The longitudinal and bidirectional association between parenting stress and couples' relationship quality

This study examined the longitudinal and bidirectional association between parenting stress and relationship quality, and whether the associations differed between married and cohabiting couples, using cross‐lagged panel models (CLPM) and random‐intercept cross‐lagged panel models (RI‐CLPM). Using data from the Fragile Families and Child Well‐being Study, the findings indicated that the RI‐CLPM model provided a better fit to the data compared to the CLPM model for mothers and fathers. The RI‐CLPM results showed high levels of stability in parenting stress and relationship quality over time, that parenting stress was associated with higher levels of relationship quality for both parents, and that the between‐person effect was similar for married and cohabiting couples. This study highlighted the importance of accounting for between‐ and within‐person variability.     

Predictors of life satisfaction among multicultural African families in South Korea

The aim of this study was to predict perceived life satisfaction of multicultural African families living in South Korea in terms of their fluency in the Korean language, government support for education, and the experience of discrimination. A total of 64 family members (29 women, 45.3%) completed measures of life satisfaction, Korean language fluency, public welfare assistance, and social discrimination. A hierarchical regression analysis determined that life satisfaction was higher among those with fluency in the Korean language and low or no reliance on public welfare programs. Experience of social discrimination was unrelated to life satisfaction. Host-country language fluency and livelihood self-sustenance seem to be key resources for families with immigrant spouses.     

Examining Religious Disaffiliation Through a Family Systems Lens: Implications for Treatment

Religious disaffiliation can be emotionally and relationally challenging. Research indicates that people who disaffiliate can experience grief, emotional distress, and even posttraumatic stress disorder (PTSD) symptoms. Research also indicates that disaffiliation can put strain on family relationships, yet exactly how this impacts the family system as a whole is much less understood. This qualitative study, using grounded theory analytic procedures, fills a gap in the literature by utilizing a systemic approach to explore the impact of religious disaffiliation on family units. Twelve participants from five different families representing five different religions were interviewed. At least one disaffiliated member and one affiliated member were interviewed from each family system. Results offered a deeper understanding of (a) the relational impact of religious disaffiliation and (b) the relational challenges of navigating interactions after disaffiliation. Six clinical implications are offered with the goal of helping family members understand their unique experience of this transitional time, process their emotions, enhance distress tolerance skills, and effectively communicate with one another in a spirit of kindness and respect to prevent relational wounds, expedite the healing process, and protect family bonds.     

Determinants of Harsh Parenting in Mexico

This paper presents a structural model of the determinants of harsh parenting among Mexican mothers. One hundred five mothers (46 from the community; 59 referred to agencies for child maltreatment) were recruited from Sonora (Northern) Mexico and interviewed. In this model the use of physical punishment was explained by (1) authoritarian parenting style (mothers' beliefs concerning the effective use of physical punishment and mothers' lack of disciplinary skills) and (2) family dysfunction (a latent variable constructed from reports of interspousal violence and the parents' use of alcohol and drugs). In addition, the indirect effects of demographic and historical variables on harsh parenting was included. The findings show that the most important factor influencing the use of physical punishment in these families was authoritarian parenting style, exerting a significant direct effect on the mothers' reports of their use of harsh punishment. Family dysfunction had an indirect effect through parenting style. Some sociodemographic variables also indirectly influenced the use of beliefs maternal punishment It is concluded that cultural beliefs play a major role in parenting within the framework of Mexican family relations.     

Moving Forward with Systems of Care: Needs and New Directions

The articles in this Special Issue on system change within systems of care (SOCs) provide guidance regarding strategies for modifying SOCs to address the needs of different populations, and ways for changing systems to support more positive child and family outcomes. This paper frames central needs, unanswered questions, and issues that remain for those working to implement SOCs. Specific needs and new directions considered include: (1) rigorous implementation-focused research to identify the necessary and sufficient elements of SOCs and the primary practice approach currently used in SOCs, wraparound; (2) applied research to assess SOCs and document their effectiveness in non-standard or non-traditional settings (i.e., non-mental health settings, including child welfare, juvenile justice, local housing authorities); (3) controlled outcome studies for school-based wraparound initiatives; (4) research to document the effectiveness of the family support efforts that are part of most SOCs; and (5) attention to context, for families, service providers, and collaborative implementation efforts, by researchers and providers alike. Progress in these areas can inform well-targeted system change efforts in the context of SOCs, a critical need given changes in federal funding for these initiatives.     

Family Therapy with East Indian Immigrant Parents Rearing Children in the United States: PARENTAL CONCERNS,THERAPEUTIC ISSUES,AND RECOMMENDATIONS

The paper focuses on East Indian immigrant parents and some of the post-immigration difficulties they experience in their attempts to rear culturally East Indian children within the United States cultural context. Concerns specific to parenting children in the US, and therapeutic issues East Indian immigrant parents bring to therapy are presented and discussed. Effective therapy with East Indian immigrant families requires that therapists be flexible in their therapeutic approaches with these families, and become more knowledgeable about the varieties of East Indian families, their cultural beliefs, values, and norms. Recommendations for culturally effective therapy are offered.David A. Baptiste, PhD, is Senior Psychologist, New Mexico Corrections Department, and in the private practice of Marital and Family Therapy, 2709 Sim Ave. Las Cruces, NM 88005 (DAB2709@aol.com).*The author is an immigrant from Guyana, South America, an Indian diaspora country. The experiences and observations discussed here are culled from 30 years of clinical practice in several US locations with a variety of East Indian Families from the Indian subcontinent and other diaspora countries.     

Homelessness Among Families, Children, and Adolescents: An Ecological–Developmental Perspective

This paper reviews and evaluates the literatures on children in families that are homeless and on adolescents who are homeless on their own. After presenting several emerging theoretical approaches, we propose a broad ecological-developmental perspective that recognizes that, although persons in these groups often lack resources and experience negative events that can amplify the risk for poor outcomes, they also have resources and adaptive potential. The perspective also recognizes that homelessness may have different meanings and outcomes at different points in development and that we need to consider interactions between individual development and multiple levels of social organization in order to foster new solutions to homelessness. On the basis of this perspective, we discuss directions for treatment and preventive interventions as well as social policy.     

The Role of Families in Adolescent HIV Prevention: A Review

Recent research has highlighted the significant contribution families make in the prevention of HIV risk behaviors among adolescents. As the most proximal and fundamental social system influencing child development, families provide many of the factors that protect adolescents from engaging in sexual risk behaviors. Among these are positive family relations, effective communication about sexuality and safer sexual behaviors, enhancement and support of academic functioning, and monitoring of peer activities. HIV risk behaviors occur in a social context, and it is becoming clear that the earliest and most effective way to intervene is in the context where one initially learns about relationships and behavior—the family. Both the Centers for Disease Control and Prevention and the National Institute for Mental Health have taken steps to support and emphasize research that will further elucidate our understanding of the role of families in HIV prevention. This article uses Ecodevelopmental Theory to guide and organize the findings of this promising research area. Within this context, and with special attention to the comorbidity of adolescent problem behaviors, this article reviews empirical research on the role of families in HIV prevention, discusses current intervention efforts that involve families and ecosystems, and addresses prospects and implications for future research and interventions.     

Enforced Disappearances and Torture Today: A View from Analytical Psychology

Enforced disappearance represents the quintessence of human rights violations with a strong psychological component. Bodies vanishing have a deterrent effect by terrorizing and paralyzing the entire society. However, the absence of those bodies is overly present in the inner experience of the families of the disappeared, who are victims in their turn. A state of severe psychological deterioration affects the relatives of the disappeared: depression, anxiety, powerlessness, guilt, post-traumatic stress disorder, inability to mourn, even suicide are the consequences of the unbearable uncertainty about the fate of the loved one. But the disappeared persons, notwithstanding the absence of their bodies, continue to be more present than ever in the inner experience of those who have loved them. For the families of the disappeared, to regain psychological equilibrium is a fine balance between the need to remember and the necessity to forget. The author affirms that, at a social and political level, to cultivate a collective memory of enforced disappearance is an ethical duty which validates the actual occurrence of the atrocities, helps prevent repetition and alleviates the transgenerational transmission of trauma.     

Moral Hazard in Pediatrics

“Moral hazard” is a term familiar in economics and business ethics that illuminates why rational parties sometimes choose decisions with bad moral outcomes without necessarily intending to behave selfishly or immorally. The term is not generally used in medical ethics. Decision makers such as parents and physicians generally do not use the concept or the word in evaluating ethical dilemmas. They may not even be aware of the precise nature of the moral hazard problem they are experiencing, beyond a general concern for the patient's seemingly excessive burden. This article brings the language and logic of moral hazard to pediatrics. The concept reminds us that decision makers in this context are often not the primary party affected by their decisions. It appraises the full scope of risk at issue when decision makers decide on behalf of others and leads us to separate, respect, and prioritize the interests of affected parties.