Serving the mental health needs of families with children under three: A comprehensive program

This paper describes a pregnancy and infant/parent program that was developed to provide comprehensive mental health services to families with children under 3 years of age. Because either the infant or parent can be the identified patient, we are able to treat families who define their problems in a variety of ways. The program has four basic premises: (1) the mental health of all family members should be addressed, (2) treatment of family members should be provided with minimum fragmentation of services, (3) the treatment plan must be individualized for each family, and (4) modes of therapy must be changed as the needs of the family change over time. This paper presents the rationale and techniques necessary for integrated services to families with children under 3 years of age. Two cases are presented: one with the infant as the identified patient, and one with the mother as the identified patient.     

Observing Purchase‐Related Parent–Child Communication in Retail Environments: A Developmental and Socialization Perspective

In a quantitative observation study, we unobtrusively examined purchase‐related communication between 0‐ to 12‐year‐old children and their parents (N= 269 dyads) during supermarket and toy store visits. The aims of the study were to determine (a) the development of purchase‐related parent–child communication (i.e., children’s purchase influence attempts, their coercive behavior, parent‐initiated communication) and (b) the relative influence of different socialization variables (e.g., television viewing, family communication patterns) on these communication variables. Our inverted‐U hypothesis for the effect of developmental level on purchase influence attempts received support: Children’s purchase influence attempts increased until early elementary school and started to decline in late elementary school. Our inverted‐U hypothesis for the effect of developmental level on coercive behavior was also supported: Children’s coercive behavior was highest among preschoolers. With increasing age, children were more likely to be involved in the purchase decision‐making process, and parent–child communication more often resulted in a product purchase. Finally, children’s television viewing was the most important (positive) predictor of their purchase influence attempts.     

Young children's television viewing and the quality of their interactions with parents: A prospective community study

Television is one of the most commonly viewed forms of media by children throughout the world. Excessive television viewing can influence the quality of children's relationships and interactions with their parents. We examined the emotional availability (EA ) of children toward their parents by assessing child responsiveness and child involvement , using a cross‐sectional and longitudinal design. We employed a large and representative community sample of Norwegian 4‐year‐olds (n = 995) who were followed up at 6 years old (n = 795). The results illustrate that, when viewing excessive amounts of television, children are less likely to be involved with their parents in ordinary toy‐play. We argue in favor of the displacement hypothesis, stating that time‐demanding technologies are negatively related to the quality of parent–child relationships because spending more time watching television will leave less time for developing nurturing social relationships.     

Television Viewing and Attentional Abilities in Fourth and Fifth Grade Children

To evaluate the common assumption that television viewing is related to attentional difficulties in school, 70 fourth and fifth grade students recorded a “television diary” for one week and reported their preferred television shows. Parents estimated their child's television viewing time and reported their child's preferred shows. Assessment of attentional difficulties included teacher ratings, parent ratings, standardized tests, and classroom observations. It was found that the amount of television a child viewed was significantly related to teacher ratings of attentional difficulties, but not to parent ratings, classroom observations or a standardized test. Type of shows viewed did not relate to any attentional outcome variable. There was a clear relationship between fourth and fifth grade children's ability to pay attention in school, as assessed by their teacher, and the amount of time they spent watching television.     

Parent language with toddlers during shared storybook reading compared to coviewing television

This study compares parent language directed at their toddlers while coviewing toddler-directed television and while storybook reading. Participants were 15- or 30- month-old children and their parent. A quantitative analysis of parent language revealed that it is more frequent, rich, and complex during reading relative to television viewing regardless of child age; although parents used more complex language and more diverse words with older children. The difference between media held even when the storybook text read aloud was not considered in the analysis. Consistent with the results of earlier research, shared book reading produces more and richer verbal interactions with toddlers than coviewing television and is thus more likely to positively influence early language development.     

An in-home investigation of maternal teaching strategies during Sesame Street and a popular situation comedy

A naturalistic in-home investigation of maternal teaching strategies while viewing an educational program (Sesame-Street) and an entertainment program (a situation comedy) was conducted. Fourteen mothers and their pre-school children tape-recorded their coversations while jointly viewing the two television programs. Mothers tooks the role of teacher during both types of programs, but they talked more and asked proportionally more questions about the content of Sesame Street than they did about the content of the situation comedy. Likewise, during Sesame Street, mothers talked more about educationally relevant concepts such as size, color, and number. Children, while watching Sesame Street, engaged in ore labeling of educationally relevant concepts than they did while viewing the situation comedy. During the situation comedy, mothers explained why television characters performed particular behaviors and assigned traits and emotions to characters more frequently than they did during Sesame Street. The findings suggest that the parent may play an important role in helping children maximally utilize television as a teacher.     

"If you want me to treat you like an adult, start acting like one!" Comparing the criteria that emerging adults and their parents have for adulthood.

The purpose of this study was (a) to identify the criteria parents of emerging adults consider necessary and important for their children to achieve adulthood, (b) to compare parents' criteria for adulthood with the criteria espoused by emerging adults, and (c) to examine how these criteria might differ on the basis of gender of the parent and gender of the child. Participants included 392 unmarried college students, ages 18-25, and at least 1 of their parents (271 fathers, 319 mothers). Results revealed that (a) as did their children, most parents did not yet view their children as adults, (b) there was disagreement between children and their parents in the emphasis they placed on various criteria for adulthood, (c) mothers and fathers did not always agree on the importance of various criteria, and (d) the gender of both the parent and the child played a role in the criteria parents deemed important for adulthood. Taken together, the findings suggest that parents and children view the transition to adulthood differently, which might have implications for the parent-child relationship during this period of development.     

Factors of parricide: Allowance of the use of battered child syndrome as a defense

Children who kill a parent may be mentally ill or dangerously antisocial, but most often they are severely abused. However, most abused children do not resort to killing a parent. Children who do commit murder do so out of desperation when family members and friends have failed to help them. This article discusses issues surrounding allowance of the defense of battered child syndrome as a justification for parricide. An argument will be made for the expansion of the self-defense claim to include battered child syndrome.     

Using videotape modeling to prepare children psychologically for surgery: influence of parents and costs versus benefits of providing preparation services

Sixty pediatric patients having first-time elective surgery participated in this study. Surgery preparation using videotape procedures was employed. The research design included two viewing conditions (with parent present and without parent present) and three treatment procedures (adult-narrated videotape, peer-narrated videotape, and control/no-videotape condition). Results suggested that children who viewed the videotape with their parent present exhibited less preoperative arousal compared to children who did not. The patients undergoing preparation using the videotape model exhibited less arousal, less self-reported anxiety, and less behaviorally rated anxiety when compared to patients who did not view the videotape preparation. There was no difference between the patients who viewed the adult-narrated versus the peer-narrated videotape. In addition, parents who viewed the videotape or whose children viewed the videotape without them exhibited less arousal prior to the operation than parents who did not and whose children did not view the videotape preparation. Finally, a cost-benefit analysis revealed that preparation services could reduce individual and overall medical costs.     

Halos vs. stigmas: long-term effects of parent's death or divorce on college students' concepts of the family

College students from families of divorce, of death of a parent, and of intact families rated the meaning of six concepts of the family: mother, father, I myself, marriage, family, and divorce. The Semantic Differential was used to assess four dimensions of meaning of family concepts: evaluation, potency, activity, and general cultural favorability. Children of divorce rated father less favorably than did children of death of a parent or of intact families; however, children of divorce rated divorce more favorably than the remaining two groups. Also, children of divorce evaluated the family concepts that were rated here more negatively than, but equally as potent and active as, children of death of a parent and of intact families. Thus, several long-term stigmas attach to family among children of divorce, but no evidence was found of a halo effect for children of death of a parent.     

Heredity, Environment, and Personality Change: Evidence From the Texas Adoption Project

Personality changes over time can be analyzed by the same twin and adoption methods used to analyze the genetic and environmental influences on a trait at a given time. Composite parent rating measures of Extra-version, Socialization, and Stability made on two occasions approximately 10 years apart on 229 adopted and 83 nonadopted children from the Texas Adoption Project were used to illustrate this point in two ways. The first was based on correlations among family members, from which it appeared that by far the chief source of individual change was neither the genes nor shared family environment, but individual experience (and/or measurement error). The second was via a path-analytic approach to changes in the means of adopted and natural children, from which it appeared that, nonetheless, the children were tending to change on the average in the direction of their genetic parents' personalities.     

Examining the Interface of Family and Personal Traits,Media, and Academic Imperatives Using the Learning Habit Study

Using the Learning Habit Study dataset of 21,145¹46,125 viewers took part in the Learning Habit Study. The analysis of this article was limited to parents of children who were in kindergarten through twelfth grade and who answered all items. This figure was 21,145. parent respondents, this study examined the interactions of three core variables – parenting style, family time, and screen time – on various common concerns of families. (“Screen time” is time spent using an electronic device that has a screen, such as: a computer, television, game console, tablet, or cell phone.) Analysis of the data suggested that parents using empowerment parenting, closely aligned with authoritative techniques, had children with better academic performance, reduced sleep onset latency (SOL), and healthier social and emotional behaviors than children of parents who practiced traditional parenting, more closely aligned with authoritarian techniques. Further, increased family time was found to have benefits to children on par with those of empowerment parenting.     

The indirect impact of child-oriented advertisements : On mother-child interactions

The Federal Trade Commission (1978) has expressed concern about the direct and indirect effects that commercial food advertisements have on children and families. Based on these concerns, they suggested banning all advertising aimed at young children. The present experiment was designed within the context of concern about the influence of television food advertising on parent-child interactions. It was predicted that mothers whose children viewed a television program with embedded food advertisements would display more control strategies and more power assertion while grocery shopping than mothers of children who were not exposed to advertisements. The results corroborated this hypothesis and, in addition, revealed that children who viewed the food advertisements attempted to influence their mothers' consumerism more than children who did not view the food advertisements. These results were discussed in terms of the importance of considering how television-viewing indirectly influences the quality of parent-child interactions.     

Parent and Family Impact of Autism Spectrum Disorders: A Review and Proposed Model for Intervention Evaluation

Raising a child with an autism spectrum disorder (ASD) can be an overwhelming experience for parents and families. The pervasive and severe deficits often present in children with ASD are associated with a plethora of difficulties in caregivers, including decreased parenting efficacy, increased parenting stress, and an increase in mental and physical health problems compared with parents of both typically developing children and children with other developmental disorders. In addition to significant financial strain and time pressures, high rates of divorce and lower overall family well-being highlight the burden that having a child with an ASD can place on families. These parent and family effects reciprocally and negatively impact the diagnosed child and can even serve to diminish the positive effects of intervention. However, most interventions for ASD are evaluated only in terms of child outcomes, ignoring parent and family factors that may have an influence on both the immediate and long-term effects of therapy. It cannot be assumed that even significant improvements in the diagnosed child will ameliorate the parent and family distress already present, especially as the time and expense of intervention can add further family disruption. Thus, a new model of intervention evaluation is proposed, which incorporates these factors and better captures the transactional nature of these relationships.     

Perceptions of family relations when mothers and fathers are depicted with different parenting styles

College students (N = 125) reported their perceptions of family relations in response to vignettes that presented 5 different parenting styles. Participants viewed family relations as most positive when parents were portrayed as authoritative or permissive and as most negative when parents were portrayed as uninvolved-neglecting or authoritarian. Student gender and parent gender effects qualified these findings. Female students reported family relations to be less positive than did male students when parents were depicted as authoritarian or as uninvolved-neglecting, and they rated family relations more positively than did male students when parents were depicted as permissive. Participants viewed family relations as more positive when mothers rather than fathers were presented as permissive and when fathers rather than mothers were depicted as authoritarian. The authors discuss the findings of the study in relation to theories of beliefs about children and implications for future parenting styles of male and female college students.     

Searching for an environmental effect of parental alcoholism on offspring alcohol use disorder: a genetically informed study of children of alcoholics

The children-of-twins design was used to isolate a potentially causal environmental impact of having an alcoholic parent on offspring alcohol use disorder, by an examination of whether the children of alcoholics were at a higher risk for alcohol use disorders than were the children of nonalcoholic parents, even after correlated familial factors were controlled. Participants were 1,224 male and female twins from 836 twin pairs selected from the Australian Twin Registry, 2,334 of the twins' 18-39-year-old offspring, and 983 spouses of the twins. Lifetime histories of Diagnostic and Statistical Manual of Mental Disorders (4th ed.) alcohol use disorders were obtained by structured, psychiatric, telephone interviews conducted individually with each of the family members. Comparisons of the offspring of twins who were discordant for alcoholism indicated that there was no longer a statistically significant difference between the children of alcoholics and the children of nonalcoholics after genetic and family environmental factors correlated with having an alcoholic parent were controlled. The results of this study suggest that the direct causal effect of being exposed to an alcoholic parent on offspring alcohol use disorder is modest at best.     

Marital conflict patterns: Links with family conflict and family members’perceptions of one another

The goal of this study was to explore the effects of marital conflict on conflict patterns in the family, and on family members’perceptions of one another. Sixty‐eight two‐parent families with adolescent twins participated, with parents reporting on the conflict patterns used by the marital dyad, and by themselves in interaction with each of their twins, and adolescent twins reporting on their interactions with each other. In addition, all four family members engaged in a videotaped decision‐making interaction and then made global ratings of each other on five dimensions. Links were obtained between marital conflict patterns and parent‐child conflict patterns, and between parent‐child conflict patterns and those used in sibling relationships. In contrast, marital conflict patterns were unrelated to sibling conflict patterns. Similarly, links were found between marital conflict and fathers’perceptions of their children, and between father‐child conflict and children's perceptions of each other. The results are discussed in terms of theoretical models of conflict resolution and the transmission of conflict patterns within the family.     

Television Exposure and Children's Decoding of Nonverbal Behavior1

Two studies considered the way in which the magnitude of exposure to television relates to children's understanding and interpretation of others' nonverbal behavior. In the first study, 6th graders made judgments regarding other children whose nonverbal facial behavior did not match their internal emotional state. Results showed that heavier television viewers held a less differentiated, more simplistic view of the consequences of nonverbal self-presentation strategies. In the second study, children in Grades 2 through 6 made judgments of others' nonverbal expressions of emotion. As predicted, heavier television viewers were better at decoding others' nonverbal expressions than lighter viewers, presumably because of their greater exposure to nonverbal displays of emotion on television. In addition, nonverbal decoding skills improved with age.     

Parent–adolescent communication in foster,inter‐country adoptive,and biological Italian families: Gender and generational differences

There is a paucity of studies aimed at comparing how parents and children in different family structures cope with the challenges posed by the adolescence transition; in particular, there are few studies aimed at comparing adoptive and foster families. In order to partially fill this gap, the principal aims of the present study were to verify whether there are differences in parent–child communication among foster, intercountry adoptive, and biological families according to the adolescents' gender, and to compare the perceptions of parents and adolescents concerning parent–child communication. Data were elaborated on two levels: a generational level (adolescent's and his/her parents' perceptions among the three family groups) and a dyadic level (mother–child and father–child perceptions). The sample was composed of 276 Italian families with adolescents aged between 11 and 17 (81 foster, 98 international adoptive, and 97 biological families). Subjects (mothers, fathers, and children) filled out a questionnaire including the Parent–Adolescent Communication Scale (Barnes & Olson, 1985 ). Results highlighted that in foster families, parent–child communication showed more difficulties from both the adolescent's and the parents' point of view. Adoptive adolescents, however, reported a more positive communication with both their parents than did their peers living in biological and foster families. At a dyadic level, some differences emerged among the three groups. In biological families, a more pronounced distance emerged between parents and children. In adoptive families, father and adolescent shared more similar perceptions, whereas a significant discrepancy emerged between mother and child. A higher level of perceptual congruence between adolescents and parents was found in foster families. Gender differences were also seen: Mothers experienced a more open communication with their children than did fathers, and adolescents, and above all females, communicated better with their mothers than with their fathers in all three family groups.     

Aspects of Communication in Families with Young Children

The subjects for this study were 16, non-pathological, four-person families, each with a child three or four years old and a child six or seven. Half the children were male and half female. The interactions studied involved both parents with one child and then with the other. The content of each remark was studied through a system of language-usage categories. This analysis indicated that older children sent and received a wider variety of messages than younger children did. Also, female children received a higher ratio of positive feedback to negative feedback from parents than males did. Who talks to whom, and who talks the most were also studied. These measures showed the formation of strong same-sex coalitions between parent and child. A number of the findings support a general systems interpretation of family interaction.