Caregiving styles and anxiety among couples: coping versus not coping with cardiac illness

Background and Objectives: partners’ caregiving efforts are not always beneficial to both recipient and provider. Bowlby’s conceptualization of caregiving style as a stable predisposition may clarify such caregiving effects. The relationship between caregiving style (compulsive and sensitive) and anxiety among couples coping with cardiac illness and a matching control group not coping with cardiac illness were assessed. We hypothesized that one’s compulsive caregiving would associate positively, and one’s sensitive caregiving would associate negatively, with one’s and one’s partner’s anxiety across contexts (cardiac and non-cardiac) and gender. Design: A comparative design of 131 couples with a diagnosis of husbands’ acute cardiac syndrome and 68 matched couples in the community was applied. Methods: The Adult Caregiving Questionnaire and the Brief Symptoms Inventory were administered. Results: Structural equation modeling revealed that one’s compulsive caregiving was positively associated with one’s anxiety, across most contexts. Multi-group analyses revealed that the associations between one’s compulsive caregiving and one’s partner’s anxiety levels differed depending on gender and context. Conclusions: The distress which emerges in an individual who takes on a caregiving role and in his/her partner seems to result not only from the demands of the concrete caregiving situation but also from one’s and one’s partner’s developmental history.     

Control of the Mind Edited by Seymour M. Farber and Roger H. L. Wilson

Abstract

This article describes an innovative model of couples therapy designed to mitigate marital instability. The authors suggest that combining ongoing couples therapy with a separate relationship-focused group for each partner favorably impacts each person’s neuropsychophysiological regulation and their ability to participate in a stable intimate marriage.

The neurobiology of attachment theory is seen as providing understanding of the affect regulation issues operational in many couple relationships. The safe and secure attachments worked out in the relationship-focused group therapy are seen as improving neuropsychophysiological integration and regulation.     

Automatic affective-motivational regulation processes underlying supportive dyadic coping: the role of increased implicit positive attitudes toward communal goals in response to a stressed relationship partner

Background and objectives: We examined the implicit affective mechanisms underlying provision of support in intimate dyads. Specifically, we hypothesized that in individuals with high relationship satisfaction, the perception that one’s partner is stressed leads to increased implicit positive attitudes toward communal goals. In turn, this change in implicit attitudes facilitates supportive behavior.

Design and methods: In two studies, we induced partner stress by instructing participants to either recall a situation where their partner was highly stressed (Study 1; N?=?47 university students) or imagine a specific stressful event (excessive workload; Study 2; N?=?85 university students). Subsequently, implicit attitudes toward communal goals were assessed with an Implicit Association Test.

Results: In both studies, we found that among participants with high relationship satisfaction partner stress increases preferences for communal goals. In addition, implicit preferences for communal goals predicted stronger inclinations to engage in supportive dyadic coping (Study 2).

Conclusions: The current findings provide important insights into the implicit cognitive-affective mechanics of dyadic coping. Moreover, they can explain how people manage to avoid experiencing motivational conflicts between partner-oriented and self-oriented goals in situations characterized by high partner stress.     

When Times Get Tough: Savoring and Relationship Satisfaction in Couples Coping with a Stressful Life Event

Background and Objectives: When couples face a stressful life event, this can adversely impact relationship satisfaction. Because savoring positive experiences is thought to enhance intimate relationships and there is evidence that savoring buffers the negative effects of stress at the intrapersonal level, this study examined savoring as an interpersonal resource for couples who experienced a stressful life event.

Methods: One hundred and twenty-eight opposite-sex couples completed measures of impact of event, savoring, positive affect, and relationship satisfaction.

Results: Results from actor-partner interdependence models found that: (1) For couple members who reported a relatively low impact of event, their own savoring was positively predicted by their partner’s impact of event; (2) For women, their own savoring the moment predicted their own and their partner’s greater relationship satisfaction; (3) The relationship between one’s own impact of event and relationship satisfaction was buffered by one’s partner’s savoring the moment; and (4) The relationship between one’s own savoring and relationship satisfaction was mediated by one’s own positive affect.

Conclusions: The findings support the study of savoring as an interpersonal resource in times of stress and have implications for couples-based interventions.     

The impact of maternal postnatal depression on men and their ways of fathering: an interpretative phenomenological analysis

Objectives: Postnatal depression affects approximately 15% of women in Western countries. There are conflicting findings about the effects on fathers as well as the extent to which fathers buffer against the negative effects of depression on children. This study sought to understand the ways in which maternal postnatal depression affects men and their ways of fathering.

Design: Narrative interviews were conducted with 14 British fathers (mean age?=?33.9?years) whose (ex)partners had experienced at least one episode of postnatal depression. Interviews explored how their partner’s depression affected them, the partner relationship, their children and their ways of fathering. Data were analysed with interpretative phenomenological analysis.

Results and Conclusions: Men felt that their partner’s depression led to significant physical and/or psychological maternal absence as well as a fracturing of the family unit, which had been an important ideological foundation for men’s fathering. Unequal divisions of labour, unfulfilled expectations, a thwarting of preferred ways of fathering and preoccupation with their partner’s depression took some men away from fathering. Others reported adaptation by accepting the loss of shared parenting and investing in an exclusive father–child relationship. Fathering appears to be particularly affected by the loss of a close adult relationship.     

Meeting Them “Where They're At”

Abstract

Child maltreatment is associated with serious psycho-social difficulties and enormous direct and indirect societal costs. As such, it is an area for which new and promising interventions are highly important. The purpose of this exploratory research is to examine intensive school-based psychodynamic therapy for severely maltreated children experiencing significant difficulties, by obtaining perceptions of therapeutic effectiveness by the children's parents, teachers and therapists. Themes include: therapists', parents', and teachers' perceptions of child's changes; parental perceptions of therapy and relationship with the therapist; therapists' perception of relationship with parents; school as the location of therapy; teacher-therapist relationship; and the child's academic status.     

The Ghost Triangle as an Obstacle to Intimacy

SUMMARY

This paper addresses some of the issues associated with a ghost triangle that threatened intimate bonding between a couple. A widower's unresolved mourning had led to an impasse in the relationship. Because only one partner sought therapy, intervention was limited to assessing options for detriangulation as requisite to the viability of the relationship, followed by individual and group support to develop relationship closure. Additional treatment goals included creating self-awareness about past and present problematic relationship patterns and strengthening self-care and mutual support.     

Implicit theories of relationships: Implications for relationship satisfaction and longevity

The role of implicit theories in romantic relationships was investigated in two studies. People holding a soulmate theory, who believed that finding the right person is most important for a satisfying relationship, were compared to people holding a work–it–out theory, who believed that effort is most important for building a successful relationship. In Study 1, college students (N = 527) completed a set of questionnaires, including measures of relationship theories and functioning within romantic relationships. Approximately 8 months later, a subset of these students (N = 176) completed a second set of questionnaires for Study 1. The implicit theories were highly stable over time (r = .74). For soulmate theorists, feelings that one’s specific partner is ideal predicted relationship satisfaction and relationship longevity to a greater extent than for work–it–out theorists. Whereas Study 1 investigated people’s theories of relationships as ends of a bipolar continuum, a separate study explored people’s theories of relationships as two unipolar dimensions. Findings from Study 2 (N = 266) supported a representation of the theories as two negatively correlated factors, and supported findings from Study 1 highlighting the role of the interaction between the relationship theories and partner fit in predicting relationship satisfaction.     

Gender Differences in the Relationships between Parental Marital Conflict,Differentiation from the Family of Origin,and Children’s Marital Stability

Abstract

This study aimed to examine gender differences in the relationships between parental marital conflict, differentiation from the family of origin, and children’s martial stability. Data were collected from 453 married individuals in South Korea. The results revealed that parental marital conflict was directly related to children’s marital stability albeit only among married men. Emotional cutoff and family projection mediated the relationship between parental marital conflict and children’s marital stability among men and women, respectively. These findings can be used to develop gender-specific evidence-based interventions that enhance marital stability (e.g., programs for married and premarital couples).     

Female copulatory orgasm and male partner’s attractiveness to his partner and other women

Women’s copulatory orgasm may function to retain sperm from men with “good genes”, one indicator of which is attractiveness, and one benefit of which is pathogen resistance. Women who perceive their partner to be more (vs. less) attractive are more likely to report orgasm at last copulation. Another benefit of male attractiveness to women is that he may sire offspring that will gain the heritable share of this advantage (i.e., “sexy sons”). Research has not addressed the “Sexy Sons” Hypothesis (e.g., as indicated by women’s perception of other women’s assessments of their partner’s attractiveness) in regards to female copulatory orgasm. We secured self-reports from 439 women in a committed, heterosexual relationship and investigated the relationships between women’s orgasm at last copulation and (1) women’s assessments of their partner’s attractiveness and (2) women’s perceptions of other women’s assessments of their partner’s attractiveness. The results indicate that women mated to more (vs. less) attractive men are more likely to report orgasm at last copulation, and this relationship is mediated by women’s perceptions of other women’s assessments of their partner’s attractiveness. We discuss the mediated relationship, note limitations of the research, and suggest future research directions.     

Life partners’ perceptions of the emotional,speech disruptive,and attitudinal correlates of stuttering

PurposeThe purpose of the current investigation was to explore the extent to which the life partners (LPs) of people who stutter (PWS) perceive their loved ones’ speech-situation specific emotional reaction, expectancy of speech disruption, and speech-related communication attitude.MethodsThree subtests of the Behavior Assessment Battery (BAB): the Speech Situation Checklist - Emotional Reaction (SSC-ER), the Speech Situation Checklist - Speech Disruption (SSC-SD) and the Communication Attitude Test for Adults Who Stutter (BigCAT) were administered to 33 PWS and modified versions were administered to their LPs via Qualtrics Survey Software. Effect of relationship duration on subtest scores was considered. Perceived stuttering severity by the participant and their LP was also queried as part of a demographic questionnaire.ResultsPWS and their LPs rated BigCAT items in a similar way, while they rated certain SSC-ER and SSC-SD items differently. Importantly, between-group agreement was not affected by relationship duration. Among the PWS and LP, perceived stuttering severity influenced all BAB subtest scores.ConclusionLPs of PWS appear to be in tune with the cognitive aspects of their partner’s experience of stuttering. This has important clinical implications as it relates to active involvement of the family in speech intervention targeting fluency.     

A Study of the Opinions of College Students

ABSTRACT

When judging whether a relationship partner can be counted on to “be there” when needed, people may draw upon knowledge structures to process relevant information. We examined one such knowledge structure using the prototype methodology: indicators of a partner who is likely to be there when needed. In the first study (N = 91), the structure, content, and reliability of the prototype of indicators were examined. Then, using a false recognition study (N = 77), we demonstrated that once activated, the prototype of indicators of a partner who is likely to be there when needed affects information processing. Thus, the prototype of indicators may shape how people process support-relevant information in everyday life, affecting relationship outcomes. Using this knowledge structure may help a person process relevant information quickly and with cognitive economy. However, it may also lead to biases in judgments in certain situations.     

Books Received

Abstract

Social identity theory was applied in group therapy for adults with mild mental retardation. Social identity theory suggests that social group membership, also called collective identity, has an impact on self-esteem. Individuals will try to maintain self-esteem by viewing their social groups positively. This may not be possible for individuals who are members of a stigmatized group. However, it may be possible to enhance self-esteem by broadening one’s awareness of collective identity. Furthermore, being able to positively view other individuals who are co-members of one’s own stigmatized group can also have positive consequences for self-esteem. A clinical vignette demonstrates this process in group therapy. Results are discussed as being applicable to members of various stigmatized groups.     

Parental desire and fertility preservation in assigned male at birth transgender people living in Belgium

Abstract

Introduction: Transgender people who chose to proceed with gender affirming hormonal and/or surgical therapy, may face reduced options for fulfilling their parental desire in the future. The ideas and concerns of adult transgender people regarding fertility preservation and parental desire have never been reported in a large, non-clinical sample of assigned male at birth (AMAB) transgender people.

Methods: A web-based survey on fertility and parenthood in (binary and non-binary) transgender people was conducted in Belgium. AMAB people were selected for this analysis.

Results: We included 254 AMAB persons, of which 196 (77.2%) self-identified as transgender women (TW), 14 (5.5%) as cross-dressers and 44 (17.3%) as gender non-binary (GNB) people. Fifty-five (21.6%) respondents had a current/future parental desire, parental desire was already fulfilled in 81 (31.9%) and not present in 57 people (22.4%) (other: 19.2%). TW were more likely to express a parental desire, compared to GNB people and cross-dressers (P?=?0.004). In total, 196 AMAB people previously sought medical assistance, of which 30 (15.3%) considered the loss of fertility due to the transitioning process undesirable. The majority (68.2%) did not want fertility preservation (FP). Fourteen people (9.8%) had proceeded with FP. The main reasons not to proceed with FP included not feeling the need (70; 68.0%), not desiring a genetic link with (future) child(ren) (20; 19.4%) and having to postpone hormone treatment (15; 14.6%). TW were more likely to have a parental desire and to have cryopreserved or to consider cryopreserving gametes, compared to GNB people.

Conclusion: Parental desire and FP use were lower in the current non-clinical sample than in previous research on clinical samples. This can possibly be explained by the barriers transgender people face when considering fertility options, including postponing hormone therapy. Also, GNB persons have different needs for gender affirming treatment and FP.     

Cognitive behavioral stress management for parents: Prevention and reduction of parental burnout

ContextParental burnout increases the risk of deleterious consequences on parents’, couples’, and children's physical and mental health.MethodsThe current study (N = 134) aimed to assess the effectiveness of a Cognitive Behavioural Stress Management (CBSM) group programme in terms of parental burnout reduction. In total 67 parents attended the 8-week CBSM intervention groups, and another 67 parents were assigned to the waiting-list control group. We compared the effectiveness of the CBSM intervention with a waiting-list control group directly after the end of the programme and at three-months follow-up.ResultsThe results showed that compared to the control group the CBSM programme contributed to the reduction of parental burnout symptoms with statistically significant and small effect size. Moreover, the contrast analyses showed that the reduction in parental burnout severity was maintained at 3 month-follow-up. The reduction in parental burnout scores was mediated by the decrease in stress and the increase in unconditional self-kindness.ConclusionsThese results highlight the potential benefits of the CBSM programme for parental burnout prevention and reduction.     

Stressors Arising in Highly Valued Roles and Change in Feeling Close to God Over Time

Abstract

The purpose of this study is to see if exposure to stressful life events changes the way older people feel about their relationship with God. Data from a nationwide, longitudinal study of older adults suggest that older people who encounter stressful life events believe their relationship with God has grown closer over time. There are, however, two important qualifications. First, stressors arising in roles that older people value highly appear to have a greater effect than events that are encountered in roles that are less important. Second, stressors emerging in highly valued roles affect the way older African Americans, but not older Whites, view their relationship with God.     

Validation du Questionnaire sur l’implication parentale dans le suivi scolaire (QIPSS) chez des parents d’élèves du primaire en contexte défavorisé et pluriethnique

IntroductionThe effect of parental school involvement on children's academic success has a long-standing basis in research. However, few validated measures of parental involvement exist.ObjectiveThis study aims to assess the validity of the Questionnaire sur l’implication parentale dans le suivi scolaire (QIPSS), an instrument developed from a synthesis of existing parental involvement models in the literature.MethodThe validation sample included 711 parents of elementary students who mostly present an immigrant background. This sample was collected in five schools located in disadvantaged areas. This study includes two time points collected over 2 consecutive school years.ResultsThe QIPSS has good construct validity and satisfactory predictive validity. Exploratory and confirmatory factor analyses allowed us to generate a model of parental involvement comprising five dimensions, some of which predicting students’ academic performance a year later.ConclusionFindings are discussed in light of previous parental involvement studies. The QIPSS is proved to be a good tool to account for parental involvement in a research context. Nonetheless, children's outcomes other than academic success should be taken into account in future studies.     

The Psychiatrist and the Dying Patient by Kurt R. Eissler

Abstract

In this study behavioral processes in the individual and group therapies of aggressive boys were compared and the relationship between these variables and treatment outcome was examined. Level of aggression was the outcome variable, measured by both self-report and teacher-report instruments. Hill’s Client Behavior System (CBS; Hill, 1986) with our own ad hoc categories of Reference to Literary Figures and Response to Another, and therapist Helping Skills System (HSS; Hill &; O’Brien, 1999) were the behavioral process measures. In terms of the boys’ behaviors, discriminant function analyses revealed that Reference to Literary Figures and Response to Another differentiated the treatment formats; with regard to therapists’ behaviors, Questions and Challenge differentiated the modalities. Results offered partial support for the greater effectiveness of group, compared to individual, therapy in reducing aggression. Outcome, however, as measured by teacher reports of aggression, was adversely affected in group therapy by the presence of specific behaviors in the boys. Implications of the findings for modifying the group therapy program as well as for the search for process variables appropriate to the treatment of aggressive children are discussed.