Family Cohesion and Adaptation in Pediatric Chronic Conditions: The Missing Link of the Family’s Condition Management

The quality of family functioning has been considered an important predictor of adaptation in children with chronic conditions and their parents. Previous research suggests that beyond general family functioning, the specific experience of the family’s condition management is paramount for understanding family members’ adaptation. This study’s first goal was to compare family functioning and parents’ and children’s adaptation outcomes across four chronic conditions: asthma, diabetes, epilepsy, and obesity. Secondly, we explored the mediating role of family life difficulties and parental mutuality, as two potential paths through which family cohesion is linked to family members’ adaptation. A total of 263 parents of children (3–19 years old) with asthma (n = 77), obesity (n = 79), epilepsy (n = 52) and diabetes (n = 55) completed self-report measures of family cohesion, family life difficulty, parental mutuality, anxiety and depressive symptoms, and their children’s health-related quality of life (HrQoL). The results showed that families of children with diabetes, obesity, and epilepsy were at higher risk of experiencing family difficulties and children’s deteriorated HrQoL when compared to families of children with asthma. With regard to the links among study variables, although family cohesion had both a direct and indirect relationship with parental depressive symptoms, its links with parental anxiety symptoms and children’s HrQoL were only indirect, through family life difficulty. These associations were consistent across the four clinical groups. These findings emphasize the relevance of family-centered interventions aimed at promoting family cohesion, parents’ mutuality, and effective coping with the demands of pediatric chronic conditions.     

Moral Injury: A Mechanism for War-Related Psychological Trauma in Military Family Members

Recent research has provided compelling evidence of mental health problems in military spouses and children, including post-traumatic stress disorder (PTSD), related to the war-zone deployments, combat exposures, and post-deployment mental health symptoms experienced by military service members in the family. One obstacle to further research and federal programs targeting the psychological health of military family members has been the lack of a clear, compelling, and testable model to explain how war-zone events can result in psychological trauma in military spouses and children. In this article, we propose a possible mechanism for deployment-related psychological trauma in military spouses and children based on the concept of moral injury, a model that has been developed to better understand how service members and veterans may develop PTSD and other serious mental and behavioral problems in the wake of war-zone events that inflict damage to moral belief systems rather by threatening personal life and safety. After describing means of adapting the moral injury model to family systems, we discuss the clinical implications of moral injury, and describe a model for its psychological treatment.     

关于幼儿对损人行为的道德判断及有关情绪预期的初步研究

以幼儿易于理解的有关享用财物的小故事,对４、５、６岁儿童作个别随访,综合考察其已获得的道德知识和道德认知的特点,以及相关情绪预期的情况。结果表明：１．幼儿已经获得了有关社会道德的最初步的知识,并能运用这些日常概念水平的知识对行为作道德判断,其道德认知已出现关心他人利益的成分,自我中心主义不突出;２．幼儿假设自己作为损人者的情绪预期与对故事中损人者的情绪预期之间存在明显差异,道德认知与道德情感脱节的现象在前者未有明显表现,却在后者中显现出来。     

Family Coping During Hospitalization of Children with Chronic Illnesses

Information about family coping when a child with a chronic illness is hospitalized for procedures related to his or her illness is needed. The current research presents the results of two pilot studies designed to assess family resilience and coping, during a hospitalization for medical procedures for a child with a chronic condition. Sixty-one parents participated in the first study and reported on their child’s hospital experiences and completed a survey designed to assess family coping. Twelve mothers and one grandmother completed interviews examining their perceptions of their coping, siblings’ coping, and coping of the child with an illness for study two. Results of Study 1 indicated parents’ perceived the family as resilient. Cognitive strategies were used to see the hospital stay as positive for the child or to accept what had to occur as having the possibility of improving the child’s life. Some of the mothers mentioned financial stress as being difficult for the family. Results of Study 2 also supported resilient functioning for mothers, siblings, and children with illnesses. Mothers reported they stayed strong for their child. Siblings could serve as protectors, helpers, and companions and were described as adapting well. Children with illnesses used distraction (e.g., play, art, music) to facilitate their coping. Findings of this study indicated parents perceived the family as coping well and supporting the child with an illness. Future research will need to assess perceptions of siblings and fathers and assess family members’ perspectives at different times over the course of children’s illnesses.     

Family metaphors and moral intuitions: how conservatives and liberals narrate their lives

This research examines life-narrative interviews obtained from 128 highly religious and politically active adults to test differences between political conservatives and liberals on (a) implicit family metaphors (G. Lakoff, 2002) and (b) moral intuitions (J. Haidt & C. Joseph, 2004). Content analysis of 12 key scenes in life stories showed that conservatives, as predicted, tended to depict authority figures as strict enforcers of moral rules and to identify lessons in self-discipline. By contrast, liberals were more likely to identify lessons learned regarding empathy and openness, even though (contrary to prediction) they were no more likely than conservatives to describe nurturant authority figures. Analysis of extended discourse on the development of religious faith and personal morality showed that conservatives emphasized moral intuitions regarding respect for social hierarchy, allegiance to in-groups, and the purity or sanctity of the self, whereas liberals invested more significance in moral intuitions regarding harm and fairness. The results are discussed in terms of the recent upsurge of interest among psychologists in political ideology and the value of using life-narrative methods and concepts to explore how politically active adults attempt to construct meaningful lives.     

Through two lenses: A cultural–developmental approach to moral psychology

This paper proposes a cultural–developmental approach to moral psychology. The approach builds on and synthesizes findings from different research traditions, including the cognitive-developmental, domain, two orientations, three ethics, and moral identity traditions. The paper introduces a conception termed a cultural–developmental template. The template charts developmental patterns across the life course for moral reasoning in terms of the three Ethics of Autonomy, Community, and Divinity. The template, however, is not one-size-fits-all. Its general developmental patterns accommodate to the different constellations of Ethics held by culturally diverse peoples. From the present theoretical proposal follows a set of specific research expectations as well as a set of broader research implications for how to conduct research on morality from the vantage points of both culture and development. These expectations and implications include consideration of moral emotions, definitions of morality, and cultural variation in the life course itself.     

The Life Principle: a (metaethical) rejection

ABSTRACT  In Respect for Nature Paul W. Taylor argues that there is a moral obligation to respect all living things. I argue that there is no such obligation. Taylor presents three basic premises for his position. The first two are shown to be mistaken but not necessary for Taylor's argument. The third, that being a nonsentient teleological centre of life confers moral significance, while necessary, fails to be rationally compelling. I argue: (1) The relevant concept of teleology as readily applies to inanimate objects as it does to nonsentient life forms. (2) The inanimate–nonsentient distinction (at the relevant molecular level) is founded upon a continuum which offers no basis sufficient to justify The Life Principle. (3) The concept of teleology, as used by Taylor, is too unclear and ill-founded to serve as the basis for a rationally compelling argument.     

Assessment of Interpersonal Influences on Adolescents: The Parent and Peer Influence Scale

Peer influence is a common topic of interest for parents, clinicians, and researchers, but results from research on the relative importance of parents’ versus peers’ influence on adolescents and young adults has been contradictory. For example, some research suggests that peer attitudes about school influences future academic aspirations, other research suggests that parents and peers differ on their level of influence based on topic (e.g., parents’ are the primary source of influence about moral issues), and other research suggests that peer-oriented children are a product of parental disregard. A reliable and valid measure of the relative strength of parent versus peer influence could enhance research in this area. As a result, the Parent and Peer Inventory Scale (PPI) was developed, which demonstrates strong reliability as well as face and concurrent validity. The PPI can be used both by researchers to address contradictions in the literature, as well as clinicians seeking to evaluate level of peer influence in a family.     

Covert Video Surveillance of Parents Suspected of Child Abuse: The British Experience and Alternative Approaches

One million cases of child maltreatment and twelve hundred child deaths due to abuse and neglect occur per year. But since many cases of abuse and neglect remain either unreported or unsubstantiated due to insufficient evidence, the number of children who are abused, neglected, and killed at the hands of family caregivers is probably higher. One approach to combat child abuse in the U.K. has been the employment of hospital-based covert video surveillance (CVS) to monitor parents suspected of Munchausen Syndrome by Proxy (MSBP). The use of CVS, however, raises concerns about voluntary informed consent, research on human subjects, privacy, and the appropriateness of healthcare providers to conduct CVS. More broadly, the use of CVS raises concerns about the ethical life of healthcare institutions and their moral obligations to the families and communities they serve. The U.K. protocol for CVS is examined in light of these concerns. Three alternative CVS protocols and two procedures for selecting a protocol are then proposed for use in the U.S. The paper concludes that any CVS protocol selected for use by hospitals ought to be selected by means of open and democratic processes that permit community input and, subsequently, the possibility of a consensus on the moral status and scope of CVS.     

Work Family Conflict Among Parents of Atypically Developing Children: Exploring the Impact of Worker,Work, and Child Factors

The purpose of this research was to examine the impact of worker characteristics (e.g., time spent caring for others), workplace support, and child characteristics on work family conflict among parents of atypically developing children. Participants (N = 51) were employed parents of atypically developing children who completed measures of work family conflict, workplace supports (i.e., supervisory support and organizationally supportive cultures), the availability and use of family supportive workplace programs, child characteristics, and worker characteristics. Hierarchical multiple regression analyses indicated that worker and child characteristics significantly predicted work family conflict, work in family interference, and family in work interference. In addition, workplace supports significantly predicted work family conflict and family in work interference. Implications of the results for managing the work family life interface are discussed.     

Why are some moral beliefs perceived to be more objective than others?

Recent research has investigated whether people think of their moral beliefs as objectively true facts about the world, or as subjective preferences. The present research examines variability in the perceived objectivity of different moral beliefs, with respect both to the content of moral beliefs themselves (what they are about), and to the social representation of those moral beliefs (whether other individuals are thought to hold them). It also examines the possible consequences of perceiving a moral belief as objective. With respect to the content of moral beliefs, we find that beliefs about the moral properties of negatively valenced acts are seen as reliably more objective than beliefs about the moral properties of positively valenced acts. With respect to the social representation of moral beliefs, we find that the degree of perceived consensus regarding a moral belief positively influences its perceived objectivity. The present experiments also demonstrate that holding a moral belief to be objective is associated with a more ‘closed’ response in the face of disagreement about it, and with more morally pejorative attributions towards a disagreeing other person.     

Self-preservation: an argument for therapeutic cloning, and a strategy for fostering respect for moral integrity

The issues of human cloning and stem cell retrieval are inseparable in circumstances in which the rationale of self-preservation may be invoked as a negative right. I apply this rationale to a hypothetical case in which cloning is necessary to preserve the bodily integrity or life of an individual. Self-preservation as moral integrity is examined in a narrower context, i.e., as applicable to those for whom deliberate termination of embryonic life is morally-problematic. This issue is addressed through comparison with two paradigms commonly used in support of clinical practice: the distinction between letting die and killing, and the permissibility of vital organ retrieval after death. Although these paradigms are questionable in their own right, they offer a rationale by which scientists and clinicians may respect the negative right to moral integrity of those with whom they disagree.     

A Foreigner in My Own Country: Forgetting the Heterogeneity of Our National Community

The issues of human cloning and stem cell retrieval are inseparable in circumstances in which the rationale of self-preservation may be invoked as a negative right. I apply this rationale to a hypothetical case in which cloning is necessary to preserve the bodily integrity or life of an individual. Self-preservation as moral integrity is examined in a narrower context, i.e., as applicable to those for whom deliberate termination of embryonic life is morally-problematic. This issue is addressed through comparison with two paradigms commonly used in support of clinical practice: the distinction between letting die and killing, and the permissibility of vital organ retrieval after death. Although these paradigms are questionable in their own right, they offer a rationale by which scientists and clinicians may respect the negative right to moral integrity of those with whom they disagree.     

You can't miss what you've never had: Can you?: The challenges and struggles of single parenthood from a psychoanalytic perspective

The issue of the growth of single-parent families has been in the forefront of political, social and moral debate in recent years. Children from single-parent families tend to be over-represented in clinic populations. Yet this state of My being may be no more potentially pathological than the nuclear family, which can become conceptually idealized The aim of this paper is to look behind the statistics and examine the impact on children of life in a single-parent family, to explore how this may be managed, and to look for potentiating factors which can enable good-enough development to unfold. Case material is used to illustrate the theme.     

Emotion Regulation Among Preschoolers on a Continuum of Risk: The Role of Maternal Emotion Coaching

Parental emotion coaching involves acknowledging and validating children’s feelings, as well as guiding them on how to manage intense or negative feelings. Although parental emotion coaching has been identified as a potentially important factor for children’s emotional development, research into this topic is scant. The present study examined whether maternal emotion coaching can play a mediational role between family risk (i.e. economic disadvantage, family stress, and maltreatment) and emotion regulation in preschoolers. Seventy-four preschoolers, aged 46–58 months, and their maternal caregivers participated in an observational laboratory study, including a narrative task in which mothers and children reminisced about a mildly upsetting event. We coded these conversations for maternal emotion coaching behaviors with the Family Emotional Communication Scoring System. A family risk score was obtained via the Family Events Checklist and demographic data. We measured children’s emotion regulation with the Emotion Regulation Checklist. Increased family risk was associated with both reduced child emotion regulation and reduced maternal emotion coaching. Maternal emotion coaching partially mediated the relation between family risk and child emotion regulation, in particular child emotional lability. The findings support further research into the possibilities of training mothers in high risk families in emotion coaching skills in order to foster their children’s emotional development.     

Gratitude,forgivingness, and well-being in adulthood: Tests of moderation and incremental prediction

Following recent guidelines for moral personality research, this study sought to provide insights into how moral personality traits influence well-being in adulthood. Using a large sample of Swiss adults (N?=?962), we examined the roles of gratitude and forgivingness on well-being in adulthood (assessed as positive affect, negative affect, optimism, pessimism, and satisfaction with life). Our results point to three primary findings. First, grateful and forgiving adults report greater well-being in adulthood and these effects are not moderated by age, gender, or marital status. Second, both traits uniquely predict well-being when controlling for each other, suggesting the importance of studying multiple moral personality variables. Third, these two traits largely remained significant predictors of well-being when controlling for the Big Five traits. Results are discussed with respect to their place within current directions in moral personality research as well as how they provide a foundation for future work.     

Is Urban Fathers’ Religion Important for Their Children’s Behavior?

Previous research suggests that many men increase their religious involvement after the birth of a new child. Using data on low-income urban fathers from the Fragile Families and Child Wellbeing Study (FFCW), this study extends this research by examining whether fathers maintain a higher rate of religious participation as children get older and how fathers’ religiosity may influence children’s behavior. Results suggest that although many urban fathers slightly increase their religious involvement after the birth of a child, most fathers attend religious services at a fairly consistent rate during the early years of their child’s life. Although there is only limited evidence suggesting that fathers’ religious involvement directly influences children’s behavior, there is evidence that fathers’ religiosity moderates the influence of other family characteristics on children; parental relationship quality and mothers’ religiosity are associated with fewer problem behaviors among children when fathers believe that religion is important to family life. Results also suggest that having a Black Protestant father is associated with fewer externalizing problem behaviors among young children. Overall, this study suggests that religion may be a source of support that encourages urban fathers to be engaged in their family life and promote positive development among children.