Hurricane Katrina and the Gulf Oil Spill: Lessons learned about short-term and long-term effects

The impact and lessons learned from Hurricane Katrina and the Gulf Oil Spill are described as an example of work done reflecting best practices and theory to gain a better understanding of risk and resilience for children and families. Hurricane Katrina, described as the worst natural disaster in the US history, resulted in traumatic separations of children and families and devastation of communities and schools. The impact was greater on families with fewer resources before the hurricane who were provided limited support to return and rebuild. Insufficient community support and economic resources contributed to prolonged traumatiaation and slow recovery. Many were still recovering from Hurricane Katrina when impacted by the Gulf Oil Spill. For families with multigenerational ties to the fishing and oil industries, the Gulf Oil Spill resulted in both cumulative trauma and increased risk. In implementing the behavioural health response, much was learned about promotive and protective factors for individual and community resilience. Services provided following the disasters were based on precepts of individual, family, and community resilience. To enhance recovery and support resilience, the development of regional coalitions across at risk areas provides important coordination before disasters occur for better preparation and response.     

Competence, Risk, and Resilience in Military Families: Conceptual Commentary

This commentary highlights conceptual themes in the opening section of this special issue on military families in relation to a new synthesis of developmental systems theory that emerged from developmental, ecological, and family systems theory, as well as developmental psychopathology and risk/resilience frameworks. Articles in this special issue draw on these concepts to characterize and guide the burgeoning research on military families. This perspective emphasizes that multiple dynamic systems interact across levels to shape individual development, as well as the function of families and military units. Developmental timing is important for understanding how challenges of military life may impact individuals and families. Cascade effects are noted, where stress experienced by one family or service member can influence the function of other individuals or larger systems. Capacity for resilience is distributed across systems, including families and cultures, as well as resources or supports provided by military organizations to foster adaptive responses or recovery. These systems include schools and educational programs that play key roles in fostering and supporting resilience for children. Overall, developmental system concepts have considerable utility for guiding research with military families, particularly in regard to promoting resilience. Moreover, lessons learned from military families and programs may have much broader implications for many other nonmilitary children, families, and organizations that share similar goals and challenges.     

Personal experience in professional narratives: the role of helpers' families in their work with terror victims

This article describes research on the narratives of social workers who help terror victims, focusing on the relationship between the helpers' families and their work. Qualitative analysis of three training groups of social workers who are responsible for helping in the event of terror attacks in different parts of Israel, and of three debriefing groups for social workers after terror attacks, reveals that the helpers' families play a role in the narratives constructed by the helpers. Two main themes were identified. The first centers on the interaction between work and the family, and shows that in the situation of a terror attack, the conflict between the two disappears and the family often serves as a support system for the helpers. The second theme refers to the family dimension alone, and focuses on the dichotomy between vitality and loss. The way that family life events affect helpers'professional intervention is described. The findings are discussed in light of Conservation of Resources Theory, the fight-flight response to threat, and the concept of the family as a source of safety and risk taking.     

Family reconciliation as a response to adolescent crises

Concern for adolescents who act in dangerous, life-threatening ways has heightened dramatically in recent years. Many of these adolescents appear to come from nuclear families isolated from their kinship systems. Without the mediating effects of kin, the adolescent transition can become a major crisis. Kinship systems remain cohesive when members can reconcile their beliefs about essential aspects of family functioning with the demands for adaptation during major life transitions. Reconciliation is lost when members believe that kin can no longer be trusted to insure their well-being. Kinship fragmentation ensues as family members leave the field or are excluded. Isolated nuclear families then rapidly lose the resilience to respond to life transitions without resorting to extreme, maladaptive solutions. The Systemic Crisis Intervention Program (SCIP) uses the opportunity of the crisis precipitated by the adolescent's life-threatening behavior to alter family myths that have led to network fragmentation. Crisis teams mobilize and meet with kin in four-hour gatherings to foster reconciliation and kinship system reintegration.     

家庭抗逆力理论在风险应对领域的应用：演变、价值及挑战

家庭抗逆力理论是近年来风险应对研究领域中被引最高的理论之一。该理论的提出源自McCubbin等人对军人家庭应对战争危机的观察与思考,得益于早期学者对家庭压力和家庭系统理论的探究。经数次修订后,该理论经历了由静态特征到动态变化的发展过程,形成了一个具有较广泛内涵与外延的理论体系。其早期应用集中于创伤修复、家庭压力应对等主题,之后涉及复原力等更丰富的研究议题,已成为临床干预工作的实践导引和COVID-19大流行以来国家和社会、家庭和个体层面“危机事件—适应能力”关系的重要解释机制。其应用面临来自元理论研究、方法学及跨文化与社会变迁观点的挑战。未来研究应明晰概念与整合模型、使用混合方法与制定评估指标体系、强化家庭抗逆力理论的本土化研究与构建中国特色家庭抗逆力理论体系。     

Family Resilience: Israeli Mothers' Perspectives

This qualitative study reveals the components underlying the concept "family resilience" based on the perception of Israeli women in families who underwent a crisis in the past year. The study is based on the analysis of 15 semi-structured interviews using grounded theory methods. Five main components were identified as family resilience was perceived in terms of (a) interpersonal relations; (b) the ability to share painful feelings, (c) flexibility among family members; (d) connectedness; and (e) family's values. These components have practical implications for professionals working with families that are encountering stressful life situations.     

Enhancing Family Resilience Through Family Narrative Co-construction

We draw upon family resilience and narrative theory to describe an evidence-based method for intervening with military families who are impacted by multiple wartime deployments and psychological, stress-related, or physical parental injuries. Conceptual models of familial resilience provide a guide for understanding the mechanics of how families respond and recover from exposure to extreme events, and underscore the role of specific family processes and interaction patterns in promoting resilient capabilities. Leading family theorists propose that the family’s ability to make meaning of stressful and traumatic events and nurture protective beliefs are critical aspects of resilient adaptation. We first review general theoretical and empirical research contributions to understanding family resilience, giving special attention to the circumstances, challenges, needs, and strengths of American military families. Therapeutic narrative studies illustrate the processes through which family members acquire meaning-making capacities, and point to the essential role of parents’ in facilitating discussions of stressful experiences and co-constructing coherent and meaningful narratives. This helps children to make sense of these experiences and develop capacities for emotion regulation and coping. Family-based narrative approaches provide a structured opportunity to elicit parents’ and children’s individual narratives, assemble divergent storylines into a shared family narrative, and thereby enhance members’ capacity to make meaning of stressful experiences and adopt beliefs that support adaptation and growth. We discuss how family narratives can help to bridge intra-familial estrangements and re-engage communication and support processes that have been undermined by stress, trauma, or loss. We conclude by describing a family-based narrative intervention currently in use with thousands of military children and families across the USA.     

Mechanisms of Risk and Resilience in Military Families: Theoretical and Empirical Basis of a Family-Focused Resilience Enhancement Program

Recent studies have confirmed that repeated wartime deployment of a parent exacts a toll on military children and families and that the quality and functionality of familial relations is linked to force preservation and readiness. As a result, family-centered care has increasingly become a priority across the military health system. FOCUS (Families OverComing Under Stress), a family-centered, resilience-enhancing program developed by a team at UCLA and Harvard Schools of Medicine, is a primary initiative in this movement. In a large-scale implementation project initiated by the Bureau of Navy Medicine, FOCUS has been delivered to thousands of Navy, Marine, Navy Special Warfare, Army, and Air Force families since 2008. This article describes the theoretical and empirical foundation and rationale for FOCUS, which is rooted in a broad conception of family resilience. We review the literature on family resilience, noting that an important next step in building a clinically useful theory of family resilience is to move beyond developing broad “shopping lists” of risk indicators by proposing specific mechanisms of risk and resilience. Based on the literature, we propose five primary risk mechanisms for military families and common negative “chain reaction” pathways through which they undermine the resilience of families contending with wartime deployments and parental injury. In addition, we propose specific mechanisms that mobilize and enhance resilience in military families and that comprise central features of the FOCUS Program. We describe these resilience-enhancing mechanisms in detail, followed by a discussion of the ways in which evaluation data from the program’s first 2 years of operation supports the proposed model and the specified mechanisms of action.     

Quality of Life and Adjustment in Youths with Asthma: The Contributions of Family Rituals and the Family Environment

This cross‐sectional study explored the relationships among family ritual meaning, cohesion, conflict, and health‐related quality of life (both specific to chronic health conditions and in general), and the emotional and behavioral problems reported by youths with asthma. Participants included 149 Portuguese children and adolescents between the ages of 8 and 18 who had been diagnosed with asthma and attended outpatient services at three public hospitals. The results showed that stronger family ritual meaning predicted a more positive family environment (i.e., higher cohesion levels and lower conflict levels), better health‐related quality of life, and fewer emotional and behavior problems in youths. Furthermore, family cohesion and conflict mediated the links between family ritual meaning and health‐related quality of life, and emotional and behavioral problems. These results did not change after controlling for participant age, gender, and asthma severity. The findings of this study suggest that family ritual meaning contributes to the adaptation of youths with asthma via its positive association with the family environment. The implications for multicontextual interventions with families are briefly discussed with regard to the positive role of family rituals and of their potential as a modifiable factor in families with increased health challenges.     

Once a princess,always a princess: A strategy for therapy with families of rape victims

Reconstitutive interventions for victims of rape involve more than discussion of cognitive and emotional responses to the traumatic events of the rape and the post-traumatic anxiety and depression. Many victims and families of victims are not able to reconstruct a supportive functional system after they have been violated by rape. This paper presents a strategic ritual which can be used with the raped family to facilitate this reorganization and restitution of their integrity.Through the use of a short metaphorical story and symbolic ritual, each individual member and the family as a whole can experience, reexperience, and redecide how they will respond to this traumatic event through open expression of their emotions and responses. Reintegration of their responses and shared life crisis enable them to respond to one another in ways not open to them previously.     

Changes in the Family System and in Its Beliefs About Control,Trust, and Vulnerability Related to Economic Extortive Kidnapping

Abstract

This article reports some results of a study on the effects of economic extortive kidnapping (EEK) on the family system, and on family beliefs about control over one's life, trust in others, and vulnerability to kidnapping. Eighteen families having one of their relatives in captivity and 54 who had their relative released were interviewed. During captivity, family communication and affective involvement improved. However, the negotiation made family relationships more prone to conflict. After release, family relationships became more empathetic; family communication and affective involvement improved, but the loss of trust in their surroundings and the fear of becoming victims again, led families to feel safe only in their own home and to perceive social context as threatening.     

Elder abuse by family caregivers: Processes and intervention strategies

This study of 104 family caregivers who provided care to 119 elderly kin discusses the stress and conflict that can result when the older person, the caregivers, and the family are unprepared to fulfill the caregiving tasks. Sources of stress that contribute to physical and psychological abuse of the elderly are examined. Suggestions such as setting guidelines, establishing support groups, providing respite and household care, and increasing awareness about the aging process and elder abuse are offered as mechanisms for preventing abusive interactions and increasing the quality of life for the elderly and their families.Revision of a paper presented at the 1986 Groves Conference on Marriage and the Family, London, England.     

A multi-dimensional model for treating families that have survived mother assault

This paper offers a multidimensional family systems approach to treating children and their mothers in families who have survived violence and are in father-absent families. The model incorporates theoretical and clinical ideas from the child witness-to-violence field, the field of traumatic stress, and from feminist thinking. Three areas of intervention are detailed.The authors gratefully acknowledge the suggestions of the reviewers.     

Relational Resilience in Māori,Pacific, and European Sole Parent Families: From Theory and Research to Social Policy

This study reports findings and policy recommendations from a research project that applied a relational resilience framework to a study of 60 sole parent families in New Zealand, with approximately equal numbers of Māori, Pacific, and European (White) participants. The sole parent families involved were already known to be resilient and the study focused on identifying the relationships and strategies underlying the achievement and maintenance of their resilience. The study was carried out to provide an evidence base for the development and implementation of policies and interventions to both support sole parent families who have achieved resilience and assist those who struggle to do so. The three populations shared many similarities in their pathways to becoming sole parents and the challenges they faced as sole parents. The coping strategies underlying their demonstrated resilience were also broadly similar, but the ways in which they were carried out did vary in a manner that particularly reflected cultural practices in terms of their reliance upon extended family‐based support or support from outside the family. The commonalities support the appropriateness of the common conceptual framework used, whereas the differences underline the importance of developing nuanced policy responses that take into account cultural differences between the various populations to which policy initiatives are directed.     

I Am Yourself: Subjectivity and the Collective

This paper suggests that social and historical forces play an unconscious yet decisive role in our lives. Telling the story of a conversation between Israeli parents about the prospect of their children becoming soldiers, and of an analytic relationship between two Israelis, the paper aims to bring to light a hidden balance of power between family bonds and collective attachments. The paper uses ideas developed by Michel Foucault, Gilles Deleuze, and Felix Guattari in the field of critical theory to examine the ways in which families function as social agents, that is, as socializing institutions. It suggests that, as a result, in some situations, families may face a conflict of identifications, a dilemma between responsibility to kin and responsibility to the collective. If the dilemma commonly persists unheeded, it becomes painfully evident in extreme situations. Such is the case when parents are asked to allow their children to become soldiers, or when individuals strive to care for themselves against a binding ethics of communal and intergenerational responsibility. The paper examines the effect of the collective trauma underlying the dominant discourse of the Israeli society, and the hypercollectivity of the Israeli Kibbutz, in generating powerful unconscious conflicts that haunt subjective and family life. The paper argues that collective affiliations and consequently, collective politics are inseparable from individual psychology and interpersonal relations. It suggests that, for this reason, political awareness and political exchange can play a crucial, liberating role in the therapeutic relationship, and life in general.     

Pant-Legs and Pathology: The Marriage of Individual and Family Assessment

Bowen family systems theory suggests that individuals who report high levels of individual pathology will also report having been raised in families characterized by high conflict and low adaptability. Combining individual and family assessment measures, or using one type of measure to understand the results of the other may be possible through the application of systems theory. Therapeutic implications of the study reported here indicate that practitioners should consider the value of focusing on family of origin processes before a primary focus on isolated traumatic events guides the direction of therapy.     

Queer Youth in Family Therapy

Trends in popular belief about same‐sex relationships have undergone noteworthy change in the United States over the last decade. Yet this change has been marked by stark polarizations and has occurred at varying rates depending upon regional, community, racial, religious, and individual family context. For queer youth and their families, this cultural transformation has broadened opportunities and created a new set of risks and vulnerabilities. At the same time, youth's increasingly open and playful gender fluidity and sexual identity is complicated by unique intersections of class, race, religion, and immigration. Effective family therapy with queer youth requires practitioner's and treatment models that are sensitive to those who bear the burden of multiple oppressions and the hidden resilience embedded in their layered identities. We present case examples of our model of family therapy which addresses refuge, supports difficult dialogs, and nurtures queerness by looking for hidden resilience in the unique intersections of queer youths' lives. These intersections provide transformational potential for youth, their families and even for family therapists as we are all nurtured and challenged to think more complexly about intersectionality, sexuality, and gender.     

Traumatic loss and major disasters: strengthening family and community resilience

This article presents the core principles and value of a family and community resilience-oriented approach to recovery from traumatic loss when catastrophic events occur. In contrast to individually based, symptom-focused approaches to trauma recovery, this multisystemic practice approach contextualizes the distress in the traumatic experience and taps strengths and resources in relational networks to foster healing and posttraumatic growth. The intertwining of trauma and traumatic losses is discussed. Key family and social processes in risk and resilience in traumatic loss situations are outlined. Case illustrations, model programs, and intervention guidelines are described in situations of community violence and major disasters to suggest ways to foster family and community resilience.     

The Significance of Military Contexts and Culture for Understanding Family Well-Being: Parent Life Satisfaction and Adolescent Outcomes

Formal systems and informal networks are presumed to be significant contexts that affect military families. Their effects on both parents and adolescents in active duty military families are examined (N = 236 families). Social organization and contextual model of family stress theories are employed as frameworks for the analyses of how dimensions of military culture influence parents’ life satisfaction, as well as key developmental outcomes of their adolescents (for example, mental health). Key findings from our analyses included a positive relationship between parents support from military leaders and fellow soldiers and parental well-being findings revealed the importance of civilian parents’ satisfaction with military life on adolescent outcomes for families that have experienced stressful military contexts. These findings provide support for the significance of multiple contexts for understanding resilience among military members and their families.     

Life‐events and post‐traumatic stress in a sample of English adolescents

The aim of the present study was to investigate the lifetime prevalence of negative life‐events and their association with post‐traumatic stress in English adolescents. Of the 427 adolescents surveyed, 360 (84%) endorsed at least one negative event. Respondents were asked to complete the Impact of Event Scale (IES: Horowitz, Wilner and Alvarez, 1979) for each event that they endorsed. For boys, highest levels of post‐traumatic stress were found in those who had experience of a ‘family member with a drink or drugs problem’, followed by ‘parental separation or divorce’, ‘life threat to family member’, and ‘life‐threat to self ’. For girls, highest levels of post‐traumatic stress were found in those who had experienced ‘attack or physical assault to self ’, followed by ‘family member with drink or drugs problem’, ‘parental separation or divorce’, and ‘life threat to family member’. These data suggest that moderate levels of post‐traumatic stress are present in around one fifth of adolescents who have experienced one of these events and that community levels of post‐traumatic stress in adolescents may be higher than previously thought. Copyright © 2000 John Wiley & Sons, Ltd.