Multi-agency family systems

The term 'multi-agency' family is preferred to 'disorganized' family. Multi-agency family systems present special problems of the relationships (a) within the family, (b) between family and professional network, (c) among members of the professional network and (d) between family, network and treatment centre to whom the family is referred. Pressures on the family and professional workers can create a locked system which prevents natural development of the family or effective problem solving by the workers. A systems approach to such problems is presented which includes consultation to the family/professional network system.     

Impact of Family Efficacy Beliefs on Quality of Family Functioning and Satisfaction with Family Life

The present study tested with 142 families a structural model of the interplay of perceived dyadic and collective forms of efficacy within the interdependent family system, and how these different forms of efficacy are structurally related to quality of family functioning and satisfaction with family life. Dyadic parent–child efficacy, dyadic spousal efficacy, and filial efficacy were linked to family satisfaction through the mediating impact of collective family efficacy. A high sense of collective family efficacy was accompanied by open family communication and candid disclosure by adolescents of their activities outside the home. Collective family efficacy contributed to parents' and adolescents' satisfaction with their family life both directly and through its impact on quality of family functioning. An alternative structural model in which quality of family functioning affects the different forms of perceived family efficacy and family satisfaction provided a poorer fit to the data.     

Management of religious issues in family therapy

Social scientists have long emphasized the reciprocal relationship between family and religion in society. Yet the family therapy literature is virtually devoid of consideration of religious variables in family life and function. Four major psychosocial aspects of religion in family life are discussed: sacralization, coalitions with the supernatural, religious conflict as a projection of family conflict, and family conflict as a projection of religious conflict. Clinical issues presented include: family therapy in religious and secular contexts, family religious expectations and transference, therapist religious countertransferences, religious identification in family therapy, and family therapy in different degrees of congruence or difference in religious orientation between the family and the therapist. The family therapist must learn how to correctly interpret and appropriately respond to religious issues as they appear in family life and family therapy.     

家庭收入与儿童早期的社会能力：中介效应与调节效应

以325名幼儿为被试,收集母亲报告的家庭人均月收入、儿童一般社会能力和家庭环境,及教师报告的师生关系,考察了家庭收入在儿童早期社会能力中的作用,及家庭社会文化环境在其中的中介作用和家庭情感环境在其中的调节作用。结果发现：(1) 高收入家庭儿童的一般社会能力及师生关系质量显著高于低收入家庭的儿童;(2) 在家庭收入对儿童一般社会能力的预测中,家庭社会文化环境中的智力-文化取向与社交-娱乐取向均发挥了中介作用,家庭情感环境中的控制性发挥了调节作用,且家庭智力-文化取向的中介作用受到了家庭控制性的调节;(3) 在家庭收入对师生关系质量的预测中,家庭情感环境中的控制性和矛盾性发挥了调节作用。     

The patient in the family and the family in the patient

The notion that the family is “the unit of care” for family doctors has been enigmatic and controversial. Yet systems theory and the biopsychosocial model that results when it is imported into medicine make the family system an indispensable and important component of family medicine. The challenge, therefore, is to provide a coherent, plausible account of the role of the family in family practice. Through an extended case presentation and commentary, we elaborate two views of the family in family medicine — treating the patient in the family and treating the family in the patient — and defend both as appropriate foci for care by family doctors. The practical problem that arises when the family is introduced into health care is deciding when to concentrate on the family system. The moral problems that arise concern how extensively doctors may become involved in the personal lives of their patients and families. The patient-centered clinical method provides a strategy for handling both problems. Thus, making the family a focus of care in family medicine can be justified on theoretical, practical, and moral grounds.     

A family assessment based on the Social Relations Model

One purpose of family assessment is to formulate hypotheses that can guide clinical interventions. Family assessment is based on models about family functioning. In this paper the Social Relations Model ( Kenny and La Voie, 1984 ; SRM) is presented as such a model about family dynamics. Moreover, SRM provides statistical tools to underpin empirical hypotheses about family functioning. An SRM family assessment of a family with a child in child psychiatric care exemplifies the possibilities and limitations of this SRM approach to family assessment. The subject of the family assessment is family members' sense of influence in their family relationships.     

Family history and gender roles: Critical factors in practitioners' views of family interactions

This study examined practitioners' perceptions of family and individual family member functioning in relationship to family roles, gender of family leadership, beliefs about the consequences of maternal employment, and paternal division of responsibility in practitioner family of origin. Practicing counselors and mental health therapists rated two videotaped family interviews, one demonstrating a matriarchal style of family interaction and the second a patriarchal style. Findings indicated that practitioners were vulnerable to view a patriarchal style of family interaction as more healthy in comparison to a matriarchal style and that their perceptions of family members were related to personal beliefs about the consequences of maternal employment and to personal family history. These and other findings suggest that practitioners may be prone to errant perceptions and misguided intervention related to personal history and attitudes.     

Spatiality of the family's inner structure: choice of seat in family therapy

Many family therapists have observed that the family's choice of seat in the family therapy session provides information concerning the inner structure of the family. The purpose of this study was to study certain aspects of this observation. The selection of seats in family therapy sessions and the mutual distances between family members were investigated for 13 families. The inner structure of the family is described in terms of the existence of problematic relationships and the distribution and quality of power as assessed by the family therapists. The family members' selection of seats in the family therapy session was compared to the sitting order at meals, watching TV at home, and family drawings. It was found that the distance between the father and the patient (a son or daughter) and the location of the father and the mother in relation to each other in the family therapy are more related to the inner structure of the family than to situational factors.     

Exploring families’ experiences of health: contributions to a model of family health

Child health and developmental outcomes are influenced by the health of the family and the context created. Research suggests symptoms of poor family health (e.g. suboptimal family interactions, parenting stress) yet there is limited understanding of the factors which contribute to robust family health which may unveil opportunities for targeted intervention and family health promotion. The present study examined families’ experiences of family health and factors contributing to family health. We performed a qualitative study using constructivist grounded theory methods to guide our understanding of family health for families with typically developing children aged 5–18. Interviews were conducted in family homes and all members were invited to participate. Data from interviews were transcribed, coded, thematically analyzed, and verified with select families. Ten families, including 10 mothers, 8 fathers, and 15 children participated in the study. Participants described family health as a process of balance, living purposefully, and sharing experiences together in alignment with family identity. Mediating family health were processes of awareness and reflection, and adapting, adjusting, and changing in response to family life including external stress factors. Results highlight the possibility for healthcare practitioners to facilitate families’ self-reflection and awareness about their health in order to mediate family health development.     

The Family Diagram and Genogram: Comparisons and Contrasts

The family diagram and its derivative the genogram are widely used in marriage and family therapy, other mental health disciplines, and family medicine. After a brief history of the origins of the family diagram and genogram, several different areas are compared in order to help distinguish differences between family diagrams and genograms. The results of these evaluations illustrate some similarities in format and symbols due to a common history, but distinct differences in purpose, theoretical basis, rationale for data collection, and interpretation guidelines. Divergent theoretical perspectives explain the differences between family diagrams and genograms. The family diagram is intertwined with Bowen family systems theory, while the genogram emphasizes how the nuclear family interacts within multiple contextual levels. The family diagram and genogram are not synonymous; rather, they are distinctly different methods of family assessment.     

Family Secrecy in Family Therapy Practice: An Explorative Focus Group Study

The aim of this focus group study was to explore the experiences of family therapists working with family secrecy. Our study highlights that family secrets present important and compelling challenges for family therapists. Furthermore, our study reveals that there seem to be some basic strategies family therapists use in dealing with these challenges in therapy sessions. One basic strategy is that family therapists try to guard their position of being a trustworthy therapist for each family member by avoiding becoming stuck in family secrecy. Furthermore, therapists explore ways to guide the family toward the disclosure of the secret in order to alleviate the toxicity of the secrecy. This highlights the importance of the systemic model and how influential this perspective is in family therapy practice. Some participants, however, have in addition a second strategy they sometimes use: talking with the family about secrecy without aiming to disclose the secret. In the discussion section of the article we reflect on the possibility that in the strategic choices family therapists make conceptual issues might be involved. Furthermore, we stress the importance of further research.     

The importation,transmission, and moderation of stress in the family system

Despite its importance in community psychology, the stress process is still viewed primarily as an individual-level phenomenon, little research being conducted on the dynamics of stress in a social system such as the family. Propositions derived from a model of family stress were tested using data from a cross-sectional survey of family triads (father, mother, and adolescent). Two measures of distress were related significantly to both macro-and microstressors, and perceived social support did not buffer this relationship. Stressors endogenous to the family were significantly associated with those exogenous to the family (stressor importation hypothesis); contrary to prediction, this relationship did not vary across family members or family types (high vs. low cohesion). Distress in some family members was significantly associated with stressors experienced by other family members (stress transmission hypothesis); this relationship did not vary across family types but did vary across family members to some extent in that stress was transmitted from adolescents to parents to a greater degree than vice versa.     

Family stressor events, family coping, and adolescent adaptation in farm and ranch families

Data from 77 adolescents in farm and ranch families were used to examine the relationship of demographic variables, family stressor events, and family coping strategies to adolescent adaptation. Results indicated that adolescent age and family transitions were positively related to individual stress. Males reported less family stress than did females. Seeking spiritual support was negatively related to family stress, while the perceived impact of the farm crisis was positively related to family stress. Family support was positively related, and family substance use issues were negatively related, to adolescent satisfaction with family life. The implications of these findings are discussed.     

Workaholism and Family Functioning: A Profile of Familial Relationships, Psychological Outcomes, and Research Considerations

This paper examines the relationship between workaholism and family functioning and the psychological outcomes of family members. A profile of the workaholic family is presented, along with an argument for family scientists and practitioners to pay more attention to this neglected area of family life. Considerations for how to address the need in family research and practice also are presented.     

Emigration as Family Strategy in Chinese Context: Emigration from Fuqing,China

This study explores how family characteristics affect the emigration of family members from the city of Fuqing, China, a major migrant-sending area in China. We focus our discussion on three related questions: how family demographic characteristics affect a family’s participation in emigration, the number of family members involved in emigration, and the locational diversification of family members overseas. Our findings show that family income is related to whether the family has any members overseas and their numbers. Second, a larger family is more likely to participate in migration. These findings are consistent with the argument that migration is a joint family decision. Third, effects of demographic characteristics of different generations on emigration indicate again that migration is a family matter. Finally, our Fuqing findings show no clear patterns of family members settling in the same country if more than one member is overseas.     

Conceptualization and measurement of family outcomes associated with families of individuals with intellectual disabilities

The purpose of this review is to (a) document the current status of conceptualizing and measuring family outcomes related to having a member with an intellectual disability and (b) determine the extent to which family research focuses on internal family characteristics as contrasted to external family support. The reviewers collected 28 articles using the terms well-being, adaptation, family functioning, or family quality of life in the title. Results of our analyses are presented as a comparison between well-being, adaptation, and family functioning articles in one group and family quality of life articles in a second group. Both groups lacked explicit conceptual definitions, theory, and random/representative samples. The articles placed an undue emphasis on maternal participation, and tended to report a single family member score as representative of the whole family. Two major differences between the groups was a tendency for family quality of life studies to be grounded in conceptual frameworks and focus on new instrument development. Recommendations for future research directions are included.     

International Family Therapy: A View from Kyoto, Japan

"International family therapy" is an emergent field within (or overarching) the field of family therapy. At this stage, it can be described as the collecting and sharing of experiences by family therapists from different countries. Recent publications (7) gather information principally from Western cultures in which systemic family therapy has grown over the past thirty years. Japan is of particular interest to Western practitioners because it is a highly successful, post-industrial culture that differs markedly from the West. Familiar family therapy interventions often work for unfamiliar reasons, and different goals are often needed in order to respond to apparently similar family problems. An expanded sense of choice around strategies for family life and family therapy that such diversity implies is the primary contribution that this maturing, international family therapy movement can make to family therapy.     

The relationship between family history,gender role attitudes,and susceptibility to gender inequitable perceptions of family and family member functioning

This research examined how family roles, gender of family leadership, beliefs about the consequences of maternal employment, and family history of parental division of responsibility related to young adults' perceptions of family and individual family member functioning. One hundred seven (107), predominantly Anglo American undergraduate students completing courses in educational psychology at a large midwestern university rated two videotaped family interviews. One interview demonstrated a matriarchal style of family interaction and the second demonstrated a patriarchal style. It was found in perceptions of family functioning that a personal family history characterized by elevated paternal involvement in family tasks and child care in combination with traditional gender-related attitudes was associated with views favoring male family leadership. In ratings of individual family member functioning, it was found that individuals whose family history was characterized by elevated paternal involvement and whose gender attitudes were more traditional held more favorable views of the matriarchal mother than the mother in the patriarchal interview in comparison to adults whose fathers were less involved and whose attitudes were less traditional regarding gender roles. It was also found that individuals whose family history was characterized by elevated paternal involvement and whose gender attitudes were more traditional held more favorable views of the father in the patriarchal interview than the matriarchal father in comparison to adults whose fathers were less involved and whose attitudes were less traditional regarding gender roles. These findings suggest that adults may be vulnerable to biased views of families and individuals within family settings related to gender roles, personal history, and attitudes.     

Circumplex model of marital and family systems: III. Empirical evaluation with families.

This study was designed to test the circumplex model of family systems that hypothesizes moderate family cohesion and moderate adaptability to be more functional than either extreme. Thirty-one Catholic family triads with daughters ranging in age from 14 to 17 years participated in a structured family interaction game (SIMFAM) and filled out questionnaires that measured the variables of cohesion and adaptability and the facilitative variables of support and creativity. All families were considered normal but were subdivided into those that had more and less difficulty with this adolescent. Analysis of the data yielded considerable support for the circumplex model. High family functioning was associated with moderate family cohesion and adaptability, and low family functioning had extreme scores on these dimensions. As predicted, high family support and creativity were also related to high family functioning. Implications of these findings for family therapy are discussed.     

Fixation and Regression in the Family Life Cycle

In spite of the obvious fact that families differ significantly depending upon their current stage of the life cycle, most of the family therapy literature focuses on intervening in ongoing family interaction without specific attention to the dimension of family development. Family sociologists, on the other hand, while not dealing with modifying family functioning, have provided more detailed tools with which to understand variations in family functioning based on stages of family development. Our work with families in acute distress suggests the need to increase the specificity with which our assessments and interventions are tailored, by incorporating the family developmental view. This paper explores the utility of the family developmental view using the concepts of fixation and regression in the family life cycle. These concepts were found to be relatively refined and quite pragmatic assessment devices that assist therapists in specifying developmental issues of the family. Case examples of actual families in crisis are presented in order to demonstrate the utility of these conceptual tools.