Abstracts

Ahrons, C. R. Divorce: A crisis of family transition and change. Family Relations ,
Elmer, E. Child abuse and family stress. Journal of Social Issues .
McCubbin, H. I. Integrating coping behavior in family stress theory. Journal of Marriage and the Family ,
Reiss, D. & Oliveri, M. E. Family paradigm and family coping: A proposal for linking the family's intrinsic adaptive capacities to its responses to stress. Family Relations ,
Richman, J. The family therapy of attempted suicide. Family Process ,
Stanton, M. D. Family treatment approaches to drug abuse problems: A review. Family Process ,
Unger, D. G. and Powell, D. R. Supporting families under stress: The role of social networks. Family Relations ,
Wiseman, J. P. The "home treatment": The first steps in trying to cope with an alcoholic husband. Family Relations ,     

Routine-Work-Related-Absence:

Work-related-parental-absence is becoming more common in our society, however the literature has not kept pace with this growing trend. The routine exiting and reentry of a spouse or parent creates disruption in the family system which necessitates family coping. This paper explores the effects of work-related-absence on families and the coping mechanism commonly used by these families. A theoretical framework is developed hypothesizing relationships deduced from the literature. The framework also illustrates the importance of therapeutic intervention for families experiencing difficulty coping with routine absence of a spouse or parent.     

Three Psychotherapies for Suicidal Adolescents: Overview of Conceptual Frameworks and Intervention Techniques

Suicide is the second leading cause of death among youth, and as many as one in five youth report having had at least one serious thought of suicide in the past year. Despite the enormous emotional pain and suffering associated with suicidal thoughts and behaviors, up to 40 % of suicidal youth never receive treatment. Given that social workers are employed in multiple settings where suicidal children and adolescents are encountered (e.g. schools, homeless shelters, emergency departments, outpatient mental health agencies, private practice), they play a critical role in the identification and treatment of suicidal youth. In the past decade, evidence has emerged that attachment-based family therapy, integrated cognitive behavioral therapy, and dialectical behavior therapy can reduce suicidal ideation and/or suicide attempt in youth. The purpose of this article is to review the theoretical assumptions, conceptual frameworks and key intervention techniques for these three interventions so that clinicians can integrate these approaches into their practice with suicidal youth and families. Implications for practice are integrated throughout the review.     

Harnessing the Power of Play in Emotionally Focused Family Therapy With Preschool Children

Emotionally focused family therapy (EFFT) is an attachment‐based therapy model that has been used with older children and adolescents. More recently, it has been suggested for use with young children. EFFT holds promise as a clinical treatment for young children coping with attachment problems, but more detailed guidelines are needed for implementing the model with this age‐group. Whereas preschool and kindergarten age children are less able to participate in talk therapy than older children, accommodations need to be made to this approach when the identified patient is a young child. This article offers a variety of play therapy activities that may be incorporated within an EFFT framework to strengthen the emotional bonds in families with children ages four to six.     

The Unique Coping Strategies of African American Families With a Loved One With Schizophrenia: The Use of the Family Crisis Oriented Personal Evaluation Scale

This study assesses how a sample of African American families with a loved one with schizophrenia cope using a commonly used family coping scale (F-COPES). The scale's overall performance and psychometric properties were tested to highlight how such families cope. The results demonstrated that families used proactive verses passive ways of coping. An exploratory factor analysis also demonstrated several unique ways in which this sample coped that were not included in the original subscales of the scale. The utility of using a family coping scale such as the F-COPES for practice and research with similar populations is reviewed.     

Stepmothers’ Role in Mediating Adverse Effects on Children of Divorce

Divorce and remarriage can be a stressful time for children: Stepmothers can aid in reducing negative repercussions. Effectively incorporating stepmothers into the family can aid in a healthy transition. Addressing role ambiguity, relationships, communication styles, and reorganization can help families avoid unnecessary stress during divorce and remarriage. Interventions that focus on increasing coping mechanisms and effective communication help reduce negative side effects and aid in the successful reorganization of the family following divorce or remarriage. Counselors can aid in this process by supporting families using structural family therapy (SFT) and suggesting interventions. When counselors and society support the diverse compositions of families, this reorganization can happen with less distress for the children involved.     

Clinical Challenges Following An Adolescent’s Death By Suicide: Bereavement Issues Faced By Family,Friends, Schools,And Clinicians

Given the increasing prevalence of adolescent deaths by suicide, social workers are increasingly likely to be called upon to respond to traumatically bereaved families, peers, and possibly professional colleagues following an adolescents death by suicide. The authors discuss current trends in adolescent suicide. A stress diathesis model is applied to considering risk factors and their clinical implications following an adolescents death by suicide. Using a case scenario, the authors discuss clinical issues of complex bereavement following suicide, along with some suggestions for effective clinical follow-up with surviving families, peers, and professionals.     

The COVID‐19 Pandemic and Families in Japan

This paper, which is authored by members of the Japanese Association of Family Therapy (JAFT), describes the COVID‐19 pandemic in Japan from a family systems perspective. The authors are active members of JAFT and include current and past presidents and officers. We describe the course of the pandemic and the ways in which government policies to mitigate the pandemic have affected Japanese families. Challenges that affect Japanese families include the inability to participate in family and social rituals, prescribed gender roles that specifically affect women, high suicide rates, and prejudice against those who are at risk of spreading the infection. The need to shelter in place has also forced family homes to function as a workplace for parents, classrooms for children, and day care services for frail elders, which has resulted in psychological distress among individuals and conflicts among families. We discuss ways that therapists have worked with Japanese families using online therapy.     

Family and Household Formations and Suicide in the United States

Family support systems have been theoretically linked to suicide risk. But no research to date has investigated the effects of detailed living arrangements on individual risk of suicide. Using data on 825,462 adults from the National Health Interview Survey Linked Mortality File reveals that living in families with stronger sources of social support and integration decreases risk of suicide. These effects persist despite controls for important individual level characteristics. Risk of suicide decreases for persons in married as well as unmarried families when children are present and risk increases for persons living with unrelated adults. These results reveal the structural importance of family formation on the social integrative forces that contribute to an individual's risk of suicide.     

Cohesion and Adaptability in Post-Divorce Remarried and First Married Families:

Past research indicates that post-divorce remarried families report lower levels of family cohesion and adaptability than do first married families, but differences are not found in the adjustment of children or satisfaction with the marital relationship. The present study examined the possibilities that (a) lower levels of cohesion and adaptability may be optimal for remarried families, (b) cohesion and adaptability may be less important for coping and stress in stepfamilies than in first married families, and (c) patterns of relationships between the two sets of variables may be different for the two family types. A series of analyses relating cohesion and adaptability to family stress and coping styles revealed that high levels of family cohesion and adaptability are equally if not more important for stepfamilies as they are for biological families in reference to family stress and coping.     

Personal and Professional Knowledge of and Experience With Suicide and Suicide Prevention Among Stakeholders in Clinical and Community Practice

Community-dwelling veterans at risk for suicide may be in contact with a variety of providers in agency-based settings that offer health and human services. The study aim is to describe the perspective of agency-based clinical and community providers who may come into contact with veterans in need of suicide prevention services and to examine the nature of their personal and professional relationships to individuals at risk for suicide among this sample.

This study reports on qualitative data from a sample of Veterans’ Affairs (VA) and community providers serving veterans and military families in one Midwestern state (N = 70). Providers completed a survey assessing exposure to suicide, including contact with and relationship to someone suicidal, and organizational characteristics of the providers’ employing agencies. Semi-structured interview questions probed for the nature of how they would react with suicidal individuals. Most providers (94%) had some prior contact with someone who was suicidal, and nearly three quarters (77%) knew someone who had died by suicide. Providers reported powerful emotional responses of sadness and remorse to suicidal experiences. While these providers interact with veterans and military families as part of their jobs, they may have their own history of being exposed to suicide, both professionally and personally.     

Attachment and Divorce

In this paper, recent efforts to integrate attachment theory and family systems theory are reviewed and extended to the context of therapy with families coping with the divorce process. Family members' global working models of attachment, rather than the spousal attachment alone, are proposed as the point of intervention, with the goal of helping families reestablish an "attachment equilibrium" during and after divorce, thus addressing potentially problematic expressions of attachment behavior that could interfere with resolution of the divorce, causing difficulties in future co-parenting and other family functioning.     

Suicide Attempts by Adolescent Latinas: An Exploratory Study of Individual and Family Correlates

Epidemiological data show high rates of suicide attempts among adolescent Latinas. Few studies have addressed the psychosocial, cultural and family correlates of suicide attempts among this age group of a rapidly growing population. The authors studied 31 adolescent Hispanic females who were receiving mental health services; 14 girls had attempted suicide in the previous five years and 17 had never attempted suicide. The two groups of girls did not differ significantly with respect to demographic profiles, levels of depression, family type, acculturation, or self-esteem. However, as hypothesized, the mutuality between girls and their mothers was lower among suicide attempters. Maladaptive coping skills of withdrawal and wishful thinking were more commonly used by attempters, and non-attempters used emotional regulation and problem-solving more frequently. Findings are discussed within the context of the empirical and theoretical literature and implications for practice are considered.     

Perceptions of suicide and their impact on policy,discourse and welfare

In recent years, there has been an increase in suicide rates throughout the Western world. However, psycho-social responses to the problem are limited, as is public awareness of suicide and its consequences. This article presents findings from a survey on public attitudes toward suicide in Israel. The survey was conducted among a representative sample, and examined the extent to which the problem is a public priority for developing interventions aimed at preventing and reducing the rates of suicide. The findings revealed that despite the prevalence of suicide in Israel, and even though many of the participants had been personally acquainted with the families of suicide victims, suicide still ranks low on the hierarchy of bereavement. The Israeli public is ignorant about suicide, and does not consider it a problem that calls for government intervention and accountability. The study highlights the need for social workers to play an active role as social agents in an attempt to change the social ‘bereavement pyramid’ perception and effect on government policy toward suicide.     

THE THERAPEUTIC ALLIANCE IN HOME‐BASED FAMILY THERAPY: IS IT PREDICTIVE OF OUTCOME?

This study examined the association between the therapeutic alliance in family therapy and changes in symptom distress, interpersonal relationships, and family coping. The participants (N = 81) were members of low socioeconomic status families referred to a university clinic for in-home family therapy. Participants completed the Outcome Questionnaire, Family Crisis Oriented Personal Evaluation, and the Family Therapy Alliance questionnaires. Regression analyses revealed that the therapeutic alliance explained 19% of the variance in symptom distress changes for mother, 55% for fathers, and 39% for adolescents. The implications of these findings for practicing and researching family therapy are presented.     

Stress Within Families: Some Questions and Possibilities

Individual children's capacity to cope with stressors may be predicated by the stress-coping mechanisms utilised by their families There appears to be a paucity of information about families' responses to stressors. It is postulated that there are significant questions about family coping mechanisms, and that research directed towards these questions may provide information of use in programmes which aim to facilitate the development of effective coping mechanisms in children. Assumptions about the delineation of coping mechanisms, the structure of family units, the designation of stressors., and the study of human behaviour are discussed. A brief outline is provided on a research project aimed at defining and analysing family coping behaviour, and at differentiating families that cope effectively with stressors from those that do not. Some initial impression of findings are presented.     

African‐American Women and Suicide: A Review and Critique of the Literature

This paper reviews the literature on African‐American women’s suicide rates. This topic is often neglected due to African‐American women’s low rates of suicide occurrence. This review seeks to answer the call for increased scientific inquiry on matters related to African‐American women and suicide. The author begins by identifying complex dynamics surrounding African‐American women’s unique social position in order to establish a better understanding of how socio‐cultural influences are addressed in the literature in relation to the suicide paradox. Both theoretical and empirical studies are thoroughly assessed in order to identify the risk and protective factors exclusive to African‐American women. The literature concludes that a history of mental disorders, particularly depression, a history of physical and emotional abuse, and a history of alcohol and substance abuse have all proven significant in increasing the risk of suicidal behavior among African‐American women. Untreated depression continues to be the leading cause of suicide among African‐American women. Contrarily, the literature identifies religious/spiritual beliefs, strong social ties, low rates of suicide acceptability, and unique coping strategies developed as a result of longstanding oppressive conditions as primary reasons for African‐American women’s exceptionally low suicide rates.     

The Family Outreach Model: Tools for Engaging and Working With Families in Distress

The purpose of this article is to present a family intervention model to family service providers that builds on previous research in areas of social support and family problem solving. The Family Outreach Model provides a set of strategies for engaging and working with families in five phases of family coping at different points in time in the family's life. The strategies reflect intentional choices by family service providers about both collaborative and directive styles of therapeutic alliance and highlights ways to determine which style best fits with what specific families want and need, depending on the manner of family coping that it is using. Implications for programs and public policy are presented.     

After coming out: Parental acceptance of young lesbian and gay people

This study examines extant scholarly knowledge on parental acceptance of young lesbian and gay people in traditional heteronormative families. Recent literature shows that parents generally accept their lesbian and gay children. However, parents do not always accept them immediately after they come out. Acceptance takes time, and transitioning to acceptance is often a complex process that depends on parents' access to the necessary resources for coping with the stresses of knowing that their child identifies as lesbian or gay. These resources include counseling or therapy, supportive friends and extended family, and a network of other parents with lesbian and gay children. This study also highlights the need for further research on parental acceptance in nontraditional families and of children with other nonheterosexual identities, such as asexuality, gray ace, bisexuality, or pansexuality. It also calls for an exploration of the complexities of parental acceptance as an ongoing process rather than as a singular event.