Differentiation of self and racial identity

This study explored the relationship between personal identity development and in-group/out-group identities within the sociopsychological context of the USA. Specifically, the study examined the relationship between Bowen’s construct of differentiation of self and Helms’ construct of racial identity for an American sample of 309 undergraduate and graduate students. Insofar as both models refer to a progression from an externally defined sense of self to an internally defined sense of self, it was hypothesized that higher levels of more sophisticated racial identity statuses would be positively associated with higher levels of self-differentiation for both white participants and participants of color. Overall, the findings suggest that for white students, attitudes associated with a more differentiated sense of self are also associated with a more sophisticated racial identity statuses, increased awareness of how white privilege and racism operate, and less internal conflict about one’s own racial identity. The results of this study also indicated that, in general, participants of color who have a more differentiated sense of self endorse attitudes associated with higher statuses of racial identity development, more awareness of societal racism, and less ambivalence about their racial identity. Implications of the findings for the practice of counseling and the training of counseling psychologists are considered.     

Self-reported health and cortisol awakening response in parents of people with asperger syndrome: The role of trait anger and anxiety,coping and burden

Caring for offspring with autism spectrum disorders entails high levels of stress for a long period of time and is associated with several types of health complaints. Few studies have focused on specific effects of particular disorders in the spectrum. This study was carried out with the aim of evaluating the global health of parents of people with Asperger syndrome (N?=?53) compared to those of typically developing children (N?=?54) through self-reported measures (medication consumption and somatic symptoms) and biological markers (cortisol awakening response [CAR]). Additionally, we analysed various psychological variables as potential predictors of caregiver health. We found that caregivers take more medication and have worse self-reported health than controls, but there were no significant differences in CAR between the groups. However, after controlling for negative affect, differences between groups in CAR reached significance. With regards to predictor variables, anxiety trait, cognitive-coping style, burden and anger temperament were significantly associated with caregiver’s self-reported health. These findings underline the need to develop interventions that foster improvements in the health of caregivers, reduce their burden and enhance their quality of life.     

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.     

Effectiveness of parent counselling in eating disorders

ABSTRACT

Eating Disorders (ED) are often severe illnesses entailing a heavy burden for families. Family therapy is recommended for young patients, but only a few studies have investigated therapeutic interventions with families tailored also to adult and longstanding patients. We recruited 87 families with daughters affected by an ED, aiming to assess the effectiveness of eight sessions of parent counselling. The primary outcome was the improvement of parents' coping abilities to achieve more effective support skills. Before treatment, 54% of parents showed poor coping resources whereas 43.7% of the sample improved after parent counselling. Parents with good coping resources responded significantly better to this treatment. Although future research is warranted, these preliminary findings support the effectiveness of parent counselling in ED.     

A Review of: “Sperry,L., Carlson,J., & Peluso,P. R. (2006)”

Abstract

The study tested the relation between parents' differentiation and offspring's social anxiety, using a sample of university students and their parents to reflect family patterns across three generations. The main finding confirmed that parents' levels of differentiation (differentiation of self and family differentiation) and social anxiety were positively related to those of their offspring. This lends support to Bowen's (1978; Kerr & Bowen, 1988) contention of transmission of the family emotional process across generations. Moreover, students' social anxiety was found to be inversely related to their parents' levels of differentiation. The importance of addressing family issues in the treatment of individuals with problems related to social anxiety is indicated.     

Overprotective Parenting: Helping Parents Provide Children the Right Amount of Risk and Responsibility

Overprotective parenting in low-risk environments may have negative consequences for the psychosocial development of children and youth. Though not well studied, a number of different bodies of literature can be used to speculate on the reasons for overprotective parenting and the impact it has on children. In this article, the social and familial dynamics leading to overprotection are discussed. It is shown that overprotection among middle-class families may result from poorly informed parents regarding the psychosocial developmental needs of their children for risk and responsibility and a lack of familiarity with population-wide data which shows that many of today's youth are safer that at any previous time in history. Focusing on the “risk-taker's advantage,” this article uses a case example to illustrate a three-part model of intervention to help challenge overprotective parenting while opening up safe opportunities for youth to experience manageable amounts of risk and responsibility.     

Children and Adolescents with Medically Unexplained Symptoms: A Systematic Review of the Literature

Abstract

Medically unexplained symptoms (MUS) in children and adolescents are confounding and concerning for patients, parents, and health care practitioners. Our goal was to review and summarize the literature for family therapists working with a diverse, challenging patient population coping with MUS. A search of multiple databases from 1994 to 2018 was conducted using MUS and related terms. The literature was then organized into subcategories based on its relevance to family therapists, particularly medical family therapists collaborating with primary care physicians. We conclude with a discussion about gaps in the literature and suggestions for clinical management.     

Parenting Practices of Anxious and Nonanxious Mothers: A Multi-Method,Multi-Informant Approach

Anxious and nonanxious mothers were compared on theoretically derived parenting and family environment variables (i.e., overcontrol, warmth, criticism, anxious modeling) using multiple informants and methods. Mother-child dyads completed questionnaires about parenting and were observed during an interactional task. Findings reveal that, after controlling for race and child anxiety, maternal anxiety was associated with less warmth and more anxious modeling based on maternal-report. However, maternal anxiety was not related to any parenting domain based on child-report or independent observer (IO) ratings. Findings are discussed in the context of the impact of maternal anxiety on parenting and suggest that child, rather than maternal, anxiety may have a greater influence on maternal behavior.     

Competency,common ground,and challenges: response to the development of systemic therapy competencies for the UK

The recent initiative by the government to delineate the competencies for the delivery of systemic therapies is groundbreaking and represents a fundamental shift with clinical and political implications. In this article the author compares the process and outcomes utilised in the UK with those embarked on in the USA in 2003, culminating in the creation of the marriage and family therapy core competencies by a task force sponsored by the American Association for Marriage and Family Therapy. The development of competencies is just the first step in a development process requiring significant modifications in all of the systems that contribute to the development and delivery of behavioural health services, including clinicians, supervisors, training programmes, regulators and policy‐makers. An elucidation of the challenges faced in the USA is provided as a potential guide to the UK effort.     

Revisiting confidentiality: observations from family therapy practice

Confidentiality has long been recognized as a critical legal and ethical principle for the committed, value‐based practitioner. Vital principles (such as confidentiality) become manifest in material practices and in the language of professional and societal narratives. This articulation into specific practices and performances requires a pragmatic process that transforms the abstract into real‐world activities. This imperfect process has the potential of including the derived practices that in certain ways may extend the principle in unintended or unwanted directions. In the case of confidentiality, the actual practices of confidentiality may be both emancipating and inhibiting – they may protect as well as isolate. Our purpose is to revisit the idea of confidentiality and to deconstruct the way it functions in both positive and negative manners in clinical work.