Multidisciplinary Team Perspectives on Older Adult Hoarding and Mental Illness

This qualitative study examined multidisciplinary team members' perspectives of their involvement in older adult hoarding cases. Fifteen informants, as representatives of four hoarding teams, described cases in which teams did or did not work well together. Specifically, informants described their (a) team characteristics, (b) awareness of hoarding as a mental health illness, (c) barriers to providing mental health services for older adults who hoard, and (d) components of successful teamwork within the team and with the older adult as hoarder. Implications include research to better guide interventions, team training to develop common perspectives, and policy development that supports mental health representation on teams and in-home mental health treatment.     

Children's Perspectives on Happiness and Subjective Well‐being in Preschool

Photo‐elicited interviews indicate that children hardly ever mention educators when asked about elements in preschool that make them feel happy. Happiness is found to occur in activities in the ‘underlife’ of the ECEC institution. Children challenge adult rules and norms in order to create status in the peer‐group, while at the same time, they seek to construct social identity and maintain a positive relationship with their educators. A child that manages to balance both adult expectations and what is needed to participate in the underlife among peers, experiences happiness and thus, is in a good state of well‐being.     

Parents' Experience and Adjustment to Their Adult Children's Divorce

Fifty-two parents, ranging from 54 to 87 years of age, participated in a qualitative assessment of their experience of their adult children's marital dissolution The Double ABCX Model provides a framework for identifying the hardships encountered, the resources called upon to help, the meaning attributed to the divorce, and the level of adaptation possible. Practical implications for professionals working wilh families in later life are provided.     

Drawing Family Boundaries: Children's Perspectives on Family Relationships in Rural and Urban Ethiopia

This article explores how children conceptualise and practice family relationships in two social settings in Ethiopia. Based on ethnographic data, it discusses (i) how urban and rural children construct family; (ii) what family activities children do and which social positions they assume; and (iii) the convergence and divergence of meanings and practices of family relationships between urban and rural Ethiopia. The analysis demonstrates how ‘normative family’ and actual ‘family practices’ are shaped by socio‐cultural, material and spatial contexts. Insights drawn also reveal the complex ways in which access to material resources, geographical distance, rural‐urban locations and cultural traits such as patterns of marriage and child relocation practices shape family relationships.     

We Live Here Too: Birth Children's Perspectives on Fostering Someone with Learning Disabilities

SUMMARY. This paper reports some results from a study of foster care of young people with severe learning disabilities. It focuses upon the views and experiences of the birth children in foster families. The findings demonstrate how fostering involves everyone in the family, not just the adult carers; and highlight some of the rewards and difficulties of fostering from the birth children's point of view.     

The Influence of Child Sexual Abuse on the Self from Adult Narrative Perspectives

The impact of child sexual abuse on the adult self is not yet clearly understood. We explored adult perspectives through the use of narrative interviews (N = 30). Three key themes or views of self were identified in all narratives to varying degrees: the worthless self, the self as unknown, and the potential/developing self. Ambivalence and tension were present in all narratives. Individuals were challenged to integrate the sexual abuse experience in a constructive way and develop a more coherent perception of the self. The narrative method highlighted the dynamic nature of peoples’ experiences at the same time recognizing that the narratives themselves are in progress. Reactions to disclosure, social support, and interpersonal connections are crucial at every turn.     

Evaluation of Adult Protective Services: Perspectives of Community Professionals

ABSTRACT

Due to challenges associated with client characteristics, funding, and the expectation of poor outcomes, few studies have evaluated the services provided by Adult Protective Services (APS). The article reports community-based professionals' satisfaction with APS when investigating cases of suspected elder abuse. Results from a 12-item quantitative survey indicate respondents were most satisfied with the intake process, followed by assessment, and case management. Satisfaction was higher than expected, though areas for improvement are identified. This survey and its results should serve as a starting point for more extensive evaluation methodologies needed to enhance the delivery of services provided by APS.     

Gender Differences in Adult Children's Support of Their Parents in Taiwan

This paper examines the patterns and determinants of four types of support provided by adult children to their parents, with particular attention to differences in the helping behaviors of sons and daughters. The data come from the 1989 wave of the Survey of Health and Living Status of the Elderly in Taiwan. The analysis is based on 12,166 adult children from 2,527 families. We find that usually only one child in a family provides help with activities of daily living (ADLs) or instrumental activities of daily living (IADLs), but for financial or material support the responsibility is likely to be shared among siblings. Sons generally carry the major responsibility for taking care of their older parents, and daughters fulfill the son's roles when sons are not available.     

Middle School Children's Career Aspirations: Relationship to Adult Occupations and Gender

The authors explored the relationship between the career aspirations of 89 preadolescents from low socioeconomic backgrounds and the actual occupations of the working adults in their homes with regard to status, job gender identification, and interest ( Holland, 1997 ). There was a significant relationship between boys’ career aspirations and the occupations of the working male adults in their homes, specifically job gender identification and interest. More adult males had stereotypically male jobs—classified as Realistic by Holland (1997) —that was mirrored in the preadolescent boys’ career aspirations. There were no significant matches between the boys and working women or with the girls and the working adults of either gender.     

Autonomy,Fairness and Active Relationships: Children's Experiences of Well‐being in Childcare

Researchers and policy‐makers are increasingly concerned with children's well‐being in Early Childhood Education and Care (ECEC) and Outside School Hours Care (OSHC) settings. Recent research identifies the value of using qualitative methods to understand children's experiences of well‐being in ECEC/OSHC, but there remain few such studies. This article presents findings from a child‐centric qualitative study with Australian children of nurses and police, which sought to understand their experiences of well‐being in ECEC/OSHC. Children's experiences of well‐being were shaped by parental relationships, how informed they were about the rationale for their care arrangements and the degree of age‐appropriate autonomy they experienced.     

The Interactive Effects of Marital Conflict and Divorce on Parent – Adult Children's Relationships

This study examines main effect and interactive models of the relations between marital conflict, divorce, and parent – adult child relationships and gender differences in these relations. Data were drawn from a longitudinal study of a community sample (N = 585). Parental marital conflict and divorce were measured from age 5 through age 17 years. Mother‐child and father‐child relationship quality at age 22 years was assessed in terms of closeness‐support and conflict‐control. Results indicated that both marital conflict and divorce are associated with poorer quality parent – adult child relationships. Divorce moderated the link between marital conflict and subsequent negativity in mother‐child relationships, with the estimated effects being stronger in continuously married families than in divorced families, especially for women.     

Linked Lives: Adult Children's Problems and Their Parents' Psychological and Relational Well-Being

This study examined associations between adult children's cumulative problems and their parents' psychological and relational well-being, as well as whether such associations are similar for married and single parents. Regression models were estimated using data from 1,188 parents in the 1995 National Survey of Midlife in the United States whose youngest child was at least 19 years old. Participants reporting children with more problems indicated moderately poorer levels of well-being across all outcomes examined. Single parents reporting more problems indicated less positive affect than a comparable group of married parents, but married parents reporting more problems indicated poorer parent-child relationship quality. Findings are congruent with the family life course perspective, conceptualizing parents and children as occupying mutually influential developmental trajectories.     

Youth Program Adult Leader's Directive Assistance and Autonomy Support and Development of Adolescents’ Agency Capacity

Developing a capacity for exercising agency is an important developmental task of adolescence. Many organized youth programs provide adolescents opportunities to build their capacity to exercise agency. The researchers tested hypotheses that adult youth program leader's directive assistance and autonomy support would promote adolescents’ capacity for agency. They surveyed 441 high school adolescents and 11 adult advisors from 10 Future Farmers of America chapters twice over 2 years. Adolescents self‐reported on their capacity for agency and advisors reported on each adolescent's capacity. Directive assistance and autonomy support correlated with the capacity for agency within both time points. Only autonomy support predicted adolescents’ capacity for agency over time. Implications of leader's support for adolescents’ capacity for exercising agency are discussed.     

RELIGION AND INTERGENERATIONAL ASSISTANCE: Distinct Differences by Adult Children's Gender and Parent's Marital Status

Using data from a national and intergenerational survey in 1997, this study examines the link between religion and intergenerational assistance between parents and adult children. Two possibilities are tested. First, religion and assistance are positively associated because religion promotes general prosocial and helping beliefs and behaviors. Second, assistance is greater between parents and adult children who are religiously congruent because strong intergenerational relations are based on parent-child consensus on values and beliefs. The hypotheses are tested separately for continuously married and divorced parents, and interaction models are estimated to determine if the effect of religion varies between adult daughters and sons. Findings support the second argument—religious congruence is more important than individual religiosity in influencing intergenerational assistance. The link between religion and assistance is positive among continuously married parents and adult children, but religion has a mostly negative effect among divorced parents and adult children. Assistance is especially low when either the divorced parent or adult child or both are evangelical Protestants. The disparity in the findings may highlight the different religious and family philosophies of conservative versus mainline religions.     

Stakeholder Perspectives on Children's Mental Health Needs and Supports in Six Low‐ and Middle‐Income Countries

Low‐ and middle‐income countries (LMIC) are faced with disproportionately high levels of unmet child mental health needs. This study explored through interviews the perspectives of 17 inter‐agency service stakeholders from Brazil, Indonesia, Kenya, Pakistan, Rwanda and Turkey on existing supports and challenges. Four themes emerged on the holistic nature of children's mental health needs linked with disadvantage; limited resources and skilled workforce; stigma; and strategies for future implementation, including awareness, parental engagement, skills‐based programmes and cultural adaptation. Stakeholder input is essential in conceptualising, developing and evaluating culturally appropriate interventions for vulnerable children in LMIC.     

Feeling Caught Between Parents: Adult Children's Relations With Parents and Subjective Well‐Being

Research on divorce has found that adolescents’ feelings of being caught between parents are linked to internalizing problems and weak parent‐child relationships. The present study estimates the effects of marital discord, as well as divorce, on young adult offspring's feelings of being caught in the middle (N =632). Children with parents in high‐conflict marriages were more likely than other children to feel caught between parents. These feelings were associated with lower subjective well‐being and poorer quality parent‐child relationships. Offspring with divorced parents were no more likely than offspring with continuously married parents in low‐conflict relationships to report feeling caught. Feelings of being caught appeared to fade in the decade following parental divorce. These results suggest that, unlike children of divorce, children with parents in conflicted marriages (who do not divorce) may be unable to escape from their parents’ marital problems—even into adulthood.     

Perspectives on Namibia

Namibia by J. H. P. Serfontein. Randburg: Fokus Suid Publishers, 1976. 440 pp. R 12,95.

South West Africa/Namibia by Gerhard Tötemeyer. Randburg: Fokus Suid Publishers, 1977. 323 pp. R14,50.     

Short Break and Respite Services for Disabled Children in England: Comparing Children's and Parents' Perspectives of Their Impact on Children

Researchers, health and social care workers often seek to understand the perspectives of children; but gathering views directly from children can present difficulties. Parents are often asked to provide accounts of children's feelings or opinions on the assumption that their proxy reports are accurate and unproblematic. This qualitative thematic analysis of open‐question responses from 352 parents and 73 disabled children examines their accounts of the impact of short break services on disabled children. Participants' perspectives differed; children tended to describe immediate outcomes such as enjoying activities and participation; parents acknowledged these, but focused on longer term developmental outcomes for children.     

Autonomy and Monitoring on Hospital Wards

This paper describes the systems of relationships and manner of operation of several hospital wards. Data from these settings suggest three concepts of understanding the behavior of the participants. One is elastic autonomy: the autonomy of an actor is not fixed, but expands and contracts according to others' assessments of his professional competence. The second is accountability: an actor is held to be accountable or responsible for his decisions and actions. Third is monitoring: the process by which actors keep track of each other's performance. Contingencies affecting autonomy are discussed, as are the relationships between these concepts and those of bureaucratic theory.