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.     

Indirect Over-Time Relations Between Parenting and Adolescents’ Sexual Behaviors and Emotions Through Global Self-Esteem

The present study examined indirect over-time relations between parenting and adolescent sexuality through global self-esteem. Three waves of online questionnaire data were collected among a community sample of 1,116 Dutch adolescents (M = 13.9 years at baseline). Participants rated the quality of their relationship with parents, their global self-esteem, and their experience with various sexual behaviors. Sexually experienced adolescents (n = 168) evaluated their sexual experiences using six emotions. Path model results showed that a higher-quality relationship with parents at T1 predicted higher levels of self-esteem at T2, which in turn predicted less experience with sexual behaviors and more positive sexual emotions at T3. The indirect over-time path from relationship quality through self-esteem to adolescents’ sexual emotions was significant; the indirect path to adolescents’ experience with sexual behaviors was not significant at the .05 level. No significant age or gender differences were found in the path models. The findings indicate that self-esteem plays an important role in adolescent sexuality and that parents can contribute to positive sexual experiences of adolescents indirectly—through the enhancement of self-esteem—by fostering a high-quality relationship with their children. Implications for theory, future research, and strategies to promote healthy and positive youth sexuality are discussed.     

The Impact of Family Therapists’ Adult Attachment Styles on Their Career Choice and Approach to Therapy: An Interpretive Phenomenological Analysis

Attachment theorists have highlighted the role of the therapist in providing a ‘secure base’ for therapy. This raises the question of how therapists with insecure as well as secure attachment styles manage the integration of their personal experience and their therapeutic work. This study explored the relationship between family therapists’ adult attachment styles, influences on their career choice and their approach to therapy. Participants’ (n = 11) attachment styles were previously assessed using the self-report Experiences in Close Relationship questionnaire. Three participants were assessed as having a ‘secure’ attachment style; three were ‘preoccupied’, three ‘fearful’ and two ‘dismissing’. They were interviewed about their practice and the impact of past or current relationships on their development as therapists. Interpretive Phenomenological Analysis was used to analyse the verbatim accounts into cluster of master themes and subthemes. The analysis identified two master themes: understanding one’s self and the impact of family of origin experiences, and the integration between personal experiences and therapeutic work. There were differences in responses relating to the therapists’ attachment styles. Therapists with ‘secure’ adult attachment styles were aware of their challenges and able to utilise their experiences in their practice and respond sensitively to their clients. Conversely, those with ‘insecure’ styles have difficulties in mentalisation and in using counter-transference responses in their practice. We suggest that family therapists, social workers and others engaged in therapeutic work with families should undertake an exploration of the ‘self’ of the therapist in the context of their own family relationships and adult attachment styles as part of their training and continuing professional development.     

Engaging Fathers in Family Therapy with Violent Adolescents

Violent behavior in adolescents can often signal profound distress or pain arising from family conflicts, hostile marital separations, sudden losses and other family turmoil. By circumventing blame the therapist engages the family in a constructive process that allows adolescents to change and grow and parents to share pain and sorrow about their own issues and responsibilities for their children. This re‐establishes healthy generational boundaries, produces a clearer co‐parenting alliance (e.g. after divorce) and creates sibling support. This paper describes an experiential approach, for working with violent adolescents in family therapy influenced by the pioneer work of Satir and Whitaker. It integrates systemic and developmental theories linking the presenting problem to relevant family events. The therapist: (1) explores adolescent development in the family and social context; (2) establishes a therapeutic alliance through understanding the interpersonal context for violent behavior, and (3) re‐directs negative actions into positive connections with family members. Segments of family therapy sessions with two adolescent boys and their families from different cultural backgrounds illustrate the impact of paternal absence for adolescent well‐being and the need to actively engage fathers in family therapy. Mario, the father's ‘tumor’, and Juan with his despairing violence are two problematic adolescents brought to therapy because of their aggressive behavior at home and/or in the school. The paper describes how to give them a different voice and build a therapeutic alliance with the family.     

Do Actions Speak Louder Than Words? Adolescent Interpretations of Parental Substance Use

Parents are powerful socialization agents for children and as children reach adolescence parental role models, among other sources of influence, become particularly salient in adolescents’ decision-making regarding initiation of substance use. Open parent-adolescent communication about substances is associated with less substance use by adolescents; however, it is unclear how youth interpret antidrug use messages from their parents, especially if the parents engage in legal and/or illicit substance use themselves. Framed by social learning theory and social constructionism, this study analyzed in-depth interviews with 108 adolescents about personal experiences with substance use, family communication about substance use, and adolescent interpretations of parental use. Emergent themes in the data include: positive parental influence, parental contradictions, and negative outcomes of use. Prevalence of parental use—regardless of legality, rarity of explicit communication about parental use, and various interpretations of parental use are discussed.     

Exploring Parents' Experiences and Reactions to Adolescents' Hyperactivity,Impulsivity, and Attention Problems

Adolescents' hyperactivity, impulsivity, and attention problems (HIA) have been shown to make parents feel powerless. In this study, the authors examined whether these feelings were dependent on parents' experiences with their older children. Two models that offer different predictions of how parents make use of their earlier experiences when raising their later‐born children were explored: the learning‐from‐experience model and the spillover model. The authors used reports from 372 parents with 1 child (M_age = 11.92) and 198 parents with 2 children (M_age = 11.89 and 14.35) from a small town in a European country. The results did not support a learning‐from‐experience process. Instead, consistent with a spillover process, parents felt particularly powerless about their younger children with HIA if they also felt powerless about their older children. This study suggests that parents' experiences of raising their older children are important for their reactions to HIA in their younger children     

‘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.     

Factitious Illness by Proxy: Understanding Underlying Psychological Processes and Motivations

Children are put at risk of emotional and physical harm when parents seek unnecessary medical care. Understanding why parents seek medical interventions that create risk for their children requires us to consider how past experiences, and the mental representations of these experiences influence current behaviour. Past experiences of danger affect how parents interpret ‘dangerous’ situations in the present and how they organise protection of their child. This article demonstrates how the notion of mental representations (that dispose parents to act in particular ways) can assist in engaging, assessing and treating parents who display factitious illness by proxy behaviour. When classified using the Dynamic‐Maturational Method, the Adult Attachment Interview (AAI) allows both assessment of implicit and explicit representations and also understanding of the developmental process through which parents have learnt to attribute meaning to information and to organise their behaviour. In this case study, psychosocial assessment of the family included an AAI with each parent. The use of this assessment tool both aided the therapy team in the process of case formulation and intervention planning, and had therapeutic value in and of itself. We argue that treatment is more likely to be effective if the parents and professionals have a shared understanding of the parents' intentions and the developmental process that led to unsafe behaviour, which requires change.     

A family process model of problem behaviors in adolescents

This study examines the ways in which different family processes and personal experiences of social contexts are related to the adjustment of adolescents in a subsample of 755 mother‐child dyads drawn from the National Survey of Families and Households. Structural equation modeling was employed to examine a model in which joint family contexts (socioeconomic resources), mothers’ and adolescents’ experiences of outside‐family contexts (perceived social network quality and experience of school stress, respectively), and individual characteristics of mothers (distress) were expected to relate to adolescents’ externalizing and internalizing behaviors through their association with within‐family contexts (mother‐adolescent conflict, family warmth). This conceptual model was supported by the data. Pathways were consistent for boys and girls.     

Examining the Interaction of Daily Hassles Across Ecological Domains on Substance Use and Delinquency Among Low-Income Adolescents of Color

The increased risk for substance use and delinquency among adolescents of color has been partially attributed to increased exposure to daily hassles. Although a certain number of hassles are normative, especially among family and peers, adolescents of color experience more stressors in their neighborhood or directly related to fewer resources than their White counterparts. These hassles may interact across ecological systems to impact behavioral outcomes among adolescents. This may be especially true for young people living in public housing. Based on ecological systems theory, this study tests the relationship between experiences of hassles across multiple ecological levels and problem behaviors in a sample of 315 ethnically diverse early adolescents (M_age = 12; 51% female) living in public housing neighborhoods in two large metropolitan areas in the United States. A positive relationship was found between family hassles and both substance use and delinquency, as well as between school hassles and substance use. When the interactions between family, peer, school, and neighborhood/resource hassles were considered, five statistically significant interactions were found. The study results reinforce the role of contextual factors, such as living in low-income neighborhoods and the complexity of hassles interacting at multiple levels of a young person’s daily ecology, on adolescent outcomes.     

Racial and Ethnic Differences in Experiencing Parents’ Marital Disruption During Late Adolescence

Using panel data from 9,252 adolescents in the National Education Longitudinal Study, this study finds that among children who experience parents’ marital disruption during late adolescence, European, Asian, and African American adolescents exhibit wider and greater maladjustment both before and after the disruption than their Hispanic American counterparts. This finding lends general support to the hypothesis of prevalence of disadvantages, although it is less consistent with the hypothesis of prevalence of divorce. Moreover, whereas Asian American adolescents in predisrupted families are more vulnerable to a shortage of family social resources, their African American peers are affected more by a shortage of financial/human resources. Finally, postdisruption effects on non‐Hispanic American adolescents are either completely or partially attributable to predisruption factors.     

Juggling Between Parental and School Expectations: The Development of Domain‐Specific Acculturation Orientations in Early Adolescence

We examined how perceived acculturation expectations from parents and school, and ethnic discrimination predicted early adolescents’ heritage and mainstream acculturation orientations at home (private domain) and in school (public domain) one year later. We surveyed 263 early adolescents of immigrant background in Germany (M_age = 10.44 years, 60% female). Multigroup path analyses revealed that perceived acculturation expectations and ethnic discrimination were more strongly related to adolescents’ private than public acculturation orientations. Parental heritage expectations were the strongest predictor of adolescents’ acculturation orientations. Boys were more susceptible than girls to ethnic discrimination and acculturation expectations in school, which affected their private and public acculturation orientations. Results highlight the importance of integrating domain‐specific and gendered experiences when analyzing adolescents’ acculturative development.     

Community,Family, and Individual Factors Associated with Adolescents’ Vulnerability,Daily Stress,and Well-being Following Family Separation

ABSTRACT

This study identified correlates of resilience among adolescents from separated families. Twenty-four adolescents (age 9–14 years) and their parents completed measures of sociodemographic risk and protective factors, interparental conflict, and adolescent responses to conflict. Adolescents reported their behavior, learning, mood, and anxiety difficulties as well as their stress and well-being using a 5-day diary. Resilient adolescents reported more constructive family representations, reported lower interparental conflict, and were from schools and neighborhoods that were more advantaged. Resilient adolescents reported significantly less stress across the diary days than vulnerable adolescents. The results of this study highlight the role of sociodemographic factors, family functioning, and adolescents’ own individual characteristics in their adjustment to their parents’ separation.     

Does It Matter What Mama Says: Evaluating the Role of Parental Mediation in European Adolescents’ Excessive Internet Use

This study investigated the relationship between adolescents’ excessive Internet use (EIU) and parental mediation. A random stratified sample of 11‐ to 16‐year olds (N = 18 709) and their parents from 25 European countries (EU Kids Online II project) was analysed to explore to what extent different types of parental mediation and other factors predict EIU. Active parental involvement in the child's Internet use (when the child had experienced online harm) and restrictive mediation were associated with lower EIU. Harmful online experiences, time spent online, scope of online activities and adolescents’ age predicted higher EIU.     

The Changing Institution of Marriage: Adolescents’ Expectations to Cohabit and to Marry

Cohabitation has become part of the pathway toward marriage. Prior work focuses on expectations to marry and has ignored cohabitation. Although most young adults are not replacing marriage with cohabitation, but instead cohabit and then marry, it is important to study adolescents’ joint expectations to cohabit as well as marry. Our analyses draw on recently collected data from the Toledo Adolescent Relationships Study (N = 1,293). We find that adolescents are less certain about their cohabitation than marriage expectations. Dating and sexual experience, traditional values, prosocial activities, and parents influence adolescents’ union formation expectations. The findings from this work suggest that adolescents are including cohabitation as part of their future life trajectories but rarely envision cohabitation as substituting for marriage.     

Family Time Activities and Adolescents' Emotional Well‐being

The literature is divided on the issue of what matters for adolescents' well‐being, with one approach focusing on quality and the other on routine family time. Using the experience sampling method, a unique form of time diary, and survey data drawn from the 500 Family Study (N = 237 adolescents with 8,122 observations), this study examined the association between family time and adolescents' emotional well‐being as a function of the type of activities family members engaged in during their time together. Hierarchical linear model analyses revealed that eating meals together was beneficial to adolescents' emotional well‐being, especially when fathers were present. Family leisure was also beneficial to teens' well‐being. By contrast, productive family time (e.g., homework) was associated with lower emotional well‐being, as was maintenance family time (e.g., household chores), but only when adolescents engaged in it with both parents.     

Value Similarities Among Fathers,Mothers, and Adolescents and the Role of a Cultural Stereotype: Different Measurement Strategies Reconsidered

In research on value similarity and transmission between parents and adolescents, no consensus exists on the level of value similarity. Reports of high‐value similarities coexist with reports of low‐value similarities within the family. The present study shows that different conclusions may be explained by the use of different measurement strategies. In addition, we demonstrate that measured value similarities may be biased by a cultural stereotype, that is, an indirectly measurable phenomenon outside the family most likely attributed to shared cultural experiences. We examined similarities in 8 social–cultural value orientations among fathers, mothers, and adolescents from 433 Dutch families. Results revealed different outcomes when using ordinary correlations (r), absolute difference scores (d), or profile correlations (q). Similarly, different influences of a cultural stereotype were found when applying different measurement strategies. We discuss which measurement strategies are best used under which circumstances and which role the cultural stereotype plays.     

Maisie’s Spasms: Transferential Poetics in Henry James and Wilfred Bion

ABSTRACT

This essay offers a reading of Henry James’s midcareer novel What Maisie Knew (1897) as a study in group psychology. Maisie, James’s child heroine, is at the center of an expanding and transforming family group that includes various governesses as well as her divorced parents’ multiple new partners. I set James’s novel beside Bion’s Experiences in Groups and Other Papers (1961) and its Kleinian approach to the continuities and discontinuities between individual and group experience. Rather than insisting (as Freud tends to) only on a narrative of individuation and adaptation, Bion emphasizes the necessity and difficulty an individual inevitably experiences in making contact with the emotional life of the group in which she lives. James casts the frustrating necessity of group experience in entirely theatrical terms, figuring Maisie from the start as a spectator to, and eventually an active participant in, the affective circuits of those around her. In my reading the transferential poetics of James and Bion make available the affective, transindividual nature of knowing as a contingent activity that takes place between persons and other objects. The essay concludes by unfolding some of the surprising televisual aspects of James’s late style.     

Black Adolescents’ Critical Reflection Development: Parents’ Racial Socialization and Attributions About Race Achievement Gaps

This research explored the development of Black adolescents’ (N = 454) critical reflection, conceived as individual (i.e., blaming Black people) and structural (i.e., blaming systemic racism) attributions for race achievement gaps. In this longitudinal study, adolescents and their parents reported their individual and structural attributions for race achievement gaps and parents’ racial socialization. Adolescents’ structural attributions increased from Grade 10 to Grade 12. Average levels of individual attributions did not change. Adolescents’ reports of parental racial socialization and parents’ structural attributions when youth were in Grade 10 predicted increases in adolescents’ structural attributions. Findings are applied to future research and efforts to increase adolescent critical reflection.