Families' values and attitudes regarding responsibility for the frail elderly: implications for aging policy

This study examines the norms and values associated with care to disabled and frail aging parents, in particular those with regard to the sharing of responsibilities for care between families and formal services, and this within three age cohorts in Quebec, Canada. It is based on a telephone interview of 1,315 people. Factor analysis yielded four factors: (1) family responsibility; (2) uncompromising family obligations; (3) acceptance of services; (4) distrust of services. Analyses of the data indicate that all three age cohorts consider that families have responsibilities for their aging family members, at the same time that they score very high on the acceptance of service scale. This article discusses these seemingly paradoxical results and their implications for aging policy.     

Families' Values and Attitudes Regarding Responsibility for the Frail Elderly

Abstract

This study examines the norms and values associated with care to disabled and frail aging parents, in particular those with regard to the sharing of responsibilities for care between families and formal services, and this within three age cohorts in Quebec, Canada. It is based on a telephone interview of 1,315 people. Factor analysis yielded four factors: (1) family responsibility; (2) uncompromising family obligations; (3) acceptance of services; (4) distrust of services. Analyses of the data indicate that all three age cohorts consider that families have responsibilities for their aging family members, at the same time that they score very high on the acceptance of service scale. This article discusses these seemingly paradoxical results and their implications for aging policy.     

Moving beyond familism: Potential contributions of gerontological theory to studies of Chicano/Latino aging

Research on Chicano and Latino elders assumes that most Chicano/Latino elderly are primarily active within a family context. Familism is the most common feature of Chicano/Latino families that is used to explain the status of the elderly, how they cope with aging, and how gender dynamics among the elderly are constructed. Predictions about the future of the supportive nature of family for the elderly vary depending on how familism is conceptualized. This focus on familism is shown to be a limiting approach to Chicano/Latino aging. We illustrate how an explicit grounding in different gerontological theories directs the study of Chicano/Latino aging to include broader sociological issues. We also suggest reconceptualizing familism so that the existence of familism has theoretical as well as empirical importance. Placing research on Chicano/Latino aging into a broader sociological framework would move research away from a sociology in aging to a sociology of aging.     

Migration,technology and care: what happens to the body?

Migration is a social phenomenon impacting upon family life and conceptualisations of care. Simultaneously, technological advances allow families to stay connected. Care issues in the context of disability and aging may affect family relationships and how families develop. What is little understood is how these issues in migrant families affect a ‘family life course’. We use the case of a South African family with a daughter who is deaf and has other impairments. We argue that when communication is foregrounded and other, embodied, aspects of family care are relegated to the background, we lose the opportunity to understand family care patterns. We relate our discussion to broader theoretical questions regarding the body and care in disability studies.     

The Perspectives of Older Greek-Australians Toward Changes in the Nature of Family Support: Implications for Family Care Policies

Internationally, public policies encourage “aging in place,” and the majority of older Australians requiring care in the community receive informal care, supplemented by publicly subsidized formal services. The effect of contemporary social changes on informal care in aging migrant communities is poorly understood. This articles explores the perceptions of older Greek-Australians toward changes in the nature of family support. Bicultural and bilingual researchers carried out in-depth interviews (n?=?27) and five focus groups (n?=?63 total participants) with older Greek-Australians in modern Greek. While “cultures of care” remain among Greek-Australian families, the means for a family to assist have shifted, and these compromises are met with considerable powerlessness among older Greek-Australians. Implications for policy include the need to better involve older migrants and their families in decisions about their care needs, potentially involving consumer-directed care models. Service providers may also need to adopt the use of new technologies to communicate with increasingly time-pressured family members.     

Families in Later Life: A Decade in Review

Later-life families encompass the legal, biological, romantic, and kin-like relationships of persons ages 65 and older. Research on older families has flourished over the past decade, as population aging has intensified concerns regarding the capacities of families to care for older adults and the adequacy of public pension systems to provide an acceptable standard of living. Shifting patterns of family formation over the past half-century have created a context in which contemporary older adults' family lives differ markedly from earlier generations. Decreasing numbers of adults are growing old with their first and only spouse, with rising numbers divorcing, remarrying, forming non-marital romantic partnerships, or living single by choice. Remarriage and the formation of stepfamilies pose challenges and opportunities as older adults negotiate complex decisions such as inheritance and caregiving. Family relationships are consequential for older adults' well-being, operating through both biological and psychosocial mechanisms. We synthesize research from the past decade, revealing how innovations in data and methods have refined our understanding of late-life families against a backdrop of demographic change. We show how contemporary research refines classic theoretical frameworks and tests emerging conceptual models. We organize the article around two main types of family relationships: (1) marriage and romantic partnerships and (2) intergenerational relationships. We discuss how family caregiving occurs within these relationships, and offer three promising avenues for future research: ethnic minority and immigrant families; older adults without close kin (“elder orphans”); and the potentials of rapidly evolving technologies for intergenerational relationships and caregiving.     

Older people in America's immigrant families: Dilemmas of dependence,integration, and isolation

Immigration to the US has given rise to a population of older people who migrate here to be close to their children. Although highly integrated into their intergenerational families, these seniors voice dissatisfaction with their lives in the US. Intensive interviews with 28 transnational seniors demonstrate that their dissatisfaction stems from the contradictions between high cultural expectations for family sociability and structural constraints on kin interaction in the US. Their dissatisfaction is exacerbated by factors isolating them from social contacts outside the family. Although mobility limitations and not speaking English contribute to their isolation, immigrant families play a role. Older people are sometimes isolated by heavy domestic responsibilities in their child's household, solicitous offspring who insulate parents from practical aspects of daily life, and by a collective family ethos that calls on aging parents to subordinate their needs to those of other family members.     

The State of Family Research in Ireland

Changes in definition of family, economic opportu- nity, and demographics of the population of Ireland have been major factors in shaping family research in recent decades. Although divorce is constitutionally prohibited in Ireland, separations and non-marital births are indicators of family structural change in Ireland as in the rest of Europe. Research on aging and on rural families has been related to the need for policies to address issues of economic as well as social importance. The need now is to link these policy-driven investigations as well as future research into coherent theoretical analyses and to launch interdisciplinary collaborations.     

Families in the Middle and Later Years: A Review and Critique of Research in the 1990s

Research on families in the middle and later years came into its own during the 1990s, documenting the complexity, malleability, and variety of older family connections. We examined 908 articles on family gerontology topics, observing 4 trends: Conceptually, an appreciation for pluralism and resilience as individuals and families age is apparent. Theoretically, life course, feminist, socioemotional selectivity, and family solidarity theories are increasingly applied to intergenerational family relations. Methodologically, new interest in qualitative methods for studying diverse groups has improved the depth with which aging studies can account for variability in old age; new quantitative methodologies have allowed greater sophistication in dealing with longitudinal data. Substantively, there is greater understanding of family caregiving, social support, parent‐child relationships, marital transitions, and grandparenting relationships. The field is poised to take even greater risks in fulfilling the promise of studying linked lives over time.     

Spanning Borders,Cultures, and Generations: A Decade of Research on Immigrant Families

The authors review research conducted during the past decade on immigrant families, focusing primarily on the United States and the sending countries with close connections to the United States. They note several major advances. First, researchers have focused extensively on immigrant families that are physically separated but socially and economically linked across origin and destination communities and explored what these family arrangements mean for family structure and functions. Second, family scholars have explored how contexts of reception shape families and family relationships. Of special note is research that documented the experiences and risks associated with undocumented legal status for parents and children. Third, family researchers have explored how the acculturation and enculturation process operates as families settle in the destination setting and raise the next generation. Looking forward, they identify several possible directions for future research to better understand how immigrant families have responded to a changing world in which nations and economies are increasingly interconnected and diverse, populations are aging, and family roles are in flux and where these changes are often met with fear and resistance in immigrant-receiving destinations.     

Historical trends in state support for families in Europe (post-1945)

This paper examines the trends in state support for families in Europe since 1945. Trends in family allowances, maternity leave, childcare facilities, and related programs are analyzed. Four main conclusions emerge. First, state support for families followed a different course than other components of the welfare states during the 1945–1997 period. State support for families increased only moderately during the 1950s–60s golden age of the welfare states, but has not experienced major decreases since the 1970s. Secondly, the analysis revealed considerable inter-country variations that cut across conventional welfare state or family policy typologies. Thirdly, the trends in state support for families have reduced the cost of children, but have not eliminated entirely the opportunity cost of childbearing. Large inter-country variations were also found in this respect. Finally, results provide no convincing evidence that the aging of the population in Europe is having a strong negative consequence on state support for families.     

The Times They are A’changing: Multigenerational Family Simulations

Multigenerational households are increasingly affecting both the individual and family as well as community organizations and social policies. Social work and other family studies students can profit from educational modalities that use adult learning applications through a systems life-course perspective, the whole family aging over time. Family simulation software—addressing multigenerational families, such as two or more adult generations living together—builds on a previous paper (Marriage & Family Review, Feb. 2015). Social class, among other demographic and environmental variables, is emphasized. Agent-based family social network simulation of multigenerational families can facilitate experiential learning. An automatically generated life events report, based on both factual data and specific family characteristics, can be used as a classroom case study for role playing and assessing.     

A critical review of Singapore's policies aimed at supporting families caring for older members

This article critically examines the family-oriented social policies of the Singapore government aimed at supporting families caring for older members. The sectors focused on are financial security, health, and housing. Singaporeans have been reminded that the family should be the first line of defense for aging families, followed by the community - the state would step in as the last resort. Drawing from recent research and examination of the state policies, the author argues that more should be done to help family caregivers looking after elder relatives. Recommendations for innovative ways to recognize and reward family carers conclude the paper.     

Informing family policies: The uses of social research

Like the topic of family policy itself, research informing family policies is difficult to characterize. This article discusses how ideology and values influence research agendas and then describes three types of studies informing family policies: research defining social issues, evaluation research, and research about the policy-making process. Two case studies illustrate how social research informs family policy: in promoting gender equality in Scandinavia and in reforming child support in the United States. Values of individualism and the sanctity of the family have traditionally focused policy makers' and, hence, researchers' attention on individuals, not families, as the units of analysis. But dramatic shifts in family structure and functioning along with renewed public concern about family disintegration are placing families high on the policy agenda. Both “basic” and “applied” family scholars can contribute to a research agenda examining the factors promoting strong, effective families. She conducts research on gender and the life course, as well as on aging, families, and social policy. She received her Ph.D. in Sociology from the University of Minnesota. Her research interests in stratification, social policy, gender, and the life course include sex segregation in occupations, fertility, and work decisions and family policy.     

A Critical Review of Singapore's Policies Aimed at Supporting Families Caring for Older Members

Abstract

This article critically examines the family-oriented social policies of the Singapore government aimed at supporting families caring for older members. The sectors focused on are financial security, health, and housing. Singaporeans have been reminded that the family should be the first line of defense for aging families, followed by the community-the state would step in as the last resort. Drawing from recent research and examination of the state policies, the author argues that more should be done to help family caregivers looking after elder relatives. Recommendations for innovative ways to recognize and reward family carers conclude the paper.     

Space,time, and self: Rethinking aging in the contexts of immigration and transnationalism

Critical gerontology views aging as a social construction that reflects the intersections of micro-processes with the macro-level forces of individual aging experiences. In the contexts of immigration and transnationalism, however, the macro-structural conditions, dynamics and experiences of aging have become further diversified and complicated. The dearth of empirical and explanatory knowledge in this area has inhibited us from comprehending aging in a changing world. Drawing on data from a study of Chinese grandparents' experiences of transnational caregiving in Canada, this article examines the impacts of such experiences on three interconnected dimensions – spatial, temporal and cognitive – of aging. Although the practice of transnational caregiving allows skilled immigrant families to mobilize care resources outside Canada, it has not only ruptured the traditional trajectories of aging for their elderly parents, but also complicated the inequalities that they have to bear on individual, familial and transnational levels. I argue that the critical examination of aging in the context of transnational caregiving helps us take into consideration those dimensions (such as place, space, time, and knowledge) that are changed by immigration processes, and rethink aging from a broader perspective that links seniors' experiences with their relationship with their adult immigrant children's families and macro-structures outside national borders.     

Family involvement in the institutional eldercare context. Towards a new understanding

This article focuses on family involvement and its various patterns and expressions in the context of end-of-life care in a nursing home. Based on analyses from an ethnographic study carried out at a nursing home ward, the aim is to describe and analyze the conditions of aging and dying for the old residents, as well as effects on their visiting families and relatives. As in similar research findings, it became clear from the study that families continue to visit and contribute to the care of the old resident throughout the years, from the time of placement to their demise, but that this involvement might vary both in content and in extent. However, it was found that families' involvement (as well as their changing relationships and roles) is particularly shaped by the very process of dying and lingering aura of death on the ward. The analysis presented in the article evinces the difficult — and in many ways impossible — role of the family in the institutional end-of-life setting, and discloses the various patterns and manifestations of family involvement in this environment. Different meanings and implications of family involvement are discussed and highlighted.     

FAMILY THERAPY WITH INTELLECTUALLY AND CREATIVELY GIFTED CHILDREN

Few family therapists have expertise in the psychology of giftedness, and little research has been conducted to determine the effectiveness of family therapy with talented children and their families. The purposes of this paper are: (1) to provide family therapists with information on the unique psychosocial stressors associated with giftedness and (2) to stimulate further research and development on the efficacy of family therapy in alleviating distress and actualizing potential in gifted and talented children and their families. The paper provides a critical overview of the existing research literature on gifted children and their families. First, current conceptualizations of giftedness are described. Then the research literature on the characteristics of intellectually and creatively gifted children and their families is reviewed with an emphasis on the endogenous (individual) and exogenous (systemic) factors that can create or exacerbate psychosocial problems. Finally, we suggest an eclectic, eco-systemic approach to three common concerns that bring gifted children and their families to therapy.