Family Cohesion And Control: A Multitrait-Multimethod Study*

This study assessed the convergent and discriminant validity of widely used various measures of family cohension and control using a multitrait, multi-method approach. Forty-two families, who had at least one adolescent and who were currently receiving family therapy, completed self-report measures of cohesion and control and engaged in Reiss' Card Sort Procedure. Ratings of the families' cohesiveness were also obtained from the families and their therapists. We were only partially successful in demonstrating convergent validity and discriminant validity for the family trait of cohesiveness across measures and methods, and even less so for family control. There was a general lack of relationship between self-report measures and either the therapist rating of family cohesion or the family's performance on the Card Sort Procedure. Our results cast doubt on the construct validity of some of the best measures of family functioning currently available. Implications of this are discussed.     

PROBLEM FAMILIES AND THE CIRCUMPLEX MODEL: OBSERVATIONAL ASSESSMENT USING THE CLINICAL RATING SCALE (CRS)

The validity, reliability, and curvilinearity of the Clinical Rating Scale (CRS) from the Circumplex Model were evaluated and the ability of the scale to discriminate between proble/clinical families and nonclinical families was tested on family cohesion, family adaptability, and family communication. Two groups of problem families were compared with two control groups. The study tested the main curvilinear hypothesis of the Circumplex Model that nonclinical families will have more Balanced system types than problem/clinical families. Conversely, problem/clinical families will have more Extreme system types than nonclinical families. Using the CRS, this hypothesis was strongly supported. Family satisfaction was used as a measure to investigate group differences further. As hypothesized, the two control groups had high levels of satisfaction, and the two problem family groups had significantly lower levels of family satisfaction. Overall, the CRS discriminated well between problem families who had more Extreme types on cohesion and adaptability and lower on communication and satisfaction than control families. Investigating different family structures (single-parent, blended, and traditional two-parent families) confirmed these findings. The study provided strong support for the curvilinear hypothesis that problem families are more frequently Extreme on both ends of the family cohesion and adaptability dimensions. It also revealed that the CRS has excellent validity and reliability.     

Group Cohesion and Homework Adherence in Multi‐Family Group Therapy for Schizophrenia

This study examined the relationship between levels of group cohesion, defined as whole group relationships, and between‐session therapeutic homework adherence in a multi‐family group therapy (MFGT) for people with schizophrenia. Participants from 18 consenting families attending MFGT groups completed weekly homework adherence ratings, group cohesion and spontaneous between‐session activity measures. Levels of group cohesion at each session were compared with measures of scheduled and spontaneous homework adherence reported at the next session. It was hypothesised that higher levels of group cohesion would be related to homework adherence and other spontaneous between‐session therapeutic activity completed by group members. Results show higher levels of group cohesion were associated with higher rates of spontaneous between‐session therapeutic activity. However, contrary to expectations no significant relationship between cohesion and scheduled homework completion was found. The implications of the findings for group processes and homework adherence are discussed.     

Family Functioning and Its Relation to Parental Discipline

The Family Adaptability and Cohesion Scales (FACES) are one of the most used instruments in the study of family relations, assessing relevant dimensions of family functioning. This study aims to examine the relationship between cohesion, communication and family satisfaction, measured by FACES IV, and the dimensions of discipline inventory (DDI). The sample consisted of 380 subjects (190 adolescents and 190 parents). Fathers are the main users of physical discipline and boys are the main targets of most discipline practices. Regarding the association of the DDI and FACES, families with a balanced cohesion use less punitive discipline, families with enmeshed cohesion and families with disengaged cohesion have higher and less use of the analyzed disciplinary practices respectively. Considering the results, it may be useful to work together with families to promote the use of positive disciplinary methods and work their communication skills in order to improve cohesion and consequently family satisfaction.     

The Role of Family and Marital Communication in Developing Resilience to Family-of-Origin Adversity

To explain recovery from adverse experiences, researchers have focused on resilience as a process occurring within individuals. This study extends existing research by positioning resilience as an interpersonal process in which people communicatively interpret and respond to adversity. Married participants who experienced significant adversity in their family of origin (n = 193) reported on their familial and marital communication and personal characteristics. Overall, resilience was influenced by the unique and combined influences of individual, marital, and family factors. Individuals’ optimism and efficacy emerged as predictors of resilience, and communicated support from a marital partner was particularly important for those lower in optimism. People from families with a balance of cohesion and flexibility and strong communication were more resilient, regardless of the amount of adversity they experienced. In unbalanced families, supportive marital communication served in a compensatory role to promote resilience to family of origin adversity.     

Impact of Adolescents' Filial Self‐Efficacy on Quality of Family Functioning and Satisfaction

In this prospective study, we tested a structural model in which adolescents' perceived self‐efficacy to manage parental relationships affected their satisfaction with family life both directly, and indirectly, through its impact on family practices. Findings based on 380 Italian adolescents showed that perceived filial self‐efficacy was linked directly and indirectly to satisfaction with family life, and that these relations held both concurrently and longitudinally. In particular, the greater adolescents perceived their self‐efficacy, the more they reported open communication with their parents, the more accepting they were of their parents' monitoring of their own activities outside the home and the less inclined they were to get into escalative discord over disagreements. Regardless of whether perceived filial self‐efficacy was placed in the conceptual structure as a contributor to the quality of family interactions or as a partial product of family functioning, it consistently predicted satisfaction with family life.     

Contributions of Family Leisure to Family Functioning Among Transracial Adoptive Families

ABSTRACT

The purpose of this study was to examine family leisure behavior among intact families with transracial adoptive children and make comparisons to a broad sample of families with only biological children. The sample consisted of 197 adoptive families. Data were analyzed from a parent, youth, and family perspective. The Family Leisure Activity Profile (FLAP) was used to determine family leisure involvement. FACES II was used to measure family functioning. Findings indicated that measures of family cohesion, family adaptability, and family functioning were higher among the adoptive family sample. Core, balance, and total family leisure involvement were also higher among the adoptive family sample. Multiple regression analyses indicated a positive relationship between family leisure and family functioning among this sample from the parent, youth, and family levels of measurement. Implications for practice and further research are discussed.     

Expanding the Family Economic Stress Model: Insights From a Mixed‐Methods Approach

The current study used a mixed‐methods approach to examine how low‐income mothers managed their household economies, their experiences of economic pressure, and the consequences for family and child functioning. Qualitative analyses (N = 32 families) revealed that experiences of economic pressure were associated with an inability to afford both basic needs and some modest but highly valued “extras.” To meet demands, mothers reported using a variety of strategies, including instrumental support from friends and family members and other financial strategies. Results from the quantitative analyses (N= 516 families; 800 children, ages 6 – 15) were generally consistent with patterns observed in the qualitative analyses and extended the findings to include effects on parenting practices and children’s behavioral functioning.     

Within‐ and Between‐Family Associations of Marital Functioning and Child Well‐being

This study clarifies within‐family and between‐family links between marital functioning and child well‐being. Expanding on existing prospective research, this study tests whether changes in parents' marital functioning are associated with corresponding changes in their children's well‐being, independent from associations that exist when comparing different families. Participants (N = 1,033) were members of married, opposite‐sex couples with children who participated in five waves of a larger study of marriage in the U.S. Army. Spouses' constructive communication, verbal conflict, and marital satisfaction each showed between‐family associations with parent‐reported child internalizing and externalizing problems. In contrast, within‐family associations were significant only for parents' communication behaviors. That is, parents who reported lower levels of marital satisfaction also reported lower child well‐being, whereas change in parents' communication was associated with change in child well‐being over time. Isolating within‐family effects is important for understanding marital and child functioning and for identifying potential targets for effective intervention.     

A Community-Based Multiple Family Group Intervention for Sheltered Families

Abstract

This study evaluates the effectiveness of a multiple family group intervention developed to improve familial functioning and decrease the frequency of children's behavior problems while families are living in shelters and as they prepare to transition back into more permanent living conditions. The skill-based curriculum focuses on diminishing stress, while helping strengthen families' beliefs, cohesion and structure. Nineteen adults and thirty-five children from five shelters across a mid-south metropolitan area participated in the study. The results showed significant reductions in parents' perceived stress and improvements in families' level of cohesion and their children's maladaptive behaviors. Moreover, effect sizes showed that these changes were clinically significant as well.     

Health-Promoting Influences of the Family on Late Adolescent Functioning

This study examined whether potentially modifiable health-promoting family factors during mid-adolescence (age 15) predicted adaptive functioning in late adolescence (age 18) among members of a working-class community cohort. Family factors included feeling valued in the family, cohesion, and social support. Late adolescent outcomes covered developmentally salient areas: academic functioning; mental health; suicidal behavior; and social, psychological, and behavioral functioning. Our findings demonstrate that a positive adolescent family milieu is related to both adaptive outcomes and a reduced likelihood of serious difficulties, including mental and behavior problems. Although each hypothesized health-promoting factor was significantly associated with multiple areas of age 18 functioning, the patterns of association differed by type of family factor. Taken together, results suggest that the family remains an important social context during mid-adolescence and that to be most effective programs designed by practitioners aimed at strengthening families should target multiple features of the family environment.     

Intervention with Families in Extreme Distress (FED)

The FED (Families in Extreme Distress) Project described in this article was developed as an intervention model for families in extreme distress. The concept of families in extreme distress includes not only those families which have been widely regarded as multi-problem families for decades, but also those which may appear to be like any other middle class family. The dis- organization in family functioning that is created by an interaction of many problems results in a durable distress which is repeated throughout successive generations. The intervention design of this project was structured and short- term, and each family in the group met once a week in their own home for ten sessions with a therapeutic team composed of three workers. The target of the intervention was the functioning of the entire family as a unit; and goals included clarifying boundaries, strengthening roles, and developing a communication system. Analysis of the therapeutic sessions revealed several techniques which are useful for intervention with the FED population. The intervention process with these families should be multilevel and case management should not only include providing family therapy, but also advocating and mediating with various institutions in the community, as well as making connections for financial assistance.While some major policy changes may be required to meet the finan- cial and manpower needs involved in such a model, this demonstra- tion project indicates that investing the right resources is worthwhile for effecting change within the FED population.     

Norms of Filial Responsibility for Aging Parents Across Time and Generations

This investigation examined the normative expectation that adult children should be responsible for the care of their aging parents, and how this norm changes over the adult life span, across several decades of historical time, in relation to generational position in families, and between successive generations. Analyses were performed using 4 waves of data from the University of Southern California (USC) Longitudinal Study of Generations between 1985 and 2000. A multilevel latent growth model was estimated using 4,527 observations from 1,627 individuals nested within 333 families. Results revealed that filial norms weakened after midlife, in response to parental death, and over historical time, yet strengthened in later‐born generations. Findings are discussed in terms of the malleability of filial responsibility over the life course.     

Predictors of substance use and family therapy outcome among physically and sexually abused runaway adolescents

There is a dearth of research that examines the impact of family systems therapy on problems among sexually and/or physically abused youth. Given this void, differential outcome and predictors of substance use change were evaluated for abused, as compared with nonabused, runaway adolescents who were randomly assigned to family therapy or treatment as usual. Abused adolescents reported lower family cohesion at baseline, although both abused and nonabused adolescents showed similar substance use reductions. Utilizing hierarchical linear modeling, we found that substance use changed with change in cohesion over time. These findings link change in family functioning to change in adolescent substance use, supporting fiamily systems theory. Findings suggest that a potent target of intervention involves focus on increasing positive communication interactions.     

Birthday celebrations as a family homelessness intervention: a mixed-methods analysis

Families report that the experience of homelessness presents a significant barrier to family functioning and interrupts regular family routines. This study uses data from 22 homeless shelters in Massachusetts to examine the relationship between birthday parties for homeless children, family functioning, and parent well-being in homeless families. The study includes a sample of 255 residents across 20 homeless shelters in both urban and rural communities that received regular monthly birthday parties from a nonprofit agency. A small comparison sample of 25 residents came from two shelters that were not receiving birthday parties from the nonprofit agency. Data from 78 staff members working at all 22 shelters was collected on shelter environment and resident cohesion. Results indicated that residents in those shelters that received monthly birthday party celebrations for children had higher levels of happiness. Residents’ satisfaction with the birthday parties showed correlations between levels of hope, happiness, and parental empowerment. Shelter staff who reported higher levels of satisfaction with birthday parties also reported higher levels of resident cohesion. Results point toward the value of continuing regular family routines, such as annual birthday celebrations, to help mitigate the stressors and disruptions of homelessness on families.     

Towards a Multicultural Society: Family Therapy with Greek Families†

Language and cultural differences can pose barriers to effective intervention in migrant families in conflict. Family therapy approaches can provide some useful strategies for overcoming these obstacles. A family therapy approach can (1) emphasise the value of utilizing natural network support systems; (2) provide a model which helps clarify communication problems arising in the relay of information through a third person acting as an interpreter; (3) underline the importance of non-verbal and process aspects of family communication; (4) suggest techniques for negotiating, joining, and finding commonalities of family experience between a therapist and family of different ethnic background. The therapist needs to develop sensitivity to both the universal and specific ethno-cultural structures, norms and problems of families; when this sensitivity is achieved powerful and culturally syntonic healing forces can be released. Examples of successful family therapy interventions in some Greek families in conflict are given.     

An exploratory investigation of family functioning for child inpatients: Implications for practice

This paper presents the results of an empirical investigation of family functioning for a sample of child and adolescent psychiatric inpatients. The McMaster Family Assessment Device, completed by patients and other family members at the time of the child's admission, provides an assessment of family competence in six areas; problem solving, communication, roles, affective communication, affective involvement, and behavior control. Results indicate that families of child and adolescent inpatients experience significant problems across all dimensions of family functioning. Further, patients report that family problems are more severe than do other family members. Implications of the study findings for social work practice are discussed.     

The Single‐Parent Family and the Family Therapist: About Invitations and Positioning

Single parent families sometimes represent specific challenges to family therapists. In this article a dialogical frame with important concepts such as voice and positioning is proposed to reflect on family therapy practice. This frame is used to reflect on a common invitation in family therapy with single‐parent families: the invitation to take the place of the absent parent. A case of family therapy with a single‐parent family is presented in order to illustrate the importance of flexibility in the therapist's positioning and the way the therapist's experiencing can be used as an empathic bridge to create a dialogical space in which the important issues at stake can be addressed.     

Attachment,Affective Responsiveness,and Cohesion in Adoptive Families: Child and Parent Perspectives

Some adoptive families are at risk for problems in family functioning. This study investigated the extent to which attachment to parents and affective responsiveness of the family predicted family cohesion and satisfaction with the adoptive family from both the child's and the parent's perspectives. Using a sample of 50 adopted children and their parents, our findings indicated that attachment to mother was salient in predicting children's perceptions of family cohesion and satisfaction with their adoptive family. Parental ratings of affective responsiveness of the family predicted parents' evaluation of family cohesion and their satisfaction with the adoption. As hypothesized, children and parents differed in their ratings of the cohesion and affective responsiveness of their family, with children reporting lower levels of these constructs than parents. Implications for practitioners and directions for future research are discussed.