Psychosocial factors influencing American men and women in their decision for sterilization

A self-administered questionnaire was answered by nearly 300 surgically sterilized men and over 200 such women 6 weeks after their surgery. Nearly half of these Americans were from large families. More women than men reported a history of medical, gynecologic, or psychiatric problems; one half had been pregnant four or more times; one third reported recent pregnancy. Most sterilized people reported an unsatisfactory contraceptive history. Despite that women had more complications from the procedure than men, improved psychosocial adjustment between 6 weeks before and 6 weeks after sterilization was reported by more women than men.     

Parental confirmation as a mitigator of feeling caught and family satisfaction

This study tested parental confirmation as a mitigator of the inverse association between young adults' feelings of being caught and family satisfaction. Participants included 567 young adult children from intact and divorced families. Results indicated that mother's confirmation mitigated the inverse association between feeling caught and family satisfaction for young adults from divorced families. Family satisfaction was lowest in divorced families when young adults felt caught and their fathers were disconfirming, though young adults in intact families reported even less satisfaction in such a communicative context. Importantly, mother confirmation was more predictive of family satisfaction in divorced families than in intact families, whereas father confirmation was more predictive of family satisfaction than mother confirmation for young adults in intact families.     

Parent and child MMPI responses: Characteristics among families with adolescents in inpatient and outpatient settings

The relationship of parent personality to child psychopathology has been investigated in numerous MMPI studies over the past three decades. Very few of these studies, however, have directly analyzed MMPI response patterns of both parents and offspring. The current study included the MMPI responses of 199 families with adolescents entering inpatient and outpatient psychiatric setting (N = 542). Inpatient parents and adolescents had significantly higher mean scores across a variety of MMPI scales than did their outpatient counterparts. The linear combination of adolescent and maternal MMPI scale data, in a stepwise discriminative function analysis, resulted in accurate classification of 75% of all children in inpatient treatment and 74% of all children assigned to outpatient treatment. Findings were discussed in terms of salient MMPI differences between inpatient and outpatient families and shared psychopathological characteristics among family members with offspring in psychiatric treatment settings.     

A Pilot Study of Emotion Regulation Strategies in a Psychodrama Group of Psychiatric Patients

The researcher analyzed two emotion regulation strategies in a group of adults attending psychodrama psychotherapeutic group at an outpatient psychiatric clinic. The subjects, nine men and 15 women between the ages of 19 and 63 (with 14 subjects in young and 10 in middle adulthood) self-assessed their use of reappraisal and suppression using the Emotion Regulation Questionnaire at the beginning of their treatment and at its end. They use reappraisal rarely to sometimes, regardless of their age, gender, and diagnosis. In the first assessment, the participants in middle adulthood and men reported using suppression more than young adults and women. During treatment, middle-aged adults and men succeeded to decrease their use of suppression significantly more than the young adults and women.     

Joint custody and the preschool child

A longitudinal study of 25 families, with children aged 14 months-5 years, in joint custody, is reported. Varying motivations that lead divorcing parents to undertake and sustain joint custody are discussed, together with the stresses and gratifications of these arrangements for the parents and children. Findings are that where both parents are motivated primarily by interest in the child, where the parenting is sensitive and where the child is shielded from interparental conflict, young children do well. Such families were not the majority in this study. Significant differences emerged in the adjustment of the 1–3 age group as compared with the 3–5 age group which point to greater difficulties for the 3–5-year-olds.     

Communication of Psychiatric Risk in 22q11.2 Deletion Syndrome: A Pilot Project

Individuals with 22q11.2 deletion syndrome (22q11.2DS) have an increased chance of developing a psychiatric disorder. While parents of children affected by 22q11.2DS typically receive counseling about risk for non-psychiatric health concerns, genetic counselors may be reluctant to discuss psychiatric risk. Further education of genetic counselors may be necessary to encourage discussion of psychiatric risk with these families. The goal of this project was to develop recommendations for genetic counselors to provide psychiatric risk information to families affected by 22q11.2DS. The recommendations were developed by synthesizing resources in the literature about risk communication. These recommendations were refined following an online focus group meeting with five health care professionals who were recruited for participation from 22q11.2DS clinics across the U.S.A. The focus group data revealed three themes related to discussion of psychiatric risk: 1) Stepwise approach, 2) Discussing treatment options and reducing risks, and 3) Addressing stigma. These recommendations may be used as a foundation for a future clinical protocol to encourage discussion about the risk for psychiatric illness at an earlier point in the diagnostic process for 22q11.2DS and to provide improved information, support and resources to affected families.     

Parenting young children with challenging behaviour

Previous research has established the link between harsh parenting and poor outcomes in children, although little attention has been paid to the concurrent protective factors which may exist. The relationship between parenting behaviours and childhood externalizing behaviours was investigated in a sample of 60 parents of young children (ages 2–5 years). Thirty families were selected for participation based on teacher‐reported externalizing behaviour in their young child which exceeded normal limits and matched with a sample of 30 parents of children without externalizing behaviour problems. Results found that parents of young children with externalizing behaviours tended to use more frequent verbal and corporal punishment with their young children, and reported more behaviour problems with their young children when compared with a control group. However, no significant differences were found between groups with respect to positive, nurturing behaviours, or utilizing appropriate developmental expectations. Implications for prevention are discussed. Copyright © 2005 John Wiley & Sons, Ltd.     

Learner drivers and lay instruction – how socio-economic standing and lifestyle are reflected in driving practice from the age of 16

On September 1st 1993, a new law came into effect in Sweden, permitting instructor-supported driving practice from the age of 16 instead of 17 years and 6 months. The intention was to enable young people to gain more experience of driving a car before they acquire a driver's permit and thereby to reduce their accident risk.The study was conducted by means of a questionnaire posted to 601 17-year-olds throughout Sweden. The participants were analysed concerning gender, socio-economic standing (blue-collar and white-collar), and lifestyle (friend-oriented, externally-oriented and parent-oriented). The results show that men obtain a learner's permit more often than women (67.4% vs 57.2%) and that youngsters in white-collar families acquire a learner's permit in more cases than those in blue-collar families (67.4% vs 52.4%). One of the reasons for the latter group not acquiring a permit is that they cannot afford it, while children in white-collar families state that they have neither the time nor the desire. No significant difference was found between the three lifestyle groups.When it comes to the amount of practice, the men have been out on the road on average 39.9 h during their first 13 months, compared to 19.9 h for the women. In the lifestyle groups, those who belong to the so-called externally-oriented lifestyle have practised most. They have reported 39.2 h compared to the parent-oriented group with the least amount of training, 27.9 h on average. The friend-oriented group has 22.2 h of practice.When both lifestyle and socio-economic standing were considered, even greater differences were found. The white-collar group of the externally-oriented lifestyle reported as much as 51.5 h, compared to the blue-collar group of the parent-oriented lifestyle with only 18.4 h of practising.The above result is important because it is not in accordance with the intentions of the new driving practice system. The idea behind the new system was that all young people should have the opportunity for a longer period of driving practice in order to reduce the high accident risk during the first year with a driver’s license. If it is impossible for certain groups of youngsters to start their driving practice at the age of 16, the situation will become socially unjust and measures must be taken to remedy this situation.     

Equality and differentiation of time spent in paid work in two-income families

The cumulative data from the National Opinion Research Center General Social Survey for 1972–1978 are used to test a model of allocation of time to work in families in which both spouses are employed. Using number of hours worked during the previous week as a dependent variable, we find that for white respondents, women work fewer hours than men; fathers of preteenaged children work more hours than other men, while mothers of preteens work fewer hours than other women; both men and women work more hours when they have higher prestige occupations; and both work more hours if their status (measured by education and prestige) is equal to or higher than their spouses'. Number of hours reported for spouse in the previous week is positively related to number of hours reported by respondent. The model suggests that within two-income families equality of occupational status is associated with equality of occupational involvement, while inequality of occupational status is associated with lower occupational involvement of the spouse with lower status.     

Incidence of Behavior Problems in Toddlers and Preschool Children from Families Living in Poverty

Few studies have examined the incidence of behavior problems in toddlers and preschool children from families living in poverty. The available research suggests behavior problems occur at higher rates in children living in poverty and may have long-term negative outcomes if not identified and properly treated. This study included an ethnically representative sample of 357 children, five years of age and younger, from a diverse, low-income, urban area. All families’ incomes met the federal threshold for living in poverty. Behavior problems were assessed by parent report through a questionnaire specifically designed for low-income families. Boys and younger children were reported as demonstrating a higher rate of externalizing behaviors than girls and older children. The overall rate of children scoring at least one standard deviation above the sample's mean for challenging behaviors was 17.4% and was not related to the child's gender, age or ethnicity. This study also sampled children's positive behaviors, which is unique in studies of behavior problems. Gender and age were not related to the frequency of reported positive behaviors. Ethnicity did influence scores on the positive scale. African American children appeared to present their parents more difficulty on items reflecting cooperative behaviors than Caucasian or Latino children. The implications of the study are discussed based on the recognized need for universal screening of behavior problems in young children and the small number professional training programs targeting the identification and treatment of early childhood behavior problems, despite the availability of evidence-based treatment programs tailored to young children in low-income families.     

Being female in the eighties and nineties: Conflicts between new opportunities and traditional expectations among white,middle class,heterosexual college women

The eighties and nineties would appear to be an ideal time for a young woman to come of age in American society. Legal barriers to opportunity have been virtually eliminated, and attitudes toward women seem to reflect greater cultural appreciation of their abilities and needs. However, there are indications that females are presented with conflicting images which nurture new career-related expectations while simultaneously stressing traditional expressions of femininity, especially marriage and motherhood. The research in this article explores the dynamics of conflicting demands on young women through a survey conducted at a small liberal arts college with students who are predominantly white and heterosexual, from middle and upper income families. (Only three percent of the students are from minority backgrounds.) Issues explored involve spousal obligations, salary differentials, marriage-career aspirations, responsibilities toward young children, and perceived degree of liberalism-conservatism pertaining to the place of women in society. The article concludes with a focus on the dilemma posed by new opportunities through structural change and the coexistence of cultural lag in the form of traditional norms of femininity.     

Did Mom Really Love You Best? Developmental Histories,Status Transitions,and Parental Favoritism in Later Life Families

In this paper, we draw upon insights from the developmental psychological literature on younger families to investigate within-family differences in parent–adult child relations in later life families. Using data from 30 families, we examine whether mothers aged 65–75 report greater closeness to particular adult children, and the extent to which patterns of closeness can be explained by within-family differences in the children's status transitions and developmental histories. Eighty percent of the mothers reported being closer to at least one of their adult children. Further, mothers were more likely to report that the children to whom they were closest had experienced nonnormative status transitions or other problematic events that had been involuntary and had made the children more dependent on their mothers. In contrast, mothers were least likely to name children who experienced voluntary problematic events. Comparison of the data from mothers with that from adult children revealed substantial discrepancies in reporting developmental histories, thus demonstrating the limitations imposed by collecting data from only one generation. Taken together, these findings suggest that examining within-family variations in social structural transitions and developmental histories, in combination with collecting data from multiple generations, may shed light on the quality of intergenerational relations.     

Gender, Immigrant Generation, and Ethnocultural Identity

The relation of gender and immigrant generation to ethnocultural identity was examined in an ethnically diverse sample of young adults from immigrant families. We hypothesized that gender differences in ethnocultural identity would occur among the second-generation (those born in the receiving society) daughters and sons of parents who were immigrants. Participants completed several measures that assessed identity and self-construal, including ethnocultural identity. As predicted, among participants who were the second-generation children of immigrants, gender differences occurred on ethnic identity achievement (defined as seeking to learn about and understand one's ethnicity) and reported behavioral commitment (e.g., maintaining cultural practices). Women endorsed these 2 components of ethnic identity more strongly than men did. Second-generation women and men whose parents were immigrants did not, however, differ in a third component of ethnocultural identity, namely, pride and attachment to one's ethnocultural group. The implications of this pattern of findings are discussed.     

Protestantism and Child Mortality in Northeast Brazil, 2000

The recent growth of Pentecostal Protestantism in Latin America has called attention to the social consequences of religious conversion. Ethnographic studies find that affiliation with Pentecostal churches is associated with attitudinal and behavioral transformations that modify gender relations, enhance the economic viability of the household, and endow families with social capital that can be mobilized during periods of economic stress, sickness, and emergency. The nature of the changes suggests that they may improve the welfare of infants and young children within the family. To explore this proposition, we use sample data from the 2000 demographic census in the Brazilian northeast to estimate the probability of death among children born to women 20 to 34 years of age. The findings show that, other things being equal, the death rate among children born to Protestant women is around 10 percent lower compared to the death rate among children born to Catholic women. We further disaggregate Protestants into "traditional" (e.g., Baptist, Presbyterian) and "Pentecostal" (e.g., Assembly of God) subgroups, and show that the mortality-reducing effect is greater among historical compared to Pentecostal Protestants. No mortality effects were associated with membership in neo-Pentecostal churches.     

Minimal brain dysfunction in adolescent and young adult psychiatric inpatients

This paper presents data on a study of 100 consecutive young adult psychiatric admissions to Horsham Hospital, to determine the incidence of minimal brain dysfunction in this population, to define the subcategories of common psychiatric presentation, and to compare these data with those from the companion study conducted by our research group of fifty consecutive adolescent psychiatric admissions, reported by Horowitz, 1981.     

Book reading styles in dual‐parent and single‐mother families

Background. Whereas many studies have investigated quantitative aspects of book reading (frequency), few have examined qualitative aspects, especially in very young children and through direct observations of shared reading. Aim. The purpose of this study was to determine possible differences in book‐reading styles between mothers and fathers and between mothers from single‐ and dual‐parent families. It also related types of parental verbalizations during book reading to children's reported language measures. Sample. Dual‐parent (29) and single‐parent (24) families were observed in shared book reading with their toddlers (15‐month‐olds) or young preschoolers (27‐month‐olds). Method. Parent–child dyads were videotaped while book reading. The initiator of each book‐reading episode was coded. Parents' verbalizations were exhaustively coded into 10 categories. Mothers completed the MacArthur Communicative Development Inventory, and the children were given the Bayley scales. Results. All parents differentiated their verbalizations according to the age rather than the gender of the child, but single mothers imitated female children more than males. Few differences in verbalizations were found between mothers and fathers or between mothers from single‐ and dual‐parent families. Fathers allowed younger children to initiate book‐reading episodes more than mothers. For both age groups of children, combined across families, verbalizations that related the book to the child's experience were correlated with reported language measures. Questions and imitations were related to language measures for the older age group. Conclusions. The important types of parental verbalizations during shared book reading for children's language acquisition are relating, questions and imitations.     

Understanding Respite Care Use by Families of Children Receiving Short-Term, In-Home Psychiatric Emergency Services

Respite care is widely believed to be an important support service for families raising a child with a disability. We report the findings of a respite care utilization study conducted within the context of a larger research and demonstration project examining three models of intensive, in-home services for children experiencing psychiatric crises. Respite care, both in-home and out-of-home, was a support service available to families in two of the three study conditions. Overall, 34% of 146 eligible families used in-home and or out-of-home respite care. Utilization was lower than the estimates developed prior to implementation, prompting an inquiry at the end of the first project year designed to maximize use and to gather more information on caregiver and service provider attitudes toward respite care. The inquiry included caregiver and provider focus groups, surveys, and enhanced data collection and analysis. Caregiver interviews indicated that many families did not fully understand what it meant to receive respite care or even that it was available to them. A comparative analysis of respite care users and non-users revealed that respite care users were more likely to have younger children, children who had a greater number of assessed functional impairments, and fewer social supports. Respite care users also reported greater difficulty managing their children's difficult behaviors.     

Side effects of extinction procedures in a remedial preschool

Several studies have shown that behavior modification procedures aimed at a single behavior may have effects on other, nonmanipulated behaviors. A young retarded boy engaged in excessive conversation with his preschool teacher. The teacher then began to ignore his initiated conversation during free-play periods, and it decreased. In addition, (1) social behavior relative to children increased, and (2) use of girls' toys decreased during free play. Also, (3) appropriate behavior at group academics declined, while (4) disruptions rose. In a second study, the teacher alternated conditions of praise and ignoring for talking with children. Talking with children varied accordingly. In addition, use of girls' toys and group academics disruptions rose during the ignoring condition. Appropriate behaviors dropped. Lastly, a timeout procedure was used to eliminate the undesirable side effects of disruptions and of use of girls' toys. Apparently, a response class may have member behaviors that covary directly and/or inversely. Some covariations may be socially desirable, others undesirable. The appearance of undesirable "side effects" can be controlled using behavior modification techniques.     

Young adult follow-up of hyperactive children: self-reported psychiatric disorders,comorbidity, and the role of childhood conduct problems and teen CD

We report on the psychiatric disorders present at young adult follow-up (Mean age 20–21 years; 13 + year follow-up) and the comorbidity among them for a large sample of hyperactive (H; N = 147) and community control (CC; N = 71) children. The H group had a significantly higher risk for any nondrug psychiatric disorders than the CC group (59% vs. 36%). More of the H group met criteria for ADHD (5%); major depressive disorder (26%); and histrionic (12%), antisocial (21%), passive–aggressive (18%), and borderline personality disorders (14%) at follow-up than the CC group. Severity of childhood conduct problems contributed to the risk for passive–aggressive, borderline, and antisocial personality disorders. But it only affected risk for antisocial personality after controlling for severity of teen conduct disorder (CD), which also contributed to the risk for these same 3 disorders. Examination for comorbidity among these disorders indicated that presence of either borderline or antisocial personality disorder significantly increased the risk for major depression and the other significant personality disorders. More of the hyperactive group had received various forms of mental health treatment during and since leaving high school than the control group. Results suggest that hyperactive children are at significant risk for at least 1 nondrug disorder in young adulthood, principally major depression and several personality disorders, and that this risk is largely mediated by severity of CD at adolescence.