Cognitive-Behavioral Family Therapy with a Family in High-Conflict Divorce: A Case Study

Children who live in families with high-conflict divorce situations are increasingly coming to the attention of clinicians. This paper explains the nature of the impasse of high-conflict divorce. It presents a brief theoretical overview of cognitive-behavioral family therapy as an effective approach to treatment for high-conflict divorce families. A case study that successfully utilized a cognitive-behavioral approach to family therapy is presented. Specific techniques such as parent training, communication and empathy skills, problem-solving skills, assertiveness training, role-modeling on the part of the therapist and application of the concept of reciprocal inhibition were included in the cognitive-behavioral family treatment. An N=1 research design is graphically illustrated for evaluation purposes.     

Parenting Coordination as an Antidote for High-Conflict Divorce and Court Relitigation

The effects of high-conflict divorce and parental separation on couples and their children are explored along with the costs of ongoing relitigation of these cases in the family court system. Parenting coordination is discussed as an intervention to assist high-conflict divorcing and separating parents to effectively communicate and parent their children following marriage dissolution. It is also presented as an alternative to reduce instances of recurring legal battles. According to the literature reviewed, positive outcomes of decreased relitigation include less expense for the divorcing and separating parents, the family court system, and society as a whole. Implications for practice and research are presented.     

Relationship Components and Nature of Postdivorce Parenting Responsibilities Among Individuals Going Through a Divorce

ABSTRACT

The relationship components and nature of postdivorce parenting responsibilities were examined among individuals going through different levels of conflict as measured by level of court involvement during their divorce and 6 months later. A modification of the Binuclear Family Research Project Questionnaire was employed to examine communication, interaction, anger, guilt, positive feelings, and attitude toward former spouse as a parent for 110 parents of children under the age of 18 going through a divorce or dissolution. Participants were classified into 1 of 4 groups based on level of court involvement: dissolution, divorce with low conflict, divorce with moderate conflict, and divorce with high conflict. Results suggested that individuals going through dissolutions have better communication, more interaction, and a more positive attitude toward their former spouse than individuals going through high-conflict divorces. Suggestions are offered for addressing postdivorce conflict and future research.     

High-Conflict Couple Interaction and the Role of Relative Power

All romantic couples experience some conflict. However, some couples seem to fight often enough, or severely enough, that the relationship suffers and the partners become emotionally distanced. For other couples, a breakup or divorce does not allow them to cut ties because of shared parenting responsibilities. In such cases, ongoing conflict likely deepened during the divorce process may continue indefinitely. This paper explores the designation of high-conflict couples, and groups these couples by those that are still together and by those that have dissolved a partnership and yet must still interact. In each case, the suggested contributors to high-conflict interaction are given. I argue that current sociological understanding of high-conflict partnerships is limited by false dichotomies between intact and unpartnered couples, as well as between violent and nonviolent conflict. I draw from the psychoanalytic and counseling literature as well, to suggest that interpersonal power, and perceived relative lack of power in relation to the other, is a common factor that bridges these discrete groups. Finally, I discuss negative consequences of such interaction and reiterate the need for further scholarship in this area.     

Negative family-of-origin experiences: are they associated with perpetrating unwanted pursuit behaviors?

Parental divorce, history of parental relationship separation, perceptions of interparental conflict, and witnessing parental violence were retrospectively assessed in a sample of 213 college students from several regions in the United States, all of whom had suffered an unwanted break-up of an important romantic relationship. This study investigated whether these family-of-origin experiences were associated with perpetrating unwanted pursuit behaviors after the relationship break-up. Results indicated that male participants who had experienced either parental divorce or separation perpetrated more severe unwanted pursuit behavior than males who had not experienced parental divorce or separation or females from either divorced, separated, or intact families. For females, severe unwanted pursuit behavior perpetration was correlated with threatening and intense parental arguments. These findings suggest that a variety of types of negative parental relationship behavior may be risk factors for perpetrating severe unwanted pursuit behaviors. The gender-specificity and implications of these findings are discussed.     

Factors Linked with Coparenting Support and Conflict After Divorce

We examined the relationship between personal and interpersonal indicators of postdivorce adjustment and dimensions of coparenting (support, overt conflict, covert conflict) using data from 176 recently divorced mothers. Mothers’ satisfaction with the divorce decree, perceptions of fathers as important for child development, and being satisfied with fathers’ parenting were associated with more supportive coparenting. Mothers’ satisfaction with the divorce decree and fathers’ parenting were associated with less overt conflict. Factors differed for mothers’ reports of their own and their former spouses’ use of covert conflict behaviors, with these factors linked to satisfaction with the divorce decree and perceived stress, respectively.     

Parental Substance Abuse and Divorce as Predictors of Injection Drug Use and High Risk Sexual Behaviors Known to Transmit HIV

This study examined familial antecedents of high risk sexual and injection drug using behaviors in a population of 100 gay men in one drug treatment program. Multiple logistic regression analyses were used to identify predictors for (1) injection drug use, (2) high risk sexual behaviors and (3) HIV status. Data from this study indicates parental substance abuse and divorce or separation are predictors of both sexual and injection drug using risk behaviors associated with HIV transmission. These results indicate the need to target high risk families and youth to prevent injection drug use, high risk sexual bchaviors and ultirnarely HTV infection.     

Reducing interparental conflict among parents in contentious child custody disputes: an initial investigation of the Working Together Program

Interparental conflict is one of the primary risk factors for negative outcomes for children whose parents separate, and it is likely to be high while parents are separating. Results are mixed regarding the effectiveness of interventions aimed at reducing interparental conflict. This study examined co-parents who were court-ordered to attend a 12-hr co-parenting intervention and completed pre-postassessments (n = 20) and 2-month follow-up assessments (n = 17). The results demonstrated increases in co-parents' relationship functioning and confidence in co-parenting. Both men and women reported decreased amounts of conflict in the presence of their children; however, only women reported decreases in general negative communication with the co-parent. These changes were generally maintained at a 2-month follow-up assessment. These findings suggest that interventions for high-conflict co-parents may increase their ability to work cooperatively.     

Divorce, family conflict, and adolescents' well-being

The relative effects of family conflict and divorce on the well-being of adolescents were examined in a longitudinal study of a heterogeneous community sample. Higher levels of family conflict were associated with increases in adolescents' depressed mood, anxiety, and physical symptoms over time. In contrast, neither recent divorce nor earlier divorce was associated with longitudinal changes in any health outcomes. Also, adolescents living in intact families with high conflict had significantly poorer well-being than those living in families of divorce with low conflict. Finally, the longitudinal effects of divorce and family conflict did not differ by age and sex, but Hispanic adolescents experienced more negative effects of family conflict than non-Hispanic whites, and the well-being of Asian adolescents was influenced more strongly by recent divorce.     

Conflict or Divorce? Does Parental Conflict and/or Divorce Increase the Likelihood of Adult Children's Cohabiting and Marital Dissolution?

The short- and long-term effects of family structure on child well-being remains a hotly contested area among both researchers and policymakers. Although previous research documents that children of divorce are more prone to divorce themselves, much of this research has been plagued by multiple data and analytic problems. A second problematic issue relates to whether it is the divorce per se that leads to increased divorce or rather the conflict that may precede the divorce. In this article we examine whether children who experience parental conflict and/or divorce are more likely to experience a cohabiting breakup or divorce as adults compared with children from low conflict and/or intact families. Our examination improves on past research by using a three-wave longitudinal data set and by controlling for predivorce family characteristics, including the conflict between parents before divorce. We extend previous research on the effect of parental conflict and divorce on adult children's likelihood of divorce by also examining the likelihood of a cohabiting dissolution.     

Children's Definitions of Family Following Divorce of Their Parents

As children adapt to new, non-biologically based family forms as a result of the high incidence of divorce in the United States, new definitions of family may develop. This paper reports results from an anthropological study of children's definitions of their families following divorce of their parents. Interviews were conducted with 29 children of white, middle-class, divorced parents as part of an ongoing study of the effects of divorce on families. These children's definitions of their families fell into five, progressively more expansive types, from a limited, household definition to an expansive type including biological, legal, and non-kin. Children's use of criteria beyond biology or law to define their reconstituted families after divorce of their parents illustrates the voluntary nature of American kinship systems.     

Gender and Age Differences in Child Adjustment to Parental Separation

Abstract

The present study examined gender and age differences in adjustment among children whose parents have separated. Measures designed specifically to assess family functioning during the divorce process (the Divorce Adjustment Inventory-Revised, and Child Divorce Adjustment Inventory), along with a measure of self-esteem and interviews with children, provide an in-depth exploration of the experience of families during the transitional period of separation. Results indicate that (1) parents of girls reported higher resolution of the separation, (2) high self-esteem for girls was mediated by residential parents' high socioeconomic status, (3) older children exhibited higher adjustment than younger children, and (4) father-headed families indicated higher adjustment before and after separation. Using a model of divorce as a process, results are discussed in relation to findings from studies of post-divorce and pre-separation families to provide a more complete picture of the divorce experience and child adjustment to that experience.     

Ethical Issues in Child Custody and Dependency Cases

Abstract

The emotional and psychological risks to children of high conflict divorce have led to the increased involvement of mental health professionals in child custody cases. Numerous service models (Greenberg & Gould, 2001; Johnston, 2000; Johnston & Roseby, 1997) have been developed to assist divorcing families in minimizing family conflict and supporting children'S needs. This underscores the need for judges and attorneys to understand the ethical and professional standards that underlie competent mental health practice in forensic cases. The practices of mental health professionals providing court-related services may have a substantial impact on the validity of their professional opinions, the effectiveness of services provided to children and families, and children'S development and adjustment. The authors suggest core ethical and clinical issues to be considered by all psychologists who work in the context of custody disputes. It is hoped that these professional practice suggestions will also be useful to attorneys and judicial officers in assessing the quality of mental health professionals' opinions.     

Comparing the Effects of Amount of Conflict on Children's Adjustment Following Parental Divorce

This study examined the immediate and short-term effects on children of the conflict (as reflected by the level of court involvement) their family experiences during divorce proceedings. Families going through various levels of divorce (dissolution, divorce with little litigation, moderate litigation, and high levels of litigation) were investigated. Seventy-six parents (31 men and 45 women) between the ages of 22 and 53 who had children ranging in age from 2 to 17 years old participated. The Divorce Adjustment Inventory–Revised was completed by the parents immediately following the divorce hearing and again 6 months later. Results indicated that families experiencing a higher level of conflict (as measured by level of court involvement) displayed more family conflict or maladjustment, less favorable divorce conditions and child coping ability, and less positive divorce resolution. Implications of the study and indications for future research are discussed.     

The Tango of Loving Hate: Couple Dynamics in High-Conflict Divorce

This article explores the dynamics of couples embroiled in high-conflict divorce through the theoretical prism of British object relations theory. Such couples are often characterized by primitive object relations, and use splitting and projection as a way of “being in the world.” The fear of the ex-spouse’s retaliation is accompanied by fear of their own destructiveness and a desire to make reparation; however, attempts at reparation at this level of relational functioning rarely achieve reconciliation. In fact, such dynamics create a cycle of terror, retaliation, and failed reparation attempts that in turn leads to further terror, splitting and projection, with the resulting outcome often a high-conflict divorce.     

Developing an educational workshop on teen depression and suicide: a proactive community intervention

Eight years into the YES emergency services collaboration, a comprehensive Youth Emergency Services model has emerged, one that incorporates a proactive approach to clinical and prevention strategies. In addition to direct service provision, these strategies include: (1) workshop training of school and community professionals so that they can identify young persons at highest risk for suicidal thoughts, threats, and attempts; (2) prevention education for both adolescents and parents about suicide, risk factors, and interventions; (3) a partnership with the local hotline to facilitate community screening and referral to appropriate crisis services for families and youths; (4) collaboration with a large primary care provider network to streamline the after-hours crisis referral process, using the hotline; and (5) the use of a website to inform individuals about services and resources. It is proposed that this is a contemporary model that can meet the present primary and secondary intervention needs for children, adolescents, and their families.     

The State of Family Research in Ireland

Changes in definition of family, economic opportu- nity, and demographics of the population of Ireland have been major factors in shaping family research in recent decades. Although divorce is constitutionally prohibited in Ireland, separations and non-marital births are indicators of family structural change in Ireland as in the rest of Europe. Research on aging and on rural families has been related to the need for policies to address issues of economic as well as social importance. The need now is to link these policy-driven investigations as well as future research into coherent theoretical analyses and to launch interdisciplinary collaborations.     

Conflict in Divorcing and Continuously Married Families: A Study of Marital,Parent–Child and Sibling Relationships

ABSTRACT

Family members in both separated or divorcing and married families completed a range of questionnaires about the conflict in 3 relationships—couple, parent–child, and sibling—across 2 phases of the study approximately 12 months apart. In addition, the adolescents completed measures of adjustment: self esteem, depression, and anxiety. Adolescents in a subset of the divorcing families were interviewed about the conflict in their families across the 2 phases (107 at Phase 1 and 35 at Phase 2). Analyses showed that conflict was higher in the separated or divorcing families across all 3 relationships, and that the highest levels of conflict occurred for the high-conflict divorcing families. Qualitative data from interviews illustrated the nature of the conflict that was occurring.     

Children’s perspectives on parenting coordination: Insights from the montreal parenting coordination pilot project

As part of a pilot project in the Montreal area, ten high-conflict families received free parenting coordination services. This explorative study aimed to document, through psychometric measures and semistructured interviews, how the parenting coordination process impacted children involved. Although not statistically significant, results suggest a diminution in the intensity of the conflict between parents over the course of parenting coordination, as perceived by the children. Qualitative data indicates variation in children’s opinions regarding their experience. Approximately half of the sample shared examples of improvements in their lives, mostly to do with diminution of parental conflict and better communication between parents. However, some shared frustrations with the intervention and their belief that parenting coordination was not helpful. Not feeling heard by the parenting coordinator (PC) as well as a perceived lack of neutrality were linked with negative discourse on parenting coordination.     

An Ecological Framework for Contextual Risk Factors in Elder Abuse by Adult Children

ABSTRACT

Future trends suggest both a continued growth of the elderly population, as well as the likelihood of increased demand for family caregiving which may, in turn, be associated with increasing rates of elder abuse. It is important to consider issues related to such caregiving, including potential abuse from an ecological perspective which, in turn, provides a fruitful basis for framing the problem of abuse as a set of contextually-based risk factors. This paper focuses on the contextual risk factors using an applied ecological model, a useful framework for understanding the intergenerational character of elder abuse in families, for developing recommendations for empirically-based action research, and for the development of community-based prevention and intervention strategies.