Families in the future: the pursuit of personal autonomy

There have been substantial changes in the demography of the family since the early 1970s in Australia. Age at 1st marriage has risen substantially. In 1986, 6.1% of heterosexual couples in Australia were living together. In 1 in 3 marriages today, 1 or both partners have been married before. The percentage of marriages ending in divorce based on annual data increased from 14% in 1971 to 35% in 1986. The birth rate has declined substantially since 1971. In 1986,, 77% of all households were family households, 4% were group households, and 19% were 1-person households. Over 1 in 3 Australian children being born today will spend some time in a 1-parent family before they reach majority. The important measure, however, may not be family structure but the extent of support, both economic and emotional, that the child receives from his or her parents. Similar arguments may be applied to the aged. A 1982 survey showed that among persons aged 15-64 years who had a parent living elsewhere, over 50% had contact with that parent at least once a week. The same survey showed that among aged people requiring help, they were 5 times more likely to receive that help from a family member than from a government agency or from a voluntary agency. A focus on how families function draws attention to the changes in the lives of married women. Labor force participation rates for married women have been steadily increasing for over 50 years. Even in couple families with a child under 5 years old, 40% of the women were in the labor force in 1986. The family changes described above can all be interpreted in terms of the movement to personal autonomy which has characterized the last 20 years. This is especially the case with the increase in age at marriage, the decline of teenage pregnancy, and the rise in the divorce rate. The trend for young couples to live together rather than marry can be seen as an experiment in the pursuit of personal autonomy. The author hypothesizes that people choosing to live together before marriage are seeking personal autonomy, and it is the conflict between personal autonomy and family life that leads ultimately to their higher break-up rates.     

A Dyadic Perspective on Childhood Maltreatment for Women With Provoked Vestibulodynia and Their Partners: Associations With Pain and Sexual and Psychosocial Functioning

Childhood maltreatment is robustly associated with adult-onset vulvodynia, a common form of female genito-pelvic pain/penetration disorder. However, little is known about the impact of childhood maltreatment on current sexual, psychological, and relationship adaptation for couples with provoked vestibulodynia (PVD). This study examined the associations between childhood maltreatment and sexual and psychosocial functioning and pain in women with PVD, the most common subtype of vulvodynia, and their partners. A total of 49 couples (M_age women = 27.80, SD = 6.05; M_age men = 30.04; SD = 6.48) with PVD completed the Childhood Trauma Questionnaire (CTQ), as well as measures of sexual functioning, couple satisfaction, and anxiety. Women also reported on their pain during intercourse. Analyses were guided by the actor–partner interdependence model. Women’s higher reports of childhood maltreatment were associated with their lower sexual functioning and higher anxiety. Partners’ higher reports of childhood maltreatment were associated with their lower sexual functioning, lower couple satisfaction, and higher anxiety, as well as women’s lower couple satisfaction and higher anxiety. Both women’s and partners’ higher reports of childhood maltreatment were associated with higher affective pain for women. Findings suggest childhood maltreatment experienced by women with PVD and their partners should be considered as part of treatment planning.     

Fertility,education, and social change

Level of education in India affects the age at marriage, the role of women, the desire to maintain and raise the standard of living, mobility , and cultural values all of which contribute to a couple's motivation to practice birth control. A review of differential fertility studies carried out in different parts of India indicates that generally the level of education and fertility are inversely related. However, the conclusions showing mean fertility at different levels of education are not uniform and this suggests that there is a critical level of education above which self-motivation, the conscious effort at family limitation on the part of the couple, determines the fertility level. Couples with less education may be inspired to practice birth control after reaching a certain parity. In India, level of education, by raising the age of marriage, widening the non-familial role of women, raising the desired standard of living, increasing geographical mobility and inculcating the small family norm, either directly affects fertility or induces the need for a small family. These variables are a direct result of education and operate most effectively upon couples educated at the level of professional and post-graduate degrees. The small family norm can also be instilled in couples with secondary and college levels of education and family planning will be practiced after the desired number of children is reached. Both self-motivation and sustained motivation are almost absent in couples with only primary or less education. Studies indicate that this section of the population will practice birth control only at high parity levels with outside encouragement.     

Couples relationship standards and satisfaction in Pakistani couples

Relationship standards are beliefs about what is important in a satisfying couple relationship, which vary considerably between cultures, and might mean that what couples seek from couple therapy differs across cultures. We assessed the standards of n = 49 Pakistani couples and whether those standards predicted couple satisfaction. To provide referents for the Pakistani standards, we also assessed selfreported relationship standards in n = 33 Western couples and n = 30 Chinese couples. Pakistani couples endorsed couple bond standards (e.g., expressions of love) as similarly important, and family responsibility (e.g., extended family relations) standards as more important, than Western or Chinese couples. In Pakistani couples, Couple Bond predicted couples' relationship satisfaction, but family responsibility and Religion predicted only wives' satisfaction. Modest sample sizes necessitate caution in interpreting results but suggest existing couple therapies might need modification to address the distinctive relationship standards of Pakistani couples.     

Intimate Communication across Borders: Spousal Labor Migration and Recent Partner Communication about Family Planning in Nepal

Abstract

Amid widespread labor migration in Nepal, spousal separation may affect partner communication about intimate topics like family planning. We examined the association between spousal migration experience and partner communication about family planning using survey responses from 1,793 married Nepali women (ages 18–49 years) with a child under 5 years. More than 60% of women had recently migrating spouses. Forty-seven percent reported recent partner communication about family planning. Women with currently migrating spouses were significantly less likely than women with non-migrant spouses to report recent spousal discussions about family planning. Recent partner communication about family planning varied by destination and duration of current migration. Future programs designed to fulfill the reproductive health needs of transregional or transnational couples should address partner communication about family planning.     

Unsanctioned births in China

This study hypothesizes that "unsanctioned" births (beyond the limit authorized by the government) in China are more likely among couples who have strong traditional fertility norms and less likely among couples who adopt new family planning norms. The theoretical framework is based on cultural conflict theory as developed by Sellin. Data are obtained from 6654 ever married women aged under 49 years from the 1987 In-Depth Fertility Survey for Guangdong province. Over 30% of the sample were married before 20 years of age. 20% had 1 child, 26.7% had 2 children, about 23% had 3 children, 13.9% had 4 children, and under 10% had 5 or more children. The average number of living children was 2.5. Findings reveal that socioeconomic status was significantly related to unsanctioned births; they were more common in less developed areas and among women of lower socioeconomic status (SES). Persons living in areas with a high monetary contribution per person in family planning efforts at the county level were less likely to have unsanctioned births. Women who lived in urban areas, worked in state enterprises, and had parents with high educational status were less likely to have unsanctioned births. They were more likely among women who married at an early age, lived with parents after the marriage, had female living children, and had failed pregnancies. They were also more likely among women who had arranged marriages, a traditional desire for large family sizes, an early marriage ideal, and a preference for sons. Knowledge of family planning and greater use of abortion were related to a lower incidence of unsanctioned births. Women who talked with their husbands about their family size desires were less likely to have unsanctioned births. Parental educational attainment only had an influence among rural women. Variables impacted on fertility differently in urban and rural areas.     

People who live apart together (LATs): new family form or just a stage?

‘Living apart together’ – that is being in an intimate relationship with a partner who lives somewhere else (LAT) – is increasingly recognised and accepted as a specific way of being in a couple. On the face of it, this is a far cry from the ‘traditional’ version of couple relationships, where co-residence in marriage was placed at the centre and where living apart from one's partner would be regarded as abnormal, and understandable only as a reaction to severe external constraints. Some commentators regard living apart together as a historically new family form where partners can pursue a ‘both/and’ solution to partnership – they can experience both couple intimacy, but at the same time maintain personal autonomy and pre-existing commitments. Alternatively, others see LAT as just a ‘stage’ on the way to cohabitation and marriage, where LATs are not radical pioneers moving beyond the family, but are cautious and conservative, and simply show a lack of commitment. Behind these rival interpretations lies the increasingly tarnished spectre of individualisation theory. Is LAT some sort of index for a developing individualisation in practice? We take this debate further by using information from the 2006 British Social Attitudes Survey and from in-depth interviews with LAT partners. We find that LATs do resemble cohabitating (unmarried) couples in demographic and social terms, but also display quite diverse origins and motivations. One group of LATs do not see themselves as couple partners at all, but more as special boy/girlfriends. Others live apart mainly in response to external circumstances. But some LATs do seem to be developing a new way of living in their relationships, as a means of balancing both couple intimacy and personal autonomy over the longer term.     

Time Alone or Together? Trends and Trade‐offs Among Dual‐Earner Couples,Sweden 1990–2010

In recent decades, the dual‐earner couple has become increasingly normative, potentially reducing the time couples and families spend together. The authors investigated how coupled individuals allocated time together, alone, with children, and as a family, exploring changes between 1990 and 2010 in Sweden using three waves of the Swedish Time Use Survey (N = 9,544). Ordinary least squares and decomposition analyses find a trend toward time together over time alone, with childless couples spending similar time together and parents increasing family time. The shift toward family time evolved differently for men and women, indicating gender convergence in private and public spheres, but at higher costs of time alone for women. Change is behavioral and general, applying quite equally across gender and educational groups. There are educational gradients concerning time with children and certain qualitative aspects of time together, indicating that dual‐earner society may be family friendly, but not equally for all.     

Dyadic Traumatic Reenactment: An Integration of Psychoanalytic Approaches to Working with Negative Interaction Cycles in Couple Therapy with Childhood Sexual Abuse Survivors

Childhood sexual abuse (CSA) survivors often face difficulties in their intimate relationships and struggle to engage in the process of couple therapy. Recent research has demonstrated that the negative interaction cycles of CSA survivors are more complex and entrenched than those of couples who do not present with a history of trauma (MacIntosh in J Couple Fam Psychoanal 3(2):188–207, 2013). This paper integrates the psychoanalytic concepts of repetition and enactment into the concept of the negative interaction cycle as articulated by Emotionally Focused Therapy (EFT), to provide an expanded understanding of these deeply entrenched dynamics in which the traumas of the past are embedded. The complex repetitions of early traumas in the negative interaction cycle of the couple are referred to as Dyadic Traumatic Reenactments (DTR). Two contrasting case studies are used to illustrate these concepts.     

Communique on the one-in-one thousand sample survey of birthrate of China's population

To analyze the history of the marriage and birth of Chinese women and to inspect the results of family planning work, to do well the jobs of demographic forecasting and formulating demographic plans, to provide a reliable basis for strengthening the scientific management of family planning work, the state Family Planning Commission organized and carried out a nationwide 1-person-in-1-thousand survey of birthrates in 28 provinces, municipalities, and autonomous regions. The following are survey results: 1) 24.77% of the total survey population were women between 15 and 49 years of age; 2) among the women of childbearing age, 31.46% were unmarried, 64.53% were in 1st marriages, 2.89% were remarried; .19% were divorced but not remarried, and .94% were widows; 3) the average age of first marriage was 18.4 in the 1940s, 19 in the 1950s, 19.8 in the 1960s, 21.6 in the 1970s, and 23 in the late 1970s; and 4) the average number of births was 5.44 in the 1940s, 5.87 in the 1950s, 5.8 in the 1960s, and 4.01 in the 1970s. The survey reveals that education level and occupation have a strong relation to childbearing among Chinese women. The survey found that China and 170 million married childbearing aged women and that 118 million or 69.46% used birth control measures. 33 million couples had 1 child only, among them 42.3% has officially committed themselves to maintaining a 1 child family. The data reveal that major achievements in family planning work have been obtained, but the mission ahead is still arduous.     

Couple Longevity in the Era of Same‐Sex Marriage in the United States

The author used a new longitudinal data set, the How Couples Meet and Stay Together surveys (N = 3,009), to generate the first nationally representative comparison of same‐sex couple stability and heterosexual couple stability in the United States. He measured the association between marriage (by several definitions of marriage) and couple longevity for same‐sex couples in the United States. Reports of same‐sex relationship instability in the past were due in part to the low rate of marriages among same‐sex couples. After controlling for marriage and marriage‐like commitments, the break‐up rate for same‐sex couples was comparable to (and not statistically distinguishable from) the break‐up rate for heterosexual couples. The results revealed that same‐sex couples who had a marriage‐like commitment had stable unions regardless of government recognition. A variety of predictors of relationship dissolution for heterosexual and for same‐sex couples are explored.     

Zur Erklärung von sozialer Ansteckung beim Übergang zur Elternschaft

Using panel data (N = 1679 married and cohabiting couples), this paper investigates the impact of social contagion processes in first births. The empirical results confirm an association between the transition rate into parenthood and the share of network members (friends, acquaintances, siblings) with young children. Several bridge assumptions concerning the explanation of social contagion are tested. It can be shown that social networks have an impact on reproductive planning in that network members provide Ego with information on the joys and challenges of parenthood. Furthermore, younger couples whose network partners mostly still live with children, place a high priority on starting a family. Beyond that, the transition to parenthood is also found to be functional for maximizing one’s social approval when the share of network members with young children rises. Older childless couples are increasingly exposed to social pressure from friends and siblings with children. This type of social pressure decreases a couple’s propensity to start a family, though.     

‘In the name of the children’: mixed couples’ parenting analysed through their naming practices

This work draws on the life stories of 18 couples, of which the men, married to Italian women, come from majority-Muslim countries. These couples incorporate more layers of differences: religious, as the two partners are socialised into both Islam and Catholicism, and racial-ethnic, as a white Italian partner is married to a non-white immigrant partner. Partners’ narratives are analysed according to the naming practices they adopt. Although mixed marriages are interpreted as a gradual loosening of traditional ties, naming practices show how their choices are connected with couples’ racial, ethnic and faith backgrounds, the expectations of the family of origin and the social context. Three naming processes are identified: double names to signal a ‘pact of equity’ between parents’ cultural heritages, alternation of names to reflect the couple’s ‘mutual migration’ over time and names which transmit minority ethnic and religious identities. The conclusions note how naming choices highlight different parenting strategies in dealing with pluralism in everyday family life.     

Prevalence and Risk Factors for Dyspareunia and Unsatisfying Sexual Relationships in a Cohort of Primiparous and Secondiparous Women After 12 Months Postpartum

ABSTRACT

Dyspareunia is a common short-term pregnancy complication, rarely lasting longer than 1 year after delivery. Our study aims to determine postpartum dyspareunia prevalence and its impact on women's sexual health. In this retrospective study, we asked 602 women about dyspareunia and the quality of sexual intercourse through telephone interviews. The influence of dyspareunia on the quality of sexual intercourse and couple relationship is scored on a 4-point verbal scale according to its severity. Data were analyzed by R (version 2.8.0), considering significant p < .05. Nearly 100% of women (99.9%) resumed their sexual activity; 16.2% of them reported dyspareunia significantly compromising their sexual intercourse and couple relationships. In univariate analysis, severe perineal tears are associated with persistent dyspareunia (p < .05). By multivariate analysis, postpartum dyspareunia results independently influenced by operative delivery, previous dyspareunia, recurrent urogenital infections and urge incontinence (p < .05), as well as by the Kristeller maneuver and partoanalgesia (p = .084) in the case of women who had a vaginal delivery. Dyspareunia significantly compromises women's sexual health postpartum, mostly caused by perineal trauma by means of delivery management and recurrent urogenital infections.     

HOME-BASED MARITAL THERAPY FOR MULTIPROBLEM FAMILIES*

This paper describes a project designed to reach low-income, multiproblem families, utilizing couples therapy in the home. By targeting a population of young couples under the age of 30 and with children no older than 7 years, the project aimed at prevention of severe family dysfunctioning and child disturbances. The major characteristics noted in the literature on multiproblem families are reviewed here, as are the treatment goals and techniques with such families. Most programs working with multiproblem families have focused primarily on the parental functioning in family therapy, and little has been reported on work with the couple in multiproblem families. The project described here used home visits by a male-female therapist team, including frequent individual and couple sessions. Therapeutic techniques based on modeling, role playing and demonstration were emphasized. In addition, tasks which increased the individual and couple functioning of the spouses were designed and successful completion was reinforced. An attempt was made to integrate the couple into the community and to create a network of support outside of the family, including friends and community services.     

Some factors related to contraceptive behavior among Wind River Shoshone and Arapahoe females

During the summer of 1972 in-depth interviews were conducted with 96 Shoshone and Arapahoe Indian women living on the Wind River Reservation in Central Wyoming. All were aged 15-49 and were users of the reservation health service. It was found the women fell into 4 groups: current contraceptive users, 42.7%; pregnant or seeking to become pregnant, 10.4%; infertile due to menopause or sterilization, 18.8%; and fertile never-users, 28.1%. The contraceptive users tended to be older, married, and have as many children as they want. The fertile never-users tended to be in their teens and generally unmarried. When asked why they did not use contraception their answer was 'because I am not married.' It is suggested that general education on contraception be provided the younger women so that when they achieve desired family size they will be informed as to family planning methods. It was found that religious belief against contraception was important to the young never-users, but not to the women who had completed their families. In fact, 73% of the users said their religion, which most identified as Roman Catholicism, had no influence on their contraceptive use while 27% said they were aware of church disapproval but used contraception anyway.     

Parents' Family Time and Work Schedules: The Split‐Shift Schedule in Spain

This study used data on couples from the 2003 Spanish Time Use Survey (N = 1,416) to analyze how work schedules are associated with family, couple, parent–child, and non‐family leisure activities. Spain is clearly an interesting case for the institutionalized split‐shift schedule, a long lunch break rooted in the traditional siesta that splits the workday between morning and evening. Results showed strong negative associations between the split shift and both family and parent–child activities. The evening shift was negatively associated with couple and family time, but not with parent–child time. Women spent much more time than men in parent–child activities for all work categories, and they were more responsive to the spouse's work hours. Men were substantially more active than women in non‐family leisure, considering both individuals' and their spouses' work schedules. Altogether, this study has important implications for scientific and public policy debates.     

Women's autonomy and timing of most recent sexual intercourse in Sub-Saharan Africa: a multi-country analysis

Since the 1994 Cairo International Conference on Population and Development, there has been increasing interest in promoting women's empowerment, particularly for sexual and reproductive health. Women's ability to negotiate the timing of intercourse with an intimate partner has not been extensively studied. This study explored the relationships between married women's autonomy and the time since most recent sexual intercourse in Ghana, Malawi, Mali, Rwanda, Uganda, and Zimbabwe using the Demographic and Health Surveys. Significant variation both within and between countries in the timing of most recent sex was found. A strong relationship between women's decision-making autonomy and time since last sexual intercourse in all six settings, even after controlling for factors such as the husband living elsewhere, age, marital duration, and other sociodemographic variables, was found. Men's decision-making autonomy was not associated with the time since last intercourse. Understanding how women's position in the household influences their sexual activity may be an essential piece in protecting the sexual rights of women and helping them to achieve a sexual life that is both safe and pleasurable.     

Outcomes of sexually open marriages

This study follows up a 1978 matched sample of 82 couples to find out if there were differences in marital stability between the sexually open and the sexually exclusive couples. In 1983 no statistically significant difference in marital stability was found. Of couples providing follow‐up data, 23 (68%) of the 34 sexually open couples and 32 (82%) of the 39 sexually exclusive couples were still together. Of the 23 couples who were sexually open in 1978, two couples had changed from a contract of sexual openness to one of sexual exclusivity; of the 32 couples originally exclusive, one couple changed in the interim to a sexually open marriage. In addition, data on marital happiness, extramarital sex, jealousy, changeableness, job change, and additional education are reported and a comparison between the two groups made. Differences between the two groups were found in number of people living in the household, job change, and additional education. Couples in the sexually open group were more likely to have either additional people or fewer people in their households. Both higher education for women and outside work for women were associated with marital instability, irrespective of group.