Children Living With Uninsured Family Members: Differences by Family Structure

Despite increased access to insurance through the Patient Protection and Affordable Care Act of 2010, uninsurance rates are expected to remain relatively high. Having uninsured family members may expose children to financial hardships. Eligibility rules governing both private and public health insurance are based on outdated expectations about family structure. Using 2009–2011 data from the National Health Interview Survey (N = 65,038), the authors investigated family structure differences in family‐level insurance coverage of households with children. Children living with married biological parents were the least likely to have uninsured family members and most likely to have all family members covered by private insurance. Controlling for demographic characteristics and income, children in single‐mother families had the same risk of having an uninsured family member as children in married‐parent families. Children with cohabiting biological parents had higher rates of family uninsurance than children with married biological parents, even accounting for other characteristics.     

Children and Young People Living Through a Serious Family Illness: Structural,Interpersonal and Personal Perspectives

This study explores the experiences of children and young people in Britain living through a serious family illness. The study considers the interplay between social structures, social relationships and individual agency. We draw on data from the Millennium Cohort Study to estimate the number of children and young people affected nationally and on seven in‐depth interviews to understand young people’s experiences and the effects on their daily lives. Living through a serious family illness impacts on young people’s educational achievements, mental health and social relationships over long periods. Policy and service responses are suggested.     

Trauma and Bowen Family Systems Theory: Working with Adults Who were Abused as Children

Working with survivors of trauma is mostly challenging, exhausting, long‐term and often ‘messy’, when interventions that ‘should’ work, don't, or the unexpected arises. Nevertheless, explanations that speak to recovery from trauma more and more rely on neurobiological concepts to account for any positive change. Combining the family systems approach of Murray Bowen and recent research on the brain and trauma, post trauma symptoms are viewed as part of the ‘family emotional process’ even when traumatic events have emanated from outside the family system itself. Variations in responses to trauma, including dissociation and self‐harm are discussed in relation to chronic anxiety and ‘differentiation of self’.     

Money,Marriage, and Children: Testing the Financial Expectations and Family Formation Theory

Using data from the Fragile Families and Child Wellbeing Survey (N = 2,954), a birth cohort study, this work examines how gains in earnings and income are associated with marriage and subsequent childbearing for low‐income couples. Using change models, results indicate that positive changes in earnings, controlling for baseline levels of earnings, were associated with greater odds of marriage. Cohabiting couples who became poor were associated with a 37% decrease in marriage likelihood. Neither earnings nor income was affiliated with additional fertility. Results are consistent with the Financial Expectations and Family Formation theory, which posits that positive economic circumstances are necessary for marriage, but are not associated with subsequent childbearing.     

Whole Family Theraplay: Integrating Family Systems Theory and Theraplay to Treat Adoptive Families

This article regarding the effectiveness of Theraplay for the clinical treatment of adoptive families both outlines a model for integrating family systems theory with Theraplay to create a new approach entitled Whole Family Theraplay (WFT), as well as provides a preliminary report of a pilot study demonstrating the efficacy of that model. WFT integrates Theraplay with family systems approaches (Structural and Experiential Family Therapies) to treat parents and all the siblings within adoptive families. The findings indicate that WFT treatment may lead to statistically significant benefits in regard to family communication, adults’ interpersonal relationships, and children's overall behavioral functioning.     

The Experience of Pervasive Loss: Children and Young People Living in a Family Where Parental Gambling Is a Problem

Gambling research has contributed much to our understanding of the effects of gambling on families, yet we have only the most cursory understanding of the child's perspective on what it is like to grow up in such a family. The aim of this qualitative study was to gain a deeper understanding of the experiences of Australian children who live in families where a parent or caregiver has a serious gambling problem by exploring the perspectives and understandings of the children and young people themselves. This paper reports a central finding, the experience of Pervasive Loss, from our interviews with 15 young people, 11 males and 4 females, aged between 7 and 18 years. Their sense of loss encompassed both physical and existential aspects of the child's life, including their parent(s), relationships, trust, security, sense of home, and material goods. The dimensions of this experience of pervasive loss are explored from the child's perspective. Children living in families where gambling is a problem experience threats to their overall well-being to the extent that parental problem gambling must now considered to be a significant child health as well as social problem.     

Family Theory According to the Cambridge Model

The family systems theory of David Kantor and William Lehr as expressed in their book, Inside the Family, forms the foundation for the model of family therapy which is taught at the Family Institute of Cambridge. This paper is a summary of and an introduction to that theory. Their concepts of family boundaries, dimensions, typal arrangements, and the four player system are presented and discussed.     

家庭寄养:现实困境和完善对策

就家庭寄养这一儿童福利的社会化提供形式,无论是农村寄养或是城市寄养,其积极意义值得肯定。但是,家庭寄养实践至今,其弊端也逐步显现出来,如家庭寄养与儿童福利其他政策缺乏衔接机制、寄养的临时性特征不利于寄养儿童及家庭亲情的建立、民间力量在家庭寄养中介入空间有限、寄养儿童教育权落实不易等,成为阻碍寄养儿童各项权益实现的障碍。须通过树立"国家亲权"的法律原则、扩大寄养对象范围、加强民间寄养组织支持力度、建立孤残儿童医疗补助金制度和寄养家庭寄养评估机制、完善残障儿童福利保障制度等措施,以保障寄养儿童最大利益,促使其教育权、参与权、发展权等各项权益实现。     

Family Theory and Research in Greece:

Major influences on the Greek family of recent decades have been decrease in the birthrate, the abolition of the institution of the dowry, and changes in migratory patterns. This review highlights specific studies of family change related to demographic and eco- nomic changes in Greece. The authors conclude that family research has been closely linked with family policy. Little attention is given to the need for theoretical development, methodological refinement, or collaboration.     

Effects of Marriage and Children on Financial Risk Tolerance: A Synthesis of Family Development and Prospect Theory

Family development and prospect theory were used as a framework to predict variability in individuals' subjective financial risk tolerance within distinct family structures. Gender, age, and income were expected to interact with the main effects of family structure (marital status and children). Theory-generated hypotheses were examined in Study 1 (data from university housing respondents, n = 76) and Study 2 (the 1998 Survey of Consumer Finances, n = 4,305). One family structure main effect (child presence) was significant for investment risk tolerance in both studies. Family structure interactions (marital status × age and child × income) were significant for employment risk (Study 1), and child × age was significant for investment risk in Study 2.     

农民工子女生存状况及发展问题

本文立足于农民工子女自身的切身感受,从农民工子女的身体和精神状况、家庭及其生活质量、受教育状况、社会交往等维度进行研究分析。研究结果表明,农民工子女群体存在着自我认知有待调适、社会关系有待优化、家庭教养模式亟需改善及学校育人环境需要改观等突出问题。     

CHAPTER 8: Family Subsystem Functions and Disabled Children:

No abstract available for this article.     

家庭暴力对儿童的伤害及其社会干预

在我国,对家庭暴力受害人的关注,绝大多数集中于已婚女性,而对儿童的家庭暴力则远没有引起社会各方面的重视。家庭暴力加剧了亲子冲突,催化了儿童不良心理、不良行为乃至犯罪行为的产生。建议创设儿童免遭家庭暴力侵害的社会舆论氛围、完善儿童保护网络、强化对施暴者的教育和惩罚措施,以减少对儿童的身心伤害。     

Investing to Protect Our Children: Using Economics to Derive an Evidence‐based Strategy

Child abuse and neglect are global problems that affect over 25 per cent of children and have serious health, social and economic consequences. Government and other agencies are heavily committed to the provision of services to address the consequences of abuse and neglect. In a climate of scarce resources, there is increasing interest in developing cost‐effective strategies to prevent child maltreatment. Economic evaluation in the context of formal ‘priority setting’ can contribute to the development of an efficient child protection strategy and at the same time develop the arguments to support an increased investment in the prevention of child maltreatment. Key challenges arise from incompleteness of the evidence base of effective interventions and the considerable complexity of the cross‐portfolio effects. The latter has resulted in the widespread failure to capture the full range of impacts, most notably intergenerational effects, quality of life and mortality. This means the benefits of investing in effective preventive strategies to address child maltreatment will be underestimated and too few resources allocated to this important task. Adoption of the proposed priority‐setting framework and translation into action are likely to reduce child maltreatment and associated harms for children at risk now and in the future. Copyright © 2011 John Wiley & Sons, Ltd.

Citing Literature

Number of times cited: 7

• Inga Wagenknecht, Uta Meier-Gräwe and Ute Ziegenhain , Kosten und Nutzen Früher Hilfen - aktuelle Erkenntnisse und zukünftiger Forschungsbedarf/ Economic efficiency of early intervention – current findings and future need for research , Kindesmisshandlung und -vernachlässigung , 18 , 1 , (10) , (2015) . Crossref
• Nicole RS Boyer, Kathleen A Boyd, Fiona Turner-Halliday, Nicholas Watson and Helen Minnis , Examining the feasibility of an economic analysis of dyadic developmental psychotherapy for children with maltreatment associated psychiatric problems in the United Kingdom , BMC Psychiatry , 14 , 1 , (2014) . Crossref
• Madeleine Stevens, Lucy Harris, Megan Ellis, Crispin Day and Jennifer Beecham , Investigating changes in use of services by high‐need families following the Helping Families Programme, an innovative parenting intervention for children with severe and persistent conduct problems , Child and Adolescent Mental Health , 19 , 3 , (185-191) , (2013) . Wiley Online Library
• Madeleine Stevens , The cost-effectiveness of UK parenting programmes for preventing children's behaviour problems - a review of the evidence , Child & Family Social Work , 19 , 1 , (109) , (2014) . Crossref
• Sarah Skeen and Mark Tomlinson , A public health approach to preventing child abuse in low- and middle-income countries: A call for action , International Journal of Psychology , 48 , 2 , (108) , (2013) . Crossref
• Peter Sidebotham , Safeguarding in an Age of Austerity , Child Abuse Review , 21 , 5 , (313-317) , (2012) . Wiley Online Library
• , Public Health Approaches to Safeguarding Children , Child Abuse Review , 20 , 4 , (231-237) , (2011) . Wiley Online Library

Volume 20 , Issue 4 July/August 2011

Pages 274-289     

Organ Transplantation as a Family Issue: Living Liver Donors in Japan

The global criticism of organ trafficking and transplant tourism requires many countries to pursue legal protection of living organ donors for organ transplantation. Japan is one of the criticized countries: more than 26 000 people have become living organ donors. This paper presents an exploration of living liver transplantation in Japan from legal, social and ethical perspectives. Since the first living liver transplantation in 1989, the cases have increased, with extremely high dependency in spite of a few deaths and cases of severe disability. Government and professional guidelines stipulate that living donors be “relatives” so that living organ transplantation can be privatized and regarded as a family issue, although it is strictly limited to altruistic cases in some countries. Based on results of the Living Liver Donor Survey conducted in 2004, Japanese liver donors have had various experiences. Most male donors were employed, felt some obligation and had concerns about financial effects or employment during decision‐making. In contrast, only a quarter of female donors were employed, felt guilty for their children, and did not have opportunities for regular health checkups after donation. Severe tensions and family break‐up were observed in adult‐to‐adult cases, although donors were satisfied with donation overall. The author suggests that we should rethink privatization of living organ donation and that independent advocates should support potential donors. Further research is necessary to explore the reasons why organ donation is privatized even in some forms of cadaver cases in Japan.     

The Corporate Family: Theory and Treatment*

The authors define characteristics of a corporate family style of functioning. An emphasis is placed on the need for sensitivity to the value structure of the family. Crisis is seen coming from a disruption in the support system of one or more members of the family. A treatment strategy with a case illustration is introduced based on strengthening the family using natural coping mechanisms in the community. The objective of treatment is to reinforce the family without necessarily challenging their values or style of functioning.