THE EFFECTIVENESS OF PSYCHOEDUCATIONAL FAMILY THERAPY IN THE TREATMENT OF SCHIZOPHRENIC DISORDERS

A review of the literature on family psychoeducational interventions in schizophrenic disorders revealed two generations of studies. The first generation compared the clinical efficacy of psychoeducational family treatments and medication to medication only or routine care. A second generation of studies used more complex experimental designs that often narrowed the differences between the experimental treatment and comparison conditions. The results of the first generation of studies are unequivocal in demonstrating the superiority of family intervention plus medication over medication alone in delaying psychotic relapses. The second-generation studies had more equivocal results; they suggest that the efficacy of family intervention as an adjunct to medication in schizophrenia is in part a function of the type and format of the intervention being delivered, the treatment setting, and other variables.     

Family Therapy for Child and Youth Mental Health: A Scoping Literature Review

Early intervention in childhood years is an important part of successful therapies for children and adolescents living with or at risk of mental illness. Family therapy acknowledges the role of family relationships, interactions, and family systems in child and youth mental health. To explore the effectiveness and delivery of family therapy in order to inform current family therapy practice in Australian public mental health services, a scoping literature review mapped key concepts of the past 11 years of family therapy research. Current gaps were noted within the following key concepts: family therapy settings and definitions, the influence of family factors on outcomes, transparency of intervention methods, and the training of family therapists. Further research could be undertaken to address current gaps in the literature, specifically: assessment and intervention processes; typical length of time for a series of family sessions; frequency of sessions; and theoretical foundations linked with most effective outcomes, as identified by clinicians, children, and their families. This research would provide a better understanding of best practice and evidence‐based family therapy practices that work for children and their families to inform family therapy practice in Australia and beyond. This scoping literature review identified that there is a noteworthy variation in the way brief family therapy is provided, both in terms of the duration and frequency of sessions, as well as the theoretical underpinnings employed. Further research is warranted to explore different service contexts and brief versions of family therapy delivery and the outcomes for the children and their families.     

Experiences of vulnerability due to loss of support by aged parents of emigrated children: a hermeneutic literature review

ABSTRACT

In disrupted families due to migration individual members support each other through transnational care. The care is often reciprocal as the members who are left behind support the members who emigrated and in return receive care from the emigrated family members. Aged parents who get left behind, however, often become vulnerable. The hermeneutic literature review shows that social, psychological or emotional and economic vulnerability are experienced. They have to deal with cultural challenges as their children form part of a new culture in their receiving country. Strong feelings of loss, helplessness and loneliness are experienced. The emigration of their children may also contribute to the financial vulnerability of the elderly.     

Sibling Relationships and Influences in Childhood and Adolescence

The authors review the literature on sibling relationships in childhood and adolescence, starting by tracing themes from foundational research and theory and then focusing on empirical research during the past 2 decades. This literature documents siblings' centrality in family life, sources of variation in sibling relationship qualities, and the significance of siblings for child and adolescent development and adjustment. Sibling influences emerge not only in the context of siblings' frequent and often emotionally intense interactions but also by virtue of siblings' role in larger family system dynamics. Although siblings are building blocks of family structure and key players in family dynamics, their role has been relatively neglected by family scholars and by those who study close relationships. Incorporating study of siblings into family research provides novel insights into the operation of families as social and socializing systems.     

Diversity in Canada: Predictors of the perceptions of social interactions

ABSTRACT

Language is an important characteristic of culture. Importantly, with the ever-present migration of persons across countries and cultures, physical boundaries of language have been blurred creating a robust area of study: language brokering in the context of globalization. Migration and immigration often necessitate the learning of a new language and in immigrant families, open an opportunity for language skill differences and language brokering. Language brokering is a process by which a bilingual individual, often the children of immigrants, assists in communication between two parties speaking distinct languages. This common practice has generated an increased focus and body of research on the current and aftereffects of language brokering on individuals who broker. The present article provides a brief review of the literature on language brokering including identified antecedents and select outcomes such as family, academic, and psychological outcomes. Overall, the literature shows the associations among language brokering, the contexts in which it may occur, and the outcomes (family, academic, and psychological) for language brokers remain less than clearly understood, although inroads are being made as researchers delve more deeply into specific areas such as parentification, age, child development, and family dynamics.     

Child development in foster family care – what really counts?

Previous research has demonstrated that children who grow up in foster family care – along with other child welfare recipients – manage less well in adulthood compared to those children who do not. Given this challenge, this integrative literature review locates the critical factors that either positively or negatively affect a child’s development in foster family care. The articles were analysed using theory-driven content classification in relation to Bronfenbrenner’s bioecological framework on child development. The results of the review suggest that there is a wide range of factors that could impact on a child’s development in foster family care. Child­related factors such as the child’s age, gender, behavioural or mental health problems, etc. were mentioned most often in the data. Micro­environmental factors are also essential to a child’s development. Linkages taking place between two or more of the child’s circumstances, such as the relationship between the child’s birth and foster families and between the foster family and the social worker, were also identified as being influential. Service usage and political and legislative factors, as well as attitudes towards children in care, were also indicated to be strongly influential. It is suggested that the factors identified in this review should be carefully considered as important aspects of care for fostered children and care documentation.     

Measures for Studying Poverty in Family and Child Research

Most family scholars take the concept of poverty for granted. The variety of ways people have chosen to define and measure this concept, however, often makes it difficult to interpret or compare research results. We review and critique the ways that poverty has been measured in the family and child literatures as well as the measures that have been used to help understand variations in adaptation among those in poverty. In addition to reviewing more common measures, we include discussions of two new measures that have the potential to contribute to the literature on poverty: basic family budgets and social exclusion.     

A literature review of overnight work travel within individual,family and social contexts

ABSTRACT

This paper presents results of a comprehensive literature review of empirical studies investigating travel for work and how it relates to individual lives. The paper presents information on how work travel has been operationalized in the literature. The paper describes findings concerning how feelings about travel, individual well-being, the work/family interface, family relationships and social connections have been found to be affected by work travel. The empirical articles on workers who travel have been conducted in multiple countries and via diverse methodologies, which provides richness to the findings. The lack of uniformity in how work travel has been operationalized presents challenges for drawing conclusions about the effects of work travel. Recommendations concerning how to move the field forward are presented, including uniting the employment-related literature with the family literature to provide more holistic and useful implications for the study of work travel.     

Family involvement in adolescent substance abuse treatment and recovery: What do we know? What lies ahead?

Families represent the most important resources that young people have in their journey through treatment toward recovery. Unfortunately, family members are often seen as part of the problem and not as part of the solution to adolescent alcohol and other drug (AOD) treatment and recovery. This attitude and misperception can be changed through education, outreach, and engagement of family members. Family involvement and creating a parent-professional collaborative partnership is a step toward improving the outcomes for adolescents in need of treatment and recovery. It is crucial that families understand the treatment process, as well as the hope, process, and reality of recovery. Without information families may not understand the importance of a treatment and recovery plan for their adolescent, the potential adverse consequences, and the impact of these AOD problems on other family members. Families need to learn the continuum of services and supports available, and how family participation improves treatment outcomes and strengthens the recovery process. Family involvement should be an essential part of intake, treatment, and recovery planning, as well as the foundation for effective parent–professional partnerships.     

BATTERING AND COUPLES THERAPY: UNIVERSAL SCREENING AND SELECTION OF TREATMENT MODALITY

As family therapists begin to experiment with couples treatment models for batterers and their partners, a basic question is: Which couples can be safely treated with conjoint therapy? Following a definition of battering and a review of rationales for considering couples therapy in cases of domestic violence, a framework for assessment of domestic violence is outlined, including sample questions, criteria for excluding couples from conjoint therapy, how to conduct a lethality assessment, and how to conceptualize postassessment treatment recommendations. This article also introduces family and couples therapists to domestic violence literature that is often not well integrated in family therapy theory and practice.     

Characterizing the systems of support for families of children with disabilities: A review of the literature

ABSTRACT

During early childhood, children require major support that is tailored toward their specific needs. For children with disabilities, families play a crucial part in providing the needed services. However, families often lack the knowledge, resources, and skills that would help them in overcoming challenges that arise while raising a child with disability. Although much research has focused on defining the needs of families with children with disabilities and the impact of disability on the family system, many questions remain. A comprehensive perspective is needed to identify the types of support families provide to the child with a disability, the impact of providing that support on family members, the support systems that are available to families, and the impact of support on society. This review consolidates the empirical research to date on family support during early childhood and outlines areas of research that need further exploration.     

Prevention of Child Sexual Abuse within the Family System: Guidelines for an Educational Social Group Work Program

Children have the right to be brought up in safe environments. However, this right is often infringed by people who are supposed to provide love, care, and protection to children. These people can include biological fathers, step-fathers, brothers, cousins, aunts, mothers, and uncles. Violation of children takes place in a variety of ways, however, for the purpose of this paper, the focus is on child sexual abuse within the family system. A literature review is adopted as the methodology for the discussions in this paper. The purpose of this paper is firstly to demonstrate that child sexual abuse happens within the family system in South Africa, and secondly, to argue that the prevention of child sexual abuse should start within the family system and this can be achieved by conducting educational social group work sessions on child sexual abuse with the family members.     

Fathers at Work: A Ghost in the Organizational Machine

This article first provides a review of fatherhood in the gender and organization literature on work and family, and the body and (in)visibility. It observes how organizational assumptions which frame fathers as breadwinners, ignoring their paternal role, remain extraordinarily persistent because policies (no matter how long established) do not necessarily change social attitudes and behaviours. The article then draws upon original qualitative data to demonstrate how while male workers may feel valued as employees, they often feel invisible at work in their paternal role. Fathers perceive that, while family‐friendly policies might in theory be available to ‘parents’ these are in practice targeted at working mothers. The article considers why working men's paternity is so often ignored, as though fathers are a ghost in the organizational machine. A recommendation for the establishment of a fatherhood and motherhood passport is made.     

Family support: A review of the literature on families of adolescents with disabilities

ABSTRACT

For all youth, adolescence is a time of great change, marked by multiple transitions. For those with disabilities, these transitions can be especially challenging for the youth and their families. Although families of adolescents with disabilities often require support, it is unclear what types of assistance are most helpful. To understand the responsibilities of and, correspondingly, supports needed for parents and siblings, the authors conducted a comprehensive literature review. Specifically, the authors examined the literature to identify the supports that families provide to their adolescent relatives with disabilities, the impacts of caring for an adolescent relative with a disability, and the assistance that families receive. The authors conclude by discussing implications for future research about family support.     

Family support in late life: A review of the literature on aging,disability, and family caregiving

ABSTRACT

For older adults and people with disabilities in the United States, family caregiving is an important part of remaining at home and in the community. As care recipients and caregivers age, family dynamics change, and the health, social, and financial impacts of this (largely unremunerated) work have implications for individuals, families, and social policy. In this review, the authors map the literature across multiple fields related to disability and aging to understand caregiving in late life, what it means to be an older caregiver and/or to care for older people. The authors summarize the findings of 97 articles to address the care, services, and supports family caregivers provide for older adults; negative and positive impacts for caregivers serving in this role; supports that family members use or need; and societal impact of family caregiving. Much of the literature describes the work family caregivers provide and negative impacts of caregiving. Less attention is devoted to caregiving benefits, supports used by family caregivers, and societal impacts. The authors conclude with an agenda for future research that attends to the need for research that includes: more diverse samples, new types of caregivers, longitudinal data, qualitative data and analysis, and comparative research.     

The nutritional pattern of frailty – Proceedings from the 5th Italian Congress of Endocrinology of Aging,Parma, Italy, 27–28 March 2009

Frailty has become one of the ‘hot spots’ in geriatric research. Frailty has multifactorial origin, and is regarded as a fundamental risk factor for deteriorating health status and disability in elderly people and is highly prevalent in the population above the age 65. It is estimates that prevalence rates up to 27% and pre-frailty rates up to 50% qualify for the term “epidemic”. Although the role of nutritional deficiency in the development of age-related frailty was suggested long ago, research conducted in this area is relatively recent. The critical role of micronutrients in this context suggests the need to improve the quality of food eaten by elderly people whereas quantity of food appears to be less relevant. This review summarizes the recent literature on the nutritional pathways to frailty with particular focus on the effect of energy, protein and micronutrients.     

Family Influences on Adolescent Gambling Behavior: A Review of the Literature

Gambling, and gambling related problems, are recognized as an emerging health issue among adolescents. Adolescent gambling is associated with numerous individual, social, and family characteristics. This paper provides a review of 21 empirical studies published between 1997 and 2008 that examine family influences on adolescent gambling behavior. Family influences on gambling behavior are conceptualized in the following five domains: (1) family sociodemographic factors, (2) general family climate, (3) family members’ attitudes and behaviors, (4) parenting practices, and (5) family relationship characteristics. Based on the review of extant literature, there is empirical evidence that family characteristics are associated with adolescent gambling and further examination of family system influences on gambling behavior is needed. Gaps in the current literature and recommendations for future research are discussed to help inform the study of family influences on adolescent gambling behavior.     

ETHICAL DILEMMAS IN FAMILY THERAPY

A review of the literature in the area of ethical dilemmas facing family therapists revealed that there were a number of issues facing family therapists which are not included in the Principles for Family Therapists (1984) of the American Association for Marriage and Family Therapy. Seventy-five family therapists from across the nation responded to a questionnaire which asked what ethical dilemmas they face and how helpful the ethical guidelines are with these dilemmas. Results indicate that family therapists are encountering dilemmas which are not included in the Principles, significantly more often than those that are included. The ethical principles were found to be helpful for those ethical dilemmas attended to by the Principles.     

A Literature Review of Cultural Stereotypes Associated with Motherhood and Fatherhood

In many societies, the iconic image of the family is that of a White, American middle-class, first-marriage nuclear family with two heterosexual parents and biological children. Research, however, has often neglected the complexity that exists within specific populations, particularly the impact of racial and ethnic diversity. The current review explores how motherhood and fatherhood, outside of the dominant North American cultural discourse, have been stereotyped in the research literature over the past decade. While results show few singularities in studies relating to fatherhood stereotypes, singularities in the findings associated with motherhood stereotypes are more abundant.