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.     

职业污名与离职倾向：牵连家人污名与家庭卷入的作用

职业污名对从业者的工作态度和工作行为有着重要影响。以往研究从个体职业身份的视角解释职业污名的作用, 忽略了从业者个体身份认同的多重属性。本研究基于身份边界理论, 提出职业污名会通过牵连家人污名这一机制影响从业者的离职倾向。另外, 这一机制的强弱取决于个体的家庭卷入程度。本研究通过对分属不同职业的384名从业者的3轮问卷调研发现, 家庭卷入调节了牵连家人污名在职业污名与离职倾向之间的中介作用。当个体的家庭卷入水平高时, 这一中介作用更强; 家庭卷入水平低时, 该中介作用更弱。本研究在理论上提出并检验了职业污名影响的新机制, 同时对实际管理工作提出了建议。     

Family decision at the turn of the century: has the changing structure of households impacted the family decision‐making process?

Evaluation of husbands' and wives' influence in family decision making is heavily reliant on studies conducted in the 1970s and 1980s. Since that time, profound changes have occurred in the American family. These changes may have affected the nature of decision making in the household. To examine the degree to which earlier findings are still generalisable today, hypotheses are developed and tested with a contemporary sample of 458 men and women. Results suggest that there have been significant changes in the roles assumed in the family decision‐making process, with the wife gaining more influence in all decision areas. The results indicate that marketers must re‐examine their marketing strategies for some products and/or services. Possible theoretical explanations are suggested to explain why these changes may have occurred. Copyright © 2002 Henry Stewart Publications.     

Family Protection and Prevention of Alcohol Use Among Hispanic Youth at High Risk

Research regarding prevention strategies for Hispanic youth stress the importance of family interventions because of the particular importance of family as a protective factor within the Hispanic community. Starting in 1995, the Center for Substance Abuse Prevention conducted the National Cross-Site Evaluation of High Risk Youth Programs, a 5-year drug and alcohol prevention study with a sample of approximately 10,500 youth, including nearly 3,000 Hispanic youth. Youth were surveyed regarding their alcohol use patterns and risk and protective factors, with several measures of family relationships, including family connectedness, family supervision, and parental attitudes toward their child's alcohol use. Analyses indicate that family factors are highly linked to alcohol use among Hispanics, particularly among Hispanic females. Longitudinal growth curve analyses indicate that improving the connections that young Hispanic females have to their parents can have positive long-term effects on delaying or reducing their alcohol use. This evaluation was conducted under the direction of Dr. Soledad Sambrano, Ph.D. of the Center for Substance Abuse Prevention under contract #2777-95-5002 with EMT Associates, Inc. and ORC Macro. The views expressed herein represent the opinions and analyses of the individual authors and may not necessarily reflect the opinions, official policy, or position of the U.S. Department of Health and Human Services, the Public Health Service, the Substance Abuse and Mental Health Service Administration, or the Center for Substance Abuse Prevention.     

Socialising adolescent volunteering: How important are parents and friends? Age dependent effects of parents and friends on adolescents' volunteering behaviours

This study examined the relative importance of best friend's and parents' volunteering and civic family orientation (combined with open family communication) in adolescent volunteering, and the moderating effect of age. Results, involving 698 adolescents (M age = 15.19; SD = 1.43), revealed that adolescents were more likely to volunteer when their best friend and parents volunteered, and volunteered more frequently when their family had a stronger civic orientation combined with more open family communication. Clear age differences were found: when adolescents get older, friends become more important for whether they volunteer, and the family's civic orientation becomes important for their volunteering frequency. An implication of these findings may be that, depending on adolescents' age and the aspect of volunteering, interventions may focus on targeting parents' or friend's civic behaviour to stimulate adolescent volunteering.     

The Inclusion of Fathers In Family Therapy: A Research Based Perspective

This paper summarizes the results of research on the role of fathers in families and family therapy with particular reference to preparation for fatherhood, father involvement in family life as a protective factor, fathers' deviant behaviour as a risk factor, fathers' communication and coping styles, fatherhood and different types of marriages, and the effects of the workplace on fathers' behaviour within the family. Available research suggests that, with respect to problem formation, the behaviour of fathers may serve as either a risk factor or as a protective factor. With respect to problem resolution, fathers may be a powerful therapeutic resource or seriously compromise effectiveness of family therapy. The implications of research for clinical practice are discussed.     

Family Physicians and Family Therapists: Understanding the Interdependent Synergism

This article, written by a family physician and a family therapist, is designed to identify differences between these two cultures that may serve as stumbling blocks to successful meeting of occupants of these two worlds. With the differences identified and described, various notions and suggestions are offered in an effort to promote more successful bridging between these two groups. There is little question about the synergistic impact that can be engendered for recipients of their care should this bridging be successfully navigated. The present day realities in healthcare make this an idea whose time has not just come, but rather seems imperative.     

家庭功能对青少年疏离感的影响: 有调节的中介效应

采用问卷法调查了608名初一至高二城市青少年, 通过结构方程模型探讨了青少年疏离感与家庭社会经济地位、家庭功能和同伴接纳的关系。结果发现: (1) 青少年疏离感年龄段差异显著, 高中生的疏离感显著高于初中生; (2) 青少年疏离感的三个维度之间存在显著差异。其中环境疏离感最高, 其次是社会疏离感, 人际疏离感最低; (3) 家庭功能在家庭社会经济地位与青少年疏离感之间起完全中介作用, 这一中介作用的实现受到同伴接纳的调节, 即家庭功能对青少年疏离感的影响是有调节的中介效应。     

工作要求-资源、心理资本对工作家庭关系的影响

本研究选取253名已婚全职员工为研究对象,采用自陈式问卷调查的方法,考察了工作要求、工作资源、心理资本对工作家庭关系的影响。结果发现：（1）工作要求与工作家庭双向冲突均呈显著正相关;（2）工作资源与工作家庭双向冲突均呈显著负相关,与工作家庭双向促进均呈显著正相关;（3）心理资本在工作资源与工作家庭关系间起中介作用。     

Is knowledge of family history related to psychosocial functioning? Comparison of adolescents living in institutional care and adolescents living with their biological families

We tested adolescents growing up in institutional care and adolescents living with their birth families using the ‘Do you know?’ scale and other measures of psychosocial functioning. We found that children living in group homes knew significantly less of their family history, exhibited more behavioural problems and had a more external locus of control. Moreover, the correlations between self-esteem and knowledge of family history were significantly different between the groups. This may suggest that the contribution of the knowledge of family history to self-esteem is different depending on the quality of family history. We also found a significant correlation between locus of control and behavioural problems for the children in institutional care, but not children living with their birth families, which may indicate that their behavioural problems may partially stem from the sense of lack of control over their lives.     

家庭收入与儿童早期的社会能力：中介效应与调节效应

以325名幼儿为被试,收集母亲报告的家庭人均月收入、儿童一般社会能力和家庭环境,及教师报告的师生关系,考察了家庭收入在儿童早期社会能力中的作用,及家庭社会文化环境在其中的中介作用和家庭情感环境在其中的调节作用。结果发现：(1) 高收入家庭儿童的一般社会能力及师生关系质量显著高于低收入家庭的儿童;(2) 在家庭收入对儿童一般社会能力的预测中,家庭社会文化环境中的智力-文化取向与社交-娱乐取向均发挥了中介作用,家庭情感环境中的控制性发挥了调节作用,且家庭智力-文化取向的中介作用受到了家庭控制性的调节;(3) 在家庭收入对师生关系质量的预测中,家庭情感环境中的控制性和矛盾性发挥了调节作用。     

Family history and gender roles: Critical factors in practitioners' views of family interactions

This study examined practitioners' perceptions of family and individual family member functioning in relationship to family roles, gender of family leadership, beliefs about the consequences of maternal employment, and paternal division of responsibility in practitioner family of origin. Practicing counselors and mental health therapists rated two videotaped family interviews, one demonstrating a matriarchal style of family interaction and the second a patriarchal style. Findings indicated that practitioners were vulnerable to view a patriarchal style of family interaction as more healthy in comparison to a matriarchal style and that their perceptions of family members were related to personal beliefs about the consequences of maternal employment and to personal family history. These and other findings suggest that practitioners may be prone to errant perceptions and misguided intervention related to personal history and attitudes.     

The lntergenerational transmission of family violence: The long-term effects of aggressive behavior

This paper examines the contention that family violence is passed down from generation to generation. The sample was primarily nonclinical and was composed of 14 clients of community guidance clinics and 82 members of a randomly selected control group. The primary hypothesis that individuals who are exposed to a high degree of physical punishment as children are more likely to resort to family violence as adults was supported. Studies of the modeling of aggression were examined to suggest factors which may mediate the hypothesized relationship. It was found that respondents who had grown up in an environment characterized by either low family warmth or high stress in combination with exposure to a high degree of parental punishment were more likely to use physical punishment in their own families. Also, family violence was more likely to be transmitted in same-sex rather than cross-sex linkages.     

Preferences for Job Attributes Associated with Work and Family: A Longitudinal Study of Career Outcomes

We examined the relationship between family responsibilities, job attribute preferences, and career-related outcomes (salary, management level, job satisfaction) in a longitudinal study of 171 women and men students in the same MBA program. Findings indicated that preferences for high salary and good advancement opportunities assessed when students entered the MBA program predicted satisfaction with their salary and advancement outcomes 3 years later. Preferences did not predict actual salary or management level outcomes, however. Together, these findings suggested that individuals may adjust their feelings of satisfaction to reduce dissonance created by their inability to attain higher salaries or a higher management rank. Perhaps because these individuals were in the early stage of their management careers, we found no significant associations between family responsibilities and career-related outcomes. An earlier version of this paper was presented as part of the symposium, “You can't have all of it all of the time: Moderators of the relationship between family and career,” at the Academy of Management in New Orleans, LA, August 2004.     

Determinants of Employee Participation in Organizations’ Family-friendly Programs: A Multi-level Approach

Many organizations have become more “family-friendly” by initiating programs to help employees meet their family needs. In return, family-friendly organizations are said to benefit from the positive attitudes and behavior of appreciative employees. However, long-term positive outcomes may not emerge if employees are reluctant to participate in work–family programs because they are concerned that their organization or manager does not support their participation. We propose two parallel conceptual models of the complex, multi-level mechanisms behind employees’ decisions to participate in their organization’s family-friendly programs.     

Patient and Family Descriptions of Ethical Concerns

Abstract

Ethically challenging situations routinely arise in the course of illness and healthcare. However, very few studies have surveyed patients and family members about their experiences with ethically challenging situations. To address this gap in the literature, we surveyed patients and family members at three hospitals. We conducted a content analysis of their responses to open-ended questions about their most memorable experience with an ethical concern for them or their family member. Participants (N?=?196) described 219 unique ethical experiences that spanned many of the prevailing themes of bioethics, including the patient-physician relationship, end-of-life care, decision-making capacity, healthcare costs, and genetic testing. Participants focused on relational issues in the course of experiencing illness and receiving medical care and concerns regarding the patient-physician encounters. Many concerns arose outside of a healthcare setting. These data indicate areas for improvement for healthcare providers but some concerns may be better addressed outside of the traditional healthcare setting.     

The Development of Family Loyalty and Relational Ethics in Children

Despite little research investigating how family loyalty and relational ethics develop in children, theorists suggest that children's early family loyalty experiences play a significant role in their future relationships. Twenty-four children, ages 5–10 years, were interviewed to examine developmental trends in children's conceptualizations of family and family loyalty and their reasoning through parent-child ethical dilemmas. Results indicate (a) younger children possess a simpler, more concrete schema for family and family loyalty than do older children and (b) younger children are less able than older children to adopt their parents' perspectives in reasoning through ethical dilemmas.A psychotherapist with T. W. Ponessa & Associates     

Pant-Legs and Pathology: The Marriage of Individual and Family Assessment

Bowen family systems theory suggests that individuals who report high levels of individual pathology will also report having been raised in families characterized by high conflict and low adaptability. Combining individual and family assessment measures, or using one type of measure to understand the results of the other may be possible through the application of systems theory. Therapeutic implications of the study reported here indicate that practitioners should consider the value of focusing on family of origin processes before a primary focus on isolated traumatic events guides the direction of therapy.     

Family-Focused Treatment for Childhood Depression: Model and Case Illustrations

Although the evidence base for treatment of depressive disorders in adolescents has strengthened in recent years, less is known about the treatment of depression in middle to late childhood. A family-based treatment may be optimal in addressing the interpersonal problems and symptoms frequently evident among depressed children during this developmental phase, particularly given data indicating that attributes of the family environment predict recovery versus continuing depression among depressed children. Family-Focused Treatment for Childhood Depression (FFT-CD) is designed as a 15-session family treatment with both the youth and parents targeting two putative mechanisms involved in recovery: (a) enhancing family support, specifically decreasing criticism and increasing supportive interactions; and (b) strengthening specific cognitive-behavioral skills within a family context that have been central to CBT for depression, specifically behavioral activation, communication, and problem solving. This article describes in detail the FFT-CD protocol and illustrates its implementation with three depressed children and their families. Common themes/challenges in treatment included family stressors, comorbidity, parental mental health challenges, and inclusion/integration of siblings into sessions. These three children experienced positive changes from pre- to posttreatment on assessor-rated depressive symptoms, parent- and child-rated depressive symptoms, and parent-rated internalizing and externalizing symptoms. These changes were maintained at follow-up evaluations 4 and 9 months following treatment completion.