Patella or not?. (Is the patella component the 'Cinderella' of total knee arthroplasty?).
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Journal Article↗
Biomedical subjects
P Fraenkel
Publications and source records attributed to P Fraenkel.
The nomothetic-idiographic debate in family therapy.
This essay introduces the terms "nomothetic" and "idiographic" to characterize the current debate about whether the field of family therapy should accumulate and apply knowledge about patterns of adjustment that hold across different families, or whether the field should consider each family as utterly unique, and should tailor interventions solely on the basis of these unique qualities. Embedded in this debate are the arguments for and against quantitative research, disagreements about the value of clinical prediction and interobserver reliability, as well as the issue of whether therapists can rightfully claim to possess "expert knowledge." The essay begins with the personal-professional anecdote that stimulated me to explore this debate in greater depth. It continues with a brief discussion of the historical context of this debate, particularly noting the parallels between the methodological issues in personality research and those facing family therapy. The nomothetic-idiographic debate in family therapy theory, research, and practice is then described. The essay ends with the suggestion that family therapy view nomothetic and idiographic thinking as complementary, and that the field strive to develop an integrated, "idiothetic" approach to family therapy research and practice.
Adult↗
Time and rhythm in couples.
In this article, a theory is offered on the role of time in couple functioning and distress. The theory argues that no single set of temporal patterns is associated with couple distress or satisfaction. Rather, it advocates attention to the individual differences between couples in their understanding of the meaning of the temporal patterns in their relationship. The couple's narrative about the evolution and maintenance of these temporal patterns can be understood as revealing much about partners' experiences of the relationship in terms of the concepts of closeness and power. Interventions on the temporal dimension may be useful when the couple presents with an explicit problem in temporal patterns; when a particular temporal pattern prevents the couple from addressing other issues; and when the therapist wishes to reframe a problem in a manner that lowers conflict intensity. Along with the theory, a preliminary taxonomy of time problems in couples is presented as a guide to assessment. This is followed by clinical vignettes to illustrate how the theory can be used in couple therapy.
Activities of Daily Living↗
Treating the sexually abused child: a recursive, multimodal program.
This article describes a recursive, multimodal therapy approach for children who have been sexually abused by members of their family. The different therapeutic modalities (family, group, and individual) are conceived of as different "communities" that provide a variety of relationships, information, and perspectives on the incest experience. The child's involvement in these different communities allows her or him to develop a multiplicity of self-accounts. Meaning is further expanded through the recursive transfer of material across modalities. By determining the content that is discussed in any particular session, and by participating actively in decisions about transferring material across modalities, the child both develops an enhanced sense of personal agency and a connection to trustworthy family members. This approach is designed to allow each child's unique experience with incest to emerge. Clinical examples are provided, along with a description of the program that provides the setting for our multimodal approach to incest.
Adult↗