Psychosocial distress,physical illness,and social behaviour of close relatives to people with substance use disorders

ABSTRACT

This study explores how a family member with substance use disorder (SUD) affects the psychosocial, behavioral, and physical states of other family members. Sixteen in-depth interviews with relatives of Icelandic individuals afflicted with SUD were performed. The interviewees were selected from a pool of Icelandic families whose members included one or more chronic SUD users. They represented different relations to the user (spouses, parents, children, and siblings) and both genders. All participants except for siblings expressed that SUD had negatively affected their mental health by inducing depression, anxiety, and stress-related physical illness. All had experienced physical violence, mental abuse and financial loss. Parents indicated that the SUD of the family member had isolating psychosocial impacts on their children and caused a loss of connection among their family members. All participants, except the siblings, regarded their workplace as a shelter. The study’s findings can help social professionals to better understand the effects of SUD on families, family systems, and public health in general.     

Willingness and availability: Explaining new attitudes toward institutional elder care among Chinese elderly parents and their adult children

This paper studies the attitudes of Chinese elderly parents and their family members toward institutional elder care. Based on a sample survey of 265 elderly residents in 67 elder home institutions and 114 family members, this study finds that elders and family members generally had high evaluations of institutions' quality in terms of facility, medical, and direct care conditions. Elders who reported improved health and emotional well-being after entering institutions gave higher ratings to those institutions' quality. Among adult children, those who had more siblings tended to rate institutions higher than those who had fewer siblings. Factors that influenced elders' willingness to stay in an institution included marital status and financial ability. Widowed elders were more willing to stay in institutions compared with married counterparts. Elders who rated service charge very high preferred to stay at home due to the high cost of institutional care. In the family relatives' sample, gender was found to be related to willingness to place elderly parents in an institution; female children were less willing to place elderly parents in the institution.     

Bildungserfolg von Kindern in Abhängigkeit von der Stellung in der Geschwisterreihe

Based on grades in school and on parental educational aspirations the article investigates the influence of siblings’ birth order on educational opportunities and educational success of elementary school pupils. It is examined whether this influence varies by social strata, i.e., whether it is moderated by the socio-economic status of parental households. Theoretical background are the resource dilution model which focuses on siblings’ rivalry for scarce family resources, the confluence model which refers to the intellectual environment within families, and the family niche model which postulates effects of siblings on personality traits of children. Furthermore, status maintenance motives of parents are used to explain birth order effects. Empirical analyses are based on a study of 1369 pupils—4th graders of elementary schools—in the city of Wiesbaden, Germany. It can be shown that the birth order has negative effects on the chosen educational indicators (grades in school, parental educational aspirations). In accordance with prior research, grades of children get worse with their position in the birth order, other things being equal. The birth order also affects educational aspirations which parents hold for their children. In this context, the crucial result of the article is: When older siblings already guarantee the social status of the family in an intergenerational perspective, parents with high SES reduce their educational aspirations for younger siblings (elimination of the status maintenance motive). In families with low SES, however, parental educational aspirations for younger siblings increase, when older siblings successfully have reached higher educational credentials (social learning from role models).     

Family Members' Narratives of Divorce and Interparental Conflict: Implications for Parental Alienation

This study focused on the internal dynamics of family members who experience divorce and interparental conflict. Interparental conflict and triangulating children increase the likelihood of alienating children from a parent. Narrative interviews with members of three families were used to explore meaning structures. Results showed how parents and children thought, felt, and created meaning about their experiences; how family members responded to conflict and behaviors associated with parental alienation; and how they viewed family relationships. Metalevel findings suggested each family member held dichotomous views and used cognitive and behavioral control response strategies. Thus, parental alienation stems from a relational dynamic and needs to be addressed from a family systems perspective.     

Long-term care of the disabled elderly: do children increase caregiving by spouses?

Do adult children affect the care elderly parents provide each other? We develop two models in which the anticipated behavior of adult children provides incentives for nondisabled elderly parents to increase care for their disabled spouses. The “demonstration effect” postulates that adult children learn from a parent’s example that family caregiving is appropriate behavior. The “punishment effect” postulates that adult children may punish parents who fail to provide spousal care by not providing future care for the nondisabled spouse if and when necessary. Thus, joint children act as a commitment mechanism, increasing the probability that elderly parents will provide care for their disabled spouses. We argue that stepchildren provide weaker incentives for spousal care because the attachment of a stepchild to a stepparent is likely to be weaker than the attachment of children to parents in a traditional nuclear family. Using data from the HRS, we find evidence consistent with the hypothesis that joint children provide stronger incentives than stepchildren for nondisabled elderly parents to provide care for their disabled spouse.     

Parental responsibilities: Reformulating the paradigm for parent–child relationships Part 2: Who has responsibilities to children and what are these responsibilities?

This is the second part of an article, Part 1 of which proposes the paradigm of parental responsibilities to replace the discourse of rights, custody, and visitation. This Part describes the scope of parental responsibilities; who, alongside or instead of the biological parents, may have parental responsibilities vis-à-vis the child; the roles of grandparents and members of the extended family, and partners of parents, are described. The principal categories of parenting tasks are described in detail. I also show how the concept of parental responsibilities is essential for properly dealing with children in need of protection, and how the paradigm applies to courts that deal with proceedings involving children.     

Teenagers’ Internet Use and Family Rules: A Research Note

The Internet poses challenges to parents who want their children to take advantage of online resources but also want to protect their children from questionable content. Using data from 749 dyads of American parents and their teenage children with Internet access, this study finds that the majority of parents report regulating their teenage children's Internet use, but parents report more monitoring (61%) than teens report (38%). Multivariate regression analyses indicate fathers, younger parents, parents who use the Internet with their children, and parents with younger teens engage in a higher level of parental monitoring. This study provides a first look at parental monitoring of children's Internet use and points to the need to study family rules from both parents’ and children's perspectives.     

Children and Power in Mexican Transnational Families

Today, many families find that they are unable to fulfill the goal of maintaining a household by living together under the same roof. Some members migrate internationally. This article addresses the consequences of a transnational lifestyle for children who are left behind by migrant parents. Using ethnographic fieldwork and interviews with a total of 141 members of Mexican transnational families, I explore how children who are left behind react to parents’ migrations. I focus on how Mexican children manifest the competing pressures they feel surrounding parents’ migrations and consequently shape family migration patterns. The article shows that children may experience power, albeit in different ways at different ages, while simultaneously being disadvantaged as dependents and in terms of their families’ socioeconomic status.     

When the rehabilitation ideal fails: a study of parental rights termination

This study explored the circumstances of parents whose extreme neglect and abuse of their young children justified the drastic state action of termination of their parental rights. Records of 97 children age 6 and under whose parental rights were terminated between 1991 and 1997 in Minnesota were reviewed. Profiles of parents and children were drawn from these data, and a "risk pool" of parents whose children became wards of the state was identified. Guidelines are drawn from this "risk pool" that may help alert practitioners to those parents who are unlikely to safely maintain their children. Questions and implications for policy and practice are highlighted.     

Family life of older black men

This report explores family structure and functioning among 58 men whose ages range from 65 to 96. In comparison to women in this study, men are no more likely to be isolated from their family. In fact, more men are married and live with others, and there are no significant differences in other indicators of family integration. There were no significant differences in the instrumental and expressive supports from members of the extended family. Those men who are married have a strong relationship with their wives. Most fathers have active relationships with their children but are closer to sons over daughters and proximal children over distant ones. Collateral relationships include strong bonds with siblings and siblings' children. Those with few family relationships have pieced-together networks of friends and kindred.     

Education of Children Left Behind in Rural China

Despite China's substantial internal migration, long‐standing rural–urban bifurcation has prompted many migrants to leave their children behind in rural areas. This study examined the consequences of out‐migration for children's education using longitudinal data from the China Health and Nutrition Survey (N = 885). This study took into account the complex family migration strategies and distinguished various types of migration in China, including different forms of parental migration as well as sibling migration. The results showed that migration of siblings generates benefits for children's education, which is particularly pronounced for girls and children at middle‐school levels. But parental migration has not given children left behind a significant advantage in educational prospects as their parents had hoped. Younger children seem to be especially susceptible to the disruptive effect of parental out‐migration.     

From Caregivers to Caretakers: The Impact of Family Roles on Ethnicity Among Children of Korean and Chinese Immigrant Families

Scholars have long examined the effects of family and community on ethnicity, but they have less to say on why some children may be more receptive to the positive influences of ethnic communities than siblings within the same family. As more immigrants struggle to adapt to the needs and demands of the new global economy, many families are turning to alternative caregiving arrangements that significantly impact the long-term ethnic identities of the second generation. The article considers how adult-age children of immigrants negotiate the emotional disconnects created by these varying contexts of care depending on their individual role within the family and how it shapes their views on ethnicity and culture in their own adult lives. The study focuses in-depth on fourteen semi-structured, in-person interviews with adult-age children of Asian immigrant families in the NY-NJ metropolitan area. Depending on their social status, children of immigrants are integrated into their families: as cultural brokers expected to mediate and care for their family members, as familial dependents who rely on their parents for traditional caregiving functions, or as autonomous caretakers who grow up detached from their parents. I argue that because of their intense engagement with family, cultural brokers describe their ethnic-centered experiences as evoking feelings of reciprocated empathy, whereas on the other end, autonomous caretakers associate their parents’ ancestral culture with ethnocentric exclusion. Depending on how they are able to negotiate the cultural divide, familial dependents generally view their parents’ culture and immigrant experiences through the hierarchical lens of emulation.     

Intergenerational transfers in long term care

How are parental inter-vivos transfers to their children and children’s informal care of parents influenced by personal characteristics, family conditions and state specific long term care policies? AHEAD data from 1993 and 1995 and a two-party choice model are used to guide the estimation of OLS and binary logit models of the amount and likelihood of inter-vivos transfers to children and informal care of parents. Results suggest that both parents’ characteristics and their offspring’s characteristics affect parental gifts to children and children’s time assistance to their parents, highlighting the interdependent nature of these decisions. Furthermore, though state policies did not consistently affect parental gift giving, the availability of state respite care support -short-term “breaks” for informal family caregivers- (1 % significance level) and adult day care centers (5 % significance level) were positively related to the amount and likelihood of children’s time assistance to their parents. These findings highlight the importance of some state programs such as respite care support in encouraging intra-family support for the elderly. Support for programs that reduce the caregiving burden may encourage more children to care for their elderly parents.     

Siblings as Providers of Support and Care during Middle Childhood: Children's Perceptions

This article describes some of the findings of a study undertaken to seek the views of 69 Scottish primary school children of their sisters and brothers. The study found that siblings were perceived to be a significant source of support and help to the children. Sibling support was particularly important to children with few other supportive relationships. Sibling caretaking which was viewed primarily positively both by the caretaking and looked after children, was found to be a common experience among the nine to 12–year-old children. Negative consequences of sibling caretaking included annoying, domination and abuse by siblings. Although over a quarter of the children's siblings were not living in the Same household, the majority of children perceived siblings to hold a special importance in their lives. Issues raised for parents and professionals concern the maintenance of relationships between siblings who do not live together; how to enhance the supportive aspects of sibling relationships, while offering protection against the negative aspects of sibling dichotomy; and facing the reality of sibling caretaking. Much more needs to be known about children's everyday experiences of growing up with their sisters and brothers, if we are to understand more fully the complexities of sibling relationships.     

Ethnic Prejudice and Intergroup Contact in Prospective Adoptive Parents

While ethnic prejudice is considered a key factor in parental cultural socialization strategies, there is nonetheless a lack of research about this topic among prospective transracially adoptive parents and the extent of their contacts with members of minority ethnic groups. Participants in the current study were 175 couples: 102 prospective adoptive parents pursuing international adoption in Italy and 73 couples who at the time of the study neither had children nor were involved in the adoption process. Results showed, first, that prospective adoptive parents reported lower levels of ethnic prejudice and more positive intergroup contacts than the comparison group and, second, that adoptive status, together with a more positive intergroup contact, predicted lower levels of negative prejudice. Implications for pre- and post-adoption interventions are discussed.     

Children's Experiences of Time When a Parent Travels for Work

This qualitative study focuses on the different ways time is experienced by children in families who face time challenges because of a family member's job that required work travel. Data are from a family‐level study that includes interviews of all family members older than age 7. Using grounded theory methodology, this study illustrates the ways in which job demands and family processes interact. The analysis centers on 75 children's perspectives from 43 families. Holding together assessments of having enough time while wanting more time with their parents, children express emotion, generally unrecognized by parents, around the topic of family time. Children's experience of time with parents is rushed or calm, depending on the activities done in time and the gender of the parent with whom they spend time. Findings are interpreted through a feminist social constructionist lens.     

The Relations Between Parents' Smoking, General Parenting, Parental Smoking Communication, and Adolescents' Smoking

The present study examined whether the associations between general parenting practices (i.e., support, behavioral control, and psychological control) and parental smoking on the one hand and older and younger siblings' smoking on the other were mediated by parental smoking communication (i.e., frequency and quality of parent–adolescent communication concerning smoking-related issues). The focus of this paper was on examining whether these associations of parental actions and adolescents' smoking were different in older and younger siblings within the family. Participants were 428 Dutch families (mother, father, and their 2 adolescent siblings aged 13–17). The results of parent and adolescent reports indicated that general parenting practices and parental smoking were associated with parental smoking communication, which, in turn, was related with adolescent smoking. The magnitude of the associations between parenting and adolescent smoking did not differ between older and younger siblings. Supportive parents were generally more likely to engage in a high quality communication about smoking with their adolescent children; this was related to a lower likelihood to smoke. Parents who exerted psychological control were more likely to talk more frequently with their adolescents on smoking matters, which in turn, relates to a higher likelihood to smoke. Also, smoking parents were less likely to have high-quality parent–adolescent communication that relates to higher likelihoods to smoke. In general, the findings were similar across reporters. Implications for prevention are addressed.     

Sibling caring roles and responsibilities when a child suffers from a chronic illness

Siblings' lives and well-being are potentially affected in profound ways when their brother or sister suffers from a chronic illness in childhood. The shift in the care of chronically ill children from the hospital to the home in recent years has had an impact on family relationships and interactions. Whilst studies on caregiving have focused on the parental care of children who are chronically ill; siblings may nevertheless take on some caring roles and responsibilities. This article intends to make a novel contribution to the sociological literature on siblings, caring, and chronic illness by presenting a review of the literature addressing siblings' caring roles and responsibilities in families of children with a chronic illness. Knowing about the caring roles and responsibilities undertaken by siblings when a brother or sister has a chronic illness, may be beneficial to healthcare professionals and influence their caring practice. In addition, this work may contribute to a better understanding of family relationships and further improve healthcare policies.