrual Distress Questionnaire MDQ were administered to 60 undergraduate women. Partial correlations between MMPI clinical scales and menstrual and premenstrual MDQ symptom scales were computed with intermenstrual baseline symptom reports and response set Gough's FK index statistically controlled MMPI variables tended to correlate with some symptom scales premenstrual pain, negative affect menstrual behavior change but not with others water retention, arousal. Where correlations did occur, common MMPI scales Sc, Hs, Hy, Pt were involved. Results suggest that psychological factors are more closely associated with some areas of menstrual symptomatoloty than with others.

Data from three samples of active duty servicemen (total n = 1743) surveyed in 1971 at a midwestern military installation provided only limited evidence that service in Southeast Asia affected subsequent drug use. Reported incidence of opiate use in the presurvey month was higher for Vietnam returnees than for nonreturnee controls from the same units on only one of three surveys. Results suggest that stateside use of at least the nonopiate drugs is as endemic to the general military population as it is to the special population of combat-zone returnees.