Systemic Therapeutic Approaches with Sexual Minorities and Their Families

Abstract

GLBTQ families encompass very diverse forms, all of which are interwoven with other differences such as class, race, ethnicity, religious and spiritual beliefs. This article will familiarize the reader with some challenges faced by families of sexual minorities and how different family therapy approaches might be applied. Training issues for therapists are identified and future areas for development are discussed.     

Family Processes and Children's and Adolescents' Well-Being

The primary purpose of this review was to examine theory and research published during the past decade that focused on family processes and children's and adolescents' well-being. Scholarship focused on family processes and child and adolescent well-being made significant and exciting advances during this decade based on several key advancements. In addition to a brief introduction and a conclusion, this decade in review is organized into four sections. In the first section, advances made in the literature because of increased attention to complexity and specificity are illustrated. The second section describes advances that were made because of increased attention to family processes in diverse families. Diversity in the samples of families studied, extensions in family process models, and the revisioning of grand theories using a diversity lens that were used to conceptualize family processes are detailed. In the third section, the importance of time in the study of family processes and child and adolescent well-being is described. The emphasis on families' daily lives is noted. In addition, prospective considerations and studies of change over time are highlighted. Strengths in family functioning are detailed in the fourth section of this article: positivity, regulatory processes, and family organization. These three areas were selected to elaborate the idea that one of the major advancements in the family process literature during the past decade was an emphasis on family strengths. This review concludes with a commentary regarding how conceptual and methodological advancements during the past decade can guide future scholarship.     

Social Networking Among Health Sciences University Students: Examining Social Network Usage,Social Support,and General Well-Being

Social network sites (SNSs) are organized around users who join an internet network to engage in daily discussions and postings. Though research informs us about SNSs usage, no published research addresses the use of social network sites among health science professionals. This study examined the relationship between social network usage, social support, and general well-being among undergraduate and graduate students. This study provides results that identify significant relationships (p < .001) associated with SNS usage and the variables of social support and general well-being among this study population. These results can inform the use of SNSs in university health sciences educational programs.     

Work/Family Policy Stratification: The Examples of Family Support and Family Leave

In the past decade the United States Congress has debated and passed legislative policies concerned with women's work, both in the family and in the labor force. The Family Support Act of 1988 and the Family and Medical Leave Act of 1993 fall into this category of legislative policy. A comparative study of Congressional testimony in each case reveals that these two pieces of legislation are excellent examples of how federal policies—and the debates which fashion these policies—maintain and promote a system of policy stratification that perpetuates differences based on gender, race, class and marital and occupational status.     

Residential Instability,Family Support,and Parent–Child Relationships Among Ethnically Diverse Urban Families

From a social disorganization standpoint, neighborhood residential instability potentially brings negative consequences to parent–child relationship qualities, but family social support and racial/ethnic identity may modify this association. Using data (n = 3,116) from the Project on Human Development in Chicago Neighborhoods, this study examines associations between neighborhood residential instability and parent–child warmth and conflict, whether family social support moderates associations between residential instability and parent–child relationships, and variation by race/ethnicity. Multilevel models reveal that residential instability undermines parent–child relationship qualities, particularly for non‐White individuals. Family support is a protective factor for families in less stable neighborhoods and specifically buffers the association between neighborhood residential instability and reduced parent–child warmth. Among Hispanics, family support mitigates the association between residential instability and heightened parent–child conflict. Findings highlight residential instability as a detriment to parent–child relationships; families in unstable neighborhoods may benefit from family social support.     

Family Structure,Gender, and Adolescent Emotional Well-Being

This article focuses on gender differences in emotional well-being of adolescents in five different family settings. It analyzes two main mediators—economic deprivation and parental socialization—and is based on unusually rich survey data combining parental and child reports as well as information from administrative registers. The results show lower well-being of children in single-mother families and stepfamilies. These associations are mainly mediated through parental socialization rather than economic deprivation, except for girls in their early to midteens living with a single mother. Different patterns of lower well-being levels for boys and girls in different family settings are found.     

Well-Being Among Spanish Lesbian,Gay, Bisexual and Heterosexual Adults: Disclosure of Sexual Orientation to Family and Friends

Relevance of disclosure of minority sexual orientation on subjective (SWB) and psychological well-being (PWB) was analyzed. Participants were 236 men and 238 women self-identified as lesbian, gay, and bisexual (LGB) or heterosexual. No differences in SWB were found between heterosexuals and LGBs. Heterosexual women showed greater environmental mastery than bisexual men and greater purpose in life than lesbian and bisexual women. Outcomes showed greater well-being among LGBs who disclosed their minority sexual orientation to parents later in life. Disclosing minority sexual orientation to parents was related with greater PWB. Further research that takes a differential approach to improve well-being for LGBs is needed.     

In the Context of Adult Support: The Influence of Peer Support on the Psychological Well-Being of Middle-School Students

This study examines the influence of adult and peer support on the psychological well-being of middle-school students. Using data representing 13,843 middle-school students from seven U.S. states, which were collected with the School Success Profile, hierarchical regression analysis is used to examine a hypothesis in 2 models of relationships: continuity/cognitive and compensatory/competition. Results support the continuity/cognitive model, and indicate peer support is an important contributor to middle-school students’ psychological well-being at various levels of adult support. When adult support is low, high levels of peer support do not improve psychological well-being. Implications for research and practice are discussed.     

Family Support in Nursing Homes Serving Residents with a Mental Health History

Using 2003 nursing home data from the Minimum Data Set (MDS) database, this study investigated the role of family support among nursing homes serving residents with a mental health history. Exploratory factor analysis was used to create and test a conceptual model of family support using indicators located within the MDS database. Families were found to be in regular contact with their relatives and supportive of their care. In nursing homes, daily contact, an ongoing relationship, involvement in assessment, and being responsible for the resident constitute the model family support. This study advances the understanding of family support in nursing homes and conveys information to guide practice through proposing ways to enhance family support and involvement in nursing homes.     

Social Support and the Mental Health of Family Caregivers: Sons and Daughters Caring for Aging Parents in Japan

The prevalence of depressive symptoms among family caregivers has been documented as a serious social problem that could threaten the lives of the elderly and their family caregivers. Social support is considered to be a promising remedy for this problem, although a comprehensive examination of the availability and effectiveness of social support that includes both formal and informal support across multiple dimensions remains limited. In addition, little research has been conducted in Japan on gender differences in stress processes. This study tried to fill those gaps by analyzing recent survey data on sons and daughters who are caring for their elderly parents. The results indicate that sons and daughters have similar levels of formal and informal support for daily care and advice, while there are some gender differences in regard to the availability of other types of social support. It was also found that many types of informal support were significantly associated with a lower caregiver burden for daughters, although this was not necessarily the case for formal support. General instrumental support from formal sources was even associated with higher levels of distress. For sons acting as caregivers, daily caregiving support was the only formal support that was significantly associated with their lower level of distress. Issues of formal support are discussed, in order to reduce the psychological burdens borne by sons and daughters who care for their parents at home.     

Family Well-Being During the COVID-19 Pandemic: The Risks of Financial Insecurity and Coping

During the COVID-19 pandemic, families have experienced unprecedented financial and social disruptions. We studied the impact of preexisting psychosocial factors and pandemic-related financial and social disruptions in relation to family well-being among N = 4091 adolescents and parents during early summer 2020, participating in the Adolescent Brain Cognitive Development^SM Study. Poorer family well-being was linked to prepandemic psychosocial and financial adversity and was associated with pandemic-related material hardship and social disruptions to routines. Parental alcohol use increased risk for worsening of family relationships, while a greater endorsement of coping strategies was mainly associated with overall better family well-being. Financial and mental health support may be critical for family well-being during and after a widespread crisis, such as the COVID-19 pandemic.     

Social Integration and Mental Well-Being Among Jail Inmates

Although social integration has consistently been linked to mental well-being among the general population, this relationship has not been explored for persons confined in total institutions. Jails, in particular, represent unique conditions that have the potential to alter the traditional relationship between social ties and mental health. Although previously unexamined, social ties maintained by jail inmates outside and inside of the institution are commonly presumed to weaken some of the adverse effects of a stressful environment and positively influence mental health. The current study explores the impact of social integration on mental well-being among 198 male and female inmates incarcerated in a large county jail. The impact of marital status, parental status, and social support (both inside and outside of the jail) on various dimensions of mental health was examined. The results indicate that rather than promoting mental well-being, social relationships inside and outside of the institution are associated with higher levels of distress. Specifically, married inmates report higher levels of depression and anxiety, and inmates with close social relationships inside of the jail report higher levels of hostility, although gender differences in these patterns are evident. The results of this study suggest that social integration may play a different role for persons incarcerated in total institutions than among the general population due to the unique conditions of social stigmatization and separation from support networks.     

Associations Between Social Support Network Characteristics and Receipt of Emotional and Material Support Among a Sample of Male Sexual Minority Youths

Few studies have examined how social support network characteristics are related to perceived receipt of social support among male sexual minority youths. Using egocentric network data collected from a study of male sexual minority youths (N = 592), multivariable logistic regression analyses examined distinct associations between individual and social network characteristics with receipt of (1) emotional and (2) material support. In multivariable models, frequent communication and having friends in one's network yielded a twofold increase in the likelihood of receiving emotional support whereas frequent communication was associated with an almost threefold higher likelihood of perceived material support. Finally, greater internalized homophobia and personal experiences of gay-related stigma were inversely associated with perceived receipt of emotional and material support, respectively. Understanding the evolving social context and social interactions of this new generation of male sexual minority youths is warranted in order to understand the broader, contextual factors associated with their overall health and well-being.     

Quality of Life and Well-Being of Single Parent Families:

This discussion brings together the multiple factors that impact single parent families and effect their overall quality of life and well-being. Influential variables were identified and organized at three levels-institutional, interpersonal, and individual. A model was devel- oped that included the most salient determinants of single parent family well-being. These included cultural norms and values, health of family members, social and demographic factors, individual per- sonal characteristics, social support networks, and social institutions such as the law, the economy, the polity (represented in the formation of public policy) and education. Variables associated with the noncus- todial (nonresidential) parent also were identified as affecting the quality of life of single parent family members. In combination these factors help establish, maintain, and change the environment within which single parents raise their families.     

Family Relationships,Social Connections,and Depressive Symptoms Among Chinese Older Adults in International Migrant Families

This study explored whether and how family relationships and social connections influence depressive symptoms of older migrants and older adults in transnational families using the data gathered from a cross-sectional survey in Los Angeles, California, United States, and Beijing, China. Regression results showed that the older migrants reported significantly higher levels of depression than the elders in transnational families. The findings highlight the importance of maintaining close family relations and having large friendship networks for older adults in international migrant families.     

Depressive Symptoms,Stress, and Social Support Among Dental Students at a Historically Black College and University

Objective: The authors measured the prevalence of depressive symptoms among dental students at a historically black college in the United States to determine how depressive symptoms, stress, and social support influence each other within this student population. Participants: Dental students (n = 143) completed a self-administered survey to assess depressive symptoms, stress, and social support, using validated and reliable instruments. Participants also reported demographic variables. Methods: The authors used multivariable linear regression controlling for potential confounding. Results: The prevalence of depressive symptoms was 16.7%. There were significantly higher levels of stress for students with depressive symptoms compared with those without such symptoms (p < .01), and students with depressive symptoms had significantly lower levels of social support (p < .01). Results show higher levels of depressive symptomatology to be related to decreased social support at both high and low stress levels (p < .01). Conclusions: Stress and social support are associated with depressive symptoms among dental students.     

Impact of Familial Factors and Psychopathology on Suicidality Among African American Adolescents

Abstract

Racial differences in familial factors, psychopathology, perceptions of social support, and socioeconomic status were examined in a matched sample of African American and White suicidal adolescents (N = 90) during a psychiatric hospitalization. Exploratory analyses suggest that significant differences were found in family support and its association with psychopathology, but most noteworthy were the many similarities between the two adolescent groups. The results presented in