Adoptive Parents’ Attitudes toward Adoption and Domestic Adoption Development in Korea: Adoptees’ Specific Needs for Origin

This study aimed to find out how Korean adoptive parents were carrying out their adoptions in Korea and to see if adoptive families truly understood the meaning of adoption and their adopted child's specific needs to know about his genetic roots. This understanding on the adoptive parents’ part is needed to help the child to form a self‐identity for his well‐being. The study sample of 352 adoptive parents may be the largest study ever done involving families currently raising their adopted children in Korea. Results showed that families did not seem to understand adoption with its characteristics well. Though families’ satisfaction with the adoption was very high, it appeared that their satisfaction was limited to when their adoptees were young, not being extended to when children became old enough to know of their adoption. For adoption development in Korea, however, it was encouraging that parents’ participation in local (regional) meetings with other fellow adopters from self‐support groups appeared to be the most significant consistent factor in contributing to the families’ understanding of adoption and their positive attitudes for the adoptees’ well‐being and to their satisfaction with the adoption.     

How do immigrant parents of children with complex health needs manage to cope in their daily lives?

Daily life with children who have complex health needs can be stressful for parents. Immigrant parents are vulnerable to stress because they may lack language skills and knowledge about the health care system and have limited social networks. In this study, we focus on how immigrant parents of children with complex health needs use emotion‐focused and problem‐focused coping strategies to manage their daily life, and how their self‐efficacy and the immigration process may affect their coping. This qualitative study had an exploratory design with individual and focus group interviews. The sample comprised 27 parents—18 mothers and 9 fathers—from Pakistan, Poland, and Vietnam. The findings indicated that the parents' love for their child helps them to cope in their daily life. Newly arrived migrants, single mothers with a severely ill child who lacked support and migrant parents with language difficulties struggle to cope. Some of the stress is related to personal, social and structural problems, and to the insufficient resources available to meet the child's needs. The parents used both emotion‐focused and problem‐focused coping strategies. The parents noted that access to both universal and selective welfare services is an important factor that contributed to their self‐efficacy and coping.     

Shy but Getting By? An Examination of the Complex Links Among Shyness,Coping, and Socioemotional Functioning in Childhood

The purpose of the current study was to test a conceptual model of the mediated and moderated associations among shyness, coping strategies, and socioemotional functioning in middle childhood. Participants were 358 children (177 boys) aged 9–13 years (M = 10.16 years, SD =.95). Children completed self‐report assessments of shyness, coping style in response to a social stressor, internalizing problems, and peer difficulties. Among the results, shyness was positively associated with internalizing symptoms and negatively related to perceptions of peer difficulties. However, both of these associations were partially mediated by internalizing coping styles. Moreover, problem‐solving coping moderated these mediated pathways: among children who reported higher levels of problem‐solving coping, the associations between internalizing coping and outcomes were attenuated. Several gender differences also emerged, suggesting that problem‐solving coping may be particularly useful for shy boys. Results are discussed in terms of the complex but potentially critical role of coping in shy children's socioemotional functioning.     

Predictors of outcome for unrelated adoptive placements made during middle childhood

This paper reports on a follow‐up to adolescence of two longitudinal prospective studies of children placed from public care with non‐related adoptive families in the UK. Factors associated with outcome are presented for 99 children (one index child per adoptive family) who were between 5 and 11 years of age at placement. Information concerning the children's backgrounds and care histories was obtained shortly after placement (T1), from social workers. Adopters were interviewed at T1 and again at the end of the first year (T2). A further follow‐up was conducted an average of six years after placement (T3). Outcomes at T3 were classified as either disrupted, which was true for 23%, continuing and ‘positive’ (49%) or continuing but ‘difficult’ (28%). Bivariate analyses revealed a number of attributes, related to both the child and the adoptive parents, which were associated with differential outcomes. Logistic regression produced five predictors of placement disruption: age at placement, behavioural problems, preferential rejection, time in care and the child's degree of attachment to the new mother. Differences were found between ‘positive’ and ‘difficult’ outcomes in continuing placements as well as between continuing and disrupted placements. The analysis suggests that adoption should certainly be considered as an option for children over 5 years of age while recognizing the need for both preparation and post‐placement support. Evidence of differential outcome in continuing placements provides support for efforts to reduce the number of placements and returns home that a child at risk experiences.     

Adopted Children Admitted to Residential Psychiatric Care

In an investigation of adopted children admitted to residential, psychiatric care over a five year period it was found that the percentage of adoptees far outnumbered their proportion in the general population. Clinical variables related to adoption were analyzed and early deprivation in the child and family pathology were found to be major factors in many cases. It was suggested that these findings should not discredit adoption as such, but rather that they pointed out areas to which attention could be directed, namely, more careful selection of adoptive parents together with post adoptive counselling and follow-up for the adoptive families.     

International adoption and the formation of new family attachments

Clinical studies of children in international adoption reveal unique patterns of psychological adjustment to permanent family care. Pre‐adoption history often includes early object loss, medical and nutritional deprivation, multiple care‐giving disruptions, and the lack of primary care‐giving relationships. These factors and the age at the time of adoption are risks to positive emotional and cognitive development. Adoptive parents may be unprepared for the resulting developmental problems. Most significantly, parents and children are often at different points in readiness to establish an attachment relationship. The parents are eager to claim their child, but the child is unready to respond because of emotional fragility and lack of previous attachment experiences. Two clinical vignettes illustrate the importance of a developmental and medical framework in assessing the unique needs of these survivor children, as well as the necessity of an empathic therapeutic holding environment that can sustain the emerging family attachments under stress. The psychological impact of cross‐cultural adoption and traumatic early beginnings reverberates across time but with empathic parental care and treatment recovery can be significant.     

Butterflies

This essay illustrates group work with adolescent girls struggling with emotional dysregulation and maladaptive coping. Mutual aid and female empowerment are advanced through the development of interpersonal relationships and interaction related to stress management, adaptive coping strategies, diversity, healthy relationships, self-esteem, self-harm and emotional regulation.     

Predictors of behavioural and emotional problems of children placed in children's homes in Croatia

Since children's homes in Croatia and elsewhere nowadays deal with children who have more problems than in the past, there is a need to identify predictors of the children's behavioural and emotional problems in order to provide adequate interventions and an appropriate developmental environment. This research was carried out in all children's homes in Croatia. The sample consisted of 263 children aged 10–14. Standardized instruments (Youth Self‐Report and Child Behaviour Check‐List) were used as outcome measures of children's psychosocial functioning. The results showed significantly more behavioural and emotional problems in children in children's homes than in the comparison group of children living with their families. Child care‐workers assessed fewer behavioural and emotional problems than did the children themselves. Multiple regression analyses were used to determine predictors for well‐being scores. The level of everyday stress in children's homes, coping strategies, perception of social support and school achievements proved to be the most significant predictors. Since those variables belong to mediating variables within the suggested model of research, it is argued that positive changes in these areas can facilitate a better psychosocial functioning of the children in children's homes.     

Cultural socialization of toddlers in emotionally charged situations

This study examined mothers’ responses to foster emotional competence from a cultural perspective. Fifty‐one European American, 52 Turkish, and 40 Romanian mothers of 2‐year‐old children provided open‐ended responses to vignettes of anger‐, sadness‐, fear‐, and happiness‐eliciting situations. Mothers’ responses were compared between the family models of independence (United States) and psychological interdependence (Turkey, Romania) to understand cultural variations. To anger, all mothers endorsed problem‐focused responses that emphasized teaching coping skills at similar rates, suggestive of an autonomy‐orientation. European American mothers also endorsed behaviorally oriented discipline to cope with anger independently more than Turks and Romanians, who endorsed reasoning and comforting responses more, reflecting a relatedness emphasis. To sadness, problem‐focused and comforting responses did not reveal cultural differences. Expected differences in reasoning and dismissive responses were partly supported. To fear, comforting was the dominant response, with the highest rate reported by European Americans. Turkish and Romanian mothers’ relative emphasis on reasoning was characteristic of their family model. In happy situations, European American mothers validated toddlers’ happiness most often, whereas Turkish mothers reported the escalation of happiness most often. Despite sharing the psychological interdependence model, differences in some responses to sadness, fear, and happiness were noted between Turkish and Romanian mothers.     

Portuguese adopted adolescents' perception of attachment relationships to parents

The establishment of emotional bonds is one of the most important tasks of the adoptive family. Most research about attachment in adoption focuses on young adopted children, as opposed to adoptees in other stages of development. The present study aims at assessing the adopted adolescents' self‐perception of attachment relationships with their adoptive parents, by pairing them with a group of institutionalized adolescents and another one of adolescents in the community. One hundred sixty‐five adolescents (55 adopted, 55 in residential care, and 55 living with their birth family), aged 12 to 19, participated in this study. Data were collected using the Inventory of Parent and Peer Attachment to assess attachment relationships with parents on three dimensions: trust, communication, and alienation. The results showed that adoptees perceived their relationship with their parents in a similar way to peers in the community and presented higher results when compared to institutionalized adolescents in trust and communication and lower scores in alienation. The results highlighted the relevance of family context experiences and suggested that adoption can offer the possibility of building a secure attachment relationship, which is not the case in the context of collective care, as happens within institutionalized care.     

The key role of positive parenting and children’s temperament in post‐institutionalized children’s socio‐emotional adjustment after adoption placement. A RCT study

Parenting interventions represent a means for experimentally inquiring socio‐emotional change of post‐institutionalized children after adoption. We used this approach in a three time point RCT study involving 83 post‐institutionalized children (M_age = 33.5 months, SD = 17.1) and their adoptive mothers (M_age = 42.6, SD = 3.9), attending either the Video‐Feedback Intervention to promote Positive Parenting in adoption and foster care or a dummy intervention. Controlling for gender and age at adoption, children showed a significant change in their socio‐emotional adjustment in the specific variables inquired—that is, emotional availability‐EA, and behavioral problems—after intervention attendance. Mediation and moderated mediation models showed that maternal EA was a main factor affecting children’s EA and externalizing behavioral problems, with a key moderating role played by children’s temperament; children with high scores on temperamental negative affect benefitted most from their mothers’ increase in EA.     

Children's journeys through organizations: how inspectors evaluate coordination of care

Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the Netherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi‐structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to analyse 24 journeys through care organizations, including a selection of six journeys in further detail. Our analysis shows that up until now, inspectors used only one form of coordination, the creation of a hierarchy, resulting in one problem definition. However, in complex care practices, children have multiple and often incompatible problems so that one coherent problem definition cannot be made. We show that ‘patchwork’, a form of coordination that allows discrepancies enables inspectors to reflect on complex care practices and evaluate options to improve outcomes for children.     

Children's Disclosure and Secrecy: Links to Maternal Parenting Characteristics and Children's Coping Skills

The relations between maternal parenting characteristics, child disclosure and secrecy, and child outcomes (positive and negative strategies for coping with distress), were examined in a study of 140 children (10–12‐year‐olds) and their mothers. Child disclosure and secrecy were shown to be distinct but related constructs with authoritativeness predictive of disclosure and dispositional anger predictive of secrecy. These relations held even when child compliance was included as a control variable. Mothers' authoritative parenting predicted disclosure which in turn predicted children's use of positive coping strategies. Mothers' dispositional anger predicted secrecy which mediated the relation between maternal anger and children's use of negative coping strategies. Results are discussed in terms of parent–child communication and opportunities for mothers to use knowledge gained from child disclosure to teach children successful ways of dealing with distress.     

Work and Care Strategies of European Families: Similarities or National Differences?

This paper examines the work and care strategies chosen by full‐time working families with children in Finland, Italy, Portugal and the UK. It asks whether European families in different countries, facing the same problems of balancing employment and childcare responsibilities, respond to their situations in similar ways. An increase in dual‐earner families where both parents work full‐time represents a general employment trend in today's Europe. Also, within families with children, such employment patterns are now more common than they were previously. National differences may therefore not any longer be as marked as often indicated by country‐based surveys. The qualitative data from the SOCCARE Project offer a way to examine this issue. The focal point of the paper is to make a comparative analysis of couples in similar work and care situations. Using their working hours as the common denominator, this paper analyses their daily childcare arrangements and how these are impacted by gender roles, working schedules, flexibility of workplace, income levels, parents’ educational background and availability of care facilities. The paper concludes that European families’ work and care strategies have many similarities whereby national differences may not be as marked as often indicated by contemporary research.     

Imaginary Companions and Young Children's Coping and Competence

Imaginary companions (ICs) are purported to bolster children's coping and self‐competence, but few studies address this claim. We expected that having/not having ICs would distinguish children's coping strategies and competence less than type of companion (i.e., personified object or invisible friend) or quality of child–IC relationship (i.e., egalitarian or hierarchical). We interviewed 72 three‐ to six‐year‐olds and their mothers about children's coping strategies and competence; teachers rated competence. Mothers reported ICs. IC presence and type did not differentiate coping strategies, but children with egalitarian relationships chose more constructive/prosocial coping strategies, and teachers rated them more socially competent than children with hierarchical child–IC relationships. Mothers related ICs to cognitive competence. Findings highlight (1) modest relations between imaginary relationships and coping/competence; (2) distinctions between mothers' perceptions and IC functions; and (3) that ICs parallel real relationships in that different dimensions (presence, type/identity, and relationship quality) might be unique contributors to children's socioemotional development.     

Adopted foster youths' psychosocial functioning: a longitudinal perspective

Researchers have long debated whether adopted youth manifest disproportionate levels of psychological dysfunction compared with non‐adopted youth. Yet, missing from the debate has been a clear understanding of the specific subgroups of adopted youth who may develop behaviour problems and of the risk factors associated with various vulnerable populations. This longitudinal study examined one subpopulation of adopted youth – former foster children – in order to determine their immediate and long‐term functioning, particularly in comparison with their adopted non‐foster care peers. The central goal of this study was to ascertain the prevalence of behavioural problems in adopted foster youth compared with adopted non‐foster youth and to chart the longitudinal course of their behavioural problems. Participants included adopted foster youth (n = 293) and adopted non‐foster youth (n = 312) from a statewide sample of adopted youth, aged 2–18 years. Data were collected from the adoptive parents at approximately 2, 4 and 8 years after adoption. Adoptive parents rated youths’ functioning with the Behaviour Problems Inventory. According to parental report, a striking number of the foster youth displayed behaviour problems, although the non‐foster care group of children also displayed noteworthy levels of problem behaviours. The rates of behaviour problems in both groups far exceed what is observed in the general population of children.     

Externalizing an ‘Asset Model’ of Activation: Creative Institutional Work by Frontline Workers in the Norwegian Labour and Welfare Service

The past two decades have brought significant shifts in Norwegian activation policy towards a joined‐up and employability‐enhancing approach to labour market inclusion in order to promote return‐to‐work despite health problems or disabilities. Utilizing a concept from health promotion, we term this approach an ‘asset model’ of activation. The Norwegian Labour and Welfare Service (NAV) and its local offices are the main agents implementing the new policy. This article aims to investigate the strategies that the frontline workers of NAV engage in, in order to externalize an ‘asset model’ in the adjacent medical field and to the general practitioners (GPs) in particular. We analyze these strategies as forms of creative institutional work – the purposive actions undertaken to change existing presumptions and opinions among relevant actors. We argue that although the new activation policy is not theirs to develop, in order to bring about changes in practice, ‘creating’ institutional work by the frontline workers is required. Our findings show that the frontline workers develop strategies in order to externalize an asset model to the GPs, as part of operationalizing an ‘activation’ reform into practice. We identify four forms of ‘creating’ institutional work undertaken by the frontline workers: ‘defining’ – enacting legislation and regulation in relation to GPs; ‘constructing normative networks’ – creating a more collaborative relationship with the GPs; ‘educating’ – teaching the GPs about the rules and regulations, and the opportunities and assistive measures they can offer to the injured; and thereby also ‘changing normative associations’ of GPs towards the activation policy.     

Marital Conflict and Children's Adjustment: The Mediating and Moderating Role of Children's Coping Strategies

This prospective, longitudinal study examined the role of children's coping strategies in the link between interparental conflict and children's psychological adjustment. Using a sample of 100 parents and children aged 11–14 years, this study investigated children's venting of negative emotion, social support seeking, and problem solving strategies as mediators and moderators of the relationship between marital conflict and child adjustment. Venting negative emotion mediated the long‐term effects of marital conflict on children's psychological adjustment. This coping response also moderated the relationship between marital conflict and children's anxiety‐depression. The role of non‐constructive coping strategies as a mechanism through which marital conflict affects children's psychological well‐being is discussed, together with the need for research to identify intervention strategies aimed at improving children's coping efficacy in the context of interparental conflict.     

Diathesis stress or differential susceptibility? testing longitudinal associations between parenting,temperament, and children's problem behavior

In this study we investigated longitudinal associations among parenting, children's temperamental negative affectivity, and internalizing and externalizing behavior. Second, we tested whether findings confirmed the diathesis‐stress model or differential susceptibility theory when conducting stringent interaction tests. The sample included 129 children and their families. Parenting quality (age 5) was measured by parent–child interaction observations. Parents evaluated child negative affectivity (age 7) and teachers reported on problem behavior (age 12). Multiple regression analyses revealed an interaction effect of negative affectivity and parenting on externalizing behavior. Visual inspection suggested ‘for better and for worse’ effects of parenting for children with negative affectivity. However, more stringent tests failed to show convincing evidence for differential susceptibility theory. For internalizing behavior, negative affectivity may render children vulnerable regardless of parenting. Our results point at the importance of further testing interaction effects to distinguish between differential susceptibility theory and the diathesis‐stress model.