Conducting a Multi Family Member Interview Study

Family researchers have long recognized the utility of incorporating interview data from multiple family members. Yet, relatively few contemporary scholars utilize such an approach due to methodological underdevelopment. This article contributes to family scholarship by providing a roadmap for developing and executing in‐depth interview studies that include more than one family member. Specifically, it outlines the epistemological frames that most commonly underlie this approach, illustrates thematic research questions that it best addresses, and critically reviews the best methodological practices of conducting research with this approach. The three most common approaches are addressed in depth: separate interviews with each family member, dyadic or group interviews with multiple family members, and a combined approach that uses separate and dyadic or group interviews. This article speaks to family scholars who are at the beginning stages of their research project but are unsure of the best qualitative approach to answer a given research question.     

A Family’s Coming Out Process: Systemic Change and Multiple Realities

The paucity of investigative studies exploring the coming out process of families was the impetus for this case study with a six member family-of-choice. In-depth interviews highlight the complexities of negotiating family rules, journey with the family as they struggled with their new identity, and reveal how the reflexive process contributed to the family’s co-creation of new stories. The four themes that emerged (embracing gay identity, integrating as a family, building social networks, and social awakening), offer details of how the family reconfigured from the rubble of confusion to become more cohesive, awakened and empowered. Implications for clinical practice with families with gay members are addressed.     

Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness.

Links between chronic illness and family relationships have led to psychosocial interventions targeted at the patient's closest family member or both patient and family member. The authors conducted a meta-analytic review of randomized studies comparing these interventions with usual medical care (k=70), focusing on patient outcomes (depression, anxiety, relationship satisfaction, disability, and mortality) and family member outcomes (depression, anxiety, relationship satisfaction, and caregiving burden). Among patients, interventions had positive effects on depression when the spouse was included and, in some cases, on mortality. Among family members, positive effects were found for caregiving burden, depression, and anxiety; these effects were strongest for nondementing illnesses and for interventions that targeted only the family member and that addressed relationship issues. Although statistically significant aggregate effects were found, they were generally small in magnitude. These findings provide guidance in developing future interventions in this area.     

Quality and Individualization in Wraparound Team Planning

In children’s mental health, collaborative, team-based individualized service planning is most commonly known as wraparound, and has become one of the primary strategies for improving services and outcomes for children with the highest levels of need. We report on analyses of data gathered at 72 wraparound team meetings from communities around the United States. We describe the composition of the teams and the quality of the planning process they engaged in, and explore the extent to which these factors were associated with team member satisfaction and the individualization of plans. Teams in our study were numerically dominated by professionals. Parents attended a large majority of meetings, participation by youth and family advocates was frequent, participation by other family members infrequent, and participation by other members of the family’s informal or natural support networks rare. Observed teams varied considerably in the quality of their planning process and the degree of individualization of plans. Higher-quality planning was significantly associated with increased individualization of plans and with team member satisfaction with meeting productivity.     

The new member: "infanticide" in group psychotherapy.

While the variety of responses of psychotherapy groups to new members is wide, this article addresses those that are treatment destructive, that is, murderous in that they are aimed at the elimination of a new sibling. A number of frequently encountered destructive response patterns to new members are illustrated and categorized. It is suggested that survival of the new member is best insured by adequate preparation of the group so that the nucleus of powerful feelings activated in this situation can be felt and expressed prior to the addition of the new member. A clinical example of appropriate preparation is offered, and the contributions of group therapists to new member casualties are noted.     

A Preliminary Investigation of the Role of Religion for Family Members of Lesbian,Gay Male,or Bisexual Male and Female Individuals

Religious faith is an important aspect of many people's lives, but the doctrinal teachings of many faiths are that homosexuality is a sin. Little is known about the impact of these teachings on the family members of lesbian, gay male, or bisexual male and female (LGB) individuals. Eighty‐eight family members of LGB individuals were surveyed regarding the role of religion in acceptance of their family member and how they reconciled any conflicts between religious beliefs and family member's sexual orientation. The most commonly identified theme was believing that the unconditional love associated with God extended to their LGB family member. Implications for counselors are discussed.     

Involving Family in Psychosocial Interventions for Chronic Illness

ABSTRACT— Interactions with close family members have consequences for the emotional and physical well-being of individuals who are dealing with a chronic physical illness. Therefore, inclusion of a close family member in psychosocial interventions for chronic illnesses is a logical treatment approach that has the potential to boost the effects of intervention on the patient and also benefit the family member. However, randomized, controlled studies indicate that such family-oriented interventions generally have small effects. The efficacy of these treatment approaches might be enhanced by targeting specific interactions that emerging research identifies as promoting or derailing healthy behaviors and by better incorporating strategies from family caregiver interventions. In addition, family-oriented interventions should be more fully evaluated, by assessing the benefits for both patients and family members. Future research in this area can tell us much about how and when to involve family in treatment of specific chronic illnesses and, in turn, may inform conceptual models of the impact of family interactions on health.     

Role conflicts of family members in family firms

The existence of role conflict among organizational members tends to create tensions inside organizations worldwide. However, in the context of family firms, having a dual role of being a member of a family and a member of the firm can represent interesting differences that make family firms an important form of organization to study. Following the tenets of the stewardship theory, our article develops a model where reciprocal altruism represents an antecedent to role conflict among family members. We further argue that perceptions of collective efficacy among family members have a moderating effect on the relationship between reciprocal altruism and role conflict. Last, we propose that role conflict in family firms reduces the family firm performance. Implications for future research and practice are discussed.     

Using Relative Confidence Judgments to Evaluate Group Effectiveness

The performance of groups can be greatly influenced by their ability to identify their best member. This study investigated this issue in the context of a quantitative judgment task. Relative confidence judgments were used to determine the extent to which group members were able to identify their best member. The effectiveness of groups was also compared across three experimental conditions that varied in terms of the specific instructions group members were given about the group discussion. Results indicate that group members were often able to identify the most accurate member even though the judgment task did not have a demonstrable solution. Groups were also at least as accurate as their best member nearly 40% of the time. The group process intervention that encouraged group members to try to determine the most accurate individual judgment fared better than the intervention that focused on intraindividual accuracy rankings. Groups in this condition also showed the strongest correspondence between identifying the best member and performing at this level. Groups assigned to an unstructured group discussion condition performed nearly as well as those assigned to the more successful of the two interventions.     

The Character of Danger: Psychiatric Symptoms in Selected Communities: Vol. III. The Stirling Study of Psychiatric Disorder and Sociocul-Tural Environment by Dorothea C. Leighton,John S. Harding,David B. Macklin,Allister M. Macmillan,and Alexander H. Leighton

While the variety of responses of psychotherapy groups to new members is wide, this article addresses those that are treatment destructive, that is, murderous in that they are aimed at the elimination of a new sibling. A number of frequently encountered destructive response patterns to new members are illustrated and categorized. It is suggested that survival of the new member is best insured by adequate preparation of the group so that the nucleus of powerful feelings activated in this situation can be felt and expressed prior to the addition of the new member. A clinical example of appropriate preparation is offered, and the contributions of group therapists to new member casualties are noted.     

Partiality and distributive justice in African bioethics

African ethical theories tend to hold that moral agents ought to be partial, in the sense that they should favour members of their family or close community. This is considered an advantage over the impartiality of many Western moral theories, which are regarded as having counterintuitive implications, such as the idea that it is unethical to save a family member before a stranger. The partiality of African ethics is thought to be particularly valuable in the context of bioethics. Thaddeus Metz, in particular, argues that his African-derived theory best accounts for a number of plausible intuitions, such as the intuition that health care practitioners ought to be biased towards the patients for whom they are directly responsible. In this article, I claim that the plausible intuitions drawn on in favour of partiality can be satisfactorily explained on the basis of impartial moral theories. Moreover, I argue that blanket acceptance of partiality has problematic consequences for distributive justice in resource allocation in biomedical contexts. By contrast, impartial theories can justify plausible instances of partiality whilst avoiding the pitfalls of fully partial moral theories. Although this provides grounds for abandoning partiality in principle, I claim that this finding should not be seen as damaging to African medical ethics. Instead, it prompts investigation of underexplored possibilities of impartial African moral theories. To demonstrate the value of this direction, I sketch some novel and attractive conceptions that combine impartiality with elements of African ethics.     

The Aged Are Family Members

Research reveals that the notion of the aged being abandoned or dumped by families is a myth. In general close ties and mutually responsible behavior continue. For those engaged in family treatment, older families and intergenerational relationships are a clinical frontier. Practitioners have the opportunity to experience and observe, in depth, the emotional quality and meaning of intergenerational relations. Older family members may play important roles in the family dynamics. It is hypothesized that their inclusion when appropriate in the treatment of younger families can be a preventive measure to forestall cyclical repetition of pathological relationship patterns. Just as family therapists are committed to the premise that many nuclear families are capable of psychological growth and change, they must become aware that aged family members have similar capacities. If intergenerational relationships are modified then family members in all the generations could be benefited.     

The repertory grid approach to analysing family members' perception of self and others: a pilot study

We report a pilot study involving the administration of a questionnaire to family members, based upon the three key target dimensions of the distance regulation theory of Kan tor and Lehr (1975). The questions, concerning family relationships and personal attributes of family members, were based on constructs derived from the theory, and the responses of family members were in a form consistent with repertory grid analysis procedures. The method allows the family researcher or therapist to explore the organization of the constructs for each family member, showing how each member is construed both by others and by themselves.     

Searching for a normal life: personal accounts of adults with schizophrenia, their parents and well-siblings

Using a life course perspective, the research examines personal accounts of adults with schizophrenia, and their parents and well-siblings from six families. Accounts of multiple members of the same family, including the family member with schizophrenia, are used to describe how families understand and accommodate life changes that result from the illness. Families describe the loss of a normal life as one of the most devastating aspects of schizophrenia. We present the personal and social losses described by adults with schizophrenia and their well family members, and document families' search for ways that their ill family member can achieve or maintain valued social roles. The concerns of well family members for the future of the ill family member and ways families contemplate transfer of care issues are described. Implications of the study for community research and action are discussed.     

A woman under the influence: An example of multiple victimization within a family

Abstract

The interactional processes depicted in rich detail in A WOMAN UNDER THE INFLUENCE are examined from a family therapist's viewpoint. Rather than portraying the persecution of a single individual by other members of the family, the film's drama demonstrates that the complex interactions within the extended family victimizes all the participants. When events are examined closely, it becomes clear that even the overt victimizers in the family system suffer as a result of the very processes in which they engage. The discussion of the film underscores the need for the therapist to empathize with all members of a dysfunctional system, especially when one member appears to be the victim.     

Family Members as Boundary Managers: Behaviors that Promote and Limit Service Members’ Involvement in Daily Family Life

When military service members deploy, they move outside the immediate boundary of their families. However, because boundaries are permeable, service members remain a psychological part of their families in spite of their physical absence. The extent of service members’ continued involvement in daily family life is likely tied to their non-deployed family members’ actions to manage this boundary. In the current study, we were interested in identifying non-deployed family members’ actions to either promote, or limit, service members’ involvement in daily family life during deployment. These actions by family members constitute boundary management behaviors. We collected qualitative data from a sample of Army reservists (N = 13) and their household family members (N = 15). Findings indicated that family members used a variety of boundary management behaviors during deployment, some of which promoted reservists’ involvement, and others which limited it. In addition, boundary management behaviors varied by who they targeted, their intentionality, and their implications for reservists’ well-being. Findings illustrate the value in equipping military families with language that enables them to communicate openly about the significance of their boundary management behavior over the course of deployment so that they may arrive at a balance between stretching and restricting boundaries that best suits their unique needs.     

Enlisting family support in drug treatment

Drug abuse programs often experience difficulties involving clients' families in treatment. This article describes general principles and specific techniques for recruiting family members in drug abuse programs and in other treatment settings. Stanton and Todd's principles of recruiting for family therapy in drug programs generally apply, adapted to a project that involves only one family member in multifamily groups and provides psychoeducational training rather than therapy. Additional principles include: focusing on family members who live with the client, tailoring recruitment to the needs of individual families, emphasizing how the family member will benefit, addressing resistance directly, helping families to build a support network, and informing family members of what is expected of them. The psychoeducational approach shows promise as a beneficial adjunct to client-focused treatment and as a gateway to more extensive family treatment.     

关于患者家属在复苏现场的思考

医疗水平不断地发展和进步使越来越多的疾病可以在医院得到救治。但有研究显示,在医院接受心肺复苏（CPR）的患者中,只有很小的部分能被救治成功。由于CPR的成功率低,在CPR时是否允许有患者的家人陪伴在其身边逐渐成了医患双方共同关注的问题。家人的陪伴,或许能让患者抢救或死亡的过程变得更人性化,同时成为增加医患双方相互理解的渠道。但是这个过程的实施仍然面临许多问题,要让其成为常规制度,还有很长的路要走。     

Cult Affiliation and Disaffiliation: Implications for Counseling

Between 2 and 5 million young adults are involved in cult groups in the United States. Psychohistorical influences, family dynamics, and religious values affect an individual's susceptibility to joining a cult. Cult affiliation affects the cult member and his or her family members. Although cults have high conversion rates, they also have high rates of disaffiliation. Counselors working with those who join and leave cults need to develop an awareness of clinical symptoms associated with doing so and use appropriate interventions.