Family resilience: a framework for clinical practice

This article presents an overview of a family resilience framework developed for clinical practice, and describes its advantages. Drawing together findings from studies of individual resilience and research on effective family functioning, key processes in family resilience are outlined in three domains: family belief systems, organizational patterns, and communication/problem-solving. Clinical practice applications are described briefly to suggest the broad utility of this conceptual framework for intervention and prevention efforts to strengthen families facing serious life challenges.     

Family resilience: a developmental systems framework

Abstract

This article presents a brief overview of a family resilience conceptual framework, grounded in a multi-level developmental systems orientation. A family systems perspective broadens attention to resources for individual resilience throughout the family network of relationships. The concept of family resilience refers to the family as a functional system, impacted by highly stressful events and social contexts, and in turn, facilitating the positive adaptation of all members and strengthening the family unit. A research-informed map of key processes in family resilience is outlined, highlighting the recursive and synergistic influences of transactional processes within families and with their social environment. Varied process elements may be more or less useful, depending on different adverse situations over time, with a major crisis, trauma, or loss; disruptive transitions; or chronic multi-stress conditions. This perspective is attuned to the diversity of family cultures and structures, their resources and constraints, salient socio-cultural and developmental influences, and the viability of varied pathways in resilience.     

Predicting Behavioral Health Outcomes Among Low-Income Families: Testing a Socioecological Model of Family Resilience Determinants

Over the past decade, the concept of family resilience among impoverished families has increased as a main focus area for family scholars. Similarly, individual, family, and community-level factors that promote family resilience and their impact on behavioral health outcomes have particularly received increased amounts of attention. To date, however, few empirical studies have simultaneously validated the socioecological determinants of family resilience within multi-dimensional conceptual frameworks. In the current study, we test such a model using a cross-sectional design among 380 women and men with an average age of 35 experiencing poverty as a chronic stressor, the majority of whom are ethnic minorities. Individual, family and community determinants of family resilience are examined for their differential effect on outcomes of physical and mental health, as well as risks for substance abuse. Results from structural equation modeling provide support for the model. Findings suggest that community-level determinants impact health through indirect pathways. In this case, community factors predict family and individual-level determinants, and individual factors then directly predict health. Similarly, the relationship between family-level determinants and health was indirect through individual-level factors. Although, a strong positive relationship was found between individual-level determinants and health, the relationship between individual-level factors and substance abuse was also found to be indirect through health. Methodological limitations and implications for family life education, clinical interventions, policy, and future research that are socioecologically-informed are discussed.     

Applying a Family Resilience Framework in Training,Practice, and Research: Mastering the Art of the Possible

With growing interest in systemic views of human resilience, this article updates and clarifies our understanding of the concept of resilience as involving multilevel dynamic processes over time. Family resilience refers to the functioning of the family system in dealing with adversity: Assessment and intervention focus on the family impact of stressful life challenges and the family processes that foster positive adaptation for the family unit and all members. The application of a family resilience framework is discussed and illustrated in clinical and community‐based training and practice. Use of the author's research‐informed map of core processes in family resilience is briefly noted, highlighting the recursive and synergistic influences of transactional processes within families and with their social environment. Given the inherently contextual nature of the construct of resilience, varied process elements may be more or less useful, depending on different adverse situations over time, with a major crisis; disruptive transitions; or chronic multistress conditions. This perspective is attuned to the diversity of family cultures and structures, their resources and constraints, socio‐cultural and developmental influences, and the viability of varied pathways in resilience.     

Toward a Definition of Family Resilience: Integrating Life-Span and Family Perspectives

Family resilience is a relatively new construct that describes how families adapt to stress and bounce back from adversity. Literature pertaining to resilience as a family-level variable is reviewed. An overview of the developmental psychopathology literature dealing with individual resilience is also presented. Implications for extending the study of family resilience drawn from research on individual resilience are discussed and a definition of family resilience is proposed.     

Enhancing Family Resilience Through Family Narrative Co-construction

We draw upon family resilience and narrative theory to describe an evidence-based method for intervening with military families who are impacted by multiple wartime deployments and psychological, stress-related, or physical parental injuries. Conceptual models of familial resilience provide a guide for understanding the mechanics of how families respond and recover from exposure to extreme events, and underscore the role of specific family processes and interaction patterns in promoting resilient capabilities. Leading family theorists propose that the family’s ability to make meaning of stressful and traumatic events and nurture protective beliefs are critical aspects of resilient adaptation. We first review general theoretical and empirical research contributions to understanding family resilience, giving special attention to the circumstances, challenges, needs, and strengths of American military families. Therapeutic narrative studies illustrate the processes through which family members acquire meaning-making capacities, and point to the essential role of parents’ in facilitating discussions of stressful experiences and co-constructing coherent and meaningful narratives. This helps children to make sense of these experiences and develop capacities for emotion regulation and coping. Family-based narrative approaches provide a structured opportunity to elicit parents’ and children’s individual narratives, assemble divergent storylines into a shared family narrative, and thereby enhance members’ capacity to make meaning of stressful experiences and adopt beliefs that support adaptation and growth. We discuss how family narratives can help to bridge intra-familial estrangements and re-engage communication and support processes that have been undermined by stress, trauma, or loss. We conclude by describing a family-based narrative intervention currently in use with thousands of military children and families across the USA.     

家庭抗逆力理论在风险应对领域的应用：演变、价值及挑战

家庭抗逆力理论是近年来风险应对研究领域中被引最高的理论之一。该理论的提出源自McCubbin等人对军人家庭应对战争危机的观察与思考,得益于早期学者对家庭压力和家庭系统理论的探究。经数次修订后,该理论经历了由静态特征到动态变化的发展过程,形成了一个具有较广泛内涵与外延的理论体系。其早期应用集中于创伤修复、家庭压力应对等主题,之后涉及复原力等更丰富的研究议题,已成为临床干预工作的实践导引和COVID-19大流行以来国家和社会、家庭和个体层面“危机事件—适应能力”关系的重要解释机制。其应用面临来自元理论研究、方法学及跨文化与社会变迁观点的挑战。未来研究应明晰概念与整合模型、使用混合方法与制定评估指标体系、强化家庭抗逆力理论的本土化研究与构建中国特色家庭抗逆力理论体系。     

Clinical Implications of Family Resilience

Family resilience is becoming an increasingly visible concept in the family field. This article discusses resilience as a family level construct and offers several ideas about how viewing families as resilient may affect clinical work. These include a focus on strengths, recognizing resilience as a developmental pathway, a search for commonalties among diverse paths of resilience, and an emphasis on helping families identify and develop a useful family schema. A case study utilizing these ideas is presented and discussed.     

Some Aspects of Loneliness in Families

Although awareness of the harmful effects of loneliness has increased in recent years, lonely persons continue to be viewed as family outsiders or nonfamily. Beginning with the general-systems concept of loneliness as having a healthy, adaptive function in families, this article explores the family context of different degrees of loneliness. It assumes that prolonged loneliness (in addition to its meaning for the individual system) is a manifestation of certain kinds of family processes. Five such processes involved in the prolonging of loneliness are suggested: unresolved grief, pathological certainty, synchronicity, family expansion, and parental abdication.     

Modeling Mind and Matter: Reductionism and Psychological Measurement in Cognitive Neuroscience

Psychological resilience has become a popular concept. Owing to that popularity, the word resilience has taken on myriad and often overlapping meanings. To be a useful framework for psychological research and theory, the authors argue, the study of resilience must explicitly reference each of four constituent temporal elements: (a) baseline or preadversity functioning, (b) the actual aversive circumstances, (c) postadversity resilient outcomes, and (d) predictors of resilient outcomes. Using this framework to review the existing literature, the most complete body of evidence is available on individual psychological resilience in children and adults. By contrast, the research on psychological resilience in families and communities is far more limited and lags well behind the rich theoretical perspective available from those literatures. The vast majority of research on resilience in families and communities has focused primarily on only one temporal element, possible predictors of resilient outcomes. Surprisingly, however, almost no scientific evidence is actually available for community or family resilient outcomes. We close by suggesting that there is room for optimism and that existing methods and measures could be relatively easily adapted to help fill these gaps. To that end, we propose a series of steps to guide future research.     

Individual characteristics associated with resilience in single-parent families

This study identified individual characteristics as a resource to enhance the resilience of a family dealing with the loss of a parent. 25 white single-parent families who had lost a parent between 1 and 4 yr. previously were identified by four postgraduate students in the Western Cape, South Africa. Each single-parent, 19 women and 6 men (M age=48 yr., SD=7.65), were asked to state the personal qualities which helped the family adapt after the loss, after the Family Attachment and Changeability Index 8 and the Ego-resiliency Scale were completed. The expected positive relationship between personal resilience and family functioning could not be confirmed. However, the qualitative results indicate that optimism, perseverance, faith, expression of emotions, and self-confidence were prominent individual characteristics of resilience viewed as resources in promoting resilience in these single-parent families.     

Competence, Risk, and Resilience in Military Families: Conceptual Commentary

This commentary highlights conceptual themes in the opening section of this special issue on military families in relation to a new synthesis of developmental systems theory that emerged from developmental, ecological, and family systems theory, as well as developmental psychopathology and risk/resilience frameworks. Articles in this special issue draw on these concepts to characterize and guide the burgeoning research on military families. This perspective emphasizes that multiple dynamic systems interact across levels to shape individual development, as well as the function of families and military units. Developmental timing is important for understanding how challenges of military life may impact individuals and families. Cascade effects are noted, where stress experienced by one family or service member can influence the function of other individuals or larger systems. Capacity for resilience is distributed across systems, including families and cultures, as well as resources or supports provided by military organizations to foster adaptive responses or recovery. These systems include schools and educational programs that play key roles in fostering and supporting resilience for children. Overall, developmental system concepts have considerable utility for guiding research with military families, particularly in regard to promoting resilience. Moreover, lessons learned from military families and programs may have much broader implications for many other nonmilitary children, families, and organizations that share similar goals and challenges.     

Family Resilience: Israeli Mothers' Perspectives

This qualitative study reveals the components underlying the concept "family resilience" based on the perception of Israeli women in families who underwent a crisis in the past year. The study is based on the analysis of 15 semi-structured interviews using grounded theory methods. Five main components were identified as family resilience was perceived in terms of (a) interpersonal relations; (b) the ability to share painful feelings, (c) flexibility among family members; (d) connectedness; and (e) family's values. These components have practical implications for professionals working with families that are encountering stressful life situations.     

Queer Youth in Family Therapy

Trends in popular belief about same‐sex relationships have undergone noteworthy change in the United States over the last decade. Yet this change has been marked by stark polarizations and has occurred at varying rates depending upon regional, community, racial, religious, and individual family context. For queer youth and their families, this cultural transformation has broadened opportunities and created a new set of risks and vulnerabilities. At the same time, youth's increasingly open and playful gender fluidity and sexual identity is complicated by unique intersections of class, race, religion, and immigration. Effective family therapy with queer youth requires practitioner's and treatment models that are sensitive to those who bear the burden of multiple oppressions and the hidden resilience embedded in their layered identities. We present case examples of our model of family therapy which addresses refuge, supports difficult dialogs, and nurtures queerness by looking for hidden resilience in the unique intersections of queer youths' lives. These intersections provide transformational potential for youth, their families and even for family therapists as we are all nurtured and challenged to think more complexly about intersectionality, sexuality, and gender.     

Hurricane Katrina and the Gulf Oil Spill: Lessons learned about short-term and long-term effects

The impact and lessons learned from Hurricane Katrina and the Gulf Oil Spill are described as an example of work done reflecting best practices and theory to gain a better understanding of risk and resilience for children and families. Hurricane Katrina, described as the worst natural disaster in the US history, resulted in traumatic separations of children and families and devastation of communities and schools. The impact was greater on families with fewer resources before the hurricane who were provided limited support to return and rebuild. Insufficient community support and economic resources contributed to prolonged traumatiaation and slow recovery. Many were still recovering from Hurricane Katrina when impacted by the Gulf Oil Spill. For families with multigenerational ties to the fishing and oil industries, the Gulf Oil Spill resulted in both cumulative trauma and increased risk. In implementing the behavioural health response, much was learned about promotive and protective factors for individual and community resilience. Services provided following the disasters were based on precepts of individual, family, and community resilience. To enhance recovery and support resilience, the development of regional coalitions across at risk areas provides important coordination before disasters occur for better preparation and response.     

Resilience in families in which a child is bullied

The aim of this study was to identify family resilience characteristics in families in which a child has been bullied, in the Western Cape province of South Africa. Forty-eight mothers represented their families and completed a biographical questionnaire containing an open-ended question, and seven self-report questionnaires. Results from the qualitative data showed that most of the families coped with the bullying by talking to a teacher, principal or the governing body, or by giving advice to the child who had been bullied. The quantitative results highlighted the quality of family communication, the fortitude and durability of the family unit, and the family's emphasis on being together. These findings can be utilised in interventions to strengthen families finding themselves in a similar crisis.     

Life Interrupted: Family Routines Buffer Stress during the COVID-19 Pandemic

Adoption of certain behavioral and social routines that organize and structure the home environment may help families navigate the challenges presented by the COVID-19 pandemic. The current cross-sectional study aimed to assess family routines prior to and during the COVID-19 pandemic and examine associations with individual and family well-being. Using a national sample, 300 caregivers of children ages 6-18 were surveyed using Amazon Mechanical Turk platform during the first three months of COVID-19 pandemic in the United States. Caregivers reported on family demographics, COVID-19-related stress, engagement in family routines (prior to and during the COVID-19 pandemic), stress mindset, self-efficacy, and family resiliency. Overall, families reported engaging in fewer routines during the COVID-19 pandemic compared to prior to the pandemic. COVID-19-related stress was highest in low-income families, families of healthcare workers, and among caregivers who had experienced the COVID-19 virus. Moreover, COVID-19-related stress was negatively related to self-efficacy, positively related to an enhancing stress mindset, and negatively related to family resilience. Engagement in family routines buffered relations between COVID-19-related stress and family resilience, such that COVID-19-related stress was not associated with lower family resilience among families that engaged in high levels of family routines. Results suggest that family routines were challenging to maintain in the context of the COVID-19 pandemic, but were associated with better individual and family well-being during this period of acute health, economic, and social stress.

     

Pathways Between Social Support,Family Well Being,Quality of Parenting,and Child Resilience: What We Know

We contribute to the theoretical and research knowledge base regarding the pathways between parental social support, family well being, quality of parenting, and the development of child resilience in families with a child with serious emotional problems. Little conceptual development has been done that provides a theoretical framework for studying the relationships among these variables. We identify key findings from social support theory and research, including the impact of social support on family well being and the parents’ capacity to parent, and the experience of parental social support in families with a child with a disability. We review the constructs of family well being, quality of parenting, and child resilience. Further, we explain the pathways between parental social support, family well being, quality of parenting, and child resilience in families with a child with serious emotional problems. Key variables of the model and the nature of their inter-relationships are described. Social support is constructed as a protective mechanism with main and buffering effects that can impact family well being, quality of parenting, and child resilience at a number of junctures. The conceptual model’s implications for future theory development and research are discussed.     

Breathing life into family processes: introduction to the special issue on families and asthma

This introduction to the special issue dedicated to families and asthma proposes that the study of asthma highlights general systems topics such as integration of individual needs into the group, developmental trajectories of risk and resilience, supportive and destructive patterns of interaction, and the cultural adaptation of family therapy. It briefly introduces papers in the special issue and concludes that asthma can serve as an exemplar in the study of family health due to its comorbidity with mental health problems, potential to affect multiple members of the family, disproportionate influence on low-income and minority families, and multiple avenues for intervention.