The Maternal-Bonding Trajectory For Mothers Who Adopt Young,International Children: A Qualitative Analysis

Abstract

Existing research has not sufficiently explored the maternal-bonding process between a mother and an internationally adopted child. The present qualitative study used a semi-structured interview protocol and grounded theory analysis to explore this unique maternal-bonding process. The participants were 13 mothers who were in intact, heterosexual marriages and had adopted an international child, under the age of four. 77% of the families were transracial. Based on the analysis of prominent themes, the onset of the maternal-bonding process with international children began when the mother received a picture and referral of her child and evolved until the mother viewed her child as an independent and connected individual. The process of maternal-bonding with internationally adopted children can best be described using a six-phase model, which was developed based on the themes that emerged from the mothers' narratives.     

Moral Challenges When Suspecting Abuse and Neglect in School Children: A Mixed Method Study

The World Health Organization (WHO), concludes that child maltreatment is a global concern calling for a multi sectoral interdisciplinary approach. School professionals, such as social workers, teachers, and health care professionals are in positions to discover and report maltreatment enabling social workers to intervene. However, a variety of reports reveal an evident gap between incidences and frequency of number of cases reported. A review of relevant research indicates that the problem of “not reporting” suggests that moral conflicts are activated in the process of decision-making. The aim was to gain a deeper understanding of school professionals’ experiences of reporting suspected neglect and abuse to the Social Welfare Board. In a mixed method approach 32 school professionals, such as teachers, social workers, nurses and psychologists participated in interviews and responded to questionnaires. Findings from the qualitative content analysis were compared to the quantitative analysis in a meta-analysis. Moral conflicts occur when faced with making decisions about how to best deal with a child’s situation. Thoughts about the child’s best interest and relationship with his/her parents as well as the informants´ own safety, were central. The comparative meta- analysis of both data sets revealed these conflicts commence with a moral sensitivity of possible negative consequences for the child. Moral sensitivity can be viewed as a “good” personal attribute, it paradoxically might lead to moral stress despite an open ethical climate. Based on the results of this study, further research on the interpersonal aspects of dealing with moral conflicts involved in reporting suspected child abuse is indicated.

     

Near and Far

In this paper we distinguish between two measures of contact between children and their non-residential fathers: whether or not the children have seen their father in the previous year, and how many weeks the children stayed with their father. The distinction between the two is important because there are many aspects of a parent-child relationship, some of which may be met during shorter contacts, and others which may be nurtured during an extended visit at the father's house. Using data from the 1987-88 National Survey of Families and Households we find that having a legal agreement regarding joint custody is positively related to the number of weeks that a child stays with his/her father. Children are more likely to see their fathers if there is a legal child support agreement and the father pays child support, which indicates that paying child support and seeing the child are complementary activities. This pattern is reversed for the number of weeks the child stays with the father, which gives support to the hypothesis that non-residential fathers substitute one activity for another. This research highlights the need for careful consideration of different measurements of contact between non-residential parents and children in order to understand more fully the dynamics of families following divorce.     

Investigating Family Shared Realities With Factor Mixture Modeling

The authors introduce factor mixture modeling (FMM) and its implications for assessing varying degrees of shared reality in families. FMM extends the typical factor analytic model that uses a set of observed indicators to identify an unobservable factor and its structure. FMM examines the possibility a sample is a mixture of “classes,” each with unique factor structures. To demonstrate, varying factor structures of father involvement are identified using father, mother, and child reports as observed indicators. Three classes were identified and relate to varying degrees of shared reality regarding the father. Predictors and outcomes of these classes are modeled. The class in which the child's view most overlapped with his or her parents' view was predicted by higher child agreeableness and higher levels of maternal depressive symptoms. As hypothesized, membership in this class predicted lower levels of parental conflict and fewer parental attempts to involve their children in their conflicts.     

Studies of the maintenance of subsidized foster placements in the Casey Family Program

The Casey Family Program provides a planned, long-term approach to subsidized foster care for the underachievers of the child welfare system. Its concept is a marriage of what foster care professionals know about effectively helping children and what managers know about effectively running organizations. The purpose of our studies of The Casey Family Program was to determine whether the outcomes of its foster placements were predictable from factors that could be known, at least in principle, at the time the placements were made. We built statistical models of placement maintenance based upon characteristics of (a) the foster child; (b) his or her biological family; and (c) the foster family. We used two main sources of data to construct models: archival material on the child and his or her biological family, and caseworker ratings of various aspects of the child and his or her foster family. Information was derived from a sample of 51 children served by the Montana Division of The Casey Family Program to build the models, which in general provided accurate predictions of placement outcomes. The models were then cross-validated with a sample of 55 children from the Idaho Division. There was a substantial amount of shrinkage in the variance accounted for in the cross-validation sample, but outcomes remained largely predictable. To determine whether predictions of placement outcomes could be based upon brief assessments of factors that could be evaluated at the time placements were made, a third study was undertaken. The results of that study implied that ratings of salient characteristics of foster children and foster families based upon as little as a single day's observation could be used to effectively predict placement outcomes. Several aspects of these studies deserve special emphasis. First, the research confirmed that the children served by the Montana and Idaho divisions of TCFP were among the underachievers of the child welfare system whom Jim Casey desired to reach. It also confirmed that the Montana and Idaho divisions were doing an effective job of serving those children. Their placements were generally stable and both foster children and foster families were rated as functioning at levels that ranged from acceptable to good.(ABSTRACT TRUNCATED AT 400 WORDS)     

Predicting Permanency Intentions Among Kinship Caregivers

This study examines kinship caregivers’ (n = 830) experiences and their perceptions of the children (n = 1,339) in their care in order to predict permanency intent. Permanency intent is a caregiver’s expressed intent to adopt the child in his or her care or to provide permanent, legal guardianship. The results of this study reveal that most caregivers’ permanency choice is guardianship and not adoption. However, binary logistic regression results uncovered six factors (i.e., thorough explanation of case plans, decreases in caregiver emotional stress, decreases in child depression, child lack of communication with birth parent, caregiver providing care for a sibling group, decreases in run-away behavior) that predict that a caregiver will adopt the child in his or her care. Policy, practice, and research implications are noted.     

Our Story: The Parent and LGBTQ Child Relational Process

This study explores the parent-lesbian, gay, bisexual, transgender, and queer (LGBTQ) child relational process, before and after the child discloses his or her sexual orientation and/or gender identity to his or her parent(s). Eleven parent-adult child dyads were interviewed in this grounded theory study. Participants included children representing the full LGBTQ spectrum and their parents. Results indicate that parent-child dyads experience a relational process occurring in five sequential phases, the last one continuing indefinitely. Parent-LGBTQ child close relationships manifest societal beliefs regarding LGBTQ identities. Dyad members share an evolving relational identity and construct a shared narrative that shifts in response to familial life events and broader societal changes.     

Occupational Health and Safety a New “Imposition” for College Staff

Abstract

The use of neuroleptic medicine in the treatment of schizophrenia is often predicated on the goal of eliminating psychotic target symptoms. However neuroleptics, especially when used long-term, may produce unacceptable side effects. An alternative treatment goal, ideally suited for the thought-disordered college student, is to help him/her understand his/her symptoms in a new way, so that he/she responds to them differently even though they persist. A case is presented to illustrate the time-limited use of neuroleptics, in conjunction with psychotherapy that emphasized reattribution of the meaning to the patient of his psychotic symptoms, enabling him to manage the symptoms without further need for medicine.     

The Structure of the Families of Schizophrenics

In the families of schizophrenic patients everything is subordinated to the neurotic or psychotic needs of one of the parents, and the whole family then works together to stop that parent from becoming psychotic. The other parent must become completely subjugated or withdrawn and leave the family under the domination of his spouse. This becomes a rigid system in which the patient's role is to “feel nothing, do nothing, and be nothing”, and any minor change in him becomes a major threat to the integrity of the whole family. It is when he can no longer maintain this role that the person becomes clinically schizophrenic. Some of the difficulties in treating schizophrenic patients in individual or family therapy are discussed.     

Using psychometric analysis to evaluate the construct validity and reliability of the Coping Response Indices

The Coping Response Indices developed by Billings and Moos (1984a) are frequently used in stress research in the social science and clinical fields. These indices were originally developed in a clinical setting using a conceptual process rather than psychometric methods. This study investigates the factorial structure of the Coping Response Indices scale using a nonclinical sample. Principal components analysis with varimax rotation yields three distinct dimensions within the scale. Considerable support is found for the conceptualization of the Coping Response Indices, as proposed by Billings and Moos. There is also some indication, however, that the conceptualization and measurement of the indices need further revision and testing, especially if they are to be used in social science research. Her research interests include economic strain, stress and coping, and child functioning in diverse family structures. She received her Ph.D. from Oregon State University. Her research focuses on vulnerable children and families, life-span caregiving issues, intergenerational relations, and prevention of child abuse and neglect. She received her Ph.D. from Oregon State University. Her research focuses on family resource management, work, stress, and families, and multiple role management. She received her Ed.D. from Utah State University.     

Consulting the Children: Interviews with Children Using Residential Respite Care Services

The Children Act, 1989, requires that services for children are provided in partnership with parents and that the wishes and feelings of the child and his/her parents are ascertained and given due consideration (sect. 22). As part of a research project assessing the quality of services to children with disabilities under the Children Act, the authors carried out evaluations of six residential respite care services. The services were used mainly by children with learning difficulties, some of whom had little or no speech. Staff at the schools attended by the children were asked to interview them, so that their views could be included in the evaluation reports. Interview schedules and aids to communication were devised to try and enable all the children to express their views. This article describes the initial schedules and the changes made in the light of experience during the research. The authors then summarise the children's responses and consider how the process of consultation could be improved in future.     

The 17-Year-Old Child

SUMMARY

Recently enacted EU-legislation will affect interferences with the sexual life of adolescents across Europe in an intensity so far not known in any of the European states. The “Framework-Directive on combating sexual exploitation of children and child-pornography” will oblige all member States of the European Union to create extensive offences of “child”-pornography and “child”-prostitution, defining as “child” every person up to 18 years of age, without differentiating between five-year-old children and 17-year-old juveniles. These offences go far beyond combating child pornography and child prostitution, thus making a wide variety of adolescent sexual behaviour, hitherto completely legal in the overwhelming majority of jurisdictions in Europe, serious crimes; for instance: sex between 16-year-olds for “remuneration”, which includes invitations to cinema or to a dinner; “lascivious” drawings of a 17-year-old girl possessed by a 15-year-old boy; photographs of a 16 year-old girl in her bikini “lasciviously” exposing her pubic area, taken by her 17-year-old boyfriend on the beach; standard pornography involving younger looking 20-year-old adults or “webcam-sex” between 17-year-old-adolescents; even pictures of one's own adult spouse in “lascivious” poses, if this spouse looks younger than 18. No European jurisdiction so far has such a restrictive law. The massive criminalisation and the equation of adolescents with children caused heavy criticisms among experts but this criticism could not prevent the project from becoming law. This essay provides an analysis of the background, the legislative process and the content of the EU-Framework-Decision.     

Substance-abusing parents and their children in termination of parental rights cases in Israel

Parental substance abuse significantly increases the risk of child maltreatment and loss of custody. If parental capacity due to substance abuse cannot be rehabilitated within a limited time period and if the child cannot be safely returned to his/her home, the state, in various jurisdictions, is empowered to initiate termination of parental rights proceedings. Despite the connection between substance abuse and termination of parental rights, the research literature in this area is limited. Based on a sample of 212 rulings in favor of termination of parental rights by Israeli courts, the present study examines factors that differentiate substance-abusing from non-substance-abusing parents. The findings indicate that substance-abusing parents constitute a unique high-risk group among parents whose parental rights were terminated. This group is characterized by a higher cumulative risk that includes mental health issues with an emphasis on personality disorders and emotional problems, criminal records, child neglect and maternal single parenthood. All these factors, as well as the overall number of risk factors in a particular case, were found to predict substance-abusing parenthood. A discussion of the findings and their implications for social work practice with families involved in the child welfare system follows.     

Beyond Repair: Interpretation,Reparation, and Melanie Klein’s Clinical Play-Technique

This article puts clinical child psychoanalysis into conversation with recent debates about critical method in order to question the turn toward so-called “reparative reading” in feminist and queer theory. While Eve Kosofsky Sedgwick’s original call for a new kind of reparative method culled its key terms (“reparative” and “paranoid”) from child psychoanalyst Melanie Klein, the scholars who have adopted reparativity in critical theory pay little attention to Klein’s work. In this article, I take up Klein’s theory of the depressive position and reparativity as she elaborated them in her clinical work with children, particularly her wartime analysis of “Richard” in 1941. Klein interpreted Richard’s play—his clinical “war games”—through her idiomatic vocabulary of “attack” and “repair.” By situating this case and Klein’s larger theory of psychic reparations in the political climate of wartime Europe, I argue that Klein’s writings point to the ethico-political dangers inherent in reparative endeavors, which name the object and narrate its injury and repair according only to the perimeters of one’s own self. From this reading, I propose that there might be a benefit to foregoing the injury/repair framework implicit in reparative agendas—both critical and clinical alike. By returning reparativity to Klein, I therefore aim not to offer a corrective to Sedgwick or to the scholars following her, but rather to interrogate the ethical stakes of all reparative endeavors, be they political, intellectual, or clinical. At the most basic level, then, this article argues that the space of the clinic is an important (and often undervalued) object for the consideration of critical method.     

An Approach to Childhood Stealing with Evaluation of 45 Cases

Childhood stealing is a distressing problem for families and may have wider community costs since childhood stealers often become adult criminals: This paper describes a therapeutic ‘map’ that emphasises direct engagement of the child, along with his/her family, in regrading the child from ‘stealer’ to ‘honest person’. Analysis of therapy with 45 children revealed a high level of family engagement and initial behaviour change. Furthermore, a follow-up telephone call made 6–12 months after completion of therapy sessions revealed that 81% of the children had not been stealing at all or had substantially reduced rates of stealing.     

The utilization of child care by households engaged in home-based employment

A logit procedure is used to examine the factors associated with the likelihood of using child care services among a sample of households with both a home-based worker and a child designated as needing care. Being a single-parent, having high family income, and the presence of a two-year old child are positively associated with the likelihood of using child care. Being an older worker, having a child who is one year or less or children who are 11 to 12 years, and having a less professional occupation decreases the likelihood of using child care. Self-employment decreases the likelihood of usage; owning a business that hires employees or services increases the likelihood of usage. The major conclusion is that home-based work may be a coping strategy for some child care needs, but home-based working households often need and use child care.This article reports results from the Cooperative Regional Research Project, NE-167, entitled, At-Home Income Generation: Impact on Management, Productivity and Stability in Rural/Urban Families, partially supported by the Cooperative States Research Service, U. S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and the University of Vermont. Authors are listed in descending order of their contributions to this research paper. Appreciation is expressed to Frank Chiang for the computer assistance needed to complete these analyses. Patsy Sellen was instrumental in formatting and stylizing this article to required guidelines.Her current research interests include household asset and debt formation, working families and employers' benefits, and home-based employment. She received her Ph.D. from Purdue University in 1978.Nancy C. Saltford, has recently been a Visiting Scholar at the Employee Benefit Research Institute, a public policy research organization in Washington D.C. where she specialized in employer policies for working families. Her Ph.D. was received from Purdue University in 1971.Her research interests include the economics of divorce and at-home income generation. She received her Ph.D. from Oregon State University in 1986.Her primary areas of research are rural families, household production, family time use and its meaning, and the interactive aspects of managerial, productive and affective functions of families. She received her Ph.D. from the University of Missouri-Columbia in 1983.     

The fate of the sexually abused child

This article emphasizes the importance of understanding the specific meaning of sexual abuse to the particular child in his/her particular developmental stage. A critique of the research is presented, along with discussion of the psychodynamic impact of sexual abuse on the developing ego of the child. The primary means of adaptation following the trauma are (1) identification with the aggressor and (2) the repetition compulsion. It is also suggested that Freud's seduction theory can coexist with his later fantasy theory. Two case vignettes are presented to highlight the theoretical discussion.     

Three's Company: Family Therapy with Only-Child Families

The only child and his or her parents may have special problems when it comes to settling the issues of parent-child identification and attachment. Children, regardless of birth order or number of siblings, cope more easily with the developmental tasks of the oedipal period if there is not pressure to remain loyal to just one of the parental pair. The child without siblings and his/her parents face a continuing oedipal triangle unless the parents maintain a comfortable and united partnership at best, or at least are able to encourage independence in the child.     

Unmet service needs of families of young children with chronic illnesses and disabilities

Data about health and educational services were collected from 187 families with young children (under two years) who have chronic illnesses and disabilities. The purpose was to assess parents' satisfaction with services their families received and to identify families' unmet service needs as well as the reasons for these unmet needs. Although families' ratings of the adequacy of services are relatively high, 28% of the families report unmet service needs. The unmet needs most often reported are occupational, physical, or speech therapy; respite care/child care; and special education. Lack of funding is the most commonly given reason for unmet needs. Children with multiple impairments are at highest risk for unmet needs. Only 22% of unmet needs reported at the initial interview have been met by the time of the six-month follow-up. Increased coordination and monitoring of services across service sectors are indicated. Her research interests include the effects of disability on family identity and families' responses to minority stress. She received her Ph.D. from the University of Minnesota. She gratefully acknowledges Shelley Blazis and Nadav Casuto for statistical consulting. Her research interests focus on the impact of chronic illness and disability on families. She received her Ph.D. from the University of Minnesota. Her research interests include families and health and chronic illness and disability in children. She received her Ph.D. in Family Social Science at the University of Minnesota. His areas of interest include neurodevelopmental outcomes of low birth weight infants and training in developmental pediatrics. He was graduated from the University of Minnesota Medical School. His areas of interest include adolescents with chronic illness and disabilities, adolescent sexual decision making, and international adolescent health care issues. He was graduated from Howard University College of Medicine was awarded his earned doctorate in Health Policy from the University of Minnesota. Preparation of this article was supported by the National Institute on Disability and Rehabilitation Research Grant #H133890012.     

THE PROBLEM OF THE SIBLING AS THE REFERRING PERSON*

This paper is the first concerning observations gathered at our Center during studies of the treatment of families with a chronically psychotic member.' It draws the attention of family therapists to a danger not uncommon in such cases, one that arises when the person referring his family of origin is a sibling of the index patient and, in many ways, the most “competent” and prestigious family member. The theoretical part of the paper and the clinical example that follows are intended to demonstrate how this pitfall can be turned into a springboard for therapeutic success.