Treating Parents and Children Together

SUMMARY

In this paper I look at two traditions of psychotherapy with children: family therapy {here considered in its common paradigm of systems theory and not in its diversity of approaches) and individual psychodynamically oriented child therapy. The author examines how, in these two modalities of treatment, the real world of the parent-child relationship, which remains mostly a world of women and children, tends to be left out in practice. Many family therapists “exclude” children from their sessions and concentrate on the marital relationship while child therapists “exclude” parents from the core of the therapeutic process. The issues for therapists and the consequences for adults and children in families in this com-partmentalization of services are examined within a feminist framework. The development which is advocated is for therapists to expose themselves fully to the world of the parent-child relationship as a fust step in reexamining their stereotypical views of motherhood and fatherhood which trap women in conflicted and potentially exploitative situations and do not consider that children actively construct their own relationships.     

Opiate Addicts and Their Parents

A minority of opiate addicts, especially young males, maintain close ties with their parents. These families, referred to here as “addict-families,” are characterized by: (a) much greater success by the parents in meeting reality demands than by the addicts; (b) apparent congeniality and closeness but an absence of effective communication; (c) unsuccessful attempts by the parents to control the addict's behavior; (d) a tendency for the father to dominate the mother; (e) extreme overindulgence of the addict by one or both parents; (f) absence of parental support for movement toward adult responsibility in the addict; (g) family consensus in perceiving the addict as failing by conventional values. The characteristics seem to perpetuate the addiction, and the addiction appears to maintain the stability of the family.     

Authoritarianism, Environmentalism, and Cynicism of College Students and Their Parents

The goal of this study was to determine the degree of ideological consistency across two successive generations. We collected survey data assessing authoritarianism, environmentalism, and cynicism from 507 undergraduates and their respective parents. ANOVA showed that fathers were significantly more authoritarian and less environmentally concerned than mothers and students. Students were significantly less authoritarian and more cynical than their parents. However, we found significant correlations on authoritarianism for students and parents which indicated strong parental influence on this construct. Environmentalism and cynicism were found to correlate significantly only for students with their fathers. Thus, we observed an overall generational effect, but also noted significant ideological consistency within families.     

Interventions for Suicidal Children and Their Parents

ABSTRACT: Five features of the family organization of suicidal children include family inhibition of change, lack of defined generational boundaries, severity of spouse conflict, projection of inappropriate parental feelings onto the child, and a symbiotic parent-child interaction. The treatment of suicidal children must encompass a holistic family technique. The acute phases of treatment include protecting the child from harm, promoting family recognition of the seriousness of the child's suicidal behavior, promoting appropriate parental role responsibilities, and effecting an immediate significant family change. During the long-term process of treatment, attention must be focused on the child's unique psychopathology, the conflicts that preclude appropriate parental response to the child's needs, and the characterological difficulties of each parent.     

Identifying Changes in Youth's Subgroup Membership Over Time Based on Their Targeted Communication About Substance Use with Parents and Friends

Using latent class/transition analyses, this study: (a) identified subgroups of youth based on their targeted communication about substance use with parents and friends, (b) examined subgroup differences in substance use, and (c) considered changes in subgroup membership over four years. Among 5,874 youth, five subgroups emerged, with parents‐only communicators having the lowest substance use. Friends‐only and consequence‐focused communicators reported the overall highest use. Subgroup membership was mostly stable across the four years. If, however, youth transitioned, those who began as parents‐only, consequence‐focused, or friends‐only communicators during the first year were most likely to transition to comprehensive communicators by the last year. Youth who started as noncommunicators or comprehensive communicators were most likely to end up as parents‐only communicators.     

Mothers,Fathers, Gender Role,and Time Parents Spend with Their Children

To examine the relationships among the sex of the parent, gender role, and the time parents spend with their children, 272 parents completed the Bem Sex-Role Inventory, a questionnaire about the time spent with their children, and a demographics questionnaire. Analyses indicated that neither the sex of the parent nor gender role was predictive of the amount of time parents were spending in direct interaction with or being accessible to their children. The sex of the parent, qualified by earning status, was predictive of the level of responsibility parents had for child-related activities. Further, the sex of the parent, qualified by femininity, was predictive of parental satisfaction with level of child-related responsibilities. These results emphasize the importance of examining parental characteristics in relation to the time parents spend with their children and their levels of responsibility for child-related activities.     

Androgyny,Gender Role Behavior,and Emotional Intelligence Among College Students and Their Parents

Androgyny, gender role behavior, and emotional intelligence were measured in 576 students and their parents to examine the extent to which these variables exhibited generational effects or consistencies within families. Chi-square analyses indicated that sons were more androgynous in personality than their fathers, but that there was no significant difference in androgyny between daughters and mothers. The men also showed an increase in androgynous behavior across generations, whereas the women showed an increase in masculine gender-typed behavior and a decrease in feminine gender-typed behavior. ANOVA revealed that fathers scored significantly lower on emotional intelligence than mothers and students. Significant correlations on emotional intelligence for mothers and their respective students indicated a strong influence on this construct; no such relationship was found between students and fathers. The strongest correlations in masculine and feminine personality and behavior were obtained for mothers and daughters. It was also hypothesized that androgyny would predict higher emotional intelligence; multiple regression supported this hypothesis for students, mothers, and fathers.     

Family-Based Intervention with High-Risk Infants and Their Families

A model of family-based intervention for high-risk infants hospitalized in the neonatal intensive care unit and their families is presented. The theoretical underpinnings, principles, and nature of the intervention are described. The adaptation of the model from a clinical–research demonstration project to a clinical consultation service is highlighted, with particular emphasis on the practical application of the model. Domains of the intervention include infant behavior, family organization and functioning, caregiving environment, and home discharge/community resources. Three case illustrations are provided to demonstrate the breadth of the intervention and how it can be individualized based upon the presentation of the infant and family.     

青少年药物滥用的防治

随着社会转型所带来的生活方式多元化,青少年药物滥用现象,在威胁着青少年身心健康的同时,也破坏了社会的和谐与发展。一般来说,其形成原因包括自身、家庭、学校和社会等多种因素,因而,预防和解决青少年药物滥用问题,就需要建立一套涉及多个层面的防治体系。     

重庆市中学生与其父母价值观的差异研究

从与其父母间具有差异的价值观的角度出发,本研究自编了重庆市中学生价值观量表,并对重庆市的中学生及其家长进行了调查。结果显示:(1)自编的问卷具有良好的信效度;(2)重庆市中学生的价值观具有显著的性别主效应和年级主效应,学校区域和学校类型均不存在主效应;父亲职业、母亲职业在某些维度上存在主效应。(3)中学生与其父母的价值观在多个维度上都存在差异。在六个主因素中,学生最看重自我方面,而家长最看重家庭。次因素中,学生最看重的是家庭气氛、平等、独立和隐私,家长最看重的是家庭气氛、家庭责任、平等、知识价值。     

Parents and divorce: Identifying the support network for decisions about custody

Abstract

The social support network of divorcing parents has been identified as an important factor in postdivorce adjustment. The present study examined the social resources accessed by parents regarding issues of custody and visitation. Parents' evaluation of and interest in participating in four types of custody-related interventions (workshops, mediation, professional evaluation, and arbitration) were also examined. The findings and their implications for clinical practice suggest some major shifts in the provision of services for divorcing families.     

青少年药物滥用的防治

随着社会转型所带来的生活方式多元化,青少年药物滥用现象,在威胁着青少年身心健康的同时,也破坏了社会的和谐与发展.一般来说,其形成原因包括自身、家庭、学校和社会等多种因素,因而,预防和解决青少年药物滥用问题,就需要建立一套涉及多个层面的防治体系.     

Changing the Speech of Autistic Children and Their Parents

The parents of nine autistic preschool children were trained in behavior modification and operant techniques of teaching speech. The study used a multiple baseline design with Group 1 completing behavior modification training while Group 2 remained on the waiting list. Then, Group 1 entered speech training while Group 2 began behavior modification. Finally, Group 2 received speech training. Videotape assessments of parents and child were made pretreatment and after each stage of training. The tapes were coded reliably for the parents' speech oriented and non-speech oriented language and the childrens' speech and non-speech behaviors. There was no change in parental speech oriented language following behavior modification but a substantial rise in such language was noted after speech training. Both mothers and fathers changed after training, although mothers were consistently more active than fathers. Both before and after training, the parents of the more verbal children emitted more speech oriented language than the parents of the mute children. The children showed changes which paralleled those of the parents. There was no significant change in child speech after behavior modification, but a rise in children's speech was obvious when their parents completed the speech training. The verbal children accounted for the changes in the two groups since the mute children showed Iittle evidence of change. The results suggest that parents of nonverbal chiIdren can learn to modify their language behavior and that this parent training can be done in an economical group setting.     

Effects of Early Parenting Interventions on Parents and Infants: A Meta-Analytic Review

This systematic review evaluates the efficacy of parenting interventions on parent, infant and parent-infant relationship outcome measures for parents of infants under 12 months old. Parent outcomes examined included competence, and confidence; baby outcomes included infant behaviours of crying, settling, and sleeping problems and parent-infant relationship outcomes included parental responsiveness. Systematic searches of five databases were carried out. In total, 36 randomised controlled trials over the past 35 years were included in the meta-analyses, with a total of 4880 participants. Interventions were carried out either during pregnancy or within the first 12 months after birth and involved teaching specific strategies and provision of information on infant development and behaviour. Mean effect sizes were obtained using a structural equation modelling (SEM) approach to meta-analysis. Heterogeneity was found on parent responsiveness and infant sleep. Potential moderator variables were assessed for these two outcomes using the SEM approach. Results showed that early parenting interventions are effective in improving parental responsiveness (d?=?0.77), and improving or preventing infant sleep problems (d?=?0.24), but not crying problems (d?=?0.27) possibly due to low power. No conclusions could be drawn in regards to parental competence or confidence. Moderator analysis showed that for interventions aimed at improving responsiveness, briefer interventions were more effective than longer ones; and studies published more recently reported smaller effects than older studies. No other moderators influenced the assessed intervention outcomes. The findings of this study provide further evidence for the positive effects of early parenting interventions for infants under 12 months of age, however future research is needed to assess intervention effects on parental competence and confidence.     

Psychological Sequelae in Parents of Extreme Low and Very Low Birth Weight Infants

The current study evaluated the psychological sequelae in 66 parents of extreme low and very low birth weight infants (mean weight of 842 g). Parents who had given birth within a 3-year period prior to the study were chosen from the archives of a neonatal ward and surveyed regarding posttraumatic stress, coping strategies, and social support. Thirty-five percent of the parents reported that their child had a handicap. Twenty percent of the women met the criteria of posttraumatic stress disorder (PTSD) at the time of the study, and an additional 10% met the criteria for a subclinical PTSD diagnosis. Female gender, handicap of the child, general distress during hospitalization, distressing contact with hospital staff, experienced distress at homecoming, and emotional coping, explained 72% of the degree of traumatization. Psychological support and intervention is recommended during the hospital stay of a premature infant who has a handicap and after the homecoming to prevent the development of chronic PTSD and reduce the associated distress.     

Humour Perception and Creation between Parents and 3‐ to 6‐month‐old Infants

Humour and laughter are universal to the human psychological experience and have serious developmental and evolutionary implications. Despite the early emergence of laughter in infancy, infants have been largely ignored in the humour research and humour has been largely ignored in the infant research. The present study describes the emergence of humour perception and creation in a sample of 20 parent–infant dyads who were followed from ages 3‐to‐ 6 months. The study examined how infants discover that absurd nonverbal behaviour, known as ‘clowning’, is amusing in the context of social engagement with caregivers. Results indicate that parents primarily use clowning when attempting to amuse their infants and pair these behavioural absurdities with affective cues like smiling and laughing. As they got older, infants were more likely to laugh and smile in response to clowning. Infants' ability to create humor via clowning also increased with age, starting with simple shrieks at 3 months to imitating absurd actions by 5 months. These increases are partly potentially explained by accompanying increases in parental smiling, laughing and clowning in response to infant clowning. Future research should employ more diverse samples and experimentally investigate the role of parental affect and social referencing in infants' interpretation of absurd behavior. Copyright © 2011 John Wiley & Sons, Ltd.