Continuing the examination of cases involving divorced parents where at least one within the couple appeared to have Axis II issues, in these three situations the contentiousness over child care continued well beyond the divorce itself. The inter-parent struggles involved custody, child support, living arrangements, educational decisions, and/or healthcare authorizations that included those for mental … Continue reading #36 – HOLDING AT BAY – THREE VIGNETTES


Note:   As a reminder, systematically analyzing the impacts and case management considerations of parental Axis II defense mechanisms occurred recently and not during the practice itself. An awareness of the general problem in each case was certainly there at the time of treatment, and decisions were made during case management in their regard. Nevertheless, … Continue reading #35 – WORKING THRU ADULT AXIS II INVOLVEMENTS

#34 – Working Through Adult Defenses – Introduction

Introduction A major thrust of family therapy processes that treat youth mental health problem(s) is the use of the parents as therapeutic surrogates. In essence, the therapist enables the parents to effect and maintain changes for the child via three basic influencers. They include psycho-educational information, conditioning, and modeling. The educational component includes any information … Continue reading #34 – Working Through Adult Defenses – Introduction


Note:  Just as a forewarning, this is a particularly long post with a considerable amount of practical practice content concerning a complicated topic, so please take your time. In a paper summarizing research psychologist Stanton Samenow’s work on conduct disorder, my colleague and a psychologist himself, Dr. Steven Taylor, wrote that the diagnostic term ‘Conduct … Continue reading # 33 – CONDUCT DISORDER(S)

#32 – TRAITS – Part 2

More Intractable Traits Note:  The following ten traits seemed more inured to change as a function of common therapy, at least in my experience. Coincidently, they are equally divided between the three DSM groupings of the ten personality disorders. Colloquially and in order, they have been known as the Immature, Anxious, and Odd personality disorders. … Continue reading #32 – TRAITS – Part 2

#31 – Working With Traits, Part 1

Introduction This post presents an example of integrating a new tool or paradigm into an existing process or structure. As indicated in the previous post, the development of the relatedness trait list occurred over the last few months of the practice, during the inception period of the outcome study. The compilation of adult Axis II … Continue reading #31 – Working With Traits, Part 1


Foundation Review Operative elements of CB types of therapy may include: develop trust; create a viable relationship; be observant; teach skills; recognize improvement; reinforce positive change; facilitate autonomy; enhance community; and promote kindness and cooperation.  The therapy begins with the initial contact, usually by phone, and concludes with the termination. Everything done from beginning to … Continue reading #30 – RELATEDNESS CASE OUTCOMES


The Diagnostic and Problem Area data offers a more detailed and concrete look into the specific impacts of therapy upon the relatedness group. The Diagnostic Areas include:  anxiety; depression; and behavior. The category of relatedness itself is not included. The Problem Areas include: family relationships; school performance; social relationships; and community activity. The definitions and … Continue reading 28 – RELATEDNESS DA/PA DATA


Comparative CGAS Data The following chart lists CGAS averages to compare, including:  the seventeen relatedness cases with the other thirty nine in the study; the thirteen unresolved relatedness cases with the other forty three; and the thirteen unresolved cases with the four resolved. Comments The average relatedness-troubled youth begins treatment with a CGAS score more … Continue reading 27 – RELATEDNESS CGAS RESULTS