Living and loving with dementia: Negotiating spousal and caregiver identity through narrative

In this paper, we examine how Alzheimer's disease and related disorders (ADRD) affect caregivers' perceptions of change in the identity of their afflicted spouse and the ways in which accompanying changes in caregiver identity influence intimate relations. We also explore how gender shapes the ADRD caregiving experience among married couples, specifically, the extent to which intimate relations are also gendered relations. The study group was comprised of spousal caregivers recruited from support groups in the two Midwestern states and from the Alzheimer's Disease Center (ADC) at a large Midwestern university hospital. In-depth interviews were conducted with 13 men and 15 women whose spouses had ADRD. The intensive interviews confirmed that identity change on the part of sick spouses had important implications for intimacy, although not always in adverse ways. The majority of caregiver husbands and wives reported diminished intimacy as a result of the ADRD. Many men and women believed they would retain feelings of closeness to their afflicted spouses as long as they were alive. Wives were more likely than husbands to report that changes in their spouses' identity altered how they identified themselves within their marriage. This has important implications for intimate relations between people with ADRD and those who care for them. Our findings suggest that caregiving and intimacy are very different experiences for men and women, and point to the need for caregiver education and support.     

Spouse support and the retention intentions of air force members: A basis for program development

Drawing upon a probability sample of 700 couples (1,400 spouses) in the U.S. Air Force, the present study examines the direct and indirect impacts of spouse support on the retention intentions of enlisted men, officer men, and enlisted women. In addition, exploratory analysis is conducted to identify variables associated with variations in spouse support. Restricting the sample to members with less than 10 years of service, spouse support is found to have a significant and positive effect on the retention intentions of the three respondent groups via path analysis. The results are discussed in the context of empirically validating the assumptions for program planning and development that are partially based on the assumed importance of spouse support to the retention intentions of members. Implications are suggested for future research.     

Spousal Network Overlap as a Basis for Spousal Support

The role social network structure plays in facilitating flows of support between spouses is often overlooked. This study examined whether levels of support between spouses depended on the degree of overlap between spouses' networks. Network overlap may enhance spouses' support capacities by increasing their understanding of each other's support needs and their ability to coordinate support for each other. Data on 1,490 married older adults from the National Social Life, Health, and Aging Project were examined. Analyses revealed that when one's spouse had more contact with one's other network members, one was more likely to (a) view the spouse as a reliable source of support, (b) open up to the spouse, and (c) discuss health issues with the spouse. These results suggest that spousal support is not only a function of relationship quality or obligations-it also is a structural phenomenon that depends on spouses' connectedness to each other's networks.     

“He’s Not Good at Sensing That Look That Says,I’m Drowning Here!” Academic Mothers’ Perceptions of Spousal Support

Abstract

Research consistently shows that, regardless of increased parental involvement in child-rearing over the last few decades, the ‘lion’s share’ of childcare and housework is still undertaken by women rather than men. Academia is known to have no fixed working hours as such. As a result, the pressure on academic mothers tends to be inflated, and this has repercussions on women’s promotional paths, publishing outcomes and general professional and personal well-being. The positive effect of working women having spousal support is well documented in many employment areas. This paper looks at perceived spousal support which academic mothers, living and working in the United Arab Emirates (UAE), report. While some of the women did report their spouses to be supportive, this was often theoretical rather than practical. The ways in which this spousal support situation has affected the academic mothers’ lives is discussed.     

Changing Spousal Roles and Their Effect on Recovery in Gamblers Anonymous: GamAnon,Social Support,Wives and Husbands

This paper examines changing spousal roles and their effects upon recovery in Gamblers Anonymous (GA). It is based upon a qualitative study designed to gage uniformity as well as variations in approaches to recovery in GA. Interviews were conducted with 39 GA members (26 men, 13 women; mean age 56.5 years). Though the study was based in the Toronto area, only 13 interviews involved participants from that region. Phone interviews were conducted with GA members from various regions of both Canada and the US. GamAnon, GA’s sister fellowship, has been designed for anyone affected seriously by someone’s gambling problem. In practice, GamAnon comprises mostly women––spouses of male GA members––who traditionally have taken a keen interest in the ways in which their husbands achieve and maintain abstinence from gambling. Changing spousal roles have led to fewer women joining GamAnon, as many opt instead to part with troubled spouses. As well, more women are attending GA than in the past, typically with husbands who are disinclined to join GamAnon. All of this has drastically altered how GA members pursue recovery. These changes and their implications are discussed.     

Spousal Problems and Family-to-Work Conflict Among Employed US Adults

Using data from the 2011 National Survey of Midlife Development in the United States Refreshed Sample (N?=?980), this paper examines how three types of spousal problems—poor physical health, poor mental health, and behavioral disorders—are related to respondents’ family-to-work conflict (FWC) among employed adults aged 25–61. Results suggest that all three types of their spouses’ problems were related to respondents’ higher FWC, with their spouses’ poor mental health having the strongest association. These associations were not significant after controlling for respondents’ role overload, financial strain, and relationship strain. There were few variations by respondents’ gender and parental status in these associations. Relationship strain played the primary role as a mediator, which was stronger for men than women. These findings support the idea of stress proliferation, suggesting that one’s problems can be linked to a series of other stressors including one’s spouse’s FWC.     

Using social media-based drama therapy and family counselling to treat symptoms of postpartum depression among women

This study examines the impact of social media-based drama therapy and family counselling in reducing symptoms of postpartum depression (PPD) in women aged 18–34. The researchers used a quasi-experimental design and randomly assigned the participants (n = 303) to the control, drama therapy, and family counselling groups. The key findings of the study are as follows. First, at baseline, women not only showed more symptoms of PPD than their male counterparts, but men also reached the PPD threshold of 12/13. Second, the difference between women and men regarding their PPD scores achieved statistical significance (p = 0.004). However, during the post-intervention assessment, men who received drama therapy intervention reported a significant drop in their PPD below the threshold of 12/13. Only women whose spouses received family counselling on spousal support reported a significant drop in their PPD. However, those whose partners did not receive family counselling on spousal support still reported PPD scores within the threshold. In both instances, women in the control group still had high PPD scores. Finally, during the 6-month follow-up assessment, even men in the control group did not have significant symptoms of PPD as their scores dropped below the threshold. On the contrary, women in the control group still had high PPD, indicating that PPD lasted more in women than in men. Also, women whose husbands received family counselling on spousal support reported PPD scores below the threshold. However, women whose husbands did not receive spousal counselling still had PPD scores at the threshold, even though their scores marginally dropped.     

Greedy Spouse,Needy Parent: The Marital Dynamics of Gay,Lesbian, and Heterosexual Intergenerational Caregivers

It is well established that married heterosexual women do more intergenerational caregiving for aging parents and parents‐in‐law than married heterosexual men do. However, gay men and lesbian women's recent access to marriage presents new questions about the gendered marital dynamics of intergenerational caregiving. We use dyadic data with gay, lesbian, and heterosexual spouses to examine the marital dynamics of intergenerational caregivers. Results show that gay and lesbian spouses provided intensive time and emotional support for an intergenerational caregiver. In contrast, heterosexual women described their intergenerational caregiving as rarely supported and at times even undermined by their spouse. Dyadic data on heterosexual men corroborate women's accounts; heterosexual men rarely reported providing intergenerational caregiving, and thus heterosexual women rarely described providing spousal support. These findings provide new insight into the intermingled roles of “greedy” marriages and “needy” parents, wherein marital negotiations around caregiving vary by gender for gay, lesbian, and heterosexual marital dyads.     

THE EFFECTS OF JOB RELOCATION ON SPOUSAL CAREERS: EVIDENCE FROM MILITARY CHANGE OF STATION MOVES

We investigate the impact of military job relocation on spousal earnings and employment by creating a unique longitudinal database that tracks over 900,000 military spouses over the period 2001–2012, based on data from two administrative sources—military records on personnel and their dependents, and Social Security earnings records. This database allows us to estimate the effects of military change of station moves controlling for some key observable characteristics of the service‐member and household and controlling for individual spouse fixed effects. We find that military moves cause a substantial decline in spousal earnings in the year of the move, on the order of $2,100, or 14% of average spousal earnings. Moves also increase the likelihood that the spouse has no earnings for the year. We find larger earnings reductions for moves that cross state lines, and for older spouses, male spouses, and those with young children. The career costs persist over time and spouses continue to experience significantly lower earnings 2 years after the move. This persistence, combined with the typical military member experiencing a change of station move every 2 or 3 years, may substantially limit the ability of military spouses to accumulate human capital over time. (JEL H56, R23, J45, J16, J64)     

Do Spousal Discrepancies in Marital Quality Assessments Affect Psychological Adjustment to Widowhood?

We use prospective couple‐level data from the Changing Lives of Older Couples to assess the extent to which spouses concur in their assessments of marital quality (N = 844) and whether discrepancies in spouses' marital assessments affect the bereaved spouse's psychological adjustment 6 months after loss (n = 105). Spouses' assessments of marital quality are correlated modestly (r = .45), with women offering less positive assessments. Bereaved persons who had rated their marriages more positively than their spouse at the preloss interview reported higher levels of anger 6 months postloss. We conclude that persons who offer more positive appraisals of their marriages than their spouse may view spousal loss as a particularly unjust event. We discuss implications for understanding late life marriage and spousal bereavement.     

Gender and marital satisfaction early in marriage: A growth curve approach

The purpose of this study is to assess differences between husbands and wives (N= 526 couples at the first assessment) on (a) growth curves over the first 4 years of marriage for psychological distress, marriage‐specific appraisals, spousal interactions, social support, and marital satisfaction; (b) the strength of intraspouse links and cross‐spouse links involving the initial assessment of the first four variables and the growth curve for marital satisfaction; and (c) differences between spouses headed for divorce versus spouses in stable marriages on the growth curves for all five variables. On the basis of evidence that interspouse differences were largely nonsignificant, there was little support for the view that there are his and her versions of the processes that affect marital outcomes.     

Narratives of Spousal Support for the Careers of Men in Managerial Posts

This article analyses the narratives of men managers to see how they perceive their wives' support in relation to their careers. Our aim is to focus on different forms of spousal support and explore how the support can evolve in the course of the men's careers. We are also interested in what kind of gender relations men produce when narrating their experiences of spousal support for their career. The research material comprises interviews with 29 managers who are fathers. In contrast to many previous studies, the results here suggest that spousal support is not a fixed or uncomplicated phenomenon but is constructed as various and flexible by men: negotiated, enriching and declining. The narrative analysis, in which we detected three different story‐lines — romance, ‘happily‐ever‐after’ and tragedy — shows that the most positive narratives in terms of life satisfaction and career success were those in which spousal support was constructed as negotiated and men were willing to be flexible and adaptable in their gender relations with their spouse. More attention to a father's work and family integration is needed in the field of management and organizations.     

Social Isolation and Spousal Violence: Comparing Female Marriage Migrants With Local Women

This research examined the impact of network participation, social support, and social control on the violence victimization of female marriage migrants by a spouse. Data were from a household survey of 492 cross‐border and 379 local married couples in Hong Kong in 2007. The findings indicated that female marriage migrants were more vulnerable to spousal violence and more socially isolated, compared with local women. Husbands of marriage migrants were also more socially isolated compared with men who married locally. The network participation of both husband and wife was associated positively with spousal violence against women, whereas their perceived social control was associated negatively with violence. Female marriage migrants' greater vulnerability to spousal physical assault was a result of their younger age compared with local women, but their greater vulnerability to spousal psychological aggression and sexual coercion was related, in part, to their own and their husbands' network participation as well as their level of social control.     

A game of three monkeys: Kadazan Dusun villagers and violence against women

Based on detailed and long-term anthropological research among rural Kadazans, the paper sets out the social history of domestic violence in one Sabah village. In more than 30 per cent of the households, there is a woman who has experienced repeated spousal abuse during her life. Adding those men who abused earlier spouses, and adults who lived through the abuse of their mothers in childhood, it is clear that violence is and has long been part of everyday — yet secret — village experience. For various reasons, researchers appear to have colluded in ignoring the issue. To help those women and their children whose lives are blighted by fear and fearful memories, it would be wise to assume domestic violence is as present in rural as in urban settings.     

Liability of Newness: Assessing Couple Social Support When Starting A New Business Venture

Study purpose was to investigate adapted social support instruments of nurturance and affiliation with male and female entrepreneurs and spouses starting a new business. Family Fundamental Interpersonal Relationship Orientation theory was the theoretical grounding. Business structure differed by entrepreneur gender in both direct and indirect spousal involvement. Both couple types were highly connected with their firms having high nurturance and affiliation scores. When couple discrepancies were compared, more male entrepreneur couples had shared meaning on business‐oriented nurturance questions compared with female entrepreneur couples. The opposite was true for shared meaning on relationship‐oriented nurturance. For all affiliation questions, more male entrepreneur couples had shared meaning than did female entrepreneur couples. Clinical applications of resulting instruments are discussed.     

Spousal Interdependence in Turnover Decisions: The Case of Israel's Medical Sector Employees

Gender-related labor behavior traditionally has been sensitive to and symptomatic of changes in the labor force and the social structure. Two developments in family life call into question the traditional gender model of work behavior, which posits the family versus job dichotomy: (a) the greater share of economic responsibilities assumed by female spouses, and (b) the greater male involvement in family life within married couple families. A multivariate model that encompasses demographics, work conditions, and family constraints was regressed on the actual turnover behavior of male and female spouses. The analysis reveals that male and female respondents differ in the importance they assign to employment conditions and work attitudes, but they do not differ in the importance they assign to the other spouse's employment and family responsibilities when a turnover decision is considered. These findings support the notion of spousal interdependence in turnover decisions. This interdependence nevertheless is asymmetrical, since the turnover antecedents are caused by the impact of different predictors for men and women.     

Traumatic Childhood and Marriage

Abstract

This exploratory, qualitative study of 84 adults who have survived and transcended a traumatic childhood describes the role their spouses played in the process of rising above their difficult childhood experiences. The participants talked about what they were looking for in a spouse, negative marriage experiences, and the positive role spousal support played in transcending the traumatic childhood. The study of their lives reveals important insights into the role of marriage in the process by which people grow into healthy adults. These insights will be useful to people who work with couples in which one person is seeking to leave past difficulties behind.     

Gender,added-worker effects,and the 2007–2009 recession: Looking within the household

The U.S. recession of 2007–2009 saw unemployment rates for men rise by significantly more than those for women, resulting in the downturn’s characterization as a ‘mancession’. This paper uses data from the Census Bureau’s American Community Survey to reexamine gender-related dimensions of the 2007–2009 recession. Unlike most previous work, we analyze data that connects men’s and women’s employment status to that of their spouses. A difference-in-difference framework is used to characterize how labor-market outcomes for one spouse varied according to outcomes for the other. Results show that that employment rates of women whose husbands were non-employed rose significantly in the recession, while those for people in other situations held steady or fell—consistent with the view that women took on additional bread-winning responsibilities to make up for lost income. However, probabilities of non-participation did not rise by more for men with working wives than they did for other men, casting doubt on ideas that men in this situation made weaker efforts to return to work because they could count on their wives’ paychecks to support the household.     

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.