Caregiving for children through conflict and displacement: a pilot study testing the feasibility of delivering and evaluating a light touch parenting intervention for caregivers in the West Bank

A child's adjustment to wartime stress is reliant not only on individual responses and qualities, but very significantly on the availability of support that they may receive from their parent or caregivers and quality of relationships. Strengthening parental support has the potential to be valuable. A pilot two-arm randomised controlled trial investigated the feasibility of delivering and evaluating the “Caring for Children Through Conflict and Displacement” intervention with caregivers in the West Bank. Feasibility to recruit and train non-specialist staff on-the-ground to screen families for eligibility, collect outcome data, deliver the intervention and to recruit and retain families in the study were examined. Research staff and intervention facilitators were successfully appointed in the field, screened participants and delivered the intervention to 120 caregivers, collecting outcome measures pre-and post-delivery. All families completed the outcome measures, with very little missing data. This indicated that the intervention can be delivered feasibly and evaluated with families in this humanitarian context. Preliminary outcome data showed promise that the intervention may have the potential to both improve family functioning and reduce children's problem behaviour. Implications of family-focused initiatives, particularly within a conflict/post-conflict context for the prevention of several negative health and social outcomes directions, are discussed.     

Examining differential item functioning due to item difficulty and alternative attractiveness

A method for analyzing test item responses is proposed to examine differential item functioning (DIF) in multiple-choice items through a combination of the usual notion of DIF, for correct/incorrect responses and information about DIF contained in each of the alternatives. The proposed method uses incomplete latent class models to examine whether DIF is caused by the attractiveness of the alternatives, difficulty of the item, or both. DIF with respect to either known or unknown subgroups can be tested by a likelihood ratio test that is asymptotically distributed as a chi-square random variable.     

An investigation of planned helping behavior

It is argued that stable, individual differences in helping behavior have not generally been observed in previous research because of the type of helping studied. This paper advocates the study of planned helping behavior as opposed to spontaneous helping behavior. The results of three studies are reported. In Study 1, an instrument designed to measure level of involvement in planned helping activities was developed. Scores on this instrument were found to be stable over a 7-month period. Further analysis revealed two major types of planned helping: (a) formal, organizational helping and (b) informal helping between friends and family. Study 2 examined a variety of intrapsychic and demographic correlates of formal and informal planned helping. Study 3 found support for the hypothesis that people in helping professions have higher levels of involvement in everyday planned helping than do people in nonhelping occupations. It is concluded that the study of planned helping, although posing methodological difficulties, is a necessary adjunct to experimental research.     

The effects of recency and story content on children's moral judgments

Sixteen stories were read to children at ages 4, 7, and 11 years and to college freshmen (n = 24 per age level) to investigate the effects of recency and specific story content on the development of moral reasoning. The stories consisted of either positive or negative intention and either positive or negative consequence in one of four situations: rule breaking, property damage, property damage with peer interaction, or injury to a person. At each age level, half of the subjects heard the stories with the intention first and the consequence second, and half heard them in the reverse order. Analyses confirmed that in general younger children judged on consequence, whereas older children utilized intention, and that on stories containing intentional injury to a person, the younger child took intention into account. Recency effects were evidenced for both the 4- and 7-year-olds. In the 4-year-old group, however, the recency effects failed to override the salience of negative consequence in contexts of positive intention and negative consequence. This suggests that preschool children may respond primarily to the negative aspect of the story, whether intention or consequence.     

Intensive specialised multi-family therapy for multi-stressed families: Therapeutic alliance as predictor for effectiveness

The effectiveness of intense specialised multi-family therapy (ISMFT) for 111 multi-stressed families, and the therapeutic alliance as a possible predictor of outcome, were examined. A repeated measures design was used, where changes in all ISMFT phases (preparation, multi-family therapy and follow-up) were assessed and compared for both mothers and fathers. Evidence was found for improved family functioning after the therapy period, which was maintained at 3 months follow-up, although the multi-stressed families still functioned in the problematic range. The therapy did however not decrease parenting stress, or did so only temporarily. Observations of the therapeutic alliance with the System for Observing Family Therapy Alliances (SOFTA) scales indicated that high therapist engagement was related to positive therapy outcomes, both at the start of therapy and later. High family engagement also predicted therapy effectiveness, but only at the start of therapy. The present study shows that solution-focused multi-family therapy at least seems to provide the first step in alleviating problems in multi-stressed families.     

A transnational family story: A narrative inquiry on the emotional and intergenerational notions of ‘home’

At the core of migratory experiences lie key questions pertaining to one's emotional changing Self: the complexity of conflicting identities, feelings of (un)belonging, varying degrees of emotional place (un)attachment, and the fundamental (re)conceptualizations of ‘home’. Though well-studied from various angles, ‘home’ as an emotional concept in the context of generational family migration research has many gains yet to be made. Through an in-depth study on three generations of one author's own family, this paper provides personal insight into the intergenerational and emotional dimensions of this topic. Unanimously, the findings demonstrate that notions of ‘home’ as where family is remain predominant, with ties to transnationally dispersed family members rendering ‘home’ as multiple. Places of familial heritage further remain central in conceptualizations of ‘home’ through a retainment of cultural practices and values derived from familial homelands. Despite these cross-generational similarities, challenges and emotional uncertainties on the topic are seen to be increasingly prevalent in the youngest generation. Above all, interviewees' post-migration reflections demonstrate that such conceptualizations are intricate, relational and do not exist in an emotional vacuum.     

An Application of Brief Therapy to Family Medicine

The Solution-Focused Brief Therapy model has been applied to support families with various problems commonly met at the department of family medicine in a large, urban teaching hospital in Seoul. Korea. Many cases there show a different distribution of problems when compared with a tertiary family therapy center. The majority involve psychosomatic problems, family distress around a chronically-ill member, the loss of a family member, and severe illness, only a few involving drinking problems, family violence, or abuse. The SFBT model meets the seven requirements of Doherty and Baird (1983) for a family therapy model to be useful in a medicine setting.     

Marcel's “availability” in existential psychotherapy with couples and families

Gabriel Marcel was a French, Catholic, existential philosopher who first presented the concept of human availability as a central way of strengthening the self and facilitating the experience of human freedom. In this article Marcel's ideas about availability are described, reviewed, and examined for their implications for the practice of existential psychotherapy with couples and families.     

Predictors of Developmental Task Attainment for Young Adults from Divorced Families

To determine which variables impact developmental task attainment for young adults from divorced families, respondents completed demographic questions, the young adult version of the Personal Authority in the Family System Questionnaire, and the three family relationship subscales of the Family Environment Scale. Of the factors assessed, results suggest that the quality of post-divorce family functioning is the most salient predictor of development for young adults from divorced families. Additionally, although conflict and cohesion have unique effects on task attainment for young adults, expressiveness appears to be the dimension of post divorce family functioning most related to young adult development.     

MFT trainee adjustment to program lifestyle stress: The TAPS scale

The 30-item Trainee Adjustment to Program Stress (TAPS) scale was developed to measure lifestyle stress of family therapy trainees. Initially, 70 items were generated from propositional statements based on four constructs. Following pilot testing, 329 out of 900 (37%) student members of the American Association for Mariage and Family Therapy (AAMFT) returned TAPS questionnaires. Internal consistency reliability analyses and principal components and factor analyses produced a final 30 item TAPS scale appropriate for use in family therapy training programs. Reliability and validity measures are reported.