The marital and family functioning of adults with ADHD and their spouses

Little is known about the family relationships of adults with Attention-Deficit/Hyperactivity Disorder (ADHD). Thus, the marital adjustment and family functioning of 33 married adults with ADHD and their spouses was compared to 26 non-ADHD control participants and their spouses. Results revealed that married adults with ADHD reported poorer overall marital adjustment on the Dyadic Adjustment Scale (DAS; Spanier, 1989) and more family dysfunction on the Family Assessment Device (FAD; Eptein, Baldwin, & Bishop, 1983) than control adults. The spouses of adults with ADHD did not differ from control spouses in reports of overall marital adjustment and family dysfunction. A greater proportion of their marital adjustment scores, however, fell within the maladjusted range. The ADHD adults' perceptions of the health of their marriages and families were more negative than their spouses' perceptions. The way in which spouses of ADHD adults compensated for their partners' difficulties were explored through clinical interviews. The findings in this study underscore the need for assessments and treatments to address marital and family functioning of adults with ADHD.     

Differentiation of Self and Marital Adjustment of Clinical and Nonclinical Spouses

ABSTRACT

Bowen theory posits that spouses in problematic marriages are lower on differentiation of self and marital adjustment than spouses in nonproblematic marriages. This paper reports the findings from an empirical study which provide support for this aspect of Bowen theory. Differentiation of self and marital adjustment were also found to be moderately, positively related to each other. Implications for clinical practice and research are discussed.     

The State of Dyadic Methodology: An Analysis of the Literature on Interventions for Military Couples

ABSTRACT

Military members and their spouses experience unique stressors compared with civilian couples, making them distinctively vulnerable to a number of marital and mental health concerns. However, the amount and quality of intervention research to guide treatment for military couples are unknown. Therefore, a systematic literature search of interventions for military couples was completed resulting in 10 articles that met the study's inclusion and exclusion criteria. Further, a rubric to assess dyadic methodology was created and utilized to determine the dyadic quality of the methodology of the sampled articles. The results of the systematic literature review revealed that (a) there are few evidence-based interventions for military couples in which both members of the dyad are included and (b) the methodology by which treatments are evaluated largely do not employ systemic or dyadic measures. Recommendations for future research with military couples includes the need for couple-focused interventions using experimental methodology, systemic theories to guide intervention and research, and appropriate dyadic assessment and analysis tools to determine the effectiveness of couple's interventions for military, reserve, and veteran populations.     

Egocentrism in sub-clinical depression

Depression is marked by rigid thinking and the inability to generate different and more positive views on the self. The current study conceptualises this a perspective-taking deficit, which is defined as a deficit in the ability to overcome one’s egocentrism. Previous research has demonstrated that individuals with depression are impaired in Theory of Mind reasoning and empathy – two social cognitions that involve cognitive and affective perspective-taking. Here, it was investigated whether these deficits generalise to visuo-spatial perspective-taking. To test this, a convenience sample (N?=?268; n?=?62 high depressive symptoms; n?=?206 healthy control participants) completed a test-battery including measures of cognitive and visuo-spatial perspective-taking and closely matched cognitive and visuo-spatial control tasks. The results showed that individuals exhibiting high levels of depressive symptoms were specifically impaired on both perspective-taking tasks but performed equally well on the control tasks. Interventions to combat rigid thinking in depression are discussed.     

Positive and negative affect and well-being in cardiac patients and their spouses: the mediating role of illness representations

Objective: The aim of this study was to examine whether illness representations of control and consequences mediate the relation of cardiac patients’ affect to well-being. A further aim was to examine this indirect relationship at a dyadic level (i.e. patient and spouse). Design and main outcome measures: One hundred and four patients with a cardiovascular disease and their spouses participated in the study. Positive and negative affect was assessed at baseline; illness representations were assessed 2 months later, and physical and psychological well-being 4 months later. Results: Illness representations generally mediated the impact of patients’ and spouses’ affect on well-being, while several actor and partner effects were found. However, it was only positive affect that was indirectly related to well-being, while the representations of personal and treatment control chiefly acted as mediators. The effects were stronger for patients than spouses, as well as for physical well-being. Conclusion: The results underline the strong connection between illness-related self-regulation and the overall person/environment interaction as depicted by affect. They also indicate the need to integrate theories on adaptation to illness, with models describing adaptation of couples to stressful conditions, and specific theories about the role of emotion in adaptation to illness.     

视角采择的自动性

视角采择是个体表征他人或自己所看到世界的能力。个体在判断他人的视角时总是会自动激活自己的视角，但是当个体采取自己的视角时，并不总是会自动激活他人的视角。研究表明，当采取自己的视角时，成人和儿童可以自动做一级视觉视角采择，二级视觉视角采择的过程是非自动的，且成人可以自动做空间视角采择。未来研究需要继续探讨一级视觉视角采择自动性的影响因素，实验设置和个体因素是否会影响二级视觉视角采择的自动性，空间视角采择自动性的发展趋势和影响因素，视角采择的自动性是否与被试完成任务时所使用的策略有关，以及视角采择自动性的发展机制和脑神经机制。     

Marital Processes Linking Gender Role Attitudes and Marital Satisfaction Among Mexican‐Origin Couples: Application of an Actor–Partner Interdependence Mediation Model

Informed by dyadic approaches and culturally informed, ecological perspectives of marriage, we applied an actor–partner interdependence mediation model (APIMeM) in a sample of 120 Mexican‐origin couples to examine (a) the associations linking Mexican immigrant husbands’ and wives’ gender role attitudes to marital satisfaction directly and indirectly through marital processes (i.e., warmth and negativity) and (b) whether the associations between spouses’ gender role attitudes and marital processes were moderated by wives’ employment. Although previous research has identified spouses’ gender role attitudes as potential predictors of spouses’ marital satisfaction, no study has examined these links in a dyadic model that elucidates how gender role attitudes may operate through processes to shape marital satisfaction and conditions under which associations may differ. We found that when spouses reported less sex‐typed attitudes, their partners reported feeling more connected to them and more satisfied with the marriage, regardless of whether wives were employed. Our results suggest that marital satisfaction was highest for those Mexican‐origin couples in which marital partners were less sex‐typed in their attitudes about marital roles to the extent that partners’ attitudinal role flexibility promoted spouses’ feelings of warmth and connection to their partner.     

A Family Therapist's Guide to Bipolar III: Antidepressant-Induced Mania or Hypomania

This article explores the phenomenon of hypomania and mania induced by the treatment with antidepressants, sometimes called bipolar III. Family therapists need to be aware of this phenomenon because estimates are that between 3–10% of depressed individuals may be at risk for developing hypomania or mania when treated with antidepressants. The article discusses implications for family therapists, including their role in the prevention and early detection of antidepressant-induced mania or hypomania.     

Paths and Pitfalls

SUMMARY

In up to two million couples ever married, one spouse has disclosed or may disclose being gay, lesbian, or bisexual. An increasing number of spouses are coming out, yet the phenomenon remains little known. Disclosing spouses generally find supporting organizations, while their heterosexual spouses find little support or understanding of their issues. Isolated, most cope alone. Dealing with sexual rejection, the challenge to the marriage, and, if they have children, spouse/parent conflicts is followed by handling questions about their own identity, integrity, and belief system. This piece describes issues that heterosexual spouses typically face and stages through which they move from survival to reconfiguring their lives whether or not they stay married. Peer support helps this process that lasts several years or more. Knowledge about spouse's concerns assists therapists working with spouses to help them resolve potentially paralyzing pain, anger, grief, or fear.     

Religious Heterogamy and Religiosity: A Comparison of Interchurch and Same-Church Individuals

Based on a national sample of Christian couples, interchurch respondents reported lower levels of religiosity than same-church respondents on a number of religious variables. Respondents in same-church marriages were similar in religiosity regardless of whether the relationship was initially interchurch or same-church. The study did not find evidence that interchurch respondents were more likely than same-church individuals to drift away from church practice. Strength of denominational identity at engagement was the strongest predictor of religious behavior among interchurch respondents, while church attendance at engagement was the strongest predictor among same-church respondents. Interchurch respondents and their spouses were less likely to emphasize religion in raising children than same-church respondents, and were more likely to differ as a couple on their emphasis on religion in raising children. Interchurch parents predominantly raise their children exclusively in one parent's church, although 12 percent reported raising their children in both churches.     

Creative thought in Artists

One hundred and eleven subjects, 14 and 15 years of age, were administered the Coopersmith Self-Esteem Inventory and two questionnaires, modified from Bienvenu's Adolescent Communication Inventory, eliciting adolescents’ perceptions of their communication with both parents. The 10 males and 10 females with the highest self-esteem scores, and the 10 males and 10 females with the lowest scores were identified to form two groups: the High Self-Esteem Group and the Low Self-Esteem Group. Parents of these students completed questionnaires concerning parent-adolescent communication and marital communication and adjustment.

The five hypotheses tested were strongly supported. Adolescents with low self-esteem viewed communication with their parents as less facilitative than did adolescents with high self-esteem. Parents of adolescents with low self-esteem perceived their communication with their spouses as less facilitative, and rated their marriages as less satisfying, than did parents in the High Self-Esteem Group. There was lack of congruence between the perceptions of adolescents with low self-esteem and those of their parents; both mothers and fathers in the Low Self-Esteem Group viewed parent-adolescent communication as more facilitative than did the adolescents themselves.     

The relationship between marital standards,dyadic coping and marital satisfaction

Different types of cognitions in close relationships have been identified. Yet, little is known about the nature and effects of most of them, such as marital standards. In our research project ‘What makes marriages last?’ we applied a German adaptation of the ‘Inventory of Specific Relationship Standards,’ a questionnaire measuring how much sharing, egalitarianism and investment spouses feel they should have and actually experience in their own marriage. We hypothesized that high, i.e., relationship‐focused standards, should be associated with dyadic coping processes as well as with marital satisfaction. Thereby, dyadic coping was expected to play a mediating role between standards and marital satisfaction. Based on a sample of 663 German married couples, we found significant correlations between standards, marital satisfaction, and dyadic coping processes. Moreover, supportive behavior in stressful situations had the expected partial mediating effect, which turned out to be slightly different for husbands and wives. Implications for preventive and therapeutic intervention are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

Maintaining Men's Dominance: Negotiating Identity and Power When She Earns More

This article examines the power dynamics in marriages where wives earn substantially more than their husbands based on in-depth interviews with husbands and wives in 30 couples. The results demonstrate how normative gender expectations constrain interactions between spouses and how spouses in these unconventional marriages struggle to construct appropriate gender identities that are more or less consistent with the conventional expectations that men should be breadwinners and women should be homemakers. These data represent an important counterpoint to the growing body of quantitative work that demonstrates that a woman's power diminishes as her income exceeds her husband's by illuminating how men's power is preserved within marriage, even in the absence of their traditional economic dominance.     

Trait perspective-taking and need for cognition in the formation of stereotypes about people who stutter

People who stutter (PWS) suffer from stereotypes portraying them as timid and anxious, which may affect their relationships and careers. One of the mechanisms for this stereotyping is the anchoring and adjustment heuristic, whereby individuals make judgements about PWS by using previous experiences for the initial judgement and then adjust accordingly. In the current study (n = 309) we replicate previous findings that individuals stereotype PWS by anchoring to experiences with episodic stuttering and adjusting toward typical non-stuttering individuals, although insufficiently. We extend this finding by testing whether trait perspective-taking and need for cognition moderate this relationship. The results show that trait perspective-taking decreases stereotyping of non-PWS, while having no effect on PWS stereotyping. However, need for cognition exhibited no consistent moderating effect on stereotyping.     

Forgiveness, Empathy and Gender—A Malaysian Perspective

Recent theorising has suggested that in non-Western collectivist contexts, the need for social harmony may play a greater role than empathy in motivating forgiveness, and that women may be more impacted than men by this cultural value. In this study, a sample of 233 Malaysian undergraduate students, 100 males and 133 females, recruited from four English-mediated universities completed the Interpersonal Reactivity Index (IRI) and the Transgression-Related Interpersonal Motivations Inventory-12 (TRIM-12) to assess dimensions of empathy and forgiveness. Women exhibited greater empathic concern than men, but not greater perspective-taking. Men were less forgiving in terms of revenge-seeking behaviour, but men and women did not differ in avoidance of transgressors. The relationships between empathic concern and both facets of forgiveness were similar for men and women, as was the relationship between empathic concern and avoidance. However, the relationship between perspective-taking and avoidance was stronger among men than women. We found little support for the prediction that in this collectivist cultural context, perspective-taking would play a greater role than empathic concern in forgiveness. Further research is recommended to explore empathy and forgiveness in non-Western populations, with a need to take into account cultural factors.     

Socioemotional selectivity and psychological health in amyotrophic lateral sclerosis patients and caregivers: a longitudinal,dyadic analysis

Abstract

Objective: Socioemotional selectivity theory predicts that as the end of life approaches, goals and resources that provide immediate, hedonic reward become more important than those that provide delayed rewards. This study tested whether these goal domains differentially affected psychological health in the context of marital dyads in which one partner had been diagnosed with amyotrophic lateral sclerosis (ALS), a life-limiting disease.

Design: ALS patients (N?=?102) being treated in three multidisciplinary clinics and their spouses (N?=?100) reported their loneliness, financial worry and psychological health every 3 months for up to 18 months.

Main Outcome Measure: Psychological health composite.

Results: In multilevel dyadic models, patients and spouses had similar levels of financial worry and loneliness. Both patients and spouses had worse psychological health with higher loneliness, but only spouses had worse psychological health with higher financial worry. Significant interactions with age and disease severity indicated that older spouses were more affected by loneliness than were younger spouses, and patients with less severe disease were more affected by financial worry than patients with more severe disease.

Conclusion: The results provide good support for socioemotional selectivity theory’s implications for psychological health in a strong test of the theory.     

Dyadic processes of relational turbulence theory

This study tested dyadic processes of relational turbulence theory (RTT) in heterosexual marriages. We tested propositions 1, 2, and 5 of RTT, which propose that uncertainty about the marriage biases cognitive appraisals, and that interference from a partner heightens negative emotions, both of which culminate in relational turbulence for spouses. Guided by these propositions, husbands' and wives' (N = 510; 255 marital dyads) dyadic cognitive and emotional processes were estimated using the actor-partner interdependence mediation model. Consistent with theoretical propositions, we found evidence for actor-actor indirect effects; for both husbands and wives (a) the effect of spouses' relationship uncertainty on their own relational turbulence was mediated by their own biased cognitive appraisals, and (b) the effect of spouses' experienced interference on their own relational turbulence was mediated by their own anger from communicating in the marriage. However, controlling for actor-actor indirect effects, partner-defined processes (i.e., actor-partner and partner-actor indirect effects) uniquely explained husbands' and wives' relational turbulence.     

Effects of Sex,Culture, and Support Type on Perceptions of Spousal Social Support: An Assessment of the “Support Gap” Hypothesis in Early Marriage

Several writers have suggested that a “support gap” characterizes modern marriages, with women receiving less support from their spouses than men receive from theirs. Although this support gap hypothesis (SGH) is used increasingly to explain marital interaction and satisfaction, there have been few rigorous evaluations of this hypothesis. In particular, existing research on the support gap has not systematically considered (a) different types of social support; (b) differences in provided vs. received support; (c) differences in reported levels of support desire, experience, and satisfaction; or (d) differences in distinct cultural groups with respect to social support in marriage. The present study provided a multidimensional assessment of desired and experienced spousal social support. Participants were recently married men and women (100 Americans and 102 Chinese) who completed questionnaires providing assessments of desired and experienced levels of spousal support for each of 5 support types. Men and women did not differ systematically with respect to the levels of support they experienced from their spouses; however, women reported desiring significantly higher levels of support from their spouses than did men for all 5 types of support. Evaluation of support satisfaction indicated that both American and Chinese women experience gaps with respect to emotional and esteem support; Chinese women additionally experience a gap in network support. These results specify the nature of marital support gaps much more precisely than previous work and suggest several issues to be addressed in future work.