Psychofamilial correlates of school disorders

A model for understanding relationships between family functioning and children's school disorders is presented. The model is based upon the work of Minuchin, Rosman, and Baker (1979) with psychosomatic children and on the author's experience as clinical coordinator of a center for children and adolescents with academic and behavioral disorders. Five transactional patterns are identified as supporting the presence of a school disturbance: enmeshment, overprotectiveness, rigidity, lack of conflict resolution, and child intrusion in marital conflict. Each of these patterns is illustrated with case examples in order to highlight how the child's school symptoms often have an important impact on the family's organization. Some treatment suggestions are provided, with special emphasis made for those practitioners working with Hispanic families.     

The psychosomatic family model. A critical analysis of family interaction concepts

The psychosomatic family model of Minuchin and his colleagues is one of the best known and influential viewpoints in the field of family therapy. This article critically analyses this model and related concepts, focusing on the lack of clear definitions, especially with regard to the interactional concepts: enmeshment, rigidity, overprotectiveness, and lack of conflict resolution. Each concept is discussed, concluding with the recommendation of a new definition, so that the model can be empirically verified. The authors suggest that Minuchin's model can be reduced to three fundamental interactional dimensions : the intensity of intrafamilial boundaries, the degree of the family's adaptability, and the family's way of handling conflicts. A research method is presented in which the way of assessing these interactional dimensions is demonstrated.     

The Excitation-Adaptation Model of Pediatric Chronic Illness

This article examines the value of the psychosomatic family model for the study of chronically ill children. Four conceptual problems arise in the discussion of this model: the unidirectional causality of the model; the function of the sick child for the family system; the pathology of the family characteristics; and the disease type. In the present study, we propose (a) that a distinction be made between uncontrolled and controlled forms of disease, and (b) that the family characteristics of "cohesion" and "adaptation" be examined in relation to the parental capacity for problem solving and the acceptance or rejection of the child by the parents. This is shown by means of empirical research. In this empirical study, 20 families with a child suffering from controlled asthma are compared with 20 families with a child suffering from uncontrolled asthma. Contrary to the assumptions derived from the psychosomatic family model, the results show significantly more cohesion and structure in the group with a child suffering from controlled asthma. The findings from this study are integrated in a new model for the study of chronic childhood illness —"the excitation-adaptation model." In this model, two circular processes are emphasized involving (a) the progress of the illness and the way in which parents and child deal with medication and medical advice (therapy compliance), and (b) the factors influencing the therapy compliance on the part of the parents, the family, and the child. By studying these factors in connection with the management of the illness, it should become clear whether family characteristics are adaptive or pathological.     

Marriage encounter casualties: A preliminary investigation

Abstract

The purpose of this exploratory study was to investigate the relationship between participation in Marriage Encounter, the largest marriage enrichment program in the world, and subsequent marital or family distress. Analyzing 13 case reports from seven marital therapists, the authors suggest that Marriage Encounter weekends can cause marital or family deterioration for some couples through increased marital conflict, avoidance of constructive problem solving, or marital enmeshment at the expense of children. It appears that the most harmful aspect of the Marriage Encounter experience is its induction of intense couple-centered communication, leading to emotional overload in some couples. The authors offer several recommendations intended to lower the risks associated with participation in Marriage Encounter.     

Parental Overprotection, Cultural Value Conflict, and Psychological Adaptation among Asian Indian Women in America

The present study related generational status, marital status, parental overprotection (control), and cultural value conflict to self-esteem and depression among first and second-generation Asian Indian immigrant women in the south-midwestern United States. Self-report data from 73 community-dwelling women supported the hypotheses that unmarried and second-generation women would report greater maternal control and cultural value conflict than would married and first-generation women. Second-generational status, high maternal control, and high cultural value conflict correlated with higher depressive symptomology; being married, low maternal control, and low cultural value conflict were related to high self-esteem. Regression analyses indicated a mediating role for cultural value conflict for depression symptom predictors, but not for self-esteem predictors. Open-ended response data provided enriched understanding of these women’s cultural and family conflicts.     

Evolving the biobehavioral family model: the fit of attachment

The 1993 Biobehavioral Family model (BBFM) posits that family relational patterns and biobehavioral reactivity interact so as to influence the physical and psychological health of the children. The revised 1999 BBFM incorporates parent-child attachment as a pivotal construct. The current study tests the 1999 BBFM by predicting, in asthmatic children, that child perception of parental relationship quality, triangulation of child in marital conflict, and parent-child security of relatedness will be associated with hopelessness and vagal activation (one mechanism of airway compromise in asthma). In this study, 22 children with asthma (11 males/11 females, aged 8 to 16), watched, alone, an emotionally challenging movie, then engaged in family discussion tasks (problem solving, loss, conflict, cohesion) and completed the Children's Perception of Interparental Scale, the Relatedness Questionnaire, The Multidimensional Scale of Anxiety in Children, and the Hopelessness Scale for Children. Heart rate variability, measured at baseline and throughout the movie and family tasks, was used to compute respiratory sinus arrhythmia (RSA)--an inferential measure of vagal activation. The child's perception of parental conflict showed trends of association with triangulation and insecure father-child relatedness. Triangulation and hopelessness also were associated with insecure father-child relatedness, all of which were associated with vagal activation. Insecure mother-child relatedness was correlated only with hopelessness. Anxiety was not related to any variables. These findings lend support to the 1999 BBFM, and suggest a key role for parent-child attachment.     

父母婚姻冲突对儿童发展的影响及其机制

婚姻关系是家庭关系中最核心的关系, 家庭中父母婚姻冲突影响着儿童发展。众多研究发现, 父母婚姻冲突对儿童认知发展和情绪社会性发展均有重要影响, 而且父母婚姻冲突影响儿童发展存在复杂的作用机制(如中介机制和调节机制)。父母婚姻冲突对儿童发展的影响主要通过儿童认知-情绪过程和家庭过程来实现, 且这一影响会因多种儿童因素和环境因素的不同而不同。未来研究有必要同时考察父母婚姻冲突对儿童认知发展和情绪社会性发展的影响, 并进一步探究和整合多种作用机制, 为干预方案的制定提供有力支持。     

Minuchin's psychosomatic family model revised: a concept-validation study using a multitrait-multimethod approach

The convergent and discriminant validity of three operationalizations of the psychosomatic family features--enmeshment, rigidity, overprotectiveness, and lack of conflict resolution, as described by Minuchin and colleagues--are tested in families that include patients with eating disorders, especially anorexia nervosa and bulimia. We redefined the family features as dimensions and measured them with two behavioral methods (direct observation and behavioral product) and a self-report method. The two behavioral methods showed convergent as well as discriminant validity for the intensity of intrafamilial boundaries, the degree of the family's adaptability, and the family's way of handling conflicts. The self-report method showed only convergent validity for the latter dimension and discriminant validity for none of them. Besides intrafamilial conflict, the self-report method seemed to measure other constructs. A factor analysis of the family questionnaire indeed yielded three more evaluative constructs: conflict, cohesion, and disorganization. We interpreted these findings according to two usually interwoven mechanisms: the different research context (insider/outsider evaluation) in self-report and behavioral observation, and the different level of specification (micro/global evaluation) of certain operationalizations. We draw some conclusions about the psychosomatic family model and discuss the clinical implications of our findings.     

Are you tired? Spillover and crossover effects of emotional exhaustion on the family domain

This paper examines the spillover and crossover effects of emotional exhaustion on marital satisfaction for both employees and partners as well as on employee work–family conflict and partner family–work conflict. It investigates how the transmission of psychological strain from the workplace to the family domain mediates these relationships. In a sample of 226 employee–partner dyads from manufacturing, electronics, banking, service industries and public organizations, the results support the notion that employees' emotional exhaustion spawns negative strain in the home. More specifically, the results of spillover mediation analyses show the relationships between emotional exhaustion and employee marital satisfaction/work–family conflict in the home. In a crossover model, the results indicate that employee psychological strain mediates the relationships between emotional exhaustion and the marital satisfaction of partners/family–work conflict in partners. These findings provide supports for spillover and crossover models to investigate a direction for the effectiveness of emotional exhaustion on family issues. Theoretical and practical implications of the results are discussed, and directions for future research are offered.     

Boundary Disturbances and Eating Disorder Symptoms

Female graduate students in counseling and clinical psychology retrospectively rated maternal and paternal boundaries in their families of origin. Subscales of the Eating Disorders Inventory-3 were used to assess disordered eating, including drive for thinness, body dissatisfaction, bulimia symptoms, and overall risk. Results indicated that maternal enmeshment and maternal psychological control were related to disordered eating. Further, daughters who reported that their mothers shielded them from parents’ conflict and adult concerns were less likely to report drive for thinness or bulimic tendencies. With respect to paternal boundary problems, paternal infantilization (overprotection) was significantly related to daughters’ drive for thinness.     

Family therapy and psychosomatic illness

The author suggests that clinical experience has developed to the point where the question can be asked, “Is a specific psychosomatic illness responsive to a specific type of family therapy?” Examples such as structural family therapy in childhood diabetes, asthma, pain, and anorexia nervosa; cognitive family therapy in adult chronic pain; and marital group behaviour modification in adult obesity, chronic pain, and myocardial infarction, are critically reviewed. The evidence suggests, but does not yet prove, that specific types of marital and family therapy may be effective in a few specific psychosomatic problems, a useful adjunctive therapy in some psychosomatic problems, and that family assessment is helpful in the management of all psychosomatic problems.     

Economic Pressure,Individual and Family Processes,and Children’s Reticence in Romanian Families

Using Conger’s family stress model as a theoretical framework, a series of mediated associations among economic hardship, perceived economic pressure, parental depression, marital conflict, psychologically controlling parenting, and children’s reticent behaviors in Romanian families were studied. The sample consisted of 121 Romanian mothers and fathers of 4–5-year-old children. Children’s kindergarten teachers living in urban and rural locations evaluated child reticence. Findings generally support the family stress model. Structural equation modeling showed that after controlling for living in a rural location, economic pressure was indirectly linked with marital conflict through depression. Depression was indirectly related to psychological control through marital conflict, and marital conflict was indirectly linked to child reticence through psychological control. Directions for future research and recommendations for interventions and public policy are described.     

父母婚姻冲突、不良同伴交往对初中生攻击行为的影响:一个有调节的中介模型

采用问卷法对1406名初一学生进行调查,考察了不良同伴交往在父母婚姻冲突与初中生攻击行为关系间的中介效应,以及冲动性对这一中介过程的调节效应。结果发现:(1)在控制了性别、年龄、家庭人均月收入和父母受教育水平之后,婚姻冲突显著正向预测青少年攻击行为;(2)不良同伴交往在婚姻冲突与攻击行为关系间起着显著的部分中介作用;(3)冲动性对中介路径"婚姻冲突→不良同伴交往→攻击行为"具有显著的调节效应。     

The Relationship Between Marital Satisfaction,Marital Stability,Nuclear Family Triangulation,and Childhood Depression

This study was to examine the effect of triangulation on depression in children. Clinical samples and nonclinical samples were taken from Utah and Illinois. Families were assessed for marital satisfaction and stability, family triangulation, and children's depression levels by the Marital Adjustment Test, Marital Status Inventory, Nuclear Family Triangulation, and Children's Depression Inventory. Results showed children's depressive symptoms to be most strongly linked to fathers' level of marital satisfaction, marital stability, and perceived family triangulation. Mothers' variables did not affect children's depressive symptoms .     

原生家庭父母冲突、夫妻冲突解决模式与婚姻质量的关系:基于主客体互倚模型的分析

采用问卷调查法,对263对夫妻的原生家庭父母冲突、夫妻冲突解决模式和婚姻质量进行测量。结果表明,(1)个体的原生家庭父母冲突与自身以及配偶的婚姻质量呈显著负相关;(2)丈夫的原生家庭冲突可以预测自身以及妻子的冲突解决模式,妻子的原生家庭冲突可预测丈夫的冲突解决模式;(3)丈夫夫妻冲突解决模式在双方原生家庭父母冲突对自身婚姻质量的影响中存在完全中介效应,妻子夫妻冲突解决模式在丈夫原生家庭父母冲突对自身婚姻质量的影响中存在完全中介效应。研究结果证实了原生家庭父母冲突可以通过夫妻冲突解决模式对自身或配偶的婚姻质量产生影响。     

The Effects of the Intergenerational Transmission of Family Emotional Processes on Conflict Styles: The Moderating Role of Attachment

This study of 203 emerging adults investigated the moderating role of attachment on the intergenerational transmission of the effects of family emotional processes (enmeshment and disengagement) on adult offspring's conflict management. Results indicated that higher levels of perceived disengagement led to more use of hostile and volatile and lower use of validating conflict styles. Results further indicated that attachment moderated the effects of disengagement on hostile and volatile but not validating styles. High levels of anxiety exacerbated the effects of disengagement while low levels of avoidance buffered the effects of disengagement. Clinical and research implications are discussed.     

Reciprocal influences between parents' marital problems and adolescent internalizing and externalizing behavior

The present study examines reciprocal associations between marital functioning and adolescent maladjustment using cross-lagged autoregressive models. The research involved 451 early adolescents and their families and used a prospective, longitudinal research design with multi-informant methods. Results indicate that parental conflicts over child rearing predicted adolescent depressive symptoms and delinquency. In turn, these adolescent problems exacerbated parental conflicts over child rearing. Furthermore, conflict over child rearing served as the nexus through which more generalized marital dissatisfaction and adolescent adjustment problems were reciprocally interrelated. This research replicates earlier observations that marital problems intensify adolescent maladjustment and extends the literature by demonstrating that adolescent problems also predict marital conflict and ultimately marital dissatisfaction. In sum, the present study demonstrates that marital dissatisfaction, conflict over child rearing, and early adolescent adjustment difficulties are interwoven in a dynamic family system marked by reciprocity along these dimensions.     

Temporal Patterning in the Family

The authors propose that time be considered as a variable in family process. Previous theory and research on human temporal patterning and experience are reviewed, and empirical generalizations from an initial pilot study concerned with marital and family members' orientation to "morningness" and "nightness" are presented. Further implications from this work-in-progress are delineated.     

Marital conflict and parental responses to infant negative emotions: Relations with toddler emotional regulation

According to family systems theory, children's emotional development is likely to be influenced by family interactions at multiple levels, including marital, mother–child, and father–child interactions, as well as by interrelations between these levels. The purpose of the present study was to examine parents’ marital conflict and mothers’ and fathers’ distressed responses to their infant's negative emotions, assessed when their child was 8 and 24 months old, in addition to interactions between parents’ marital conflict and their distressed responses, as predictors of their toddler's negative and flat/withdrawn affect at 24 months. Higher marital conflict during infancy and toddlerhood predicted both increased negative and increased flat/withdrawn affect during toddlerhood. In addition, toddlers’ negative (but not flat) affect was related to mothers’ distressed responses, but was only related to father's distressed responses when martial conflict was high. Implications of this study for parent education and family intervention were discussed.     

Sculpting Present and Future: A Systemic Intervention Model Applied to Psychosomatic Families

We present a therapeutic intervention model for use with psychosomatic families. This method, the result of our extensive research on various psychosomatic disorders, uses family sculptures of the "present" and "future": each family member is requested to represent the family as it now "is," and how it "will be" in the future. We discuss the theoretical reasons for our choice of this method: (a) the opportunity to use a therapeutic language that is similar to the nonverbal language of the psychosomatic symptom, and (b) the usefulness of reinserting temporal dimensions into family systems that seem to have lost their evolutionary potential and to be in a sort of "time lock." Two clinical cases are discussed (a child with chronic asthma and an anorexic adolescent); the use of sculptures in both cases revealed the underlying problems and made positive therapeutic interventions possible. Finally, we point out how the use of sculpture as a therapeutic technique enables therapists to deal with multiple systemic levels.