Strategies for Achieving Attunement and Relational Responsibility in Same-Sex Couple Relationships

Handout from a presentation at the American Family Therapy Academy Conference on June 24, 2011

Marriage and Family Therapy Education and Training: The Development of a Competency-Based Model

The turn of the century saw a shift from input-based to outcome-based education in Marriage and Family Therapy (MFT) training. An attempt was also made to establish core competencies that practitioners of MFT should attain to provide effective client care. These developments had a significant impact on version 11.0 and 12.0 of the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) Accreditation Standards. Since then, MFT educators have used these standards and guidelines to transition their programs from input-based to competency-based education. The MFT program at a West Coast University was the first COAMFTE accredited program to propose an alternative competency model requiring the completion of 300 direct client contact hours instead of 500 h for all students in the program, when it went through the process of reaccreditation in 2019. The program was granted renewal of accreditation in May 2020. Since then, version 12.5 of the COAMFTE Accreditation Standards have been released and this University’s competency model is aligned with these new standards. This article provides an overview of the competency model used by the MFT program at this University which can serve as an example for other MFT programs. Trends and future directions in competency-based MFT education are also discussed

Surface and Complex Representation of Diverse Intimate Relationships: Insights from a Content Analysis of Marriage and Family Therapy Resources

Searching online for health information plays a vital role in the decision-making process to seek mental healthcare for relationship and sexual issues, especially among people with marginalized identities. The landscape of intimate arrangements in the U.S. is rapidly changing, yet it is unclear whether diverse intimate relationships are discussed in popular relationship-focused mental health resources. In the present research, we sought to understand how six diverse intimate relationships were represented in a set of online mental health resources focused on relationship and sexuality issues. We conducted a content analysis of 23 mental health articles; articles were coded for surface-level (1) and complex (2 through 5) representation: (1) the frequency at which six diverse relationship types were mentioned, (2) awareness of stigma (prejudicial experiences based on relationship type), (3) unique situations (experiences that are specific to a relationship type), (4) clinical recommendations (suggestions made for a specific relationship type) and (5) inclusive language. Overall, the frequency at which relationships were mentioned (surface-level representation) greatly varied: monogamous relationships (82.61%), singles (39.13%), blended families/stepfamilies (26.09%), same-sex/queer relationships (21.74%), multi-racial/cultural relationships (21.74%), and consensually non-monogamous relationships (0%). Complex representations, including stigma, unique situations, and recommendations for each diverse relationship type were infrequently mentioned (\u3c 14% and, in many cases, never mentioned). These results illustrate that relationships other than monogamy were infrequently mentioned and, if mentioned, content related to diverse relationships lacked relevant and inclusive details, including clinical recommendations

Needle fenestration of popliteal artery covered stent graft to salvage inadvertent stent misdeployment

Endovascular methods have transformed treatment of lower extremity peripheral arterial disease but can still present technical challenges. We report the case of a 69-year-old man with rest pain who underwent superficial femoral artery recanalization with covered stents. During completion angiography, the distal stent was discovered to have been misdeployed into an anterior geniculate branch overlying the behind-the-knee popliteal artery. Subsequently, an endovascular reentry device was used to fenestrate the stent posteriorly to enter the lumen of the popliteal artery. Cutting balloons were used to enlarge the fenestration in the stent fabric, with placement of an additional 6 × 50-mm covered stent bridging from the popliteal artery into the fenestrated misdeployed covered stent. Completion angiography demonstrated no evidence of distal embolization and patent two-vessel runoff. The patient had an uncomplicated recovery and at 2 years of follow-up remained asymptomatic with documented popliteal stent patency

Effects of particle stiffness on the extensional rheology of model rod-like nanoparticle suspensions

The linear and nonlinear rheological behavior of two rod-like particle suspensions as a function of concentration is studied using small amplitude oscillatory shear, steady shear and capillary breakup extensional rheometry. The rod-like suspensions are composed of fd virus and its mutant fdY21M, which are perfectly monodisperse, with a length on the order of 900 nm. The particles are semiflexible yet differ in their persistence length. The effect of stiffness on the rheological behavior in both, shear and extensional flow, is investigated experimentally. The linear viscoelastic shear data is compared in detail with theoretical predictions for worm-like chains. The extensional properties are compared to Batchelor\u27s theory, generalized for the shear thinning nature of the suspensions. Theoretical predictions agree well with the measured complex moduli at low concentrations as well as the nonlinear shear and elongational viscosities at high flow rates. The results in this work provide guidelines for enhancing the elongational viscosity based on purely frictional effects in the absence of strong normal forces which are characteristic for high molecular weight polymers

The Bursty Star Formation Histories of Low-mass Galaxies at 0.4<z<10.4<z<1 Revealed by Star Formation Rates Measured from Hβ\beta and FUV

We investigate the burstiness of star formation histories (SFHs) of galaxies at $0.4<z<1$ by using the ratio of star formation rates (SFRs) measured from H$\beta$ and FUV (1500 \AA) (H$\beta$--to--FUV ratio). Our sample contains 164 galaxies down to stellar mass (M*) of $10^{8.5} M_\odot$ in the CANDELS GOODS-N region, where Team Keck Redshift Survey DEIMOS spectroscopy and HST/WFC3 F275W images from CANDELS and Hubble Deep UV Legacy Survey are available. When the {\it ratio} of H$\beta$- and FUV-derived SFRs is measured, dust extinction correction is negligible (except for very dusty galaxies) with the Calzetti attenuation curve. The H$\beta$--to--FUV ratio of our sample increases with M* and SFR. The median ratio is $\sim$0.7 at M*$\sim10^{8.5} M_\odot$ (or SFR$\sim 0.5 M_\odot/yr$) and increases to $\sim$1 at M*$\sim10^{10} M_\odot$ (or SFR $\sim 10 M_\odot/yr$). At M*$<10^{9.5} M_\odot$, our median H$\beta$--to--FUV ratio is lower than that of local galaxies at the same M*, implying a redshift evolution. Bursty SFH on a timescale of a few tens of megayears on galactic scales provides a plausible explanation of our results, and the importance of the burstiness increases as M* decreases. Due to sample selection effects, our H$\beta$--to--FUV ratio may be an upper limit of the true value of a complete sample, which strengthens our conclusions. Other models, e.g., non-universal initial mass function or stochastic star formation on star cluster scales, are unable to plausibly explain our results.Comment: 13 pages, 8 figures. ApJ accepted. The main conclusions are not changed. Major modifications include: (1) to be consistent with the literature, now reporting H\beta--to--FUV ratio (rather than FUV--to--H\beta\ in the first version); (2) detailed discussions on dust extinction correction; (3) new SF bustiness calculation; and (4) enriched discussions in Introductio

Oxytocin, Cortisol, and Cognitive Control During Acute and Naturalistic Stress

Although stress is a strong risk factor for poor health, especially for women, it remains unclear how stress affects the key neurohormones cortisol and oxytocin, which influence stress-related risk and resilience. Whereas cortisol mediates energy mobilization during stress, oxytocin has anti-inflammatory, anxiolytic, and analgesic effects that support social connection and survival across the lifespan. However, how these neurohormones interrelate and are associated with cognitive control of emotional information during stress remains unclear. To address these issues, we recruited 37 college-aged women (Mage = 19.19, SD = 1.58) and randomly assigned each to a one-hour experimental session consisting of either an acute stress (emotionally stressful video) or control (non-stressful video) condition in a cross-sectional manner across the semester. Salivary cortisol and oxytocin samples were collected at baseline and after the video, at which point participants also completed measures assessing affect and an emotional Stroop task. As hypothesized, the emotional stressor induced negative emotions that were associated with significant elevations in cortisol and faster Stroop reaction times. Moreover, higher baseline oxytocin predicted greater positive affect after the stressor and also better cognitive accuracy on the Stroop. Analyses examining the naturalistic stress effects revealed that basal oxytocin levels rose steeply three weeks before the semester’s end, followed by rising cortisol levels one week later, with both neurohormones remaining elevated through the very stressful final exam period. Considered together, these data suggest that women’s collective experiences of stress may be potentially buffered by a synchronous oxytocin surge that enhances cognitive accuracy and reduces stress “when the going gets tough”

Strong Enrichment of Aromatic Residues in Binding Sites from a Charge-neutralized Hyperthermostable Sso7d Scaffold Library

The Sso7d protein from the hyperthermophilic archaeon Sulfolobus solfataricus is an attractive binding scaffold because of its small size (7 kDa), high thermal stability (Tm of 98 °C), and absence of cysteines and glycosylation sites. However, as a DNA-binding protein, Sso7d is highly positively charged, introducing a strong specificity constraint for binding epitopes and leading to nonspecific interaction with mammalian cell membranes. In the present study, we report charge-neutralized variants of Sso7d that maintain high thermal stability. Yeast-displayed libraries that were based on this reduced charge Sso7d (rcSso7d) scaffold yielded binders with low nanomolar affinities against mouse serum albumin and several epitopes on human epidermal growth factor receptor. Importantly, starting from a charge-neutralized scaffold facilitated evolutionary adaptation of binders to differentially charged epitopes on mouse serum albumin and human epidermal growth factor receptor, respectively. Interestingly, the distribution of amino acids in the small and rigid binding surface of enriched rcSso7d-based binders is very different from that generally found in more flexible antibody complementarity-determining region loops but resembles the composition of antibody-binding energetic hot spots. Particularly striking was a strong enrichment of the aromatic residues Trp, Tyr, and Phe in rcSso7d-based binders. This suggests that the rigidity and small size of this scaffold determines the unusual amino acid composition of its binding sites, mimicking the energetic core of antibody paratopes. Despite the high frequency of aromatic residues, these rcSso7d-based binders are highly expressed, thermostable, and monomeric, suggesting that the hyperstability of the starting scaffold and the rigidness of the binding surface confer a high tolerance to mutation.United States. National Institutes of Health (CA174795)United States. National Institutes of Health (CA96504