Adolescent separation-individuation and family transitions

This paper discusses the relationship between family structure and the achievement of the adolescent developmental task of separation-individuation. Adolescent separation-individuation is viewed as a continuum. At the right end of the continuum, adolescents reach successful therapeutic separation-individuation--a sense of self--while remaining connected to the family as a functional member. At the other end of the continuum is nontherapeutic dysfunctional separation-individuation. These adolescents are characterized by disruptive behaviors, rejection of societal and family norms, and potential suicide. Successful accomplishment of separation-individuation appears to be affected by a number of factors (e.g., conflict, parental relationship, accomplishment of previous developmental tasks). Adolescents from nontraditional families may have more barriers to overcome in order to therapeutically complete this task. Interventions to promote therapeutic separation-individuation need to incorporate all members of the family and support from the community. Through anticipatory guidance, dissemination of information, affiliating behaviors, and support groups, practitioners can help equip families with the skills needed for successful accomplishment of this task.     

Psychoanalytic Models of the Mind for Couple and Family Therapy

This paper describes an object relations theory of mind that highlights the interactive origin of psychic function and the beginnings of mental structure in the infant's relationships within the family group. Based on this model, psychoanalytic family and couple therapy employs the interactions between family and therapist to detect and work with developmental failures in holding and containment, skewed family projective identification, and attacks on linking, which characterize pathological and traumatized families. The coming together of transference generated by the family as a group and the therapist's countertransference are the fulcrum on which such therapy turns. An extended vignette of a session is used to illustrate the application of object relations theory to the therapeutic process of family therapy.     

Pathways Between Social Support,Family Well Being,Quality of Parenting,and Child Resilience: What We Know

We contribute to the theoretical and research knowledge base regarding the pathways between parental social support, family well being, quality of parenting, and the development of child resilience in families with a child with serious emotional problems. Little conceptual development has been done that provides a theoretical framework for studying the relationships among these variables. We identify key findings from social support theory and research, including the impact of social support on family well being and the parents’ capacity to parent, and the experience of parental social support in families with a child with a disability. We review the constructs of family well being, quality of parenting, and child resilience. Further, we explain the pathways between parental social support, family well being, quality of parenting, and child resilience in families with a child with serious emotional problems. Key variables of the model and the nature of their inter-relationships are described. Social support is constructed as a protective mechanism with main and buffering effects that can impact family well being, quality of parenting, and child resilience at a number of junctures. The conceptual model’s implications for future theory development and research are discussed.     

A crisis mental health intervention service: an innovative model for working intensively with young people on the edge of care

This paper describes the setting up and the first year of running of an innovative outreach service for adolescents on the edge of care that aimed at redressing family breakdown and preventing placements in the care system. It was a collaborative endeavour between social services and a child and adolescent mental health provision to facilitate the engagement of hard to reach young people and families that often presented high levels of risk. This article describes a distinctive model of applied psychoanalytic work with individuals, families and the networks of practitioners and agencies around the case. It focuses on the integration of two perspectives: the individual and the family on the one hand and the organisation on the other. Case examples illustrate how our psychoanalytic and developmental framework illuminated our understanding of frequently extreme acting out behaviour and parental difficulties in terms of underlying intergenerational trauma, which was often re-enacted. This framework also helped in understanding the difficulties that practitioners experienced and how these related to individual and family dynamics. The article describes the significance of containment in the treatment of adolescents and families in crisis as well as in supporting the professional network.     

Psychoanalytic developmental theory: a contemporary reconsideration

Psychoanalytic developmental theory has never enjoyed a broad consensus among psychoanalytic thinkers. In today's postmodern era, its relevance and basic premises are even more in question as a legitimate part of psychoanalytic theorizing. Part of the problem has been (1) the serious errors perpetrated historically in the name of psychoanalytic developmental theory and (2) its current state of disarray in the wake of piecemeal efforts to rectify these errors. Nonetheless, its presence is discernible in every psychoanalyst's theory and clinical work, whether or not it is acknowledged or brought into a cohesive theoretical frame. The point of view of "intersubjective ego psychology" (Chodorow 2004), embraced by a growing number of analysts interested in development, offers a more flexible and inclusive paradigm for psychoanalytic developmental thinking in order to preserve its rightful place in contemporary psychoanalysis.     

Ecosystemic Structural Family Therapy: Theoretical and Clinical Foundations

Ecosystemic structural family therapy (ESFT) is a systemic, strength-based, and trauma-informed family therapy model that has evolved from structural family therapy (SFT; Minuchin in Families and family therapy, Harvard University Press, Cambridge, 1974). ESFT is an evidenced-based family therapy approach designed to intervene with families of children who are experiencing behavioral health problems and are at the risk of out-of-home placement. In this article we review the theoretical, applied, and empirical evolution of ESFT relative to extant SFT models. ESFT is based on the fundamental assumption that child, parental, and marital functioning are inextricably linked to their relational environment. Five interrelated constructs guide ESFT therapists in their understanding of clinical problems: family structure; family and individual emotional regulation; individual differences (e.g., historical, biological, cultural, developmental); affective proximity; and family development (Gehart 2010). ESFT has an extensive evaluation history dating back to the 1980s involving over 4,000 families in 39 different sites. While ESFT is considered evidence-based, it might be more consistent with “Practice-Based Evidence” given its long, extensive, and successful, history in the child mental health system in Pennsylvania.     

Parent–Adolescent Discrepancies in Perceived Parenting Characteristics and Adolescent Developmental Outcomes in Poor Chinese Families

We examined the relationships between parent–adolescent discrepancies in perceived parenting characteristics (indexed by parental responsiveness, parental demandingness, and parental control) and adolescent developmental outcomes (indexed by achievement motivation and psychological competence) in poor families in Hong Kong. A sample of 275 intact families having at least one child aged 11–16 experiencing economic disadvantage were invited to participate in the study. Fathers and mothers completed the Parenting Style Scale and Chinese Parental Control Scale, and adolescents completed the Social-Oriented Achievement Motivation Scale and Chinese Positive Youth Development Scale in addition to paternal and maternal Parenting Style Scale and Chinese Parental Control Scale. Results indicated that parents and adolescents had different perceptions of parental responsiveness, parental demandingness, and paternal control, with adolescents generally perceived lower levels of parenting behaviors than did their parents. While father–adolescent discrepancy in perceived paternal responsiveness and mother–adolescent discrepancy in perceived maternal control negatively predicted adolescent achievement motivation, mother–adolescent discrepancy in perceptions of maternal responsiveness negatively predicted psychological competence in adolescents experiencing economic disadvantage. The present findings provided support that parent–child discrepancies in perceived parenting characteristics have negative impacts on the developmental outcomes of adolescents experiencing economic disadvantage. The present study addresses parent–child discrepancies in perceived parental behaviors as “legitimate” constructs, and explores their links with adolescent psychosocial development, which sheds light for researchers and clinical practitioners in helping the Chinese families experiencing economic disadvantage.     

Psychoanalysis and homosexuality: do we need a new theory?

No need exists, it is argued, for a new psychoanalytic theory of homosexuality. Certainly psychoanalysis should not be expected to generate such a theory using its own methodology alone. The preoccupation with producing such a theory avoids more important questions about psychoanalytic theory building raised by an examination of the long relationship between psychoanalysis and homosexuality. These questions concern the problems related to using psychoanalytic methodology (1) to construct categories (including the categories normal and abnormal), (2) to construct causal theory (the problems include the limitations of psychoanalytic developmental theory and a long-standing confusion between psychoanalytic developmental theory, psychoanalytic genetic reconstruction, and psychodynamics), and (3) to identify "bedrock." Finally, the question is addressed of what might be needed that is new in the psychoanalytic approach to homosexuality.     

School stress reported by children in grades 4, 5, and 6.

Stress in the school environment of 269 elementary school children attending Grades 4, 5, and 6 of a metropolitan school district were assessed using the School Stress Questionnaire. The effects of sex, ethnic background (minority vs nonminority), type of classroom placement (regular education versus special education), and family structure (traditional versus nontraditional or divorced) were investigated. Children from nontraditional or divorced families had significantly higher school stress than children from intact families. The possibility that these results are a reflection of society's negative attitudes toward children living in nontraditional families is raised.     

Multilevel and Cross-Level Effects of Neighborhood and Family Influences on Children’s Behavioral Outcomes in Trinidad and Tobago: The Intervening Role of Parental Control

The objective of this investigation was to examine the associations among neighborhood conditions, neighborhood collective efficacy, family economic disadvantage, parental control behaviors, and children’s behavioral outcomes using multilevel and cross-level analyses. The proposed conceptual model incorporated propositions advanced by social disorganization theory, the structural-process model, as well as the Family Stress Model. Data were collected from a nationally representative sample of 1,337 families with children between 3 and 6 years (668 boys) drawn from 45 communities in Trinidad and Tobago. Neighborhood level indicators were assessed using census as well as parent reports whereas individual level constructs were assessed using parent reports. Findings indicated support for the Family Stress Model in that harsh punishment and parental monitoring functioned as mediators of the relationship between family economic disadvantage and behavioral difficulties (parental monitoring for prosocial behaviors). Findings from the multilevel analyses indicated that the relationship between neighborhood infrastructure deprivation and children’s behavioral difficulties and prosocial behaviors was mediated through neighborhood collective efficacy and parental harsh punishment. Cross-level interactions indicated that neighborhood collective efficacy buffered the relationship between parental discipline, monitoring, harsh discipline and behavioral difficulties. Given the importance of communities and families in influencing children’s behavioral outcomes, due consideration must be given to utilizing multilevel and cross-level perspectives both in research as well as in the development of intervention programs. Policies and programs designed to improve neighborhoods conditions, promote neighborhood collective efficacy, and advance the socioeconomic opportunities for families can help enhance the well-being of children.     

Family environment as a predictor of adolescent delinquency

Efforts to decrease delinquency have led many researchers to study the underlying factors that lead youth to engage in delinquent acts. Webber (1997) has suggested that studies of delinquency can be categorized into those positing societal, individual, and/or family etiologies. The current research investigated the latter by assessing the relationship between family environment and delinquency. One hundred twenty-seven 9th-grade students completed the Family Adaptability and Cohesion Evaluation Scales (FACES III; Olson, Portner, & Lavee, 1985) and a modified version of Elliot and Ageton's (1980) Self-Report Delinquency Scale. Results indicated that the relationship between the two scales was moderated by family status (traditional versus nontraditional). The cohesiveness of the family successfully predicted the frequency of delinquent acts for nontraditional families, but failed to predict delinquency for traditional families. Implications for counselors, educators, and parents are discussed.     

Preschoolers' characterizations of multiple family relationships during family doll play.

Investigated 4-year-olds' depictions of family relationships during a semistructured doll play task. Examined developmental and family correlates of these depictions, and their relative stability over a 1-month period. Forty-nine children related stories about happy, sad, mad, and worried families using dolls reflecting their own family configuration. For each story, coders recorded (a) proportion of total story time devoted to each family dyad and (b) number of conflictive, aggressive, and affectionate acts per dyad. Children divided their focus during stories evenly between father-child, mother-child, and father-mother relationships with child-sibling interactions occurring regularly among participants with siblings. Depictions of affection and aggression among family figures were relatively commonplace, related to mothers' reports of family climate, and stable across a 1-month period. Results substantiated preschoolers' awareness and discrimination of intrafamily relationship dynamics and provided some guidelines and cautions to practitioners who employ doll family assessments in their clinical work.     

家庭社会经济地位与学习投入的关系：学业自我 效能的中介作用

采用家庭社会经济地位、学业自我效能与学习投入量表,调查了953名初中生,运用结构方程模型探讨了家庭社会经济地位、学业自我效能与学习投入之间的关系。在控制学生性别、年级,以及先前学习成绩的影响后,结果发现:(1)家庭社会经济地位越高,学生对学习的投入就越多;(2)学业自我效能在家庭社会经济地位与学习投入之间起完全中介作用;(3)在家庭社会经济地位的组成成分与学习投入的关系中,家庭收入可以显著预测学习投入,而父母亲职业、父母亲教育水平对学习投入均无直接预测作用,它们是通过家庭收入的中介作用,再经过学业自我效能而影响学习投入。     

Gender Differences in Family Stories: Moderating Influence of Parent Gender Role and Child Gender

One hundred and twenty families and their 4-year-old children participated in a study on family stories. The participants were primarily White (91%), with the remainder Black (4%), Hispanic (2%), and Asian (2%). The parents were primarily middle class and upper class, with approximately 5% identifying themselves as from a lower socioeconomic background. Parents were asked to tell their son or daughter stories about when the parent was growing up. All parents completed measures of child behavior and a subset of parents completed the Bem Sex Role inventory. Stories were coded for the strength of affiliation, achievement, and autonomy themes. No gender differences were found for parents or child in the strength of affiliation themes. Fathers told stories with stronger autonomy themes than did mothers, and sons were more likely to hear stories with themes of autonomy than were daughters. An interaction was found between gender type of parent and gender of child for strength of achievement theme. Traditional gender-typed parents told stories with stronger achievement themes to their sons, and nontraditional gender-typed parents told stories with stronger achievement themes to their daughters. Exploratory analyses were conducted examining the relations among story theme, parent gender type, and child behavior. Higher levels of externalizing behaviors were found in boys whose fathers endorsed strong masculine attitudes, but told stories with weak achievement themes. Higher levels of internalizing behaviors were found in girls whose mothers told stories with strong affiliation themes, but endorsed weak feminine attitudes. Family stories are proposed to be one aspect of socialization that includes an interaction between child and parent characteristics.     

The development of collective remembering

This essay outlines a sociocultural, developmental approach to collective memory. This work is grounded in Halbwachs' (1950/1980) theory of collective memory and in recent prospective studies of collective remembering within families from early childhood through adolescence. The claim is that the basic process of collective remembering is present from the earliest conversations about the past between parents and children, but it is not until adolescence that collective memory is informed by family stories and by history. There are both positive and negative consequences of collective remembering as a function of the nature of the collective. In conclusion, researchers are urged to broaden their view of the collective in their studies of autobiographical and collective memory.     

Tortured families: a Coordinated Management of Meaning analysis

Torture is known to affect both the individual and the family. The aim of the present study was to reach a better understanding of the significance of communication and information about parental exposure to violence in torture-surviving families. The theoretical background is Social Constructionism and Coordinated Management of Meaning (CMM). In-depth interviews were carried out with 14 members of 3 Middle Eastern refugee families living in Denmark in which the father had been exposed to torture. The 3 families experienced their life stories and situations as refugees in very different ways, ranging from meaninglessness, discontinuance, and alienation to a sense of community, solidarity, and openness. Communications about past events were related to such meaning-providing contexts. The way in which parents talk with their children about torture and organized violence can be understood in terms of "stories told" and "stories lived." When stories told (e.g., the experience of torture and organized violence) are in contradiction to stories lived, a situation of ambiguity and uncertainty is created. The meaning-providing contexts for making sense of the family history of violence and exile can be more or less coherent or contradictory, and might result in a strengthened relationship or confusion, powerlessness, and action paralysis. Clinicians can help traumatized families deal with their past histories of violence by paying attention to such ambiguities and contradictions.     

Recognizing the role of parents in developmental outcomes: a systems approach to evaluating the child with developmental disabilities

When developmental concerns arise in children, a clinical assessment focuses on the child's developmental profile to achieve three goals (1) determine diagnosis, (2) develop interventions, and (3) evaluate progress. Parents often have needs during this time that are not addressed by professionals because of the exclusive focus on the child during the evaluation. In this article, we suggest that clinicians take a "systems" approach to the assessment process by recognizing how the well being of family members can impact a child with a developmental disability. We review systems theory and its conceptualization of individual functioning and discuss how parental well-being differs according to child diagnosis. Finally we suggest a systems-based model to use during the assessment process.     

Connections between Family Centered Care and Medical Homes of Children with Neurodevelopmental Disabilities: Experiences of Diverse Families

Cultural issues tied to race/ethnicity are important aspects in delivering medical home services to children with neurodevelopmental disabilities and their families. To better understand family satisfaction with family centered care (FCC) in medical homes of children with disabilities, this study investigated whether family race/ethnicity, in addition to parent and child characteristics, significantly influenced family perceptions of FCC in three areas: family-provider partnership, care setting practices and policies, and community coordination and follow-up. Based on the life course theory for optimizing children's developmental trajectories, examining connections between family race/ethnicity and satisfaction with health care allows for identification of strengths and weaknesses in medical home services delivery, and offers opportunities for family support and improvement in outcomes for children with disabilities. This study developed an original empirical survey using a structured questionnaire developed by Family Voices, a national advocacy organization dedicated to promoting the well-being of children with disabilities and their families. The study collected data for 122 families in a large urban area in the northeastern United States. Multivariate analyses revealed that family race/ethnicity significantly contributed to the prediction of parental satisfaction with medical homes of children with disabilities, and to families' perceptions of FCC in care setting practices and policies, and community coordination and followup, but not to family provider partnership. Non-White families reported significantly lower satisfaction. Discussion emphasizes that health care providers need to become more vigilant in providing culturally sensitive care. To enhance FCC practices and policies, the study advances a checklist of ten essential areas that promote culturally sensitive interactions between families of children with disabilities and their medical and non-medical health care providers.     

Family influences on dysfunctional thinking in anxious children

Anxious children are found to interpret ambiguous stories in a negative way. The current study attempted to examine the possible influence of parental fear and parental interpretation bias on the maintenance of such an interpretation bias. Children varying in level of anxiety (n=25) and their parents, filled in a questionnaire to measure their own fears, and gave their interpretations concerning nine ambiguous stories, relevant for childhood ‘interactional’ anxieties: social anxiety, separation anxiety, and generalized anxiety. Then, parents were asked to talk with their children about three of the stories. After the family discussion the children had to give their final interpretations. Results indicated that parents' self‐reported fear level and interpretation bias were associated with children's interpretation bias before the family discussion. However, no evidence was found for the idea that parents maintain or enhance the interpretation bias of their children. That is, irrespective of parental fear and parental interpretation bias, children interpreted the ambiguous stories as less negative after discussing them with their parents. Copyright © 2003 John Wiley & Sons, Ltd.