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PubMed · 3754225

On asking the right questions.

P Rayner
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Abstract

Despite the vast array of theoretical formulations now available, none is sufficiently well developed. Some of the philosophical questions thrown up by such material are posed. Under the heading of "Discourse," the questions of what constitutes reasonableness and how logical validity is established are raised. Under the heading of "Epistemology," the nature of concept formulation and causality is raised. Under the heading of "Language," the nature of linguistic representation and artificially constructed language or "artificial intelligence" is raised. It is suggested that these and other issues in the philosophy of science require the urgent attention of family therapy theorists.

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P Rayner. 1986. On asking the right questions.. https://doi.org/10.1111/j.1545-5300.1986.00123.x

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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