Resident and family perspectives on assisted living

This research describes and compares the relative importance residents and family members place on attributes of the environment, the programs, and the policies of assisted living; describes their satisfaction with these features; and identifies factors associated with congruence between residents' and family members' ratings of importance and satisfaction. Both residents and their family members had high importance and satisfaction ratings. Family members gave the assisted living setting lower satisfaction ratings on all features than did residents. Congruence ranged from 34% to 71% for importance items and from 29% to 63% for satisfaction. Female residents, affectionate family relationships, and residing in an AL owned by a chain were positively associated with congruence on importance items, while resident and family education, resident income, and family involvement were negatively associated with congruence on importance items. For congruence on satisfaction items, having an affectionate relationship was positively associated and higher ADL dependency, more family involvement at the facility, and family members who viewed the facility as a safe place were negatively associated with congruence. This study makes a major stride forward because cognitively intact residents' perspectives are compared and contrasted with their own family members' perspectives, thus showing that residents and family members are two distinct groups, each with a unique set of preferences.     

Resident and Family Perspectives on Assisted Living

Abstract

This research describes and compares the relative importance residents and family members place on attributes of the environment, the programs, and the policies of assisted living; describes their satisfaction with these features; and identifies factors associated with congruence between residents' and family members' ratings of importance and satisfaction. Both residents and their family members had high importance and satisfaction ratings. Family members gave the assisted living setting lower satisfaction ratings on all features than did residents. Congruence ranged from 34% to 71% for importance items and from 29% to 63% for satisfaction. Female residents, affectionate family relationships, and residing in an AL owned by a chain were positively associated with congruence on importance items, while resident and family education, resident income, and family involvement were negatively associated with congruence on importance items. For congruence on satisfaction items, having an affectionate relationship was positively associated and higher ADL dependency, more family involvement at the facility, and family members who viewed the facility as a safe place were negatively associated with congruence. This study makes a major stride forward because cognitively intact residents' perspectives are compared and contrasted with their own family members' perspectives, thus showing that residents and family members are two distinct groups, each with a unique set of preferences.     

Incongruent Teen Pregnancy Attitudes,Coparenting Conflict,and Support Among Mexican‐Origin Adolescent Mothers

The current longitudinal study examined whether differences between Mexican‐origin adolescent mothers and their mother figures (N = 204 dyads) in attitudes on the status attained through teen pregnancy were associated with conflict in their coparenting relationship and whether coparenting conflict was associated with adolescent mothers' perceptions of social support. Findings revealed that when adolescents held more positive attitudes than their mother figures about the status gained through teen pregnancy, they tended to report greater coparenting conflict with their mother figures. Furthermore, greater coparenting conflict was significantly associated with decreases in adolescents' perceptions of social support (i.e., emotional, instrumental, companion support) 1 year later. Findings underscore the importance of incongruent attitudes and the quality of coparenting relationships between adolescent mothers and their mother figures in relation to support processes. Findings are discussed with respect to understanding Mexican‐origin adolescent mothers' social support in the context of family subsystem attitudes and interactions.     

Family Process and Child Development in Unlabeled (Normal) Families*

Preliminary data are reported from an ongoing project devoted to the study of normal families. The research emphasizes the effects of system-level variables and the micro patterns of conversational interaction on the development of children within the family. Our theoretical model focuses on the individuation process, and the way in which accuracy of interpersonal perception and mutual validation among family members contribute to and are affected by the personal development and functioning of individual family members. The data derive from two-hour interviews with 99 families in their homes, plus psychological, sociometric and achievement data on an adolescent girl in each family. We have found both structural factors and patterns of conversational interaction among parents that distinguish families of the adolescent girls who score high on the individual functioning measures from families of adolescent girls who score low on these same measures.     

Parents' and children's perceptions of family processes in inner-city families with delinquent youths: a qualitative investigation

This study explored youths' and parents' perceptions of family interaction processes as well as the broader social and cultural factors that influence family functioning in a multiethnic sample of inner-city families with delinquent youth. In-depth interviews were conducted with 61 male youths and 33 parents predominantly from minority families. Guided by an ecological framework, qualitative data analyses were employed to explore individual and contextual factors that were perceived either to foster or to impede individual and family functioning. Findings supported previous empirical research highlighting the importance of family interaction processes in the lives of delinquent youths. Analysis of parent and youth data revealed important relationships among the individual, family, and community domains. The emphases placed on these interrelationships, however, varied in distinct and notable ways for parents and youths. The implications of these divergent patterns for family-level interventions are addressed.     

Family of Origin,Race/Ethnicity,and Socioeconomic Attainment: Genotype and Intraindividual Processes

Previous research has mainly focused on the persistent direct influence of early life contexts on young adult socioeconomic attainment, and less is known about intraindividual processes that are responsible for this persistent influence. The present study, using genetically informed longitudinal, prospective data from a nationally representative sample (Add Health), attempted to fill this gap by adding three important findings to the literature: (a) Adolescents experiencing adverse family contexts during childhood and early adolescence showed lower socioeconomic attainment in early adulthood than adolescents from less adverse family contexts, (b) adolescent academic and cognitive competencies and psychological vulnerabilities partially mediated these persistent influences, and (c) individual cumulative genetic characteristics additively and interactively influenced adolescent competencies and vulnerabilities as well as young adult socioeconomic attainment. The results demonstrate that although substantial continuity exists in early adversities, individual genetic variability is a factor that influences individuals' response to early socioeconomic conditions.     

Adolescent Perceptions of Interparental Conflict, Stressors, and Coping as Predictors of Adolescent Family Life Satisfaction

Using family stress theory, this study examined the relationship between adolescent reports of selected demographic variables (gender, age, family form), interparental conflict (style, content, intensity, resolution), stress due to the pileup of stressors, coping strategies (social support, detrimental coping), and adolescent family life satisfaction. The sample was comprised of 155 adolescents ranging from 14 to 18 years of age who completed self-report questionnaires at one of three rural Oklahoma high schools. Four dimensions of interparental conflict (overt conflict style, conflict about childrearing, conflict about family roles/finances, conflict resolution), stress due to pileup, social support coping, and detrimental coping were significantly related to family life satisfaction. Adolescent age was positively related to family life satisfaction. Within the scope of family stress theory, scholars have addressed how the combination of stressors and coping strategies relates to the adaptation of individuals within family systems (McCubbin and Patterson 1983). Further, investigations of the relationship of parental divorce to well-being in children and adolescents suggest that interaction patterns within various family forms may be more fruitful in explaining the adaptation of youth than parental marital status (Demo 1992). The perception by youth of conflict between their parents (i.e., interparental conflict) has emerged as a key family stressor that has the potential to explain variation in adolescent adaptation in a variety of family forms (Buehler, Krishnakumar, Anthony, Tittsworth, and Stone 1994). Stressor events for adolescents such as interparental conflict generally do not occur in isolation. Rather, they exist within the context of other stressors such as economic stress, difficulties at school, or normative developmental tasks for families with adolescents (e.g., changing family roles to allow greater adolescent autonomy; McCubbin and Patterson 1986). Further, considerable variation exists in the coping strategies (e.g., social support, avoidance) that adolescents use in response to stress (McCubbin and Patterson 1986). Finally, previous research shows variation between certain demographic variables and adolescent adaptation. Thus, the current study was developed to examine how selected demographic variables (gender, age, family form), adolescent perceptions of interparental conflict (style, content, intensity, degree of resolution), stress based on the pileup of stressor events, and coping strategies relate to adolescent satisfaction with family life (one indicator of adaptation).     

Family Versus Individual Therapy: Impact On Discrepancies Between Parents’ And Adolescents’ Perceptions Over Time

This study examined the degree of disagreement between runaway adolescents and their primary caretakers, defined as informant discrepancies, on their view of their family. How these discrepancies changed over time and whether family therapy or individual therapy could impact that change were also explored. The current sample (N = 179 dyads) included adolescent substance abusers residing in a runaway shelter and their primary caretakers. Adolescent gender was examined as a correlate of change, and treatment attendance was controlled. The intraclass correlation coefficient was used to measure discrepancies between the individuals within a dyad. Results showed that among those receiving family therapy, but not individual therapy, informant discrepancies decreased significantly over time. Additionally, dyads with a male adolescent showed a significantly slower rate of improvement in discrepancy scores across time compared with dyads with a female adolescent. Previous research indicates that lower levels of discrepant perceptions are associated with better individual and relationship functioning. Therefore, this study’s findings support family therapy as superior to individual therapy for addressing parent–child discrepancies––possibly through its focus on improving family communication, perspective taking, and understanding.     

Parent and Stepparent Support and Psychological Control in Remarried Families and Adolescent Empathic Concern

Abstract

Using a symbolic interaction perspective, this study examined the extent to which (a) perceptions of parent/stepparent support were positively related to adolescent empathic concern and (b) perceptions of parent/stepparent psychological control mediated this relationship. Participants were a convenience sample of 72 ninth and tenth grade adolescents residing in remarried family households who completed self-report questionnaires. Results showed that adolescent girls in remarried family households who perceived their residential parent as more supportive reported greater empathic concern and that the relationship was mediated by perceptions of parent psychological control.     

The influence of distal antecedents on organization-public relationships

ABSTRACT

This study proposed a conceptual model of organization-public relationships (OPRs) that draws distinctions between the distal (enduring individual, organizational, and environmental factors) and proximal (situational individual and organizational behaviors and interactions) antecedents that precede and influence OPR perceptions. Using an online survey of 514 adults residing in the United States, this study identified which relational antecedents motivated individuals to enter OPRs across different types of organizations. Additionally, the study examined the relative influence of motives, perceived issue congruence, and perceived value congruence on individuals’ perceptions of OPRs. Findings suggest social/cultural expectations and risk reduction are the most common motives for entering OPRs; however, perceived issue and value congruence with the organization are more influential than other antecedents in shaping cognitions regarding OPRs.     

Adolescent and Parent Alliances With Therapists in Brief Strategic Family TherapyTM With Drug-Using Hispanic Adolescents

This study examined the relationship between alliance and retention in family therapy. Alliance was examined at the individual (parent, adolescent) and family level (within-family differences) for families that either dropped out or completed family therapy. Participants were 31 Hispanic adolescents and their family members who received brief strategic family therapy for the treatment of adolescent drug use. Videotapes of first sessions were rated to identify parent and adolescent alliances with the therapist. Results demonstrated that Completer cases had significantly higher levels of alliance across all family members than Dropout cases, and Dropout cases had significantly higher unbalanced alliances than Completer cases. Clinical implications are discussed.     

Adolescent and parent alliances with therapists in Brief Strategic Family Therapy with drug-using Hispanic adolescents

This study examined the relationship between alliance and retention in family therapy. Alliance was examined at the individual (parent, adolescent) and family level (within-family differences) for families that either dropped out or completed family therapy. Participants were 31 Hispanic adolescents and their family members who received brief strategic family therapy for the treatment of adolescent drug use. Videotapes of first sessions were rated to identify parent and adolescent alliances with the therapist. Results demonstrated that Completer cases had significantly higher levels of alliance across all family members than Dropout cases, and Dropout cases had significantly higher unbalanced alliances than Completer cases. Clinical implications are discussed.     

Editorial

A gender perspective requires examining how gender roles affect the ways in which various family members can participate in the wider community, economy, and state. It is important to recognize the disparity between perceptions about the family as a benign institution and the reality that many families consist of a paradoxical blend of love, support, friction, domination, and even cruelty. Definitions of family reveal the social implications of the belief that families are centered on children and the need of patriarchs to control female sexuality. Notions about households are generally more concrete, and many households include people who are not family members and are not nuclear in nature. Many development initiatives have floundered because of the assumption that households distribute resources according to individual needs. Instead, household members use bargaining power to get their way, and women are generally in weaker bargaining positions than men. Linking men solely with production and women solely with reproduction ignores the realities of most women's lives, although the unpaid reproductive work women do influences their access to paid employment. In order to assure family stability and to find ways to provide social welfare, women's workload in the family must be reduced. Family life must not be hidden in a "private" sphere where injustices and violence are ignored. Unconscious biases against families of various types must be rooted out and overcome, and policy-makers must recognize that families evolve to meet changing needs. Finally, the notion of the nuclear family as the ideal family type must be challenged.     

Immigration and resiliency: unpacking the experiences of high school students from Cape Verde and Ethiopia

This article explores the complex factors, both individual and social, that contribute to the resiliency and academic achievement of six adolescent African immigrant students from Cape Verde and Ethiopia who were enrolled in a small high school in the United States. The school was designed specifically for recent adolescent immigrant students. Using an in-depth qualitative case study research design, this study provides insight into the educational and social issues confronted by these students and the factors that contributed to their resiliency. The competencies and social capital that students acquired in school and at home were major contributing factors to their resilience and academic achievement. Findings show that these students had a supportive social network of family and friends who had encouraged them to succeed in school and provided mentoring, and material and social resources that helped them to succeed. In addition, teachers encouraged and engaged the students by having high expectations and connecting them to the curriculum in meaningful ways.     

Community Context of Social Resources and Adolescent Mental Health

This study investigated cross‐level mediational and moderational community and family influences on adolescent depressive symptoms. Using multilevel data from the National Longitudinal Study of Adolescent Health, we predicted that structural community characteristics such as community poverty and ethnic heterogeneity would influence community social resources, which in turn would influence adolescent depressive symptoms. We further predicted that community social resources would influence adolescent depressive symptoms through family social resources. Findings also suggested that the influence of the parent‐child relationship on adolescent depressive symptoms is weaker in more adverse communities than in less adverse communities. The findings underscore the importance of placing family process models within the community context when adolescent outcomes are investigated.     

Direct and Indirect Effects of Maternal and Peer Influences on Sexual Intention among Urban African American and Hispanic Females

Peer and family influences are interconnected in complex ways. These influences shape adolescent decision-making regarding engagement in sexual behaviors. Evidence indicates the more proximal (and direct) a process is to an individual, the more likely it is to affect his/her development and behavior. Therefore, family factors (e.g., parenting practices) and peer influence (e.g., peer norms) tend to be more strongly associated with adolescent behavior than distal factors (e.g., media or the economy). Guided by an ecological framework, this study explored how maternal influence variables interact with perceptions of peer influence to affect daughters’ intentions to have sex. A nonprobability sample of 176 mother–daughter dyads was recruited in clinics and service organizations in the northeastern United States. Results from path analysis revealed that maternal influence variables had a significant indirect relationship with daughters’ intentions to have sex through daughters’ perceptions of peer influence. Maternal processes can act as protective factors for adolescent girls who perceive their peers are engaged in sexual behaviors. Therefore, risk reduction interventions with adolescents should include opportunities for parents to learn about sex-related issues and develop skills that will allow them to buffer negative peer influence.     

The Family Context of Relational Aggression in “Difficult to Treat” Female Juvenile Offenders

Female juvenile offenders often engage in socially aggressive behaviors that make them more difficult to treat than male juvenile offenders. This social (i.e., relational) aggression may be developed or maintained through transactions with family members. To investigate this issue, we measured relational aggression in the family interactions of 140 adolescents divided by gender and offender status into four equal‐sized groups (female juvenile offenders, male juvenile offenders, female nonoffenders, and male nonoffenders). Adolescents and caregivers completed a family discussion task, and raters coded relationally aggressive behaviors at the dyadic level. Results showed that female juvenile offenders and their mothers directed more relational aggression toward each other than did mother–adolescent dyads in the other groups. Implications of these results for treatment and research are discussed.     

“I Want a Better Life for Her”: Father-Adolescent Daughter Relationships in a Minority,Low-Income South African Community

Although research indicates the importance of fathers in adolescent daughters’ psychosocial development, father–adolescent daughter relationships have been neglected in both international and local research. Furthermore, the relatively small body of research that does exist has mostly been conducted in North American and European contexts. Our study aimed to generate knowledge about father–adolescent daughter relationships in a minority, low-income South African community. In this social constructionist informed community-based study, we explored father–daughter relationships in 42 individual interviews with father–daughter dyads. This article focuses on a prominent theme in the interview data that revolves around fathers’ repeated statements that they wanted their daughters to have betters lives than they themselves had and the parenting strategies they reported to achieve this aspiration. We conclude that these fathers could benefit from reflecting on the apparent limitations of their parenting practices and from knowledge and skills regarding more effective parenting practices.     

Comparing Conceptualizations of Social Capital

Social work is ideally suited to use social capital to understand societal ills and to conduct a more holistic exploration of power, privilege, and oppression that affects marginalized individuals and groups. To that end, we review how prominent theorists discuss social capital and offer guidance for community practitioners based on these conceptualizations. In opposition to purely micro-level theories of human behavior in the social environment that inadvertently separate micro and macro-level social work, social capital is particularly well suited to be employed at individual, family, community, and societal levels. Our position on the importance of social capital for social work practice is in congruence with social work perspective on the person-in-environment. Although we do not offer a social capital framework for community practice, we hope that our article informs community practitioners' understanding of the place and importance of social capital for communities.     

Teaching philosophies and practices in social work education: do the core competencies influence our consciousness?

Assessing the mechanisms by which EPAS core competencies are embodied in classroom teaching is important for comprehensively examining EPAS’ success. This case study of one program presents emergent findings about perceptions of teaching, and the influence of core competencies, derived from interviews conducted with faculty members at a graduate social work program. Participants were asked about their teaching philosophies and practices, and the influence of social work core competencies in framing their philosophies and practices. Four primary themes emerged: (1) engaging students in learning, (2) linking the classroom and field, (3) critical thinking, and (4) core competencies are not evident at a conscious level. Participants described strong ambiguity about how the core competencies consciously influence teaching approaches, while clearly stating goals for interacting with students, integrating field experiences in the classroom, and helping students build critical thinking skills. Implications for social work education are described.