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.     

Ethical Considerations of Multiple Roles in Forensic Services

Attorneys increasingly rely on the services of mental health practitioners. Although some practitioners lack training, the promise of professional rewards lead some to accept opportunities with resulting ethical quandaries. Due to significant differences between the objectives of traditional mental health services and expert testimony, problems occur when clinicians venture into forensic services. Attorneys and judges, unfamiliar with mental health specialties, may seek to press a mental health practitioner into multiple roles. Although not all multiple roles are ethically inappropriate, caution demands careful parsing of particular roles: (a) academic/behavioral science expert; (b) fact witness as a treating therapist; (c) expert witness based on a clinically oriented assessment; (d) pretrial and/or trial consultant; and (e) professional critic of other experts. Possible ethical issues and risks associated with accepting multiple roles are identified and strategies for avoiding or minimizing harm or exploitation are discussed.     

Decision-Making and Exchange Processes of Dual-Military Couples: A Review and Suggested Strategies for Navigating Multiple Roles

As the number of dual-earner couples has increased, so has the number of dual-military couples. Individuals in dual-military couples experience many of the same challenges and benefits as dual-earner couples with added difficulties and advantages that are unique to military employment. The current article presents the exchange-based dual-military marriage model, which builds on Huffman and Payne’s (2005) Huffman, A. H., &; Payne, S. C. (2005). The challenges and benefits of dual-military marriages. In C. A. Castro, A. B. Adler, &; T. W. Britt (Eds.), Military life: The psychology of serving in peach and combat (Vol.3): The military family (pp. 115–137). Westport, CT: Praeger. [Google Scholar] model for dual-military marriages. Whereas the previous model did not adequately address the decision-making process that dual-military couples must engage in to navigate their unique situation, we address this oversight by incorporating exchanges that occur between the partners as well as between the couple and the military. Our model stresses the importance that perceived resources and the exchange relationship have on dual-military members. Included is a discussion of unique groups (i.e., gender issues, parental status, and sexual orientation), strategies for success for both dual-military couples and the military organization, and a suggested future research agenda.     

Juggling Multiple Roles and the Act of Resistance

This article addresses some ways mothers cope with the multiple stresses associated with their dual roles as workers and primary family caregivers. During the often stressful family life-cycle when adolescent children are individuating, a mother's active resistance can call attention to her need for support and validation of her efforts. While both parents are in the process of negotiating the intricate balance between letting go and forming new collaborative relationships with their soon to be adult children, heavy responsibilities associated with the maternal role can be especially challenging. In addition to gender-sensitive family interventions, mutual support groups for women who parent can help explore ways to effectively respond to cross-generational conflicts and problem solving.     

The Age of Uncertainty: Parent Perspectives on the Transitions of Young People with Mental Health Difficulties to Adulthood

For young people aged 16–24, the transition from adolescence to young adulthood involves predictable and unpredictable changes and they may encounter challenges in their roles, relationships, and responsibilities. Young people with mental health difficulties face additional challenges as they and their families navigate this transition. As a result, families commonly experience anxiety, uncertainty, frustration, and turbulent relationships. After learning to become advocates to secure appropriate services for their children, in late adolescence and young adulthood, parents are likely to find themselves excluded from their children’s treatment planning and services. This article reports findings from a recent qualitative study of the experiences and perceptions of 42 family members supporting their children with mental health difficulties during the transition years. Family members described their goals for their children, their frustrations trying to access appropriate services for their children, and their strategies to provide the support their children needed. Recommendations are for service providers to connect transition age youth with practical assistance and supportive mentoring relationships. Family members requested service providers to consider them as resources and potential collaborators in supporting young people with mental health difficulties to live successful lives in the community.     

Parent Perspectives on Family Involvement in Therapeutic Foster Care

There has been an increasing focus on family involvement in the treatment of children with serious emotional disorders, but it has received only limited attention in relation to out-of-home placements. I present the findings from a qualitative study of family involvement from the perspectives of parents whose children were placed in therapeutic foster care (TFC). Parents' perspectives on their involvement in placement decisions, relationships with professionals and TFC providers, practices related to family involvement, barriers to involvement, and strategies to enhance family involvement are described. Parents of children in TFC wanted to have contact with their children and to participate in decision making. They described relationships and practices that contributed to their involvement.     

Child Anxiety Sensitivity and Family Environment as Mediators of the Relationship between Parent Psychopathology, Parent Anxiety Sensitivity, and Child Anxiety

This study examined child anxiety sensitivity and family environment as mediators of the relationship between (1) parent psychopathology and anxiety sensitivity and (2) child anxiety in a community sample of 157 youths aged 7–18 years. Parents completed measures of anxiety sensitivity, psychopathology, and family environment. Youths completed measures of anxiety sensitivity and anxiety. One structural equation model was tested with child anxiety sensitivity as a mediator of (1) parent psychopathology and parent anxiety sensitivity and (2) child anxiety. Mediation was found with respect to parent psychopathology but not anxiety sensitivity. A second structural equation model was tested with family environment (conflict and control) as a mediator of (1) parent psychopathology and parent anxiety sensitivity and (2) child anxiety. Mediation was found with respect to parent psychopathology and anxiety sensitivity. Possible explanations for these pathways are discussed, including information transmission from parents to children, modeling anxiety-based reactions, temperament, and isolation of children from anxiety-provoking situations.     

Parent Involvement in School Conceptualizing Multiple Dimensions and Their Relations with Family and Demographic Risk Factors

Parent involvement (PI) in school is associated with more positive academic performance and social competence in children. However, there are inadequacies in current measures of PI and a need for a better understanding of predictors of PI. In this study, measures were obtained from a normative sample of 387 children in kindergarten and first grade from high-risk neighborhoods in 4 different sites. First, a confirmatory factor analysis of a theoretical factor model of PI identified 6 reliable multiple-reporter PI factors: Parent–Teacher Contact, Parent Involvement at School, Quality of Parent–Teacher Relationship, Teacher's Perception of the Parent, Parent Involvement at Home, and Parent Endorsement of School. Next, the relations among 3 specific family and demographic risk factors—parental education level, maternal depression, and single-parent status—and these 6 PI factors were examined using path analyses in structural equation modeling. Results indicated that the 3 risk factors were differentially associated with the 6 PI factors: Parental education was significantly associated with 4 PI outcomes, maternal depression was significantly associated with 5 PI outcomes, and single-parent status was significantly associated with 3 PI outcomes. No significant ethnic group differences between African American and Caucasian families were found in these relations.     

A Comparison of the Evolution of Men's and Women's Dreams in Daniel Levinson's Theory of Adult Development

This article examines an important difference in the adult development of men and women never stated by Levinson, but implicit in his two books, The Seasons of a Man's Life (1978) and The Seasons of a Woman's Life (1996). The task of forming a Dream that generated a sense of vitality and excitement was central to Levinson's adult development theory in his book on men. Often occupational in nature, the men's Dreams were usually formed in their late teens and 20s. Yet, careful examination of the interviews in Levinson's last book reveals a dearth of vitalizing Dreams among his women subjects, including the career women, during the same period: None had long-term career goals and nearly all gave precedence to marriage and family. Development of individualistic animating Dreams was complicated by this a priori commitment, and usually delayed until the women's Age 30 Transitions (28–33), often provoking crisis then and subsequent instability.     

Parental Social Cognitions: Considerations in the Acceptability of and Engagement in Behavioral Parent Training

Behavioral parent training (BPT) is a widely used, evidence-based treatment for externalizing child behaviors. However, the ability of BPT programs to be maximally effective remains limited by relatively low rates of acceptance, attendance, and adherence to treatment. Previous reviews have focused on a variety of demographic and mental health characteristics of parents and children that are predictive of poor outcomes in BPT. This paper focuses instead on consideration of parental social cognitions, and how incorporation of these cognitions may, or may not, be useful in advancing the effectiveness of BPT. We first review evidence suggesting limited incremental effects to incorporating parental cognitions within the context of BPT programs. Then, we examine the role of two particular types of parental social cognitions, attributions and parenting efficacy, in relation to the initial stages of accepting and engaging in BPT. We conclude by noting limitations in available research on the links between parental social cognitions and BPT, and we outline a number of potentially useful directions that may clarify whether or not parental social cognitions should be accorded greater attention either in the initial stages or throughout BPT programs.     

Implementing Parent Management Training in the Context of Poverty

Parent management training (PMT) is a well-investigated, effective, and preferred treatment for children's externalizing behaviors and related disorders. Unfortunately, PMT is not as effective for children living in poor families, who disproportionately exhibit the behaviors that PMT is designed to correct. We suggest that PMT is less successful for poor children because (1) the same factors that explain the relation between economic hardship and children's externalizing behaviors also are related to unsuccessful PMT outcomes; and (2) PMT interventions are less acceptable to poor parents, and therefore less likely to be adopted. Clinical implications are drawn from the analysis.

     

Reaching Latino Families Through Pediatric Primary Care: Outcomes of the CANNE Parent Training Program

The lack of culturally adapted parenting programs for Latinos contributes to low engagement in effective parenting programs. Criando a Nuestros Niños Hacio el Éxito (CANNE), a culturally adapted program, improves family dynamics by decreasing problematic child behavior and helping parents manage stress. CANNE was delivered with 12 Latino parents of children (age 3–7). Increased attendance and participation resulted in less child behavior problems and parenting stress from preintervention to postintervention. A culturally relevant adaptation of an evidence-based parenting program improved engagement, child behavioral outcomes, and parenting stress. Implications of mental health services in primary care facilities for Latino families are addressed.     

线索相对强度对再认场合效应的影响

本研究通过变化计算机屏幕呈现的物理特性(前景和背景颜色)控制场合因素,操纵词对的呈现次数(实验一)及双字词的加工水平(实验二)控制项目强度,考察了线索相对强度与再认场合效应的关系。结果发现：(1)项目呈现次数对再认场合效应无显著影响;(2)项目加工水平对再认场合效应有显著影响,深加工项目的激活对场合效应发生了掩蔽。最后,在回顾实验设计的基础上,对上述结果的成因及潜在变量的影响进行了简要探讨。     

An Analysis of the Portrayal of Gender Roles in Turkish Television Advertisements

The aim of this study was to examine gender role portrayals in Turkish television advertising. For this purpose, a content analysis of the advertisements that aired on the selected 6 television channels was carried out. Three hundred fourteen independent advertisements were coded according to general characteristics of the advertisements and demographic and attitudinal/behavioral characteristics of the primary figures. The data show significant gender differences in these 2 groups of variables. The findings are also compared with findings of other research conducted in different cultural settings.     

Vulnerable Women and Neo-Liberal Globalization: Debt Burdens Undermine Women's Health in the Global South

Contemporary processes of globalization havebeen accompanied by a serious deterioration inthe health of many women across the world. Particularly disturbing is the drastic declinein the health status of many women in theglobal South, as well as some women in theglobal North. This paper argues that thehealth vulnerability of women in the globalSouth is inseparable from their political andeconomic vulnerability. More specifically, itlinks the deteriorating health of many Southernwomen with the neo-liberal economic policiesthat characterize contemporary economicglobalization and argues that this structure issustained by the heavy burden of debtrepayments imposed on many Southern countries. In conclusion, it argues that many Southerndebt obligations are not morally bindingbecause they are not democraticallylegitimate.     

理智而现实的选择--面临新世纪的卫生保健服务

新世纪的卫生保健服务,面临的将是不断增长的健康需求、日益昂贵的费用和难于对付的现代文明病的客观形势,因而必须全面把握卫生保健改革的目标,将满足健康需求,所有制费用的过快增长和控制现代文明病的蔓延三者有机地结合起来,融资、医疗保险和提供服务等方面推行多层或多层体制,才能收到较为理想的效果。任何只考虑某一方面的需求和机能（如市场）的做法,都可能使卫生保健服务陷入更严重的困境。     

Item Response Theory Analyses of the Parent and Teacher Ratings of the DSM-IV ADHD Rating Scale

The graded response model (GRM), which is based on item response theory (IRT), was used to evaluate the psychometric properties of the inattention and hyperactivity/impulsivity symptoms in an ADHD rating scale. To accomplish this, parents and teachers completed the DSM-IV ADHD Rating Scale (DARS; Gomez et al., Journal of Child Psychology and Psychiatry, 40, 265–274, 1999) for a group of 1,475 primary school-aged children. The results for the discrimination parameters showed that all symptoms for both groups of respondents were generally good for discriminating their respective latent traits. For virtually all symptoms, their threshold values showed moderate to large increases in the level of the latent trait at each subsequent response dichotomy, with the symptoms being especially good at representing the appropriate traits from mean to moderately high trait levels. The item information function values for most symptoms indicated reasonable reliability from, approximately, the mean trait levels to moderately high trait levels. These findings indicate good psychometric properties for the parent and teacher ratings of the DARS. The implications of the findings for the use of the DARS and other similar scales are discussed.     

Benevolent Sexism Toward Men and Women: Justification of the Traditional System and Conventional Gender Roles in Spain

The present study aimed to explore sexist attitudes in young people and to investigate the role of these ideologies in the contribution of boys and girls to housework. For this purpose, 139 Spanish high school students (67 females and 72 males) responded to the ASI and AMI scales (Glick and Fiske in Journal of Personality and Social Psychology 70:491–512, 1996, Psychology of Women Quarterly 23:519–536, 1999) and assessed their contribution to housework in tasks considered traditionally done by women (highly gender-typed) or more neutral tasks (sex-neutral). Results showed that girls contributed significantly more to housework than boys. In addition, correlation analyses showed that benevolent sexism toward women, men and hostility toward men were significant related to highly gender typed tasks only in the female sample. This result shows the relevance of sexist ideologies in maintaining established differences between genders.     

The factor structure of the Inventory of Parent and Peer Attachment (IPPA): A survey of Italian adolescents

Despite the intensive use of the Inventory of Parent and Peer Attachment (IPPA), a measure of attachment which centres on individual differences in adolescents and their ability to evaluate their relationships with parents and peers, the factor structure of the inventory requires further investigation. This study of 1059 Italian adolescents compared the three models which are discussed in the literature: the one-factor model (attachment security), the two-factor model (trust-communication and alienation) and the three-factor model (trust, communication and alienation), and examined the influences of age and gender on the IPPA’s scores. Our findings provide support for the reliability of the latest and longer version of the IPPA (75-item). Factor analysis showed that the three-factor model had the best fit, although the three dimensions are strongly interrelated. Sixteen year olds had lower attachment security to their fathers than the results of the other adolescent age groups. Males reported lower alienation scores than females in the paternal form, while females had higher attachment security, trust and communication scores than males in the peers form.     

多目标觉知范式检验视觉意识容量

采用一种新的多目标觉知范式检验视觉意识容量。实验中首先迅速呈现包含8个刺激的圆形阵列（刺激位置随机分布）,然后所有刺激被灰色的圆覆盖,并随机选取阵列中的一个刺激作为目标,要求被试用尽可能少的点击次数找到目标。结果发现,即使被试不能一次击中目标,其也可能拥有对目标不精确的视觉信息。这些不精确的视觉信息能够帮助被试用更少的点击次数和更短的点击距离找到目标,且被试对这些不精确的视觉信息是有意识的。研究结果表明视觉意识能够以概率性的表征存在,并支持视觉整体统计假说,也能够进一步解释视觉意识容量的主观测量和客观测量之间存在的冲突。