Family Secrets: The Case of the Patient Kept in the Dark

The author examines the position of a child from whom important matters in his or her own life or key events in the family have been kept secret, outlines criteria by which the decision whether or not to unveil the secret should be made, and urges colleagues to gather more data and examine further family secrets.     

Family Functioning and Self-Differentiation: A Cross-Cultural Examination

This study examined the degree to which self-differentiation as related to family functioning is valued differently by Korean and European-American university students. The main findings confirm that the level of family functioning reported by European Americans is greater than for their Korean counterpart; family functioning is associated with differentiation measures (total score, emotional reactivity, and emotional cutoff) to a different extent across the two groups; and controlling for the effect of family functioning, the added contribution of a country variable explained further variance in self-differentiation. The importance of addressing the issue of similarities and differences between cultures in the assessment and treatment of individuals with problems related to their families of origin is discussed.     

The Role of Family Functioning in Bipolar Disorder in Families

Investigated the association between family functioning and conflict and their links with mood disorder in parents and with children's risk for bipolar disorder. Participants were 272 families with a child between the ages of 5-17 years. Parents' history of psychiatric diagnoses and children's current diagnoses were obtained via semi-structured interviews. Parent report on the Family Assessment Device and the Conflict Behavior Questionnaire measured family functioning and conflict, respectively. Results revealed a small but significant indirect pathway from parental diagnosis of mood disorder to child bipolar disorder through impaired family functioning, via increased family conflict. Parental mood disorders were also significantly related to other negative outcomes in children, including unipolar depression and oppositional defiant disorder. Associations between parent diagnoses and family functioning changed depending on youth age, but not youth sex.     

The Primary Triangle and Variation in Nuclear Family Functioning

The triangle, a concept in Bowen theory, is the emotional molecule in the family system that shapes the human over the course of life. This longitudinal study explored the influence of the family of origin primary triangle on 51 couples’ family of procreation functioning over 10 years. The quantitative analysis found associations between family of procreation functioning and three variables: distance versus openness in the family of origin primary triangle, the degree of inside and outside positions in the primary triangle, and the degree of family projection as expressed in worry. In addition, the three triangle relationships correlated with each other, supporting the idea that each relationship influenced the other. Using qualitative methods, a focused analysis elaborated on the quantitative findings.     

家庭功能：理论、影响因素及其与青少年社会适应的关系

该文综述了中西方近20年有关家庭功能的定义、理论、影响因素及家庭功能与青少年社会适应关系的研究进展。有关家庭功能的理论可以分为两大类：以家庭发展结果为取向和以家庭发展过程为取向的家庭功能理论。现有研究主要探讨了家庭结构、社会经济地位、家庭关系、发展阶段、生活事件等对家庭功能的影响,并发现家庭功能与青少年的社会适应有着非常密切的关系。文章最后分析了已有家庭功能理论及相关研究的不足,并指出了未来家庭功能领域的研究方向。     

Parents Living with HIV in China: Family Functioning and Quality of Life

In China, HIV shifts the lifestyle of not only parents living with HIV/AIDS, but also their children, partners, and extended families. We examined factors related to the quality of life of parents living with HIV and the relation between family functioning and individual quality of life. Interviews were conducted with a total of 116 parents living with HIV/AIDS. Analyses of variance, Pearson correlations, and multiple regression analyses were performed to examine the relation between family functioning and quality of life. We found a significant association between family functioning and individual quality of life for parents living with HIV. In particular, family sociability had a strong relationship with the quality of life of parents living with HIV. Parents living with HIV from families where both parents are HIV-positive reported a lower level of family sociability than those from families with only one HIV-positive parent. HIV disclosure, family sociability, and number of children per family were found to be significant predictors of overall quality of life for the population. Study findings underscore the importance of developing interventions that improve family functioning for people living with HIV/AIDS in China.     

家庭功能理论的研究进展

本文对西方有关家庭功能理论进行综述。西方关于家庭功能的理论取向可分为两类:一类是以环状理论以及系统理论为代表的结构取向;另一类是执行过程取向。影响家庭功能的因素可分为横向因素与纵向因素两类。此外,通过对我国已有家庭功能理论的研究回顾,指出了未来我国家庭功能理论的研究方向。     

家庭功能及其相关因素研究

采用家庭亲密度和适应性量表(FACESⅡ)调查了304个城市家庭的家庭功能状况和影响因素。结果表明：(1)平衡型家庭所占比例最大,为58．0％,中间型占25．9％,极端型只有16．1％;(2)家庭功能随婚姻发展历程发生变化;(3)家庭亲密度受经济收入水平影响,但与受试者年龄、性别、受教育水平等变量无关。     

Intergenerational Fusion and Nuclear Family Functioning

Bowen theory hypothesizes that undifferentiation or fusion between the generations influences nuclear family functioning. Using qualitative and quantitative methods this longitudinal study tested this idea with 49 newly developing nuclear families. Analysis of the first five years of data offered support to the hypothesis. Qualitative analyses of the participants' interviews gave the strongest support for higher levels of intergenerational fusion being associated with higher levels of nuclear family symptomology. Quantitative analyses also supported the hypothesis. The association between intergenerational fusion, as measured by couple-parent fusion and family financial dependence, and nuclear family functioning increased over the five-year period.     

Distress and Family Functioning in Oncogenetic Counselling for Hereditary and Familial Breast and/or Ovarian Cancers

We conducted a psychological assessment during oncogenetic counseling for hereditary breast/ovarian cancer. Anxiety and depression were assessed with the HAD scale, and family functioning and satisfaction with FACES III. HAD was administered at baseline (t ₁)_, at risk communication (t ₂), at genetic test result communication, or at first surveillance in not tested subjects (t ₃); FACES III was administered at baseline only. We analysed a total of 185 questionnaires administered to the 37 subjects studied. Although not pathological, distress was significantly higher at t ₂ and t ₃ (p = 0.027 and p = 0.039, respectively). Health and marital status were significantly associated with distress. In a disease-free condition, anxiety was higher (p = 0.027) at t _2, and for single status, depression increased from t ₁ to t ₂ (p = 0.026). Families were perceived to be well functioning, and subjects were satisfied with their families. The data collected in this analysis could help to improve the quality of oncogenetic counselling in clinical practice.     

Secrets and Disclosures: How Young Children Handle Secrets

The authors examined the influence of content and verbal cues on young children's understanding of secret information and of its disclosure. Participants were 209 5- and 6-year-old children in an experiment where a puppet, named Zinc, was the protagonist. Children were asked to whom Zinc would disclose a list of pieces of information, some of which are considered secrets. Children could choose between Zinc's friend, a nonfriend, both friend and nonfriend, or nobody. Participants were divided in 2 experiment groups: In the first group a prior verbal cue was given to the participants that some information might be secret, whereas in the second group no prior cue was presented. Results showed that young children, similar to older individuals, differentiated between secrets and nonsecrets partly on the basis of content, and chose to withhold secrets more than nonsecrets or to share secrets more with friends than with nonfriends, following the restrictive self-disclosure pattern. In contrast, young children did not withhold nonsecret information, but they shared it with friends and nonfriends. However, when given verbal cues regarding potential secrecy of the information, young children chose more restrictive disclosure patterns for all types of content.     

Family Functioning,Family Structure,and Differentiation of Self in Heterosexual Spanish Couples: An Actor–Partner Analysis

This study used an actor–partner interdependence model to assess the relationship between differentiation of self and family functioning in a sample of 118 heterosexual Spanish couples, with additional attention to family structural correlates, including age of the children, number of children in the household, and educational level. Results showed a significant actor effect, with greater differentiation of self levels predicting better family functioning within individuals. Implications for mental health professionals regarding differentiation are provided.     

The secrets that you keep: Secrets and relationship quality

Research indicates that preoccupation with secrets takes a toll on mental health. There is also some evidence to suggest that keeping secrets from one's romantic partner may harm the relationship as it implies a lack of trust that one's partner will be supportive. Two 4-wave longitudinal surveys of 609 adults (34.3% men, 65.4% women; M_age = 36.4) keeping a secret from their romantic partner was used to assess the lagged effect of preoccupation with the secret on subsequent relationship satisfaction, trust, and emotional intimacy as well as the reverse. Cross-lagged panel modeling with random intercepts indicated that whereas individuals in poorer relationships were more preoccupied with their secrets, there was no evidence for cross-lagged effects. The findings suggest that secrecy may be a symptom—not a cause—of a dissatisfying, distrustful and distant relationship.     

家庭功能与社会适应:个人自主的中介作用

采用大学生社会适应量表、自我调控问卷和家庭功能问卷调查了643名大学生社会适应的基本特点及其与家庭功能、个人自主间的关系。结果发现:(1)男生在校园生活适应上得分高于女生;大三学生在人际关系适应、自我适应维度上得分高于大四,大一学生在学习适应维度上得分高于大二、在满意度维度上得分高于大三;(2)除投射调控维度外,个人自主的其余维度与家庭功能及社会适应各维度及总均分间均存在显著相关;(3)分层回归结果表明,除投射调控维度外,个人自主其余各维度和家庭功能的亲密性能显著预测社会适应,且个人自主在家庭功能的亲密性和社会适应间起完全中介作用。     

青少年家庭功能与心理复原力的关系：一个有调节的中介模型

为探讨家庭功能、自我控制与青少年心理复原力的关系及其作用机制,采用家庭功能评定量表、自我控制量表、心理复原力量表对浙江省、山东省、河北省957名中学生进行调查。结果发现：（1）家庭功能对青少年心理复原力具有显著正向预测作用。（2）自我控制在家庭功能和青少年心理复原力之间起到部分中介作用。（3）家庭功能对青少年心理复原力中介过程的前半段路径受到性别调节,相比于女生,男生群体的家庭功能对自我控制的影响更为显著。     

儿童社交回避行为：成因、测量方式及适应功能

社会退缩行为是指儿童在社会情境中抑制自己参与同伴互动并表现出独处的行为。根据不同的社交动机,社会退缩行为包含多种亚类型,其中社交回避行为这一亚类型指儿童总是表现出主动避免各种社交场合的行为。总体而言,社交回避是目前研究最少的一种,其形成的主要原因可能是由于儿童本身较高的抑郁感所致,而研究者已开始尝试以间接和直接的方式测量其水平。来自以变量为中心和以个体为中心的研究分别表明,社交回避儿童面临着最高的适应风险。鉴于这一研究领域的广泛前景,未来的研究亟需关注社交回避影响儿童适应的过程机制及其年龄发展特点,测量工具的进一步开发,直接的跨文化比较以及社交回避的干预方案开发。     

儿童社交回避行为：成因、测量方式及适应功能

社会退缩行为是指儿童在社会情境中抑制自己参与同伴互动并表现出独处的行为。根据不同的社交动机,社会退缩行为包含多种亚类型,其中社交回避行为这一亚类型指儿童总是表现出主动避免各种社交场合的行为。总体而言,社交回避是目前研究最少的一种,其形成的主要原因可能是由于儿童本身较高的抑郁感所致,而研究者已开始尝试以间接和直接的方式测量其水平。来自以变量为中心和以个体为中心的研究分别表明,社交回避儿童面临着最高的适应风险。鉴于这一研究领域的广泛前景,未来的研究亟需关注社交回避影响儿童适应的过程机制及其年龄发展特点,测量工具的进一步开发,直接的跨文化比较以及社交回避的干预方案开发。     

家庭功能对青少年疏离感的影响: 有调节的中介效应

采用问卷法调查了608名初一至高二城市青少年, 通过结构方程模型探讨了青少年疏离感与家庭社会经济地位、家庭功能和同伴接纳的关系。结果发现: (1) 青少年疏离感年龄段差异显著, 高中生的疏离感显著高于初中生; (2) 青少年疏离感的三个维度之间存在显著差异。其中环境疏离感最高, 其次是社会疏离感, 人际疏离感最低; (3) 家庭功能在家庭社会经济地位与青少年疏离感之间起完全中介作用, 这一中介作用的实现受到同伴接纳的调节, 即家庭功能对青少年疏离感的影响是有调节的中介效应。     

亲子间家庭功能知觉相似性的特点及其与青少年自尊的关系

采用家庭功能评价量表(FAI),Rosenberg自尊量表,对北京和西安4所普通中学的1317名初高中生及其父母进行调查。结果发现:(1)亲子间的家庭功能知觉存在中等程度的相似性,青少年与父亲和青少年与母亲间知觉的相似性无显著差异;(2)亲子间家庭功能知觉相似性的性别和年级差异显著,女孩与父母间知觉的相似性高于男孩,高一年级与父母知觉的相似性高于其他三个年级;家庭功能不同维度知觉相似性的表现不同;(3)不同性别和不同知觉相似性水平的青少年自尊得分差异显著;低相似性组个体的自尊分数显著低于高相似性组和一般组;亲子间在整体家庭功能和父母关注维度的相似性可显著预测青少年自尊。     

家庭功能对青少年情绪问题的作用机制

本研究以探索家庭功能发挥过程和发挥结果之间的关系并检验两者对青少年情绪问题的作用大小和机制为目的,采用Skinner等人编制的家庭评价量表(FAM,测量家庭功能发挥过程)和Olson编制的家庭适应性、亲密度量表(FACESⅢ,测量家庭功能发挥结果)、流调中心抑郁量表(CES-D)和焦虑自评量表(SAS)对422名中学生进行匿名问卷施测,通过相关分析、分层回归和结构方程模型统计分析发现:(1)总体上青少年的情绪处于良好状态;(2)家庭功能发挥过程和发挥结果各变量之间呈显著相关;(3)家庭功能发挥过程比家庭功能发挥结果对青少年情绪问题预测作用更大;(4)家庭功能发挥结果是家庭功能发挥过程与青少年情绪问题的部分中介变量。