Another Side to Caregiving: Negative Reactions to Being Helped

Until recently, caregiving research focused almost exclusively on caregivers of older adults with health problems, and there was little focus on care recipients' perceptions of the care they receive. The present article reviews relevant research on reactions to caregiving assistance. Several recent studies indicate that help in these contexts can be viewed negatively by care recipients. As many as two thirds of physically impaired older adults who receive assistance with daily activities, such as preparing meals, climbing stairs, or dressing, experience negative reactions to some of the help they receive. Negative reactions seem to have important consequences for the care recipient, because they are associated with higher depression concurrently and 1 year later. Because some of the findings are inconsistent with theoretical models of negative responses to help, an alternative framework, based on social-support and social-conflict research, is briefly proposed.     

Acceptance and recall of written prosocial,neutral, and aggressive modeling cues1

Nine groups of 50 college students responded to acceptance (imitation) and recall questions after being exposed to one of three written modeling sequences (prosocial, neutral, or aggressive), each of which included one of three types of vicarious consequences (positive, neutral, or negative). The results provided strong support for the theoretical predictions regarding the influence of written vicarious consequences on acceptance and recall of modeled behaviors. Regardless of the type of story, positive vicarious consequences led to a significantly higher level of acceptance of the modeled actions than did negative vicarious consequences. The effects of neutral vicarious consequences on acceptance varied with the nature of the modeling story. Although positive and negative vicarious consequences generally led to higher levels of overall recall than did neutral vicarious consequences, patterns of overall recall varied across the three types of stories. Similarly, analyses of the three components (details, behaviors, consequences) of the overall recall measure indicated that recall patterns were inconsistent across the three types of stories. Thus, the results of the present study indicate the importance of considering both vicarious consequences and the situations in which these consequences occur. Furthermore, the effects of written vicarious consequences appear to parallel those of live and/or taped consequences. Continued investigation of these effects is highly warranted.     

Promoting Honesty: The Influence of Stories on Children's Lie‐Telling Behaviours and Moral Understanding

Moral stories are a means of communicating the consequences of our actions and emphasizing virtuous behaviour, such as honesty. However, the effect of these stories on children's lie‐telling has yet to be thoroughly explored. The current study investigated the influence of moral stories on children's willingness to lie for another individual. Children were read one of three stories prior to being questioned about an accidental wrongdoing: (1) a positive story, which emphasized the benefits of being honest; (2) a negative story, which outlined the potential costs of lying; and (3) a neutral story, which was unrelated to truth‐telling or lie‐telling. Initially, most children withheld information about the event. Older children were better able to maintain their lies throughout the interview. However, when asked direct questions, children in the positive story condition were more likely to tell the truth than those in the negative and neutral conditions. No significant differences were found between the negative and neutral story conditions. The present study also investigated the relationship between children's conceptual understanding and behaviour. The findings revealed that children's knowledge of truths and lies increased with age. Children who lied had significantly higher conceptual scores than those who did not lie. Furthermore, the type of story children were read had a significant impact on their evaluations of true and false statements. Copyright © 2015 John Wiley & Sons, Ltd.     

Views on Aging: How Caring for an Aging Parent Influences Adult Daughters’ Perspectives on Later Life

Approximately 24 million Americans provide informal (unpaid) care to a family member or friend who is disabled or ill. The most common informal caregiving relationship is that of an adult child providing assistance to an elderly parent. Women in midlife represent most of the unpaid caregivers for older adults, yet little is known about how providing care affects women’s beliefs about and desires for their own aging. The purpose of this study was to understand how being a caregiver affected adult daughters’ perspectives on their own late life. In-depth interviews were conducted with a diverse sample of 15 women between the ages of 50 and 65 who were providing care to an ill and disabled parent or parent-in-law. Analysis of the qualitative data revealed that caregivers were affected by the caregiving experience in five ways: gaining awareness, provoking fears, providing a comparison for current functioning, providing firsthand knowledge about aging, and providing an example of how to age. This study offers an alternative perspective on the well-documented negative consequences of caring for an older person, suggesting that caregiving encourages personal growth for adult daughters in midlife.     

Maternal depression and parental distress among families in the Early Head Start Research and Evaluation Project: Risk factors within the family setting

This study examined the influence of risk factors within the family environment (inadequate resources, insufficient caregiving support from child's father, higher family conflict) on maternal well being (depression and parental distress) using a longitudinal panel research design. Participants consisted of 2,040 low‐income mothers of young children enrolled in the Early Head Start (EHS) Research and Evaluation Project. Findings indicated that greater family resources at 14 months had a protective effect on maternal well‐being at 36 months, controlling for demographic variables and maternal well‐being at 14 months. Furthermore, the effect of family resources on maternal well‐being was moderated by father caregiving support, such that family resources were protective, particularly when father caregiving support was lower. Family conflict at 14 months was associated with lower maternal well‐being at 36 months, controlling for demographic variables and maternal well‐being at 14 months. Our findings suggest that low‐income mothers need the support and resources of programs such as EHS to overcome the hurdles and challenges of parenting in high‐risk settings. Implications for clinical practice and EHS are discussed.     

On the vicissitudes of early primary surrogate mothering II: loss of the surrogate mother and arrest of mourning

Among the catastrophic events experienced by infants and young children, one of the most frequent is the loss of an early primary surrogate mother (EPSM). Usually permanent, the loss is often followed by the advent of a new, "replacement" caregiver. One aspect of the emotional environment is unique to this kind of caregiving situation: that parents are often unable to validate the true nature of their child's relationship with the EPSM or, ultimately, the trauma experienced by the child when the EPSM leaves. The marked discrepancy between the parent's and the infant or child's experience of the surrogate mothering leads to an arrest of the child's mourning process, with the potential for serious developmental consequences. Issues related to EPSM loss and its aftermath are examined in the light of two examples. Further exploration of the environment of this kind of caregiving directs attention to the critical need to nurture and protect the attachments of both the infant or child and the parent to the ESPM.     

Negative emotionality and positive/social behavior in rural appalachian infants: Prediction from caregiver and infant characteristics

This study explored stability and change in two aspects of infant temperamental behavior in a sample of 94 economically-disadvantaged rural Appalachian families. Regressions were used to predict Time 2 temperament for infants who increased and dereased in negative emotionality and positive/social behavior. Both infant and caregiving environment factors contributed to explaining change in first-year behavior. In this sample, maternal social support predicted more optimal change in infants' negative emotionality and positive/social behavior. Receiving public assistance and minor perinatal risk were associated with slower decline in negative emotionality and emergence of positive/social behavior.     

Children's reasoning about the self‐presentational consequences of apologies and excuses following rule violations

The accounts given by those who have violated a rule are likely to have important self‐presentational consequences, potentially reducing the negative impact of the breach on social evaluations of transgressors. However, little is known about young children's self‐presentational reasoning about such accounts. In the present study, a sample of 120 4‐ to 9‐year‐olds responded to rule violation stories where the transgressor uses either an apology, an excuse, or no account. Results showed that whereas children rated both account types similarly in terms of their impact on punishment consequences, even the youngest saw apologies as leading to significantly more positive social evaluation than excuses. Correspondingly, children were more likely to identify prosocial motives for apologies than for excuses, and more likely to identify self‐protective motives for excuses than for apologies. Explicit references to self‐presentational motives when explaining the accounts increased significantly with age, and were more likely following social‐conventional rather than moral rule violations.     

Protected or Unprotected Sex: The Conceptions and Attitudes of the Youth in Bolgatanga Municipality,Ghana

The youth in Bolgatanga municipality in Ghana have relatively less knowledge of sexual and reproductive health (SRH) compared to the youth in other parts of Ghana. More fundamental knowledge is needed of the factors that influence young people to have protected and unprotected sex in specific social and cultural contexts, in order to protect them from adverse consequences, such as sexually transmitted diseases (STIs), HIV/AIDS and unintended pregnancies. This study therefore analyzed the conceptions and attitudes of the youth toward protected and unprotected sex, and particularly condom use, in Bolgatanga municipality. Semi-structured and focus group interviews were held with 71 young males and females and 17 adults. The results indicated that many of them lack a comprehensive knowledge of STIs, contraceptives and pregnancy, while a group of them had a negative attitude towards contraceptives. Not all parents, schools and organisations provide young people with a comprehensive education about SRH, and some even discourage such education because they believe it would encourage young people to have sex before marriage. In addition, young people also inform each other about SRH issues, sharing stories and personal experiences with their peers. The information they exchange is not always correct, however; sometimes it merely reflects their own personal preferences. The unequal power in the sexual relationships of young people—related to the traditional value system that gives men, but not women, “sexual freedom, both in and outside marriage”—is another determining factor for unprotected sex.     

Developing Moral Emotion Attributions in Happy Victimizer Task: Role of Victim Information

Previous happy victimizer (HV) studies have shown that preschool and early elementary school children attribute happy emotions to the violator of moral rules. This study examines the effects of information pertaining to the victim in HV stories on children's emotion attributions. In Study 1, 55 children (aged 5–6 and 7–8 years) participated. Participants heard three types of stories: (a) victim sadness resulting from a character's wrongdoing (normal HV story); (b) victim happiness resulting from a character's wrongdoing (non‐canonical HV story); and (c) victim sadness resulting from an accident (accident story). The children were required to infer the victimizer's feelings and to justify their attributions. Children demonstrated more positive emotion attributions for non‐canonical HV stories than the normal and accident versions. In Study 2, 57 children (aged 5–6 and 7–8 years) judged two types of HV tasks (a story featuring a younger child as victim and a normal HV story). Both groups demonstrated more negative emotion attributions for the young victim stories than the normal HV stories, indicating that children's judgment varied according to contexts and different information in determining emotion attributions.     

Positive parenting predicts cortisol functioning six years later in young adults

Research which indicates that adverse experiences influence hypothalamic‐pituitary‐adrenal (HPA) axis functioning illustrates the social environment ‘getting under the skin’. The present study extended this literature by examining whether positive social forces within the caregiving environment can also impact cortisol functioning. We conducted a prospective investigation of over 300 youth, half of whom were White and half were Black. Attachment, bonding and parental rewards for positive behaviors were observed or reported by the youth as an 8th grader. Twelve repeated measures of salivary cortisol were examined six years later when youth were young adults (mean age 20). Race differences were explored. Stronger attachment, bonding and teen‐reported positive parenting were predictive of high waking cortisol and steeper diurnal slopes six years later. This effect was nonlinear and additive, such that youth whose social contexts were characterized by the strongest attachment, bonding and rewarding parental relationships had the highest waking cortisol. When effects were moderated by race, findings were such that links of positive parenting with HPA functioning were more consistent for White than Black youth. Findings suggest that positive aspects of the caregiving environment can also ‘get under the skin’ and these effects are additive across a range of caregiving indices. These findings dovetail with an emerging literature on the powerful role of social support for shaping the body's stress response system and are interpreted as consistent with the Adaptive Calibration Model which suggests that cortisol regulation can have adaptive significance. A video abstract of this article can be viewed at: https://youtu.be/8evHXpt_TXM .     

Success at Catching and Keeping Toddler's Attention: An Examination of Joint Attention Among Low-Income Mothers and Their 2-Year-Olds

Recent research suggests that competent caregiving by low-income parents may serve to buffer young children from some of the deleterious consequences of economic hardship. As one means of exploring competent caregiving in the context of poverty, this study examined the structuring of joint attention among 47 low-income mothers and their 24-month-old toddlers. Findings revealed that, on the whole, dyads spent approximately half of a 10-minute play period in bouts of collaborative joint attention. While mothers made social overtures, or bids, more frequently than children, children played a significant role in initiating bouts of joint attention. Highly engaged dyads generated significantly higher numbers of reciprocal maternal bids and fewer reciprocal child bids overall than did disengaged dyads. Sequential analyses suggested that reciprocal bids initiated by children were likely to lead to periods of collaborative joint attention among engaged dyads, but not among disengaged dyads. © 1996 John Wiley & Sons, Ltd.     

The nature of caregiving in children of a parent with multiple sclerosis from multiple sources and the associations between caregiving activities and youth adjustment overtime

This study explored youth caregiving for a parent with multiple sclerosis (MS) from multiple perspectives, and examined associations between caregiving and child negative (behavioural emotional difficulties, somatisation) and positive (life satisfaction, positive affect, prosocial behaviour) adjustment outcomes overtime. A total of 88 families participated; 85 parents with MS, 55 partners and 130 children completed questionnaires at Time 1. Child caregiving was assessed by the Youth Activities of Caregiving Scale (YACS). Child and parent questionnaire data were collected at Time 1 and child data were collected 12 months later (Time 2). Factor analysis of the child and parent YACS data replicated the four factors (instrumental, social-emotional, personal-intimate, domestic-household care), all of which were psychometrically sound. The YACS factors were related to parental illness and caregiving context variables that reflected increased caregiving demands. The Time 1 instrumental and social-emotional care domains were associated with poorer Time 2 adjustment, whereas personal-intimate was related to better adjustment and domestic-household care was unrelated to adjustment. Children and their parents exhibited highest agreement on personal-intimate, instrumental and total caregiving, and least on domestic-household and social-emotional care. Findings delineate the key dimensions of young caregiving in MS and the differential links between caregiving activities and youth adjustment.     

The nature of caregiving in children of a parent with multiple sclerosis from multiple sources and the associations between caregiving activities and youth adjustment overtime

This study explored youth caregiving for a parent with multiple sclerosis (MS) from multiple perspectives, and examined associations between caregiving and child negative (behavioural emotional difficulties, somatisation) and positive (life satisfaction, positive affect, prosocial behaviour) adjustment outcomes overtime. A total of 88 families participated; 85 parents with MS, 55 partners and 130 children completed questionnaires at Time 1. Child caregiving was assessed by the Youth Activities of Caregiving Scale (YACS). Child and parent questionnaire data were collected at Time 1 and child data were collected 12 months later (Time 2). Factor analysis of the child and parent YACS data replicated the four factors (instrumental, social-emotional, personal-intimate, domestic-household care), all of which were psychometrically sound. The YACS factors were related to parental illness and caregiving context variables that reflected increased caregiving demands. The Time 1 instrumental and social-emotional care domains were associated with poorer Time 2 adjustment, whereas personal-intimate was related to better adjustment and domestic-household care was unrelated to adjustment. Children and their parents exhibited highest agreement on personal-intimate, instrumental and total caregiving, and least on domestic-household and social-emotional care. Findings delineate the key dimensions of young caregiving in MS and the differential links between caregiving activities and youth adjustment.     

Ordinary variations in maternal caregiving influence human infants' stress reactivity

ABSTRACT— We sought to extend earlier work by examining whether there are ordinary variations in human maternal caregiving behavior (MCB) that are related to stress reactivity in infants. We observed 185 mother-infant dyads and used standard coding systems to identify variations in caregiving behavior. We then created two extreme groups and found that infants receiving low-quality MCB showed more fearfulness, less positive joint attention, and greater right frontal electroencephalographic asymmetry than infants receiving high-quality MCB. Group differences in stress reactivity were not a result of measured infant temperament. However, infants receiving low-quality MCB manifested significantly more negative affect during caregiving activities than did infants receiving high-quality MCB. The results suggest that ordinary variations in MCB may influence the expression of neural systems involved in stress reactivity in human infants.     

Systemic-Oriented Psychological Counselling for Caregivers of People with Severe Brain Injury: Reflections on a Clinical Case

Severe brain injuries can have dramatic consequences on family life, often changing rules and routines and fostering intense and prolonged caregiving duties. People affected by the injuries have to face relevant restrictions in their activities and a loss of independence. Thus, primary caregivers are often involved in their assistance, which can entail the help for self-care, movements and many activities of daily living. Furthermore, cognitive and behavioural symptoms can complicate communication, disrupt previous relationships and put an additional strain on all family members. Indeed, caregiving relationships take place in wider familial and societal contexts and are obviously influenced by previous characteristic of such relationships, as they were before the onset of the pathological condition. Therefore, a thorough examination of typical emotions, feelings and thoughts that can emerge during caregiving must be paralleled by an ecological and developmental perspective, in order to appraise the complexity of these cases and provide effective interventions. The present work aims to address such topics taking inspiration from a clinical case.     

道德情绪判断、错误信念与行为问题的关系——损人情境中幼儿反应的一项研究

运用投射性情境故事和Rutter量表(教师问卷)研究了204名幼儿对损人情境的道德情绪判断、错误信念水平、行为问题及其关系。结果表明:(1)男性幼儿的违纪行为显著高于女性,神经症行为得分在不同年龄之间差异达到显著性水平。(2)随年龄增长,对成功损人者之情绪判断为积极的人数会减少、而判断为消极的人数会增加,对失败损人者之情绪判断为消极的居多、而对成功损人者情绪判断为积极的为主。(3)幼儿已经基本能完成道德情境中的错误信念任务,当接受别人的"错误"表扬时会产生积极情绪。(4)未完成错误信念任务儿童的神经症得分显著高于完成者,对成功损人者之情绪判断为积极的儿童的神经症得分显著高于判断为消极者。     

道德概念净脏隐喻及其对道德判断的影响

通过3个实验考察道德概念净脏隐喻的心理现实性以及道德概念净脏背景和净脏自身隐喻对道德判断的影响及其差异。结果表明：（1）道德概念净脏隐喻具有心理现实性,即被试在洁净背景上判断道德词的反应时更快,在肮脏背景上判断不道德词的反应时更快。（2）当将道德两难故事呈现在肮脏背景上时,相比于呈现在洁净背景上,被试更容易将故事主人公的行为判断为不道德,表现出隐喻一致性效应。（3）相比于肮脏自身启动,被试在洁净自身启动下对道德两难故事主人公的行为判断为更加不道德,表现出隐喻补偿性效应。（4）相比于洁净背景启动,被试在洁净自身启动下对道德两难故事的判断更加严厉;相比于肮脏背景启动,被试在肮脏自身启动下对道德两难故事的判断更加宽松。研究结果证明,道德概念净脏隐喻具有心理现实性,净脏背景和净脏自身隐喻均影响个体的道德判断,并且二者对道德判断的影响不同。     

Defining the caregiving system: Toward a theory of caregiving

The purpose of this paper is to present a preliminary framework for conceptualizing the caregiving behavioral system. Following Bowlby (1982), we propose that caregiving is organized within a goal-corrected behavioral system that is reciprocal to attachment. The set-goal of the system is to keep dependent offspring close or safe; its adaptive function is protection of the young. The caregiving system is designed to provide changing levels and forms of protection depending upon the developmental and individual requirements of the young. However, the evolutionary interests of the parent are not entirely overlapping with that of the child because the parent's evolutionary fitness depends on the fitness of all her offspring. Caregiving is one of several motivational systems in the parent. Depending upon circumstances, parents may select from a range of caregiving strategies, which are believed to correspond to the continuum of child attachment relationships (secure, avoidant, ambivalent). The adult caregiving system is believed to be guided by an internal representation or mental model of caregiving. This system has its roots in early attachment—caregiver experiences, but is distinct from them. We suggest that the caregiving representational system becomes consolidated initially in adolescence and undergoes change during the transition to parenthood and as a function of interaction with the child. Once this development is complete, situations of danger and safety should activate the caregiving behavioral system. Under normal circumstances, if the parent's own attachment system is aroused she would appeal to her own attachment figures rather than to the child. However, situations that engender feelings of helplessness in the mother (i.e., which cause her to perceive herself as unable to protect the child) may disorganize or disable the caregiving system on both the behavioral and representational levels.