The impact of young children with externalizing behaviors on their families

Compared the impact on families of young children with externalizing behaviors (e.g., hyperactive, aggressive; n=22), autism (n=20), or no significant problem behaviors (n=22) on several measures of family functioning. Previous studies have found heightened stress and parental maladjustment in families with externalizing children. The present study expanded upon that literature by (1) including a clinical control group to determine the specific impact of externalizing problems, (2) focusing on preschool aged children, and (3) using a new measure to directly ascertain parents' perception of impact. Compared to parents with normally developing children, parents with externalizing children reported more negative impact on social life, more negative and less positive feelings about parenting, and higher child-related stress. Moreover, parents of externalizing children reported levels of impact and stress as high as those reported by parents of children with autism. On broader measures of parental and marital wellbeing, however, the three groups of families of preschoolers did not differ. The implications of these findings for intervention are discussed.This research was conducted at the Fernald Child Study Center, University of California at Los Angeles. We wish to thank Jan Blacher, Doug Granger, Stephen Hinshaw, and Karen Rudolph for comments on an earlier version of this article, and Kenny Smith and Doug Granger for computer help. We also appreciate the assistance of our colleagues on the Preschool Project, Drew Erhardt, Tracy Heller, Barbara Henker, Alice Huber, Blair Paley, Karen Rudolph, and Jennifer Treuting.     

Parentification and its impact on adolescent children of parents with AIDS.

Parentification refers to children or adolescents assuming adult roles before they are emotionally or developmentally ready to manage those roles successfully. We assess predictors and outcomes of parentification among adolescent children of Parents with AIDS (PWAs) in two phases. In Phase 1, relationships among parental AIDS-related illness, parent drug use, parent and adolescent demographics, and parentification indicators (parental, spousal, or adult role-taking) were assessed among 183 adolescent-parent pairs (adolescents: 11 to 18 years, M = 14.8 years, 54% female; parents: 80% female). Adult role-taking was associated with maternal PWAs, female adolescents, and greater parent drug use. Greater parental AIDS-related illness predicted more spousal and parental role-taking. Parent drug use predicted more parental role-taking. In Phase 2, we examined the impact of parentification on later adolescent psychological adjustment (N = 152 adolescents). Adult role-taking predicted more internalized emotional distress; parental role-taking predicted externalized problem behaviors: sexual behavior, alcohol and marijuana use, and conduct problems. Given these dysfunctional outcomes, we discuss interventions to mitigate parentification among children of PWAs.     

Some remarks on adolescence with particular reference to Winnicott and Lacan

Utilizing observations on adolescence--notably those of Winnicott, as well as the work of Lacan and a clinical case--the author advances several propositions concerning the unique relationship between adolescents and time. The consequences of this relationship are then framed as a paternal metaphor.     

The Blood of Jesus in revival theology and the contemporary Church with particular reference to the East African Revival and Roy Hession

One of the most common phrases heard in testimony, preaching, and song during the East African Revival (EAR) was the phrase ‘The Blood of Jesus Christ’. Taken from a rich biblical heritage, this phrase encapsulates a wide range of ideas concerning the work of the cross and the power of forgiveness in a believer's life. Whilst, as will be noted, the use of The Blood has been common to many revivals, this article examines especially the theology behind this phrase by looking at the most prominent of the EAR authors – Roy Hession. It investigates seven different applications of The Blood in a believer's life: The Blood as a testament that sin is forgiven, The Blood as cleansing the conscience, The Blood as victory over despair, The Blood as the remover of shame, The Blood as washing away sin, The Blood as the gateway of the Holy Spirit, and finally The Blood as the source of true fellowship. The theology of The Blood has a long history of use in the Church but it also comes with difficulties. To this end the article will investigate the legitimacy of the practice often found in Africa and some Pentecostal circles of invoking The Blood as protection against the demonic. The article closes by considering the reasons why speaking of The Blood in church can be uncomfortable yet is paradoxically of vital importance to revival.     

The impact of illness on the family and the family's impact on illness

This paper discusses the influence that familial relationships can have on illness and the way in which illness can impact on the functioning of the family system. Developmental phases of illness, the family life cycle and chronic illness are all examined in relation to the family and it's functioning. The way in which health behaviours are adopted within families, and behavioural and genetic predispositions to illness are also discussed.     

Impact of parentification on long-term outcomes among children of parents with HIV/AIDS

Stein, Riedel, and Rotheram-Borus reported in 1999 that early parentification predicted maladaptive outcomes of more emotional distress, substance use, and conduct problems among adolescents of parents with HIV/AIDS (PWH) 6 months later. The current study assessed the adolescents ( N =213) 6 years later to assess whether there were continuing negative effects of parentification, or, rather, if there were some positive outcomes. Although the premature assumption of parental roles had negative effects in the short term, we hypothesized that such skills may have been adaptive in the long run, especially in the case of adolescents with major stressors in their lives, including dying or ill parents, impoverished environments, and family instability. We found that early parentification predicted better adaptive coping skills and less alcohol and tobacco use 6 years later. In addition, early parentification was not associated with later emotional distress and dysfunctional parenting attitudes, including expecting role reversals in their own children.     

The impact of parental borderline personality disorder on vulnerability to depression in children of affectively ill parents

Children of parents with major depressive disorder (MDD) are four to six times more likely than other children to develop MDD. Little research has examined whether comorbid parental diagnoses further increase children's risk. This study examines whether children of parents with comorbid MDD and Borderline Personality Disorder (BPD) (1) are at greater risk for experiencing depressive symptoms and/or episodes and (2) whether such increased risk may be due, in part, to their exhibiting higher levels of cognitive/interpersonal vulnerability factors. Children (n = 140; ages 6-14) of parents with MDD completed measures assessing cognitive/interpersonal vulnerability factors. Parents completed semi-structured clinical interviews assessing severity of current depressive symptoms and BPD. Both children and parents completed a semi-structured clinical interview assessing the child's current and past history of MDD. Children of parents with comorbid MDD and BPD exhibited higher levels of current depressive symptoms and higher levels of cognitive/interpersonal vulnerability factors than children of parents with MDD but no BPD, even after controlling for parents' current levels of depressive symptoms. The relationship between parental BPD and chil-dren's current levels of depressive symptoms was partially mediated by children's cognitive/interpersonal vulnerability factors. Last, children of parents with comorbid BPD and MDD were 6.84 times more likely to exhibit a current or past diagnosis of MDD.     

Well-being in parents of children with cancer: The impact of parental personality,coping, and the child's quality of life

The aim of the study was to investigate the impact of parental personality, coping, and the child's quality of life on the well-being of parents of children treated for cancer. The study included 99 parents (63 mothers and 36 fathers), 41 parents during child's intensive treatment, 23 parents whose child completed intensive treatment, and 25 parents of children who completed treatment at least five years ago. The results of multivariate study have confirmed the predictive role of parental personality (especially Neuroticism); emotion-focused coping styles, and the child's quality of life (especially physical functioning) on parental well-being. About 60% of the variance in parental well-being can be attributed to the predictors. Assessing parental personality functioning and coping styles can help us identify those parents who are less emotionally stable, more prone to emotionally focused coping styles, and most likely to experience poorer well-being. Improved assessment may contribute to the development of further psychological interventions.     

Adoption with contact: a study of adoptive parents and the impact of continuing contact with families of origin

Adoption practice has seen an increase in adoptive families where contact continues with families of origin. This study, based on responses from adoptive parents at least two years after placement, aims to enhance understanding of the meaning of these experiences for adoptive parents. Data from thirty questionnaire responses indicate that attitudes change, while there are gender differences in the degree of comfort with contact. Fifteen adopters participated in follow-up interviews. The analysis has considered (1) the impact on parenthood, exploring themes of control, entitlement to parent, communication, bonding and ownership, and (2) relationships between adoptive and birth parents, exploring themes of fear, anger and blame, competition and empathy. The findings suggest that passage of time and a greater sense of control assist in establishing confidence, while a more empathic view towards birth mothers develops. This has emotional costs to the adoptive mother. The implications for practice are discussed.     

The effect of pathological gambling on families, marriages, and children

Pathological gambling (PG) is widely reported to have negative consequences on marriages, families, and children. Empirical evidence is only now accumulating but when put together with anecdotal information, the extent of these problems is clear. PG contributes to chaos and dysfunction within the family unit, disrupts marriages, leading to high rates of separation and divorce, and is associated with child abuse and neglect. Divorce rates are high, not surprising in light of reports that these marriages are often abusive. Research shows that the families of pathological gamblers are filled with members who gamble excessively, suffer from depressive or anxiety disorders, and misuse alcohol, drugs, or both. Families of persons with PG are also large, a variable independently related to family dysfunction. The authors review the evidence on the impact of PG on families, marriages, and offspring, and make recommendations for future research targeting these problems.     

A critique of prospect theory and framing with particular reference to consumer decisions

Prospect theory is criticized in this article for being borrowed from psychology without appropriate acknowledgement, for requiring mathematical calculations that are beyond the average person, for not investigating information processing during prospect theory choices, and for lacking application to real‐world decisions—such as important product and service choices made by consumers. Further criticism is leveled at the prospect theory‐derived technique known as “framing,” which is based on one‐sided presentation of information and would be unethical in most consumer behavior situations.     

Coping with victimization: The impact of rape on female survivors,male significant others,and parents

This paper reports on an unusual study of survivors of rape and the effects on the victim, her significant male other person, and her parents. All survivors were victims of the same rapist and were interviewed from 21 months to ten years after the event. The study indicates that the long-term effects of rape may be more significant than previous researchers and practitioners thought was the case. Recommendations are given for more effective help for survivors and those close to them.This study was funded by the Ohio Department of Mental Health, Office of Program Evaluation and Research, Columbus, Ohio, 1985.     

Sex distribution of EEG phenomena with particular reference to subcortical dysfunctions]

The most constant or continually recurring sexual difference observed from childhood through to old age and determined from the results of a total of 1500 electroencephalograms was a considerable increase in beta activity occurring in female individuals at an earlier time and at a higher rate. The more frequent observation in male individuals of a "pure" alpha electroencephalogram may be interpreted as suggesting a slight decrease of vigilance in them. The percentage of abnormal electroencephalographic results was highest in females, the proportion being 62.5%:51.5% and the functional disorders occurring chiefly in the form of subcortical dysfunctions (30%:20%). Low voltage was found to be predominant in males. More frequent occurrence in the female sex of weakness of the brainstem and a more sensitively reacting formatio reticularis may be considered a possible explanation; also, attempts are made to bring the results obtained into causal or reciprocal relation to psychic conditions. Beta activity is perhaps a parameter of emotionality.     

The effects of mental illness on families within faith communities

Associations between mysticism and madness have been made since earliest recorded history, and the striking resemblance between self-reports of both mystical and psychotic experience suggests that similar psychological processes may be involved in their occurrence. By exploring the similarities, and proposing a common element to mystical and psychotic experience (referred to here as the experience of “oneness”), this paper aims to place mysticism and madness onto the same experiential continuum. However, in contrast to much of the previous literature, the intention is not to pathologize mystical experience, but rather to normalize psychotic experience. The paper argues not only that the experience of oneness is entirely genuine and available to all humans, but also that it has an important psychological (and evolutionary) function. Using cognitive terminology, it then attempts to explain the processes determining whether an individual enjoys a fulfilling mystical experience, or suffers a debilitating psychotic breakdown (i.e., how “oneness” is experienced). Finally, this paper turns to look at some of the important implications such an approach might have for clinical practice and for the mental health of people in general.     

Sleep problems of parents of typically developing children and parents of children with autism

Few researchers have investigated the relation of children's sleep problems to their parents' sleep problems. Children with autism have been reported to evidence greater sleep problems than do typically developing children (C. D. Hoffman, D. P. Sweeney, J. E. Gilliam, & M. C. Lopez-Wagner, 2006; P. G. William, L. L. Sears, & A. Allard, 2004). In the present study, parents (N = 106) of children independently diagnosed with autism (4-16 years of age; M= 8.20 years, SD = 2.69 years) reported greater sleep problems for themselves than did parents (N = 168) of typically developing children (4-15 years of age; M = 8.62 years, SD = 3.28 years). Children's sleep problems were related to parents' sleep problems for both groups; in the autism group, children's level of symptomatology was not related to their parents' sleep. The authors suggest areas for further research on the sleep problems of children and their parents, the potential interaction of these problems with children's symptomatic behavior, and the relations of these factors to child, parent, and family functioning.