Negotiating Emotional Support: Sober Gay Latinos and Their Families

This study explores how sober gay Latino men obtain support from their families. Familial ties can be a protective health factor, yet many gay Latinos experience rejection from family members because of their sexuality. There are very few studies that examine the extent and quality of emotional support from kin for this population. Understanding family dynamics within the context of recovery and sexuality can increase our understanding of how to leverage family ties to develop alcohol abuse interventions. The study was conducted via semistructured interviews with 30 sober gay Latinos using a grounded theory approach. Analyses of the qualitative data identified the following themes: family values shaped the participants’ perception of their range of choices and emotional responses; participants reported feeling loved and supported even when sexuality was not discussed with parents; and family support for sobriety is essential. Findings suggest that familial ties shape perceptions of support and importance of disclosing sexual identity. Family support often results from agreements about sexual identity disclosure, and some families can overcome cultural and religious taboos on sexuality. Future studies should investigate families that negotiate acceptance with their gay members, and whether they exhibit heterosexual biases that may influence the psychological stress of gay Latino men who wish to be sober.     

HETEROGENOUS COUPLES IN HETEROSEXUAL MARRIAGES: GAY MEN AND STRAIGHT WOMEN*

This article, which is based on in-depth interviews of gay men who had been married, focuses on the nature of the spousal relationship and the almost inevitable marital disruption. It describes the conditions which bring about the man's disclosure of his homosexuality, the means of disclosure he uses, the wife's response, and the interactional effects the disclosure and response have on the marriage relationship. Most of the marriages ended in divorce. Regardless of whether the wife was accepting or rejecting of her husband as a homosexual, she appeared to be an enabler of his transition to a homosexual lifestyle. Implications for counseling are discussed.     

Changing methods of disclosure. Literature review of disclosure to children with terminal illnesses,including HIV

More than 30 years after the first discovery of the deadly HIV virus, and in the wake of increased knowledge of transmission, treatment and behavioral intervention development, parents are still faced with the difficult task of whether, when and how to inform their child about her or his HIV status. Except for some general ethical considerations, there are no national or international guidelines available for handling HIV status disclosure to a child by parents and health professionals. Most studies on disclosure address the problem of stigma and the barriers to disclosure of HIV-positive status by adults to their sexual partners, caretakers, families and communities, but very few studies focus on disclosure to HIV-positive children. The majority of the studies that address disclosure to children limit themselves to stipulating reasons for barriers to such disclosure instead of the skills and knowledge necessary for effective disclosure to a child. Increasing availability of therapy for HIV across the world presses the issue of disclosure to the child. Even so, disclosure for children who are HIV-positive due to vertical transmission continues to be very difficult. There is a lack of interventions that consider guidelines for healthcare professionals, parents or persons involved with taking care of HIV-positive children. These interventions should be designed in an understanding manner towards the culture where they might be implemented and be as appropriate in the view of integrating different family structures and the child's development.     

Cultural and religious influences in maternal response to intrafamilial child sexual abuse:charting new territory for research and treatment

The role of culture when providing services for families in the wake of child sexual abuse disclosure is a charged issue although surprisingly little attention has been given in the research literature to this. This article reports the findings of a grounded theory study exploring facets of maternal response, and aspects of more and less supportive responses, to children who were sexually abused by the mother's intimate partner. Ten mothers, chosen on the basis of theoretical sampling, provided information through in-depth interviews to understand how they responded emotionally and behaviourally to their child's disclosure. As well, three service providers were interviewed as key informants. The research revealed cultural and religious influences as affecting how mothers made meaning of the sexual abuse and the actions they took. Mothers from cultural backgrounds that adhere to rigid patriarchal norms identified themes of intense value conflicts regarding family preservation, loyalty binds between the perpetrating partner and child victim, and anxieties around being alienated from their extended family and ethnic community. They also reported that their cultural belief systems were not well understood by service providers. In parallel, helping professionals identified cultural issues as presenting barriers for engaging with some clients. Practice implications and research directions are discussed.     

‘Who is in Your Family?’ Italian Children with Non‐heterosexual Parents Talk about Growing Up in a Non‐conventional Household

The paper presents findings from explorative research conducted in Italy with seven 9‐ to 12‐year‐old children with non‐heterosexual parents. The aim was to find out how children describe their family structure, how they talk about their family with peers, and how they experience peers' attitudes towards non‐heterosexual families. Findings show that children have a flexible and inclusive representation of family and they disclose selectively with their peers who don't always consider homosexuality normal and homoparental families ‘real families’. The paper concludes by suggesting that institutional recognition for same‐sex parenting would support children in the everyday work of negotiating diversity.     

‘Somebody Else's Roadmap’: Lived Experience of Maudsley and Family‐based Therapy for Adolescent Anorexia Nervosa

The Maudsley and more recent family‐based therapy manualised approaches are positioned by some as the gold standard, evidence‐based therapy for adolescent anorexia nervosa (AN). However, a significant proportion of adolescents and their families either discontinue this therapy and/or find that it simply does not work for them. These adolescents and families are under‐represented in the literature on therapeutic interventions for adolescent AN. This paper begins to address this gap with an in‐depth qualitative case study that explores the lived experience of Maudsley family therapy (MFT)/family‐based therapy (FBT) for one female adolescent (age 14 years) and her family over the period of 3 years (ages 11–14). Although initially handing over the responsibility for her eating was comforting and reinstated a sense of control in the family system, these experiences were not maintained. When she did not progress past the first phase of FBT, she and her family experienced the approach as blaming. She felt silenced and family alliances were weakened. This paper analyses how the family members negotiated and preserved their identities within this disabling context.     

Like a Parent and a Friend,but Not the Father: A Qualitative Study of Stepfathers’ Experiences in the Stepfamily

Research about the experience and position of stepfathers in stepfamilies is scarce. Using data from semi‐structured interviews with eight stepfathers, we aim to explore how stepfathers experience family life and their relationships with their (step)children and extended family members (biological father and grandparents), as well as how they describe their position within the stepfamily. Interpretative phenomenological analysis revealed three main themes: most participants saw themselves ‘like a parent and a friend.’ While none of them considered themselves as ‘the father’ – this position being assigned to the biological father – they described acting like a parent or a father figure in their relationships with the children. Secondly, despite some difficulties in the initial stages of formation of their new families, most participants described a positive evolution over time and were satisfied with their current family situation. Thirdly, the stepfather's positioning towards non‐cohabiting family members such as the biological father and grandparents added complexity but was managed well. Research findings are discussed in light of the current family therapy literature on working with stepfamilies.     

Trying to Comfort the Parent: A Qualitative Study of Children Dealing With Parental Depression

In this article, we look at children’s experiences of parentification in families in which one of the parents is hospitalized for depression. Children (7–14 years old) and their parents were invited for a family interview. Using thematic analysis, we constructed a general framework of 14 children’s experiences, guided by the explorative research question: How do children experience parental depression and how do they experience their own caregiving in the family? The thematic analysis revealed eight themes. One of these themes (trying to comfort the parent) was selected for a microanalysis in one family interview. Our study illustrates the process of overt negotiating of caretaking between parent and child with an underlying moral dilemma and related emotions. The dynamic of children hiding their worry can be seen as an answer to the parent’s expressed wish to not burden her children. These dynamics are situated in ongoing debates in family therapy literature, and some suggestions for therapeutic practice are formulated.     

Families in the Time of the Pandemic: Breakdown or Breakthrough?

The COVID‐19 pandemic has taken a toll on all individuals and their families around the world. Some suffer more adversely than others depending on their unique developmental needs, resources, and resilience. However, instead of breaking down, many families and therapists have hunkered down to cope with this ‘wicked’ situation as it continues to evolve. This article examines the unique challenges and opportunities of COVID‐19 for families at different life developmental stages, as well as the challenges and opportunities for systemic therapists as they venture into unfamiliar territory. Through a case example and by integrating recent literature related to this pandemic, we apply three key and interconnected systemic themes (unsafe uncertainty, family life cycle, and social diversity) to discuss the challenges and opportunities for families and therapists, respectively. We are optimistic that there are many possibilities as families and therapists draw on, and often reinvent, currently available resources to navigate their course in this pandemic. We also find that while the pandemic continues to present unsafe and uncertain situations, there are new ways of being and behaving, especially when families and professionals work together collaboratively. Despite formidable challenges, there are many opportunities, both within families and communities that cut through different social contexts related to family, culture, economics, and even politics. Families and therapists could endure better when they are more cognisant of how and what these contexts may impact and offer them.     

Therapeutic Musings: The Models Which Contribute to My Practice

The author attempts to discern themes underlying his clinical practice. Although his approach is somewhat behaviourist in orientation, it is hoped that the 12 themes (or organising principles) can be compared and contrasted with those arising from other approaches to child, adolescent, and family work. The author invites readers to analyse the way they have pieced together a composite approach from a range of sources.     

Transgression narratives,dialogic voicing,and cultural change1

The narrative discursively analyzed in this paper is taken from a larger study involving life history interviews with Latina/o immigrants in California. It exemplifies a type of narrative among these interviews in which tellers recount how they or their family members have broken with cultural expectations. In this story, the teller, a Nicaraguan woman, recounts how her uncle violated traditional values in her family by enlisting in the Sandinista army during wartime. Despite discursively distancing herself from this transgression, she ends by evaluating the transgressor and his recent accomplishments positively. Through an analysis of the appraisal strategies and interdiscursivity within this narrative, the paper contends that the narrators of such stories can go beyond managing deviations to dialogically position themselves among competing ‘social and historical voices’( Bakhtin 1981 ). Thus, the paper contends that transgression narratives represent the tellers’ efforts to come to terms with cultural changes in their communities.     

To tell or not to tell: the impact of disclosure on sexual assault survivors' recovery

There is a growing body of research examining the disclosure of sexual assault. But the focus on time to first disclosure does not capture the whole picture. Survivors also differ in how long they continue to disclose, to whom they disclose, and the types of reactions received during disclosure. To provide a more comprehensive view of disclosure, this study sought to identify patterns of disclosure among a sample of 103 female sexual assault survivors recruited from the community. This study also sought to identify characteristics of each disclosure pattern, differences in how each disclosure pattern tends to unfold (e.g., who is told and how they react), and differences in how these disclosure patterns are related to physical and mental health outcomes. Results revealed four distinct disclosure patterns: nondisclosers, slow starters, crisis disclosers, and ongoing disclosers. Assault characteristics and rape acknowledgment distinguished nondisclosers and slow starters from the other two disclosure groups. Slow starters were also less likely to disclose to police and medical personnel and received negative reactions less frequently while nondisclosers experienced more symptoms of depression and posttraumatic stress than other groups. Implications of these findings for future research and practice are discussed.     

A Family Matter

Abstract

The 2004 debate over civil marriage for same-gender couples highlights issues faced by mixed-orientation couples after one of the spouses comes out as gay, lesbian, or bisexual. The disclosure becomes a family matter as their spouses and children cope with the new information and antigay attitudes. The majority of couples divorce. A minority stays married for three years or more by developing strategies that enhance the relationship, offset outside pressures, and sustain the family circle. Peers provide the most support, while therapists are often unfamiliar with sexual orientation, mixed orientation couples, or societal attitudes that impact families with a gay, lesbian, or bisexual parent. This article provides that information so that professionals can help these couples improve the quality of their lives and develop skills to create a future in which homosexuality, same-gender relationships, and gay parenting are more widely accepted and legalized. This development would decrease the number of mixed-orientation marriages with closeted spouses and increase the potential for both types of families to form lasting marriages and strong family units.     

Gay and Bisexual Married Men's Attitudes and Experiences

Abstract

In this study, 20 gay or bisexual men's experiences of coming out to wives were explored. Specifically, their attitudes and behaviors before, during, and after marriage were examined. Findings were provided about upbringing, reasons for entering marriage, and the coming out process. Through semi-structured interviews information was obtained about the factors which led up to the revelation of homosexuality or bisexuality and about how these men experienced their relationships with their wives and family after coming out. The interviews revealed the fears which prevented these men from coming out earlier in their lives. The most common reason for entering marriage was due to social and family pressure and because of the desire to have a normal, healthy life. Attitudes toward gays and lesbians were negative before marriage and worsened following disclosure.     

The family exclusion order as a harm-minimisation measure for casino gambling: the case of Singapore

Singapore is one of the first jurisdictions in the world that has implemented a harm minimization model based on third party exclusion known as the Family Exclusion Order (FEO). Unlike other forms of third party exclusion practiced in other countries, family members in Singapore are able to apply for FEOs to prevent a gambler from entering the casinos, if the family has experienced harm caused by his/her gambling. In this study, 105 applicants for the FEO were sampled from all successful FEOs granted within a five-year period. Using a qualitative approach, this study attempts to illuminate the intricate issues experienced by family members that provided the impetus for them to apply for the FEO. While the extant literature posits self-exclusion as a superior tool of restraint as it involves the gambler’s personal motivation to curb gambling, this paper reports initial evidence of benefits resulting from family-imposed restraints from the perspective of family members. In particular, positive ratings of the FEO stemmed from a sense of relief experienced by mother and wife applicants. Possible reasons behind these positive outcomes are explicated using intrinsic motivation theory, with sensitivity to gender relations within the family.     

The Making of a President: How Presidential Candidates Become Who They Are in Biographical Campaign Materials

This article examines how presidential campaigns claim that candidates became who they are by looking at biographical campaign materials through the lens of biographical reasoning. Biographical reasoning is the process of connecting the experiences in someone’s life to his or her identity, often by treating those experiences as either a cause or an illustration of characteristics. An analysis of biographical reasoning in presidential campaign materials from 1952 to 2016 reveals three key themes in how campaigns portray candidates’ development: (a) Early in life, candidates mostly acquire, rather than illustrate, positive characteristics; (b) candidates mostly improve as people without major characterological setbacks, going from good to better; and (c) candidates benefit very little from economic advantages. The consistency of these themes suggests that the conventions of biographical campaign materials include specific assumptions about how presidents should become who they are, some of which help campaigns connect candidates to important American myths.     

Reclaiming the Mother-daughter Relationship after Sexual Abuse

This paper seeks to provide direction to therapists working with mothers and daughters after a disclosure of father-daughter sexual abuse. The importance of the mother's belief in and support for the child's recovery is highlighted, as are some of the cultural assumptions about mothers and daughters which negatively impact on the relationship. Despite paying lip service to offender responsibility, there continues to be a culture of mother blaming in the child sexual abuse and family therapy literature on incest. Current research findings challenge some of the prevalent myths about mothers’ responses to their children's disclosures. Few clinical sources have addressed this issue, and therapists who reject the mother blaming literature are therefore left with little guidance as to how to work more effectively with mothers and daughters. Consequently they may unwittingly further undermine the relationship. Work with mothers and daughters as they recover from intrafamilial sexual abuse is discussed, and key therapeutic themes and guidelines for practice presented. We explore the significant theme of the rebuilding of trust between mothers and daughters and facilitate a process whereby the woman is able to bear witness to and acknowledge the trauma experienced by her daughter.     

THE ROLE OF TIME FRAME IN THE ASSESSMENT OF FAMILY FUNCTIONING

The purpose of this study was to evaluate how the stated time frame of family questionnaires can influence the individual's report of family events and relationships. Three whole-family assessment procedures were administered to a large sample of intact families under two conditions—when the respondent was asked to describe his/her family "in general" and "during the past week". Major findings indicated that (a) reports of family relationships reflected the same overall evaluation regardless of time frame, (b) the number or degree of positive endorsements was greater on the "in general" than the "past week" format, and (c) the impact of time frame varied greatly as a function of instrument. Explanations and implications of these findings are discussed.     

Foster parent perceptions of placement breakdown

The purpose of the study was to describe the perceived causes of placement breakdown by foster parents. Sixty-three foster parents from fifty families were asked to describe their challenges in response to the following question: “What would make you consider ending a foster placement”? The responses to this question were analyzed using multidimensional scaling and cluster analysis, to yield nine themes. Foster parents indicated that they would consider ending a placement if there was a danger to their family, if the child could not adapt to the home or if they could not handle the child's behavior. Participants reported that the complex health needs of a foster child, problems dealing with the foster agency, and several unsuccessful attempts to make the placement work would cause a placement to breakdown. Foster parents also indicated that they would consider ending a placement if their personal circumstances changed, their own health deteriorated, or there was a lack of appropriate external support in place. The results of the study point to gaps in the research on violence in general foster care, foster parent perceptions of contributions to a foster child's transition back to his or her birth family, and the process of foster parent decision-making in cases of placement breakdown.