Abstract
The aim of this research project has been, in terms of couple evaluation and therapy, to study structural couplings between individual development and the epigenesis of couple relationships. The epigenesis of couple relations was studied according to the model developed by Wynne in which the epigenetic stages are attachment/ caregiving, communicating, joint problem-solving, mutuality, and intimacy. Attachment/caregiving is crucial for the success of couple therapy. The research on 57 couples makes possible a new paradigm for theoretically understanding interconnections between individual development and development of the couple relation; valuable information for planning integrated and need-specific treatment of the couple relation; and evaluation of the course and prognosis of couple relationship with student.
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References
Alanen, Y.O., Räkköläinen, V., Laakso, J., Rasimus, R. & Kaljonen, A. (1986)Towards need-specific treatment of schizophrenic psychoses. Berlin, New York, London: Springer-Verlag.
Bowlby, J. (1969).Attachment and loss, Vol. 1. Attachment. New York: Basic Books.
Cohen, J. (1968). Weighted kappa: Nominal Scale agreement with provision for scale disagreement or partial credit.Psychological Bulletin, 70, 312–220.
Dell, P. (1980). Researching the family theories of schizophrenia: An exercise in epistemological confusion.Family Process, 19, 321–335.
Dell, P. (1982 a). Beyond homeostasis: Toward a concept of coherence.Family Process, 21, 21–41.
Dell, P. (1982 b). From systemic to clinical epistemology. Menschliche systeme. In R. Welter-Enderlin & J. Duss-von Wendt (Eds),Rahmen fur das denken und das handeln. Zurich.
Emde, R. (1988 a). Development terminable and interminable. 1. Innate and motivational factors from infancy.International Journal of Psycho-Analysis, 69, 23–42.
Emde, R. (1988 b). Development terminable and interminable. 2. Recent psychoanalytic theory and therapeutic considerations.International Journal Psycho-Analysis, 69, 283–296.
Freud, S. (1916).Introductory lectures on psychoanalysis. S.E. 16. London: Hogarth Press.
Freud, S. (1923).The ego and the id. S.E. 19. London: Hogarth Press.
Freud, S. (1937).Analysis terminable and interminable. S.E. 23. London: Hogarth Press.
Keinänen, M., Virtanen, H. & Kaljonen, A. (1987). The structural couplings between the individual development and the epigenesis of family relations in schizophrenia.Abstracts of International Congress on Family Therapy. May 11–15. Prague, Czechoslovakia, p. 115.
Keinänen, M. & Virtanen, H. (1989 a). A new method for researching interconnections between the individual development and the intrafamilial interaction in schizophrenia.International Journal of Family Psychiatry. In press.
Keinänen, M. & Virtanen, H. (1989 b). The epigenesis of family relations as a predictor of the prognosis of schizophrenia: case research during 8-year follow-up.International Journal of Family Psychiatry. In press.
Keinänen, M., Virtanen, H. & Kaljonen, A. (1989 c). The structural couplings between the individual development and the epigenesis of family relations in schizophrenia in an 8-year follow-up.Contemporary Family Therapy, 11, 75–88.
Maturana H.R. (1978). Biology of language: The epistemology of reality. In G.A. Miller & E. Lenneberg (Eds).Psychology and biology of language and thought: Essays in honour of Eric Lenneberg. New York: Academic Press.
Maturana H.R. & Varela, F.J. (1980).Autopoiesis and cognition. The realization of the living. Boston: D. Reidel Publishing Company.
Maturana, H.R. & Varela, F.J. (1987).Tree of knowledge. Boston: New Science Library.
Selvini-Palazzoli, M., Boscolo, L., Cecchin, G., & Prata, G. (1980). Hypothesizing-circularity-neutrality: Three guidelines for the conductor of the session.Family Process, 19, 3–12.
Tomm, K. (1984). One perspective on the Milan systemic approach: Part II. Description of session format, interviewing style and interventions.Journal of Marital and Family Therapy, 10, 253–271.
Tähkä, V. (1984). Psychoanalytic treatment as a developmental continuum: Considerations on disturbed structuralization and its phase-specific encounter.Scandinavian Psychoanalytic Review, 7, 133–159.
Weiss, R.S. (1982). Attachment in adult life. In C. M. Parkes & J. Stevenson-Hinde (Eds).The place of attachment in human behavior. New York: Basic Books.
Wynne, L.C. (1968). Methodological and conceptual issues in the study of schizophrenics and their families.Journal of Psychiatric Research, 6 (supplement 1), 185–199.
Wynne, L.C. (1984). The epigenesis of relational systems: A model for understanding family development.Family Process, 23, 297–318.
Yates, F. (1984). Tests of significance for 2 x 2 contingency tables.Journal of the Royal Statistical Association, 147 (Part 3), 426–463.
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This study was carried out at the Health Care Center for Students, in Turku, Finland, and was financially supported by the Pro Sanitate Studiosorum Institute, Helsinki, Finland. We have been in cooperation with and received invaluable constructive criticism from Lyman C. Wynne, MD, PhD, whose theoretical model we applied in this study. Ms. Birgitta Nolvi's secretarial work was greatly appreciated.
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Keinänen, M., Lahti, I. & Kaljonen, A. Couple therapy and the developmental phase of couple relations with students. Contemp Fam Ther 13, 181–198 (1991). https://doi.org/10.1007/BF00890874
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DOI: https://doi.org/10.1007/BF00890874