Sibling kinnections: a clinical visitation program

The growing literature on sibling relationships throughout their lifespans is of great importance to those working in the child welfare system, and in adoption services in particular. Sibling bonds are important to all of us, but they are particularly vital to children from disorganized or dysfunctional families. These relationships assume even greater importance when children from these families enter the care system. Supporting and sustaining these sibling bonds should be, and most often is, a priority throughout the child welfare system, with practice literature providing guidelines for arranging and sustaining sibling contact. However, children in the care system may also have dysfunctional sibling relationships as a result of their early experiences, and sibling visitation alone may not be enough to ensure a healthy, long-lasting relationship among siblings. Some form of sibling therapy, or 'clinically supervised visitation,' may be required to help children remove the barriers to form mutually satisfying relationships and to reinforce life-long relationships with each other.     

Children with emotional disabilities: Perceptions of siblings

This paper reports the process and findings of a study of siblings of children with emotional disabilities. The intent of the research was to engage in an exploratory study through the use of a focus group to gain a preliminary understanding of the perceptions siblings have of a brother or sister with an emotional disability and the service system. Recommendations are given to mental health professionals for working with families and siblings of children with emotional disabilities. Ideas for including siblings in working with family systems are presented.     

Conflicts in Family Relations,Children's Emotions and Agency

What kind of conflicts and tensions do children experience with other children and adults in the family? Content analysis of 32 thematic interviews with 10‐ to 13‐year‐old children revealed that while conflicts often concern daily actions, tasks and routines, they also relate to decision‐making and fair treatment or to matters threatening the child's sense of emotional security. Parental conflicts and conflicts in child–parent relationships often arouse negative emotions that lead children to suppress their agency. However, conflicts, particularly those between siblings, may also open up possibilities for negotiation and agency.     

A relational understanding of the needs of siblings of children who have been sexually abused

This participatory research project highlighted the views and experiences of young people who are the brothers and sisters of children and young people who have experienced child sexual abuse. By working with young people who had experienced sexual abuse and their siblings, this practitioner research sought to give these young people a voice. The research involved a group process with young people who have experienced sexual abuse and have siblings, and one-to-one online consultations with the brothers and sisters of young people who have experienced abuse. All the young people spoke of their sibling and family relationships as unique and requiring unique responses to these relationships by services and health-care professionals. Siblings’ needs in the aftermath of a child sexual abuse discovery are often overlooked. This research describes how just as children who have experienced sexual abuse may feel anger, fear, guilt, shame, anxiety, and confusion, so do their siblings. Brothers and sisters of young people who have experienced sexual abuse describe significant relational trauma with intense emotional experiences of isolation, confusion, sadness, and anger. There is a real need to support young people and families to find words and develop capacities to talk about child sexual abuse -- a need to find supportive ways to speak about what has occurred and understand its impact on all. The study clearly demonstrated the significant level of need and impact on brothers and sisters of young people who have experienced sexual abuse.     

Sibling caring roles and responsibilities when a child suffers from a chronic illness

Siblings' lives and well-being are potentially affected in profound ways when their brother or sister suffers from a chronic illness in childhood. The shift in the care of chronically ill children from the hospital to the home in recent years has had an impact on family relationships and interactions. Whilst studies on caregiving have focused on the parental care of children who are chronically ill; siblings may nevertheless take on some caring roles and responsibilities. This article intends to make a novel contribution to the sociological literature on siblings, caring, and chronic illness by presenting a review of the literature addressing siblings' caring roles and responsibilities in families of children with a chronic illness. Knowing about the caring roles and responsibilities undertaken by siblings when a brother or sister has a chronic illness, may be beneficial to healthcare professionals and influence their caring practice. In addition, this work may contribute to a better understanding of family relationships and further improve healthcare policies.     

The multiple births foundation: For the professional support of families with twins and higher order births

Abstract

A new Foundation has been formed, which gives advice and support to families with multiple births and offers information and training programmes to educate members of the caring professions and the general public about the special needs of such children and their families. The Multiple Births Foundation (MBF) aims to help families with multiple births to enjoy their children to the full, and to help twins to develop their full individual potential while still valuing their twinship. The Foundation also encourages and participates in research.

Typical issues raised for social workers include those involving the problems of financial and emotional strain and the lack of practical help, all of which may lead to maternal depression, behavioural problems in the twins and their siblings, and to marital stress.     

Support Between Siblings and Between Friends: Two Worlds Apart?

This research examines whether siblings and friends resemble each other in supportive behavior. Using a Dutch national sample of 6,289 individuals containing 12,578 relationships with siblings and friends, we investigated the relative importance of gender composition, geographical proximity, relationship quality, and contact frequency for support exchange with siblings and friends. Results show that, controlling for other influences, siblings exchange more practical and less emotional support. High relationship quality and contact frequency are positively related to exchange of emotional support with siblings more than with friends, as is—unexpectedly—living further away. Fewer differences exist in practical support exchange. In conclusion, siblings and friends are similar with regard to practical support but different when it comes to emotional support.     

Who “Fills in” for Siblings and How? A Multilevel Analysis of Personal Network Composition and Its Relationship to Sibling Size1

In the midst of widespread fertility decline, I examine the relationship between sibling number and support network composition using multilevel regression on data from 25 countries. A fundamental structural effect of having fewer siblings is that individuals have a smaller pool of available close‐kin alters with whom to construct support networks. Consequently, networks of people with fewer siblings should be composed of different sorts of relations. Results confirm that such compositional adjustment occurs in systematic ways. Compared to those with three or more siblings, adults with none to two siblings (as separate categories) are more likely to expect support from parents, extended kin, and close friends but not more likely to do so from spouses/partners and children. Single children are also more likely to include neighbors and have smaller‐sized and/or impersonal networks. These findings contradict the primacy of familial ties in social support networks. Moreover, adjustment of support networks towards nonsibling ties occurs in culturally expected ways. Those with fewer siblings are generally only more likely to turn to ties for the types of support typically associated with those relations—parents for instrumental and financial support and friends for emotional support. Single children, however, also violate institutionalized expectations of social support by turning to ties for a wider range of social support. The results suggest that continuing declines in fertility could bring about both reinforcement and rearticulation of the sociocultural framing of close personal relationships. Moreover, consistent with recent research, the results show that personal networks are influenced more by individual‐level than country‐level factors.     

We thought it was a secret! An approach to the management of emotional disorder in children with parents in marital conflict

The relationship of marital conflict with emotional disorder in children is well known. The disturbed behaviour at these children is a reaction to, and at times may be the only manifestation of, the parent's conflict. The author has developed an interview technique, based on drawing a dream, which enables children to effectively communicate their understanding of the stressful events in their lives that contribute to their emotional disorder. These drawings and the child's perceptions of their parents' conflict are then discussed with the parents. This often sharply focuses the problem for the parents and may facilitate a resolution of the marital conflict, thereby allowing a more appropriate realignment of family relationships, with a consequent improvement of the child's emotional disorder.     

Siblings as Providers of Support and Care during Middle Childhood: Children's Perceptions

This article describes some of the findings of a study undertaken to seek the views of 69 Scottish primary school children of their sisters and brothers. The study found that siblings were perceived to be a significant source of support and help to the children. Sibling support was particularly important to children with few other supportive relationships. Sibling caretaking which was viewed primarily positively both by the caretaking and looked after children, was found to be a common experience among the nine to 12–year-old children. Negative consequences of sibling caretaking included annoying, domination and abuse by siblings. Although over a quarter of the children's siblings were not living in the Same household, the majority of children perceived siblings to hold a special importance in their lives. Issues raised for parents and professionals concern the maintenance of relationships between siblings who do not live together; how to enhance the supportive aspects of sibling relationships, while offering protection against the negative aspects of sibling dichotomy; and facing the reality of sibling caretaking. Much more needs to be known about children's everyday experiences of growing up with their sisters and brothers, if we are to understand more fully the complexities of sibling relationships.     

The Impact of Complex Family Structure on Child Well‐being: Evidence From Siblings

Evidence from the United Kingdom Millennium Cohort on children at ages 3 and 5 with older siblings addresses the questions of whether those living with both biological parents and only full siblings have better emotional and behavior outcomes than other children, and whether nonfull siblings affect children's outcomes independently of parents' partnership status. Adjusting for measured family circumstances and resources in cross‐sectional regressions accounted for much of the adverse association of family complexity with child outcomes. Controlling for unobserved family and child fixed effects did not, however, attenuate all estimates further. Fixed unobservable factors appeared to be masking underlying associations. Allowing for them intensified some, albeit modest, estimates. These revealed excess externalizing behavior problems for boys with single or stepparents but only full siblings. For girls with single mothers, the chances of internalizing problems were raised. Whether siblings were full or not made little difference to outcomes in general.     

Willingness and availability: Explaining new attitudes toward institutional elder care among Chinese elderly parents and their adult children

This paper studies the attitudes of Chinese elderly parents and their family members toward institutional elder care. Based on a sample survey of 265 elderly residents in 67 elder home institutions and 114 family members, this study finds that elders and family members generally had high evaluations of institutions' quality in terms of facility, medical, and direct care conditions. Elders who reported improved health and emotional well-being after entering institutions gave higher ratings to those institutions' quality. Among adult children, those who had more siblings tended to rate institutions higher than those who had fewer siblings. Factors that influenced elders' willingness to stay in an institution included marital status and financial ability. Widowed elders were more willing to stay in institutions compared with married counterparts. Elders who rated service charge very high preferred to stay at home due to the high cost of institutional care. In the family relatives' sample, gender was found to be related to willingness to place elderly parents in an institution; female children were less willing to place elderly parents in the institution.     

The Role of Early Maladaptive Schemas in the Appearance of Psychological Symptomatology in Adult Women Victims of Child Abuse

ABSTRACT

Child abuse affects people’s ways of thinking, feeling, and observing the world, resulting in dysfunctional beliefs and maladaptive schemas. Thus, consequences of child abuse may persist during adulthood. Therefore, the aim of this study was to analyze the psychological consequences (anxiety, phobic anxiety, depression, and hopelessness) of different types of maltreatment (physical, sexual, and emotional abuse and physical and emotional neglect) and to study the role of early maladaptive schemas in the onset of symptomatology in adult female victims of child abuse. The sample consisted of 75 women referred by associations for treatment of abuse and maltreatment in childhood. Sexual abuse was the type of maltreatment that was most strongly related to most dysfunctional symptomatology, followed by emotional abuse and physical abuse, whereas physical neglect was the least related. Also, early maladaptive schemas were found to correlate with child abuse and dysfunctional symptomatology. Finally, early maladaptive schemas mediated the relationship between sexual abuse and dysfunctional symptomatology when the effect of other types of abuse was controlled. These results may provide important guidance for clinical intervention.     

From Caregivers to Caretakers: The Impact of Family Roles on Ethnicity Among Children of Korean and Chinese Immigrant Families

Scholars have long examined the effects of family and community on ethnicity, but they have less to say on why some children may be more receptive to the positive influences of ethnic communities than siblings within the same family. As more immigrants struggle to adapt to the needs and demands of the new global economy, many families are turning to alternative caregiving arrangements that significantly impact the long-term ethnic identities of the second generation. The article considers how adult-age children of immigrants negotiate the emotional disconnects created by these varying contexts of care depending on their individual role within the family and how it shapes their views on ethnicity and culture in their own adult lives. The study focuses in-depth on fourteen semi-structured, in-person interviews with adult-age children of Asian immigrant families in the NY-NJ metropolitan area. Depending on their social status, children of immigrants are integrated into their families: as cultural brokers expected to mediate and care for their family members, as familial dependents who rely on their parents for traditional caregiving functions, or as autonomous caretakers who grow up detached from their parents. I argue that because of their intense engagement with family, cultural brokers describe their ethnic-centered experiences as evoking feelings of reciprocated empathy, whereas on the other end, autonomous caretakers associate their parents’ ancestral culture with ethnocentric exclusion. Depending on how they are able to negotiate the cultural divide, familial dependents generally view their parents’ culture and immigrant experiences through the hierarchical lens of emulation.     

Children's perceptions of their disabled siblings: ‘she's different but it's normal for us’

This paper reports on a two‐year study exploring children's understandings of disability. It focuses on findings from interviews conducted with 24 children, aged 6 to 19, who had disabled siblings, exploring their perceptions of impairment, disability and difference. Most were very aware of their sibling's impairment but the majority did not see that as making their siblings different. Where difference was perceived, this was sometimes attributed to their siblings' experience of disability—unequal treatment and the hostile attitudes of others. Most children saw their disabled sibling as holding various identities and their shared biographies, as members of the same family, may have taken precedence over any perceived differences.     

Rishtas: adding emotion to strategy in understanding British Pakistani transnational marriages

Abstract The popularity of transnational marriages that in most cases involve first cousins or other kin distinguishes Pakistanis from other British South Asian groups. In this article we explain the popularity of such marriages. We seek to complement accounts that stress kinship obligations and socio‐economic strategy by showing that transnational marriages are also motivated by the emotional ties of kinship. Central to this analysis is a focus on the Urdu/Panjabi concept of rishta, which conveys ideas about a ‘good’ match and about emotional connections between people. Our attention to emotional discourse between siblings, between parents and children and between prospective spouses in the context of marriage arrangements augments the understanding of what is at stake for those involved in transnational marriages. Our analysis also complements accounts that emphasize parental exegesis by offering a multigenerational perspective.     

A PSYCHOEDUCATIONAL MODEL FOR WORKING WITH FAMILIES OF AUTISTIC CHILDREN*

Because of the well-documented effectiveness of paradigms which emphasize parental or family pathology in understanding and intervening with dysfunctional children, the temptation exists for applying them to other dysfunctional populations. Autism is a pervasive developmental dysfunction with life-long adverse sequelae for the child and family. This paper reviews evidence on the biological etiology of autism and other pervasive developmental deviations, and stresses the necessity for providing an early and accurate diagnosis for the family. The adverse implications of downplaying individual pathology and concentrating on parental or family dysfunction are then discussed. The natural evolution and specific components of a psychoeducational model for diagnosing autistic children and working with them and their families are then presented. Finally, some of the advantages of this multimodal, multidiscipline model in long-term work with these pervasively dysfunctional individuals and their families are considered.     

Bildungserfolg von Kindern in Abhängigkeit von der Stellung in der Geschwisterreihe

Based on grades in school and on parental educational aspirations the article investigates the influence of siblings’ birth order on educational opportunities and educational success of elementary school pupils. It is examined whether this influence varies by social strata, i.e., whether it is moderated by the socio-economic status of parental households. Theoretical background are the resource dilution model which focuses on siblings’ rivalry for scarce family resources, the confluence model which refers to the intellectual environment within families, and the family niche model which postulates effects of siblings on personality traits of children. Furthermore, status maintenance motives of parents are used to explain birth order effects. Empirical analyses are based on a study of 1369 pupils—4th graders of elementary schools—in the city of Wiesbaden, Germany. It can be shown that the birth order has negative effects on the chosen educational indicators (grades in school, parental educational aspirations). In accordance with prior research, grades of children get worse with their position in the birth order, other things being equal. The birth order also affects educational aspirations which parents hold for their children. In this context, the crucial result of the article is: When older siblings already guarantee the social status of the family in an intergenerational perspective, parents with high SES reduce their educational aspirations for younger siblings (elimination of the status maintenance motive). In families with low SES, however, parental educational aspirations for younger siblings increase, when older siblings successfully have reached higher educational credentials (social learning from role models).     

Obesity and Living Together

As shown by parent-child, sibling and twin correlations and by comparison of the children of different parental fatness combinations, fatness definitely follows family line. Indeed, fatness level can be predicted from grandparental fatness levels and from the number of obese family members living together. However, a purely genetic explanation for the level of fatness and actual obesity is untenable given fatness similarities of spouses, parents and their adopted children, adoptive siblings and of parents and their adult children who no longer live within the home. Comparing fatness levels of genetically unrelated "family" members and measuring synchronies in fatness change among family members who live together (i.e., parents and children and siblings and spouses) it is clear that fatness and obesity are both acquired in the family context. While parental and grandparental models of eating and exercising may well explain levels of energy intake and expenditure that account for differences in fatness differences in children, there is also some evidence that fatness and fatness gain of younger family members may affect the body fat mass of members of the elder generation. The largely-learned family line nature of fatness and obesity becomes important in the early diagnosis of obesity, the prevention of obesity and in programs of fatness reduction and dietary reeducation if they are to be of lasting effect.     

Do Children With Gender Dysphoria Have Intense/Obsessional Interests?

This study examined whether children clinically referred for gender dysphoria (GD) show increased symptoms of autism spectrum disorder (ASD). Circumscribed preoccupations or intense interests were considered as overlapping symptoms expressed in GD and ASD. In gender-referred children (n = 534; 82.2% male) and their siblings (n = 419; 57.5% male), we examined Items 9 and 66 on the Child Behavior Checklist, which measure obsessions and compulsions, respectively. Non-GD clinic-referred (n = 1,201; 48.5% male) and nonreferred (n = 1,201; 48.5% male) children were also examined. Gender-referred children were elevated compared to all other groups for Item 9, and compared to siblings and nonreferred children for Item 66. A gender-related theme was significantly more common for gender-referred boys than male siblings on Item 9 only. A gender-related theme was not significantly more common for gender-referred girls compared to their female siblings on either item. The findings for Item 9 support the idea that children with GD show an elevation in obsessional interests. For gender-referred boys in particular, gender-related themes constituted more than half of the examples provided by their mothers. Intense/obsessional interests in children with GD may be one of the factors underlying the purported link between GD and ASD.