Juggling Parent Care and Employment Responsibilities: The Dilemmas of Adult Daughter Caregivers in the Workforce

We review findings from our programmatic research on adult daughters who are simultaneously involved in the roles of employee and care provider to an impaired parent. Two opposing theoretical perspectives on the health effects of occupying these two roles are described, and empirical findings that bear on each perspective are presented. Our review reveals that, consistent with the competing demands perspective, parent care and employment often conflict with one another. Consistent with the energy expansion perspective, however, there is evidence that holding these two roles can be beneficial for the health of adult daughters.     

Single Fathers and Noncustodial Mothers:

Private practitioners will increasingly be called upon to meet the needs of single fathers raising children alone. One articular challenne will be to und&stand the relatGnship these fathers have with their &- wives, the mothers of the children they are raising. Information from a sample of 1,136 single fathers provides needed baseline data about visitation'patterns and the dynamics-of the continuing relationship between the father. the children. and the noncustodial mother. The benefits to the father of having the mother stay involved with the family are highlighted.     

A Model of Intention to Participate in Parenting Interventions: The Role of Parent Cognitions and Behaviors

A wide range of factors, from perceived child behavior problems to sociocultural factors, have been identified as impacting the engagement of parents in parenting interventions. However, parents’ cognitions and behaviors have not been evaluated sufficiently to understand their role in initial parental engagement. The current study aimed to examine why some parents are more likely to want to participate in parenting programs and how their cognitions and behaviors are related to their intention to participate in future parenting interventions. We tested the hypothesised model of parental factors on intention to participate using structural equation modelling (SEM) in AMOS. This study (N = 6,733) analyzed existing data from the International Parenting Survey (IPS), a web-based tool developed to collect information about parents’ views on family and parenting at a population level in several countries. Results showed that parents’ coercive parenting, parental consistency, positive encouragement, relationship with their child, parental self-efficacy, psychological distress, and help-seeking behaviors were significantly related to their intention to participate in future parenting interventions. The structural model of parents’ cognitions and behaviors explained 16% of the variance in intention to participate. Although the current model explained a small but significant percentage of the variance, it expands existing understanding regarding parental cognitions and behaviors and their relationship to intention. Implications for further research and engagement practice are discussed.     

Towards Culturally Relevant Preventive Interventions: The Consideration of Racial Socialization in Parent Training with African American Families

We present a rationale for the inclusion of culture-based parenting practices (i.e., racial socialization) in the design and implementation of empirically based parenting programs with African American families. We begin with a discussion of the limitations of the current parent training literature related to cultural considerations. Second, we examine the cultural and racial contexts of parenting for African Americans, review the literature on racial socialization, and discuss empirical support for considering its inclusion in parent training programs. Third, we examine the extent to which racial socialization operates in low-income African American families by presenting the findings from a qualitative pilot. We conclude by discussing how findings from the qualitative pilot might inform intervention efforts.     

Review of Interventions to Improve Family Engagement and Retention in Parent and Child Mental Health Programs

Engaging and retaining families in mental health prevention and intervention programs is critically important to insure maximum public health impact. We evaluated randomized-controlled trials testing methods to improve family engagement and retention in child mental health programs published since 1980 (N = 17). Brief, intensive engagement interventions in which providers explicitly addressed families’ practical (e.g. schedules, transportation) and psychological (e.g. family members’ resistance, beliefs about the treatment process) barriers as they entered treatment were effective in improving engagement in early sessions. The few interventions found to produce long-term impact on engagement and retention integrated motivational interviewing, family systems, and enhanced family stress and coping support strategies at multiple points throughout treatment. Few interventions have been tested in the context of prevention programs. There are promising approaches to increasing engagement and retention; they should be replicated and used as a foundation for future research in this area.     

Therapist Factors Matter: A Systematic Review of Parent Interventions Directed at Children’s Behavior Problems

The present review systematically explored research examining the relationship between therapist‐related factors and the outcomes of parent interventions directed at children’s behavior problems. A systematic search of the literature was conducted with online scientific databases, parenting programs, web sites, and bibliographic references of the selected articles, according to PRISMA guidelines. A total of 24 quantitative studies met the inclusion criteria. Although some methodological limitations were identified with respect to the measurement of therapist factors, the reviewed research strongly suggests that the therapist plays a critical role in parent interventions directed at behavior problems. In particular, many parent outcomes are found to be related to the parent–therapist alliance, the therapist’s fidelity to the intervention, specific therapist’s in‐session actions, and the therapist’s personal variables. The parent–therapist alliance and therapist fidelity to the intervention consistently relate to changes in parenting practices, and alliance additionally relates to fewer perceived barriers to participation in treatment, more treatment acceptability, and greater parenting satisfaction and self‐efficacy. In addition, specific in‐session therapist interpersonal actions relate to parents’ engagement and satisfaction, while both the therapist’s interpersonal actions and more active skills relate to parent change. Therapist’s personal variables have been scarcely or poorly studied to date, but the results found justify the need to develop further research in this area. In conclusion, more attention should be given to the role of the therapist when implementing parenting programs directed at behavior problems, and more and better research is needed that can overcome the methodological limitations identified.     

Environmental Dilemmas: The Resolutions of Student Activists

This article describes a qualitative investigation of 20 student activists' resolutions to environmental dilemmas. Participants responded to an oral interview asking them to resolve 6 dilemmas involving the natural environment and to give justifications for their resolutions. Several major themes emerged. First, participants tended to be concerned with maintaining human self-determination and tolerating human diversity. They also resolved dilemmas by reference to 3rd parties, and attributions of responsibility and sacrifice were made according to several patterns. Both humans and nonhumans were considered in resolutions, and resolutions reflected concerns with procedural justice and fairness and context-based value hierarchies. These themes are discussed in terms of the difficulty of resolving such dilemmas and implications for studying values and moral choices in the environmental context.     

The Definition of Moral Dilemmas: A Logical Problem

This paper concerns one of the undecided disputes of modern moral philosophy: the possibility of moral dilemmas. Whereas proponents of the possibility of moral dilemmas often appeal to moral experience, many opponents refer to ethical theory and deontic logic. My aim in this paper is to clarify some of the tension between moral experience and ethical theory with respect to moral dilemmas. In Part One I try to show that a number of logical arguments against the possibility of moral dilemmas, though apparently very different, turn out to be basically the same, as they are all based on the following concept of ought: if A ought to be done, doing B is impermissible and doing A itself is permissible. In Part Two I present an overview of several definitions of moral dilemmas that have been given by proponents of moral dilemmas: definitions that define moral dilemmas in terms of oughts and definitions that define them in terms of reasons. I conclude that, while reason is to weak, ought is too strong a concept to define moral dilemmas with. In this way, the arguments from Part One create a logical problem for proponents of the possibility of moral dilemmas to define moral dilemmas.     

Parent Behavior Importance and Parent Behavior Frequency Questionnaires: Psychometric Characteristics

This study examined the psychometric characteristics of two parenting measures: the Parent Behavior Importance Questionnaire (PBIQ) and Parent Behavior Frequency Questionnaire (PBFQ). Both research questionnaires are based on the parent development theory (PDT) and offer parent as well as non-parent respondents the opportunity to rate 38 parenting behaviors in terms of importance or frequency, respectively. The parenting behaviors correspond to one of six PDT parenting characteristics (i.e., bonding, discipline, education, general welfare and protection, responsivity, sensitivity); according to the PDT, these characteristics vary in importance and frequency according to children’s developmental levels as well as unique characteristics and needs. Psychometric examination of these questionnaires reveals that the scales have strength in terms of reliability and validity. Results are discussed relative to reliability and validity, the PDT, and current parenting research.     

Caregiver Demand and Parent Distress in Juvenile Rheumatic Disease: The Mediating Effect of Parent Attitude Toward Illness

Parents of youth with juvenile rheumatic diseases (JRD) often take on illness management responsibilities that can become burdensome, potentially resulting in poor parent adjustment outcomes. However, not all caregivers will experience increased distress as a result of variability in stress appraisals. The current study examined the role of parent illness attitudes in the relation between perceived caregiver demand and parental distress. Youth (N = 70) ages 7–18 years diagnosed with a JRD and their parents were recruited from a pediatric rheumatology clinic. Parents completed measures of caregiver demand, parental distress, and illness attitudes. Hierarchical regression revealed a relationship between caregiver demand and parental distress. A significant relationship was also found between caregiver demand and parent illness attitudes, as well as parent illness attitudes and parental distress. Thus, parent illness attitudes mediated the relationship between caregiver demand and parental distress. Techniques aimed at altering negative illness attitudes may help parents cope with their caregiving responsibilities.     

The Definition of Moral Dilemmas: A Logical Confusion and a Clarification

This discussion note deals with Jurriaan de Haan's paper The Definition of Moral Dilemmas: A Logical Problem (Ethical Theory and Moral Practice 4(3), 2001, pp. 267–284). In the first, critical part I will point out a confusion in the logical analysis of the paper in question. In the second, constructive part I will indicate how the analysis of moral dilemmas should proceed within the framework of a possible world semantics.     

Predictors of Involvement and Warmth of Custodial Fathers in Israel: Comparison with Married and Noncustodial Divorced Fathers

This study compared the levels and predictors of paternal warmth and involvement of 218 custodial fathers to 222 married fathers and 105 noncustodial (NC) divorced fathers in Israel. The examined predictors were fathers' perceptions of their own fathers; their own caregiving behaviors and parental self‐efficacy; and child characteristics and coparental coordination. Results indicated that being a custodial father was associated with more involvement than being a married or NC divorced father. Regression analyses revealed that experience of care with own father predicted fathers' involvement, whereas own father control was related to lower paternal warmth. Lower avoidant caregiving and high paternal self‐efficacy predicted both paternal involvement and warmth, whereas perceiving the child as more difficult predicted lower paternal warmth. Higher levels of coparental coordination were associated with more paternal involvement, whereas low coparental coordination was associated with less involvement, primarily among NC divorced fathers. These interactions highlight the distinct paternal behavior of custodial fathers. Unlike married and NC divorced fathers, they showed more warmth, regardless of their avoidant caregiving. Results are discussed in light of the different roles played by fathers in the three groups.     

Behavioral Parent Training:

Parents of 42 conduct disordered children were randomly allocated to either contingency management training, communication skills training or a waiting list control condition. The two treatments were conducted with the problem child either present or absent during sessions. Assessment devices included the Behavior Problem Checklist, Becker Adjective Checklist, Parent Attitude Survey, Piers-Harris Self-Concept Scale, and Daily observations made by parents. In comparison to waiting list controls, significant treatment effects were found on the Behavior Problem Checklist and on one attitude subscale (Understanding). More subjects in the contingency management condition met a criterion of clinical success than in the other conditions. No differential effect was associated with the conduct of treatment under conditions where the child was either present of absent form the sessions.     

Parent and Adolescent Depressive Symptoms: The Role of Parental Attributions

This study examined whether negative parental attributions for adolescent behaviour mediate the association between parental and adolescent depressive symptoms, and whether this relationship is moderated by adolescent gender. Mothers and fathers and 124 adolescents (76 girls and 48 boys; ages 14 to 18) participated. Adolescents were primarily Caucasian, and varied in the level of depressive symptoms (with 27% of the sample meeting diagnostic criteria for a current unipolar depressive disorder). Parents and adolescents completed measures of depressive symptoms, and participated in a videotaped problem-solving discussion. After the discussion, each parent watched the videotape and, at 20 s intervals, offered attributions for their adolescent’s behaviour. Adolescent gender moderated the relation between parental attributions and adolescent depressive symptoms, with stronger associations for female adolescents. For both mothers and fathers, both parental depressive symptoms and negative attributions about the adolescent’s behaviour made unique contributions to the prediction of depressive symptoms in adolescent females. There also was evidence that negative attributions partially mediated the link between depressive symptoms in mothers and adolescent daughters. The results are interpreted as consistent with parenting as a partial mediator between parental and adolescent depressive symptoms, and suggest that adolescent girls may be particularly sensitive to parents’ negative interpretations of their behaviour.     

The Middle Aging of America: Spiritual and Educational Dilemmas for Clergy Education

This paper summarizes a fellowship project completed in 1982 at the Hebrew Rehabilitation Center for Aged (The Center) in Boston, Massachusetts. The fellowship was jointly funded by a W. K. Kellogg Fellowship granted by the Hospital Research and Educational Trust, Chicago, Illinois and by The Center. At its completion, the project proposed a concept of supportive elderly congregate housing designed for persons not only requiring assistance with such vital activities as eating, dressing, and grooming but also lacking adequate support from family and friends. Confronted by gaps in our health and social service systems, these elderly often struggle with whether to remain in independent living arrangements without adequate coping mechanisms or to enter long term care institutions which mav provide more services than are needed. Four components of this housing are discussed: A Tenant Profile describing potential residents; recommendations for environmental features;skrvices to be provided; and financial resources. Data was drawn from a variety of sources including applicants and residents of a large long-term care facility and tenants of a large housing project. Ten site visits were made and research findings were reviewed. Interdisciplinary committees evaluated the data to develop goals, criteria, and recommendations. With refined selection techniques and good management, this housing should be cost effective and complement emerging life-styles of Americans. It should also be highly beneficial for a segment of the elderly who might otherwise reside, unnecessarily, in nursing homes.