On the relation between moral, legal and evaluative justifications of pre-implantation genetic diagnosis (PGD)

In Germany the question whether to uphold or repeal the judicial prohibition on Pre-implantation Genetic Diagnosis (PGD) is being debated from quite different standpoints. This paper differentiates the major arguments according to their reasons as a) moral, b) evaluative (i.e. cultural/religious), and c) legal. The arguments for and against PGD can be divided by content into three groups: arguments relating to the status of the embryo, focusing on individual actions in the implementation of PGD, and relating to the foreseeable or probable consequences of PGD. In Germany, from a legal perspective, the status of the embryo does not permit the intervention of PGD; from a purely moral perspective, a prohibition on PGD does not appear defensible. It remains an open question, however, whether the moral argument permitting PGD should be restricted for evaluative (cultural) reasons. The paper discusses the species-ethical reasons, for which Jurgen Habermas sees worrisome consequences in the wake of PGD to the extent that we comprehend it as the forerunner of a 'positive eugenics'. It would so disrupt the natural preconditions of our universal morality. The question of whether to prohibit or allow PGD is not merely a question of simple moral and/or legal arguments, but demands a choice between evaluative, moral and (still to be specified) species-ethical arguments, and the question remains open.     

Structural Family Therapy for Children of Divorce: Case Reports

Structural family therapy techniques for treating families with a parental divorce in which a child is symptomatic are described. The family configurations considered are: mother, child, and maternal grandparents; overprotective mother and child; helpless and mildly neglectful mother; father; new family formation; and couples who divorce and marry new spouses.     

Japanese children's perceptions of their parents

The perception of parental roles by 380 fifth- and sixth-grade boys and girls in Japan was examined. The median age of the children was 11 years 9 months. Analyses explored differences attributable to the sex of the child, whether the child lived in Tokyo or in a small city in northern Honshu, and whether the mother was employed outside the home. Data show that the perception of parental roles is not sensitive to mothers' working, that families are organized somewhat more traditionally in the small city that in Tokyo, and there is a small same-sex parent preference on a number of variables. Taken as a whole the data confirm the overwhelming importance of the Japanese mother in the day-to-day lives of the children, document the relative failure of the Japanese father to secure a central role in the life of his children, and demonstrate the significant degree to which Japanese industralization and Westernization have transformed what one writer (Wagatsuma, 1977) has called the Confucian Japanese family.     

The Relationships Between Family Financial Stress,Mental Health Problems,Child Rearing Practice,and School Involvement Among Taiwanese Parents with School-Aged Children

This study examined the relationships between family financial stress, mental health problems, child rearing practice, and school involvement using a sample of 431 parents with children in grades 1–4 from one elementary school in a rural area of Taiwan. Financial stress was hypothesized to be associated with parental mental health problems, which in turn were expected to be linked to poorer child rearing practice and less parental involvement in school. Structural equation models were constructed and tested in a stepwise manner. Results showed that financial stress was significantly associated with higher mental health problems, poorer child rearing effort, and decreased parental school involvement while parents’ mental health problems were not significantly associated with their child rearing efforts or involvement in school. These findings suggest that the impact of family financial stress on Taiwanese parents’ child rearing practice is largely direct rather than mediated through their mental health problems.     

Maternal conceptions of the parenting role and mother–child collaborative behaviours in at-risk context

This study investigated to what extent mothers' conceptions of the parenting role drive mother–child collaborative behaviour as well as expert ratings on maternal practices. It also investigated whether there is any direct link between mother and child behaviours and expert ratings. Self-report measures for maternal conceptions and observed mother–child behaviours in the shopping task were obtained from a sample of 75 at-risk mothers with a child 8 to 12 years old. Social workers reported on mothers' negligent, coercive and resilient practices. Structural equation models showed that high power conception had a negative influence on mother and child's collaborative efforts, whereas reciprocity and parental support conceptions had a positive influence. Reciprocity, low power and parental support schemas consistently predicted experts' view on maternal practices. However, only mother's passivity predicted negatively expert ratings on resilient practice, indicating that expert views were mostly derived from mothers' reflections on their parenting role. Results suggested ways for improving experts' assessment of parental capacities and the use of intervention programmes to promote mothers' positive conceptions and actions.     

Impulsive corporal punishment by mothers and antisocial behavior and impulsiveness of children

This study tested the hypothesis that corporal punishment (CP), such as spanking or slapping a child for purposes of correcting misbehavior, is associated with antisocial behavior (ASB) and impulsiveness by the child. The data were obtained through interviews with a probability sample of 933 mothers of children age 2–14 in two small American cities. Analyses of variance found that the more CP experienced by the child, the greater the tendency for the child to engage in ASB and to act impulsively. These relationships hold even after controlling for family socioeconomic status, the age and sex of the child, nurturance by the mother, and the level of non-corporal interventions by the mother. There were also significant interaction effects of CP with impulsiveness by the mother. When CP was carried out impulsively, it was most strongly related to child impulsiveness and ASB; when CP was done when the mother was under control, the relationship to child behavior problems was reduced but still present. ln view of the fact that there is a high risk of losing control when engaged in CP, even by parents who are not usually impulsive, and the fact that impulsive CP is so strongly associated with child behavior problems, the results of this study suggest that CP is an important risk factor for children developing a pattern of impulsive and antisocial behavior which, in turn, may contribute to the level of violence and other crime in society. © 1998 John Wiley & Sons, Ltd.     

Adolescent school performance following parental divorce: are there family factors that can enhance success?

Most research on the effects of divorce on children has focused on delineation of specific areas of child maladjustment. A more optimistic approach seeks to identify variables that may mediate negative effects of a stressor, such as parental divorce. The goal of this study was to examine the relationship between one area of child adjustment, school achievement, and family factors which may mediate the negative influence of divorce. The subjects were 71 early adolescents and their recently divorced mothers. The adolescents were divided into low, medium, and high grade achievement groups. Analyses of variance and subsequent Newman-Keuls tests revealed that adolescents with high grade point averages had mothers with a lower level of depression, a higher educational level, less conflict with their ex-spouse, and less intense levels of conflict between mother and adolescent than those in the low grade point average group. A discriminant analysis resulted in a two-variable equation which accounted for 33% of the variance between low and high grade achievers. The two variables were mother's report of conflict between her and her ex-spouse in front of the adolescent and the adolescent's report of the intensity of arguments between him/herself and mother. These results indicated that school performance following divorce is not uniform for all adolescents and that family factors may mediate scholastic achievement problems.     

The Role of Family Processes and Coping Strategies in the Relationship Between Parental Chronic Illness and Childhood Internalizing Problems

Sixty-nine families (father, mother, and one child) in which the father had hemophilia, approximately half of whom were HIV positive, were assessed in an examination of the relationship between parental chronic illness, family functioning, child coping strategies, and child adjustment. Latent variable path analyses with partial least-squares estimation procedures (PLS) were used to test a model of the relationship between parental chronic illness, family process variables, child coping strategies, and child internalizing behavior problems. The severity of the father's illness predicted family process variables, which predicted the coping style of the child. The use of more avoidant coping strategies was associated with more internalizing problems.     

Ritual Male Infant Circumcision and Human Rights

Opponents of male circumcision have increasingly used human rights positions to articulate their viewpoint. We characterize the meaning of the term “human rights.” We discuss these human rights arguments with special attention to the claims of rights to an open future and to bodily integrity. We offer a three-part test under which a parental decision might be considered an unacceptable violation of a child's right. The test considers the impact of the practice on society, the impact of the practice on the individual, and the likelihood of adverse impact. Infant circumcision is permissible under this test. We conclude that infant circumcision may be proscribed as violating local norms, even though it does not violate human rights.     

Mothers and Fathers in Family Cognitive-Behavioral Therapy for Anxious Youth

Cognitive-behavioral therapy (CBT) for anxiety disorders in youth has been evaluated in randomized clinical trials and found to be an efficacious treatment. Studies have investigated the effects of increased parental/family involvement in treatment. In the majority of these studies, however, parental involvement is synonymous with maternal involvement leaving the role of fathers unknown. Studies including parents in treatment have yet to examine the independent contribution of mothers and fathers to child outcome. We examined the relationship between both mother (n = 45) and father (n = 45) attendance and engagement in therapy sessions, maternal and paternal psychopathology, and child (n = 45) treatment outcome when parents were included in a Family CBT program for anxiety-disordered youth. Some indications were found for the notion that greater rates of mother and father attendance in session, as well as higher ratings of mother and father engagement in session, are associated with improved child outcome. Parental psychopathology was not associated with attendance, engagement, or child outcome. Recommendations for future research are offered.     

Die forensisch-psychiatrische Beurteilung des Neonatizids unter besonderer Berücksichtigung des Eingangsmerkmals der tiefgreifenden Bewusstseinsstörung

The privileging of neonaticide (homocide of an illegitimate child by the mother right after birth) in the 1998 abrogated § 217 of the German penal code, was primarily justified in view of the denied pregnancy and the consequent state of the mother at the time of birth. Even after abrogation of § 217 StGB there has to be differentiated between former reasons for privileged treatment, which now can justify from a juridicial point of view the use of § 213 StGB (minor manslaughter), and those pathological states of mind which allow for the establishment of reduced or nullified legal responsibility. On the one hand the question, when extensive consciousness disturbance can be debated on an empirical basis with regard to the state at or right after the time of birth, is investigated. On the other hand it is referred to the in it’s contents variable shaping of the normative scope for making a decision, which is given in such a rate, as an empirical basis of valuation is missing.     

The Emergence of Eric: Co-Therapy in the Treatment of a Family with a Disabled Child

This paper focuses on the problem of socialization of the disabled child within his family. For the family of the disabled child, socialization is doubly challenging; the family must teach its child not only how to be human, but also how to be disabled in the larger society. Often families of disabled children need help in enhancing their child's participation in family life — a critical aspect of socialization. One highly effective means of assisting families in this task is the use of family therapy. A case study is included to illustrate the use of family interviewing with a congenitally blind adolescent boy. Two therapists — a rehabilitation counselor (who is blind) from a state agency serving blind children^a and a social worker from a child guidance agency^b— collaborated in working with the family, which included a mother, father, their congenitally blind thirteen-year-old boy, and his two sighted brothers. The authors conclude that the child's family is the most potentially powerful resource for the successful habilitation of the disabled child into larger society and postulate family treatment as an effective means of attaining this end.     

The Aging Of Grief: Parents' Grieving Of Israeli Soldiers

Abstract

This chapter examines long-term parental grief of soldiers within the context of the Israeli society. Parental grief is discussed along the life span, commencing at the immediate phase following the loss through the bereavement process in middle to late adulthood and its manifestations in aging. Interviews with a group of elderly bereaved parents whose sons were killed during military service give further support to previous findings regarding the notion that the passage of time has no diminishing effect on their grief nor does it relinquish their attachment to the deceased. With aging, there appears to be an increase in internalized involvement with the long-lost child, fears of fading memories, and the need to eternalize the deceased. In reviewing the past, parents reevaluate their coping with the loss and their relationship with the surviving children. The parents' preoccupation is twofold: On one hand, the strong attachment seems to continue in inner representations of the lost child, and, on the other, this preoccupation is enhanced externally owing to Israeli society's attitude toward dead soldiers. An intersection is therefore established between society and bereaved families. Grief is apparently a central theme in aging parents who are preoccupied with the “aging” of their grief rather than their own aging.     

Family income,parental education and internalizing and externalizing psychopathology among 2–3‐year‐old Chinese children: The mediator effect of parent–child conflict

Using a sample of 156 Chinese children aged 2–3 years and their parents, this study examined the effects of socio‐economic status, specifically family income and parental education, on the children's internalizing and externalizing psychopathology and whether these effects were mediated by mother–child and father–child conflict. Results indicated that family income, maternal education and paternal education all negatively predicted externalizing symptoms. Income also negatively predicted internalizing symptoms among boys but not girls. Maternal education negatively predicted internalizing symptoms among girls but not boys. The effects of income on psychopathology were fully mediated by mother–child and father–child conflict. In contrast, the effects of education were not mediated or only partially mediated by conflict. Findings are discussed in the framework of the family stress model.     

Ethical Issues in Gestational Surrogacy

The introduction of contraceptive technologies hasresulted in the separation of sex and procreation. Theintroduction of new reproductive technologies (mainlyIVF and embryo transfer) has led not only to theseparation of procreation and sex, but also to there-definition of the terms mother and family.For the purpose of this essay, I will distinguishbetween:1. the genetic mother – the donor of the egg;2. the gestational mother – she who bears and gives birth to the baby;3. the social mother – the woman who raises the child.This essay will deal only with the form of gestationalsurrogacy in which the genetic parents intend to bethe social parents, and the surrogate mother has nogenetic relationship to the child she bears anddelivers. I will raise questions regarding medicalethical aspects of surrogacy and the obligation(s) ofthe physician(s) to the parties involved. I will arguethat the gestational surrogate is “a womb to rent,”that there is great similarity between gestationalcommercial surrogacy and organ transplant marketing.Furthermore, despite claims to freedom of choice andfree marketing, I will claim that gestationalsurrogacy is a form of prostitution and slavery,exploitation of the poor and needy by those who arebetter off. The right to be a parent, although notconstitutional, is intuitive and deeply rooted.However, the issue remains whether this rightoverrules all other rights, and at what price to theparties involved. I will finally raise the followingprovocative question to society: In the interim periodbetween today's limited technology and tomorrow'sextra-corporeal gestation technology (ectogenesis),should utilizing females in PVS (persistent vehetativestate) for gestational surrogacy be sociallyacceptable/permissible – provided they have leftpermission in writing?     

Parental capacities for triadic relationships during pregnancy: Early predictors of children's behavioral and representational functioning at preschool age

This study examines associations between parental capacities for triadic (mother–father–child) relationships, assessed prenatally, and the representational and behavioral functioning of their offspring at preschool age. Thirty‐eight parental couples were given an intensive psychodynamic interview during their first pregnancy to assess how they anticipated their future parenthood and their relationships as threesomes (mother–father–child). The capacity for triadic relationships (“triadic capacity”) was defined as the capacity of fathers and mothers to anticipate their family relationships without excluding either themselves or their partners from the relationship with the infant. Four years later, the representational and behavioral functioning of their children were assessed in depth using child narrative interviews and parental behavior ratings. The coherence of the children's narratives and the number of positive themes they expressed were significantly negatively correlated with the number of behavioral problems. In the longitudinal analyses, there were significant positive correlations between the parental triadic capacities and the coherence/number of positive themes in the children's narratives whereas parental triadic capacities showed a significant negative correlation with the number of the children's externalizing problems. The significance of triadic relational family processes for the development of children's representational world and behavioral functioning is discussed. ©2005 Michigan Association for Infant Mental Health.     

The best interest standard: both guide and limit to medical decision making on behalf of incapacitated patients

In this issue of JCE, Douglas Diekema argues that the best interest standard (BIS) has been misemployed to serve two materially different functions. On the one hand, clinicians and parents use the BIS to recommend and to make treatment decisions on behalf of children. On the other hand, clinicians and state authorities use the BIS to determine when the government should interfere with parental decision-making authority. Diekema concedes that the BIS is appropriately used to "guide" parents in making medical treatment decisions for their children. But he argues that the BIS is inappropriately used as a "limiting" standard to determine when to override those decisions. Specifically, Diekema contends that the BIS "does not represent the best means for determining when one must turn to the state to limit parental action." He argues that this limiting function should be served by the harm principle instead of by the BIS. I contend that we should not reassign the BIS's limiting function to the harm principle. In this article I make two arguments to support my position. First, the BIS has effectively served, and can serve, both guiding and limiting functions. Second, the harm principle would be an inadequate substitute. It cannot serve the limiting function as well as the more robust BIS.     

Parental marital conflict and divorce,parent‐child relationships,social support,and relationship anxiety in young adulthood

Based on research documenting harmful long‐term consequences of parental conflict and divorce for offspring, relations between recollections of parental conflict, parental divorce, and social outcomes in young adulthood were examined. A total sample of 566 young adults from divorced and intact families completed measures of parental conflict, quality of parent–adult child relationships, anxiety in relationships with others, and perceptions of social support from others. As hypothesized, divorce and conflict had significant independent effects on outcomes in young adulthood. Effects of conflict were uniformly negative for quality of parent‐child relationships, perceived social support from others, and anxiety in personal relationships. Parental divorce was associated with lower quality father‐child relationships, yet divorce was associated with significant positive outcomes for quality of mother‐child relationships, social support, independence facilitated by both parents, and reduced anxiety in relationships. Importantly, these effects occurred regardless of participant sex, parental remarriage, and parental socioeconomic status.     

Family size and delinquency

A review of the literature shows that large family size is related to greater delinquency. The relationship remains when a number of variables, i.e., income, socioeconomic status, parental criminality, and family composition, have been controlled. The higher birth rate for lower classes does not appear to be an adequate explanation for this relationship, nor does less close parent-child affectional ties or less parental supervision although all of these may have some influence. The presence of an "infectious example" may partly account for the relationship, as does overcrowding. Large family size is typically associated with the constellation of undesirable family conditions involving poor role models (e.g., poor parental behaviour, parental criminality, sibling delinquency), poor child-rearing practices (e.g., inadequate parental supervision and discipline), and competition for physical (e.g., overcrowding, low income) and psychological (e.g., lack of attention, affection, family interaction) resources. An immediate solution is to reduce the size of families by helping prospective parents plan their families, and for those who wish it, making medical abortions more readily available. The long-range solution is through research to identify variables which significantly influence the relationship between family size and delinquency. Such studies must control for birth order, sibling spacing, siblings' sex, and sex of the delinquents in these families.     

Maternal and Paternal Predictors of Child Depressive Symptoms: An Actor-Partner Interdependence Framework

Family members are theorized to influence each other via transactional or systems related processes; however, the literature is limited given its focus on mother–child relationships and the utilization of statistical approaches that do not model interdependence within family members. The current study evaluated associations between self-reported parental affect, parenting behavior, and child depressive symptoms among 103 mother–father–child triads. Children ranged in age from 8 to 12 years. Higher maternal negative affect was associated with greater maternal and paternal harsh/negative parenting behavior. While maternal negative affect was directly associated with child depressive symptoms, paternal negative affect was indirectly associated with child depressive symptoms via paternal harsh/negative behavior. In a separate model, maternal positive affect was indirectly associated with child depressive symptoms via maternal supportive/positive behavior. These results highlight the importance of simultaneously modeling maternal and paternal characteristics as predictors of child depressive symptoms.