Readiness for Change: Involving the Family with Adolescents in Residential Settings

Adolescence is a pivotal time in human development and can be a challenging time for individuals to learn to regulate emotions, while also balancing biopsychosocial changes. The family plays a key role in an adolescent’s development. Thus, it is imperative for families to remain involved when adolescents are in residential treatment for emotional or behavioral issues. In this paper, we explore the benefits of, and methods for, increasing the identified patient’s (i.e., the adolescent’s) and the family’s readiness for change. The process of increasing family engagement in residential treatment is considered through the lens of the Stages of Change model. Barriers practitioners may face with adolescents and their families are also addressed.     

Family Microtransitions: Observing the Process of Change in Families with Adolescent Children

To read this article in Spanish, please see this article's Supporting Information on Wiley InterScience (http://interscience.wiley.com/journal/famp). To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience ( http://interscience.wiley.com/journal/famp ). The aim of the study is to explore the process of microtransitions in families with adolescent children. Original methodological procedures were designed in order to have families as the objects of study and to analyze data with particular attention to the family process of change. A family interview focused on the adolescent and family change was conducted with 12 families having an adolescent child. As indicators of change, we used coordination and oscillation. Our results highlight different patterns of family interactions, illustrating various ways through which families deal with change. Conclusive remarks focus on the theoretical relevance of the study, the method and the implications for family practice and policy.     

Infrastructure and Scaffolding: Interpretation and Change of Research Involving Human Genetic Information

This essay addresses the relationship of interpretation to change, at two levels. One level concerns the revolutionary claims of molecular biology and biotechnology about using genetic information, read literally or with a minimum of interpretation, to reshape human life. The other level concerns the relationship in social studies of science and technology (STS) between interpreting projects in the life sciences and influencing their direction. On that level, the essay is experimental, employing a series of vignettes that introduce themes and questions—scaffolding—intended to stimulate readers to make their own connections between interpretation and change, in science, STS, and society. The vignettes in Part 1, which range from treatment of individuals with PKU or MAOA genes to personalized medicine and biobanks, indicate in different ways that the use of genetic information always requires social infrastructure. Once attention is given to the actual or implied social infrastructure, the prospect of reshaping life using human genetic information raises more questions than it answers. This thread carries over into Part 2, which speaks to an area of STS that needs more development, namely, conceptualizing the structure of the social context of scientific and technological developments and the nature of human agency in the ongoing restructuring of that context. The vignettes create a picture in which the influence on science of an STS interpretation will, like any effort to produce change, depend on how it links with other engagements and with the heterogeneous components that make up ongoing, intersecting processes of science in society.     

Change in Maternal Stress for Families in Treatment for their Children with Oppositional Defiant Disorder

Our objective was to predict change in maternal stress over the course of a randomized clinical trial comparing the efficacy of two interventions for Oppositional Defiant Disorder (ODD): Parent Management Training and Collaborative & Proactive Solutions. In a secondary analysis of data collected from this randomized clinical trial, we examined whether children’s self-reported positive relations with their parents impacted responsiveness to treatment, which in turn impacted maternal stress. One hundred thirty-four children and their parents (38.1% female, ages 7–14, M age?=?9.51, SD?=?1.77) were tracked across three time points: pre-treatment; one-week post-treatment; and six-month post-treatment. Hierarchical linear models tested change in children’s reports of positive relations with parents, clinician reports of ODD severity, and maternal reports of parenting stress. Models then tested multilevel mediation from positive relations with parents, through ODD severity, onto maternal stress. Hypothesized indirect effects were supported such that children’s reports of positive views toward parents uniquely predicted reductions in ODD severity over time, which in turn uniquely predicted reductions in maternal stress. Results highlight the promise of potential secondary benefits for parents following interventions for children with oppositional problems. Furthermore, results underscore the importance of the parent–child relationship as both a protective factor and as an additional target to complement interventions for child disruptive behaviors.     

Change in caregiver depression as a function of the Strong African American Families Program.

A randomized prevention trial contrasted families who participated in the Strong African American Families Program (SAAF), a preventive intervention for rural African American parents and their 11-year-olds, with control families. This article focuses on the program's effect on primary caregivers' depressive symptoms. Among the 167 caregivers with elevated scores on the Center for Epidemiologic Studies-Depression Scale, SAAF participation was associated with reduced depressive symptoms, enhanced parenting, and perceived improvements in youth behavior. Change in parenting (consistent discipline, youth monitoring, and open communication) but not change in youth intrapersonal competencies significantly mediated intervention effects on caregivers' depression. Results support the link between reduced depressive symptoms and stronger family relationships, particularly the importance of enhanced parenting efficacy in alleviating depressive symptoms.     

Families, Gender Relations and Social Change in Brazil: Practices, Discourse, Policy

We discuss three different areas in which policies on gender and the family have been debated and formulated in Brazil, revealing both the forces of change and the many contradictions that are at work within this society today. After a brief look at the historical vicissitudes of families and family life in Brazil, as representations and as forms of social organization, we come to our more immediate context: the re-democratization processes that engulfed Brazilian society as of the 1980s and the social actors generated therein. Issues relating to gender and sexuality become increasingly visible on the broad political agenda that, notwithstanding national specificities, also converges with social, political and cultural trends emerging all over the world in the latter decades of the twentieth century. The three specific issues we discuss here—the Maria da Penha Law on domestic violence, efforts regarding the legalization of abortion and recent debates that have emerged around a bill introduced to give legal status to same-sex relationships—provide testimony of a society characterized by tensions between mechanisms sustaining restrictive definitions of family, linked to male dominance, heterosexism and hierarchical gender roles, and those that push toward more egalitarian, diverse and democratic family relations.     

Families in Crisis

Abstract

Families are in crisis. With an increasing array of problems affecting children in the home, from child abuse to familial alcoholism, schools are facing a vast array of behavioral and emotional concerns affecting childhood behavior. Unfortunately, many negative behaviors are learned at home. Violent and aggressive behaviors, for example, as well as drug and alcohol abuse, are often demonstrated by parents. From a community perspective, schools are in a pivotal position from which to intervene. Yet, many school-based mental health professionals, including school psychologists, school counselors, and school social workers, lack the knowledge to provide direct interventions. This article examines contemporary problems facing families, considers the home-school linkage, and explores interventions for schools and school-based mental health professionals.     

The Analysis of Intervention Change in Children and Families: Methodological and Conceptual Issues Embedded in Intervention Studies

This article provides an overview of methodological and conceptual issues underlying the assessment of change during psychotherapy with children and families. Three central considerations are discussed: (1) What changes do we measure? (2) When do we measure change? (3) How do we measure change? The difficulties with the traditional methods of assessing change are highlighted, and suggestions for a new paradigm that calls for expansion of the nomological network relevant to the analysis of change, as well as the inclusion of more assessment points and more reliable and valid measures of the change process, are presented. Illustrations of key points are provided from the Adolescent Transitions Program, a theoretically based intervention program targeting high-risk youth.     

Resilience in Remarried Families

The present study aims to identify those resilience factors that enable remarried families to withstand and rebound from the disruptive challenges they face. A parent and a child from 38 families independently completed seven questionnaires and answered an open-ended question. The following resilience-associated factors were identified: (1) supportive family relationships, (2) affirming and supportive communication, (3) a sense of control over outcomes in life, (4) activities and routines that help the family to spend time together, (5) a strong marriage relationship, (6) support from family and friends, (7) redefining stressful events and acquiring social support, and (8) spirituality and religion within the family.