Family Communication about Donor Conception: A Qualitative Study with Lesbian Parents

In this qualitative study of 10 lesbian couples who built their families through anonymous donor conception, we explore how lesbian parents experience communication about the donor conception within the family. While for these families “disclosure” of donor conception is often seen as evident, the way parents and children discuss this subject and how this is experienced by the parents themselves has not received much research attention. To meet this gap in the literature, in‐depth interviews with lesbian couples were conducted. An Interpretative Phenomenological Analysis showed that this family communication process can be understood within the broader relational context of parent–child relationships. Even though parents handled this family communication in many different ways, these were all inspired by the same motives: acting in the child's best interest and—on a more implicit level—maintaining good relations within the family. Furthermore, parents left the initiative for talking about the DC mostly to the child. Overall, parents aimed at constructing a donor conception narrative that they considered acceptable for both the children and themselves. They used different strategies, such as gradual disclosure, limiting the meaning of the donor, and justifying the donor conception. Building an acceptable donor conception narrative was sometimes challenged by influences from the social environment. In the discussion, we relate this qualitative systemic study to the broader issues of selective disclosure and bidirectionality within families.     

The Unseen Spouse: Pitfalls and Possibilities for the Individual Therapist

Individual therapists often hear a great deal about our patients' spouses or partners, and naturally develop ideas and beliefs about that unseen other and about the causes of any relationship difficulties the patient reports. Not uncommonly, therapists can lose touch with the fact that their impressions of an unseen spouse are constructions that have emerged from the transference/countertransference field, based on only partial or limited information—not veridical truths. They can then talk with the patient about his or her partner or relationship issues in ways that can ultimately do both patient and spouse a significant disservice and perhaps distract from the patient's own issues and analytic goals. This paper discusses several factors that seem to contribute to the development of this problematic dynamic, including various qualities of the transference/countertransference field, and offers suggestions for avoiding or reducing it. Clinical material is used to illustrate key points.     

When Parents Refuse: Resolving Entrenched Disagreements Between Parents and Clinicians in Situations of Uncertainty and Complexity

When shared decision making breaks down and parents and medical providers have developed entrenched and conflicting views, ethical frameworks are needed to find a way forward. This article reviews the evolution of thought about the best interest standard and then discusses the advantages of the harm principle (HP) and the zone of parental discretion (ZPD). Applying these frameworks to parental refusals in situations of complexity and uncertainty presents challenges that necessitate concrete substeps to analyze the big picture and identify key questions. I outline and defend a new decision-making tool that includes three parts: identifying the nature of the disagreement, checklists for key elements of the HP and ZPD, and a “think list” of specific questions designed to enhance use of the HP and ZPD in clinical decision making. These tools together will assist those embroiled in complex disagreements to disentangle the issues to find a path to resolution.     

In-Session Stuck Points and Pitfalls of Community Clinicians Learning CBT: Qualitative Investigation

Given the preponderance of evidence supporting the efficacy of cognitive behavior therapy (CBT), there has been an increased emphasis on dissemination to community mental health systems (CMH). Trainers from two large-scale dissemination initiatives (n = 27) were surveyed regarding the common pitfalls and difficulties encountered by CMH clinicians learning CBT. Common pitfalls were organized according to the items of the Cognitive Therapy Rating Scale (CTRS; Young & Beck, 1980) and reviewed. Guided discovery was reported to be the most challenging CBT competency to learn. Qualitative methods were used to construct a grounded theory; trainer responses indicated they viewed the practice of CBT as not only a set of discrete skills, but also a way of thinking. Efforts may be needed to provide support, assistance, and resources to these CMH clinicians as they continue to build CBT competency.     

The Market and Falling Fertility: Why Darwin Needs Help From Polanyi

Darwin said all living things tend to multiply. However, nowadays, maintaining fertility rate below the replacement level of 2.1, human beings appear to have opted to let their population shrink. Perplexingly, it occurs while the environment seems to become more suitable for their survival. In solving this puzzle, we get a great help from Polanyi. We proved that people choose to have fewer babies and consequently, usher in depopulation, because by giving them the chance to assess all the expenses necessary for raising children, the market makes the cost clarified increasingly, while the economic benefit from rearing their off-spring remains obscure.     

How Lesbian and Heterosexual Parents Convey Attitudes about Gender to their Children: The Role of Gendered Environments

We studied associations among parents’ gender role attitudes, gender stereotyping in children’s environments, and children’s gender role attitudes and whether these associations were similar for families with lesbian and heterosexual parents. Fifty-seven 4- to 6-year-olds and 114 parents from the US participated. Parents completed self-report questionnaires and responded to interview questions. Researchers collected data regarding the child’s environment and attitudes about gender. Results revealed that children with lesbian mothers had less stereotyped environments and less traditional attitudes. Parental attitudes were associated with stereotyping in children’s environments and with children’s attitudes about gender. Both for lesbian and heterosexual parents, the impact of parents’ attitudes on children’s attitudes was partially mediated by the nature of children’s environments.     

Growing Pains: How Psychologists Can Help to Meet the Clinical Needs of Clients With Autism Spectrum Disorders

The pervasiveness and the prevalence of the autism spectrum disorders (ASD) are now much more recognized than in years past. The treatment needs of higher functioning people with ASD unfortunately often go unmet, and there is tremendous potential for psychologists to help meet these needs. The four articles in this special series provide current, best practice reviews and recommendations for practicing psychologists who work in this area. They highlight commonalities that cut across ASD and other clinical populations, and offer considerations that are unique to working with clients who have ASD. This commentary emphasizes the need for clinicians and applied psychological scientists to consider some of these issues in their own work.     

What You Don't Know Can Help You: The Ethics of Placebo Treatment

Is it permissible for a doctor or nurse to knowingly administer a placebo in a clinical setting? There is certainly something suspicious about it: placebos are typically said to be ‘sham’ treatments, with no ‘active’ properties and so giving a placebo is usually thought to involve tricking or deceiving the patient who expects a genuine treatment. Nonetheless, some physicians have recently suggested that placebo treatments are sometimes the best way to help their patients and can be administered in an honest way. These physicians conclude that placebo treatments are a perfectly acceptable, and ethically unproblematic, mode of treatment. While I grant the common idea that placebos are deceptive is correct, I argue that widespread misunderstandings concerning why this is so has led proponents of placebo treatments to respond to the charge of deception in a way that misses the mark entirely. My goal in this paper, then, is to develop a precise conception of what makes something a placebo, which in turn will clarify the central charge concerning the ethics of placebo treatment, viz. that it is deceptive.     

Why and How to Learn Why: Analysis-based Generalization of Procedures

Max Wertheimer, in his classic Productive Thinking, linked understanding to transfer: Understanding is important because it provides the ability to generalize the solution of one problem to apply to another. Recent work in human and machine learning has led to the development of a new class of generalization mechanism, called here analysis-based generalization, which can be used to provide a concrete account of the linkage Wertheimer suggested: these mechanisms all, in different ways, use understanding of examples in the generalization process. In this paper I review this class of mechanism, and describe a method for causal attribution that can produce the analyses of examples that the generalization methods require, in the domain of simple procedures in human-computer interaction. This causal analysis method is linked with analysis-based generalization to form EXPL, an implemented model which is a concrete, though limited, instontiation of Wertheimer s scheme. EXPL constructs an understanding of an example procedure and generalizes it on the basis of that understanding. Results of an empirical study suggest that some of EXPL's attribution heuristics are used by people, and that while a subclass of analysis-based methods, called superstitious methods, seem to provide a more plausible account of people's generalization under the conditions of the study than a contrasting class of rationalistic methods, at least some participants appear to use methods from both classes. The results also show that explanation-based methods, which rely on comprehensive domain theories, must be used in conjunction with a means for extending the domain theory. If thus enhanced, explanation-based methods are able to mimic the effects of other analysis-based methods, and can provide a good account of the data, though combinations of other methods must also be considered. Finally, I return to Wertheimer s ideas to argue that none of the current analysis-based generalization methods fully captures Wertheimer s notion of understanding. Proper choice among different possible analyses of an example is crucial for Wertheimer, but I argue that this problem may be beyond the reach of learning systems.     

An Oral Proof in a Geometry Class: How Linguistic Tools Can Help Map the Content of a Proof

Recommendations that teachers promote argument and discourse in their mathematics classrooms anticipate researchers' needs for methods for examining and analyzing such talk. One form of discourse is oral arguments, including proofs. We ask: How can we track the development of an oral argument by a teacher and her/his students? We illustrate a method that combines Systemic Functional Linguistics (SFL) and Toulmin's argumentation scheme to examine how speakers logically connect different parts of an argument. We suggest that conjunction analysis can aid a researcher to map the content of a proof that has been constructed in class discussion. Using data from a discussion of a geometry proof, we show that different types of conjunctions enabled the teacher and the students to connect various components of an argument and, also, different arguments. The article illustrates how conjunction analysis can support and deepen what Toulmin's scheme for arguments can reveal about oral discussions.     

Troubled Ruminations about Parents: Conceptualization and Validation with Emerging Adults

This study was designed to introduce the construct of troubled ruminations about parents and to develop a brief screening instrument. An ethnically diverse sample of 1,376 university students completed the instrument and other measures of psychosocial functioning. Troubled ruminations about mothers and fathers were related to self‐esteem, life satisfaction, psychological distress, and romantic relationship problems, and less strongly to purpose in life, friendship quality, and friendships satisfaction. Implications for counseling and future research are discussed.     

Pitfalls of the Peer World: How Children Cope with Common Rejection Experiences

This study examines the reliability and validity of a newly developed self-report measure designed to assess children's coping strategies in response to everyday rejection experiences. The Survey for Coping with Rejection Experiences (SCORE) was administered to 225 children and factor analysis of responses resulted in the conceptually meaningful subscales of active, aggressive, denial, and ruminative coping. A subset of 95 children also completed a battery of self- (depression, social anxiety), parent- (internalizing and externalizing problems), and peer- (social preference, aggression, withdrawal) ratings of socioemotional adjustment. Children's coping strategies were meaningfully associated with adjustment measures, although these associations differed for boys and girls in several instances. Importantly, both aggressive and ruminative coping strategies were positively associated with internalizing problems even after controlling for the effect of children's actual sociometric status. In addition, denial coping emerged as a significant moderator of the relation between status and adjustment.     

Why Improvement Can Trump Consistent Strong Performance: The Role of Effort Perceptions

How do evaluators form comparative judgments of improved versus consistently strong performance records with equivalent recent performance? We propose that evaluators judge those with improved records to be more deserving of future opportunities (e.g., a promotion) and that this can be explained – at least in part – by perceptions of effort investments. Specifically, evaluators rely on improvement to judge effort and hence devalue consistent strong performance. Five studies supported these propositions. Evaluators perceived greater effort investment and trait effort in individuals with improved profiles than those with consistent profiles and consequently thought that those with improved profiles were more deserving of future opportunities. We discuss implications of these results across various decision contexts. Copyright © 2017 John Wiley & Sons, Ltd.     

Why Parents Matter!: The Conceptual Basis for a Community-Based HIV Prevention Program for the Parents of African American Youth

The Parents Matter! Program (PMP) is a community-based family intervention designed to promote positive parenting and effective parent-child communication about sexuality and sexual risk reduction. Its ultimate goal is to reduce sexual risk behavior among adolescents. PMP offers parents instruction and guidance in general parenting skills related to decreased sexual risk behavior among youth (e.g., relationship building, monitoring) and sexual communication skills necessary for parents to effectively convey their values and expectations about sexual behavior—as well as critical HIV, STD, and pregnancy prevention messages—to their children. We briefly review the literature concerning parental influences on adolescent sexual risk behavior and present the conceptual model and theoretical foundation upon which PMP is based.     

Talking about Homosexuality: The Views of Mainline Protestant Clergy

Homosexuality is one of the most divisive issues within mainline Protestantism today. In this article we portray the many sides of mainline Protestantism's debates about homosexuality through the lens of statements clergy made about the issue in early 2000. In interviews with 62 mainline Protestant clergy across the United States, 40 volunteered their views on homosexuality without being prompted. We describe the frames through which clergy understand and articulate issues related to homosexuality in the midst of contentious denominational debate about the subject. The majority of clergy who discussed homosexuality focused on the issue in their churches instead of in society at large, and in their denominations rather than in their own congregations. Moreover, virtually none of the clergy interviewed took hard and fast stands on the issue of homosexuality. Most approach the issue in a pragmatic, rather than prophetic, way. Our interviews also show that pastors who choose to speak on homosexuality tend to frame the issue in terms of the diffuse notion of "homosexuality," rather than talking about gay men and lesbians as people.     

There’s a Place: How Parents Help Their Children Create a Capacity for Playfulness and can it be Sustained across the Lifespan

ABSTRACT

This article traces the ways that playfulness shifts and grows with the child and with the parent-child dyad. It also speaks to the paradoxical manner in which feeling essential as a parent is both necessary at the beginning of the child’s life yet must evolve into relevance as the child’s autonomy warrants. Interestingly, grace and playfulness are both a content and a process in parenting. The playful parent’s wisdom produces a sense of grace over time just as it produces a way of being that the child can internalize so that they too can eventually parent with grace and fun should they so desire.