Models of Family Structure and Functioning

Professional change-agents who are concerned with modifying individual behaviour are increasingly aware of the impact of the family in inducing and maintaining personality disorders. As far as the individual's mental health is concerned, the family is the critical social context which fosters personal growth or produces disturbed behaviour. Consequently, professional attention is moving from the study and treatment of individuals in isolation to a new emphasis on work with whole families.     

Family Functioning and Adolescent Career Development

Family systems propositions as applied to career development theory were tested in a cross-sectional survey examining the relationship between family members' perceptions of family functioning and adolescent career development measures. Results of the analysis showed that family functioning dimensions as evaluated by 11th-grade students and their parents were more frequent and stronger predictors of career development than gender, socioeconomic status, and educational achievement.     

Improving Functioning of the Remarried Family System

This report presents salient issues for therapists in understanding and treating the remarried (Rem, second, blended, reconstituted or step) family. The structure of the remarried family is differentiated from that of the intact family. Specific treatment goals for Rem families are elaborated and various treatment modalities advocated. The need to include former spouses and to consider the meta family system are discussed. Common reactions and difficulties engendered in therapists when working with Rem systems are explicated.     

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.     

The Impact of Socio-economic Status and Mobility on Perceived Family Functioning

Perceptions of current family functioning in relation to current household income level, educational status, social-class at birth and social mobility over the lifecourse were investigated in a group of 483 individuals at age 50. Subjective report of family functioning was assessed using the McMaster Family Assessment Device (FAD) with socio-economic information obtained from a self-report Health and Lifestyle Questionnaire. Results indicated significant relationships between household income, social mobility and FAD scores for men but not for women in this sample. For men, lower current income and downward social mobility over the lifecourse were associated with a more negative perception of family functioning. Further research is required to understand the gender differences observed and delineate cause versus effect mechanisms.     

Family Functioning as a Measure of Success in Intensive Family Preservation Services

ABSTRACT

An experimental research design was employed in evaluating intensive family preservation services to reunify families after out-of-home placement. There was a significant difference between the treatment group and control group in terms of family reunification, but there were mixed findings with regard to the difference between the two groups on measures of family functioning. Although more treatment parents than control parents felt their families were functioning better, there was no difference between scores for the two groups of parents on normed instruments designed to measure family functioning. The author describes the measures of family functioning employed in the evaluation and discusses the confusing findings along with implications for program evaluation.     

Family Functioning and Depression in Low-Income Latino Couples

Although extensive research has found a strong relationship between poor family functioning and depression, previous research has not examined this relationship among low-income Latinos. In this study, we examined how family functioning may be associated with depression in a sample of low-income Latino couples. In addition, we examined how acculturative stress moderates the relationship between family functioning and depression. Our results indicate that the relationship between family functioning and depression is stronger in women and that acculturative stress moderates this relationship in women. Probing this interaction indicates that women who reported high acculturative stress coupled with poor family functioning experienced more depression. Clinical implications 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.     

Interparental Agreement on Family Functioning Within Chinese Families

Although many studies have investigated the concordance of parent and adolescent perspectives on family functioning, little research has been conducted on concordance between parents’ perspectives. In this study the authors investigated this issue in China. Each parent of 729 children attending elementary schools in Chengdu, the capital of Sichuan province, completed a set of questionnaires including a version of the Chinese Family Assessment Instrument (C-FAI). Mother and father concordance was medium to strong for four of the five C-FAI subscales, suggesting that parents were generally in agreement with each other in their perceptions of family functioning. However, mothers reported significantly more family conflict than fathers when their child was a girl, and fathers reported significantly more control problems than mothers when the child was a boy. The findings are discussed in relation to the limitations of the study and the need for future research.     

The Effects on Family Members and Functioning AFter the Death of a Pet

A pet's death can precipitate a grief as intense as that precipitated after the loss of a human. Because the pet is considered a family member, its death disrupts the lives of family members and family functioning. This article describes the family disruption that results from feelings of loss in four specific areas. It also discusses how a pet's death can lead to disorganization of family functioning. The nature and extent of family members' grief responses to pet death are described. Because of these losses, and the disruption and nature of the grief response, the need for counseling is established.     

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.     

Boundaries and the Functioning of Family and Business Systems

The purposes of the present study were to: (1) examine connections between performance success and the boundaries between families and the businesses they own and (2) explore whether boundary-performance links were mediated by satisfaction. Tests of the mediation hypothesis revealed that family satisfaction partially mediated connections between boundaries and family functioning. Business satisfaction fully mediated connections between boundary characteristics and business strengths, but did not mediate the relationship between boundary characteristics and cash flow problems. Although previous literature suggests that permeable boundaries (i.e. enmeshment) are especially problematic for family firms, this appears to be only partially true.     

Family Functioning and Predictors of Runaway Behavior Among At-Risk Youth

Adolescent runaway behavior is associated with a host of negative outcomes in young adulthood. Therefore, it is important to understand the factors that predict running away in youth. Longitudinal data from 111 at-risk families were used to identify proximal predictors of runaway behavior over a 12-week period. On average, youth were 14.96 years old, and 45 % were female. Ten percent of youth ran away during the 12-week follow-up period. In bivariate analyses, running away was predicted by poorer youth- and parent-rated family functioning, past runaway behavior, and other problem behaviors (e.g., substance use, delinquency), but not poorer perceived academic functioning. Results of a hierarchical logistic regression revealed a relationship between youth-rated family functioning and runaway behavior. However, this effect became non-significant after accounting for past runaway behavior and other problem behaviors, both of which remained significant predictors in the multivariable model. These findings suggest that youth who run away may be engaged in a more pervasive pattern of problematic behavior, and that screening and prevention programs need to address the cycle of adolescent defiant behavior associated with running away. Recommendations for clinical practice with this at-risk population are discussed.     

Perceived Family Functioning and Family Resources of Hong Kong Families: Implications for Social Work Practice

This article reports the results of a telephone survey (n = 1,015 respondents) that aims to identify the perceived general family functioning and family resources of Hong Kong Chinese families and their linkage to each other in a rapidly transforming society. The perceived general family functioning of the respondents was average, and the five types of family resources—time, income, human capital, psychological capital, and social capital—of the respondents ranged from average to good. The following family resource domains, in descending order, have accounted for significant variance in perceived general family functioning: income, time spent with family, stress coping efficacy, religion, and satisfaction with the living environment. Our findings provide empirical support for policy formulation and social work practice.     

The Impact of Family Functioning on Caregiver Burden among Caregivers of Veterans with Congestive Heart Failure

A cross-sectional study of 76 family caregivers of older veterans with congestive heart failure utilized the McMaster model of family functioning to examine the impact of family functioning variables (problem solving, communication, roles, affective responsiveness, and affective involvement) on caregiver burden dimensions (relationship burden, objective burden, stress burden, and uplifts). Regression analyses indicated that the five dimensions of family functioning were significantly related (p < 0.01) to relationship burden (R ² = .27) and uplifts (R ² = .29). More specifically, increased relationship burden was associated with problems in family roles, and increased uplifts was related to higher levels of affective responsiveness.     

Multi-Systemic Influences on the Family Functioning of Teens Attending Pregnancy Prevention Programs

This exploratory study used Bronfenbrenner's (1979) multi-systemic framework to determine the factors predicting scores on the McMaster Family Assessment Device (FAD) with a sample of low SES and culturally diverse (White non-Hispanic, African-American, and Hispanic) teenagers attending both primary and secondary pregnancy prevention programs. Factors studied at the individual (micro) level involved the adolescent's pregnancy status; at the level of the immediate social environment (meso), family structure was assessed, and SES and race were studied as broader social environment influences (macro). Overall, scores on the FAD were high, indicating unhealthy functioning according to teen self-reports. Support was indicated for the Bronfenbrenner model with all three systems levels exerting an influence on family functioning. Adolescents who had grown up in homes without their parents seemed most at risk for perceptions of poor family functioning although racial differences were found. Overall, minority teens rated their families as higher functioning. Pregnancy and parenting as a teenager also appeared to put a strain on family functioning. Implications for service delivery are discussed.     

The Relationship Between Nonsuicidal Self‐Injury and Family Functioning: Adolescent and Parent Perspectives

We explored parent and adolescent reports of family functioning, how this differed if the parent was aware that their child self‐injured, and how parental awareness of self‐injury was related to self‐injury frequency, self‐injury severity, and help seeking. Participants were 117 parent–adolescent dyads, in 23 of which the adolescent self‐injured. Adolescents who self‐injured reported poorer family functioning than their parents, but parents who did not know about their child's self‐injury reported similar functioning to parents whose children did not self‐injure. Parents were more likely to know that their child self‐injured when the behavior was severe and frequent. Help‐seeking was more likely when parents knew about self‐injury. Family‐based interventions which emphasize perspective‐taking could be used to effectively treat self‐injury.     

Family Functioning and Mental Health of Transgender and Gender-Nonconforming Youth in the Trans Teen and Family Narratives Project

Transgender and gender-nonconforming (TGN) youth are at increased risk for adverse mental health outcomes, but better family functioning may be protective. This study describes TGN youth’s mental health and associations with family functioning in a community-based sample. Participants were from 33 families (96 family members) and included 33 TGN youth, ages 13 to 17 years; 48 cisgender (non-transgender) caregivers; and 15 cisgender siblings. Participants completed a survey with measures of family functioning (family communication, family satisfaction) and mental health of TGN youth (suicidality, self-harm, depression, anxiety, self-esteem, resilience). TGN youth reported a high risk of mental health concerns: suicidality (15% to 30%), self-harm (49%), clinically significant depressive symptoms (61%); and moderate self-esteem (M = 27.55, SD = 7.15) and resiliency (M = 3.67, SD = 0.53). In adjusted models, better family functioning from the TGN youth’s perspective was associated with better mental health outcomes among TGN youth (β ranged from ?0.40 to ?0.65 for self-harm, depressive symptoms, and anxious symptoms, and 0.58 to 0.70 for self-esteem and resiliency). Findings from this study highlight the importance of considering TGN youth’s perspectives on the family to inform interventions to improve family functioning in families with TGN youth.     

Goal Direction and Effectiveness, Emotional Maturity, and Nuclear Family Functioning

Differentiation of self, a cornerstone concept in Bowen theory, has a profound influence over time on the functioning of the individual and his or her family unit. This 5-year longitudinal study tested this hypothesis with 50 developing nuclear families. The dimensions of differentiation of self that were examined were goal direction and effectiveness and emotional maturity. A qualitative analysis of participants' goals demonstrated that couples with higher functioning developing nuclear families, when compared with couples with lower functioning families, placed more emphasis on family goals, had more balance between family and personal goals, and pursued more goals over the 5 years. The quantitative analysis supported the hypothesis that goal effectiveness and emotional maturity influenced variation in nuclear family functioning. In addition, couple goal effectiveness and emotional maturity were associated with nuclear family functioning more strongly than individual goal effectiveness and emotional maturity were associated with individual functioning.     

A Systems Model of Family for Family Therapists*

A family model that provides a classification system for family therapists is presented, based on an integration of family systems research in healthy and disturbed families and clinical data. The model provides tools for cross-sectional, process-oriented family assessment derived from consideration of family competence in task performance and family operating style. Seven family types result-optimal, adequate, midrange centripetal, midrange centrifugal, midrange mixed, severely dysfunctional centripetal and severely dysfunctional centrifugal. Identifying characteristics of each type are provided, and intervention strategies and approaches are discussed that follow logically from the assessment.