Predicting supportive behavior of parents and siblings to a family member with intellectual disability living in institutional care

This feasibility study examines whether the theory of planned behavior can predict supportive behavior provided by either parents to their offspring-or adult siblings to their brothers and sisters-with an intellectual disability living in 2 Israeli institutional care facilities. Participants were 67 parents and 63 siblings who were interviewed at baseline regarding their intentions to visit their offspring or sibling in the institutional care facility, to contact the caregiving staff, and to accept visits at home. Parents' and siblings' behavior regarding visitation and supportive behavior was examined after 6 months by caregiving staff. Core findings indicated that subjective norms in siblings and parents predicted frequency of home visits. Perceived behavioral control predicted frequency of contact between siblings and staff. Differences between parents and siblings regarding their supportive behaviors are discussed with respect to social work practice.     

Negotiating Unequal Exchange: Relational Work in Cross-Class Sibling Relationships1

Based on 60 in-depth, semi-structured interviews, this article examines exchanges of support in cross-class adult sibling relationships. Whereas previous studies of family exchange have largely focused on parent–child support and patterns of inequality across families, this study addresses a gap in the literature by focusing on sibling exchanges and within-family inequality. How is support exchanged when expectations of peer equality are violated—when there is an economic difference between adult siblings? I find that cross-class siblings engage in relational work to shape and reframe exchanges in ways that are more indirect, often involving third parties. I identify four types of indirect economic support—proxy support, dependent support, compensatory support, and shared resources—which contribute to our understanding of the dynamics of sibling exchange, and point to ways in which inequality can be interactionally managed.     

The Transition to Parent Care: Costs,Commitments, and Caregiver Selection Among Children

This research traced the process of caregiver selection among adult children longitudinally, investigating how transitions to parent care were influenced by previous constellations of caregiving costs and commitments within sibling groups. The authors used data from 6 waves (1998–2008) of the Health and Retirement Study, selecting a sample of families (N = 641 parents comprising N = 2,452 parent–child dyads) in which they observed at least 1 adult child becoming a caregiver to a previously self‐sufficient parent. Among cost‐related factors, this transition was predicted primarily by between‐sibling differences in previous geographical distances to the parent and, to a lesser extent, competing demands in work and family spheres. The indicators for caregiving commitments showed the importance of reciprocity, path dependency, and parental expectations as motivational forces affecting the process of caregiver selection among adult children. Gender effects revealed the primacy of the mother–daughter tie, as daughters were overrepresented only in transitions to mother care.     

Intergenerational Solidarity and Support Between Adult Siblings

Using a Dutch national sample containing 1,259 triads (two siblings, one parent), we examined whether practical support and emotional support between siblings are enhanced by intergenerational solidarity and how this differs for brothers and sisters. Sibling support was affected by sibling dyad characteristics and by the relationship with the parent. Having a poor relationship and low contact frequency with the parent enhances sibling emotional support, pointing to a compensating mechanism, which is stronger among brothers. Sibling support is also positively related to parental support, suggesting a reinforcing mechanism, especially among sisters. The results contribute new information about influences on sibling support in adulthood and demonstrate the value of including family context variables in research on specific family relationships.     

Redressing Inequity in Parent Care Among Siblings

When inequities occur in the division of labor among adult siblings caring for older parents, conflict may result. This paper uses equity theory as a framework for understanding the processes used by siblings to rectify imbalances in their parental responsibilities. The study is based on a sample of 40 focus group participants who described caregiving relationships among siblings. Consistent with equity theory, these participants used two approaches to redress inequities in their sibling caregiving relationships: requesting behavioral changes from siblings and making cognitive changes. The findings suggest that these two approaches can result in more perceived equity but may also lead to even greater perceived inequity and distress.     

Keeley's journey: From service user to service provider

Background: This paper presents the vocational journey of a young British woman, Keeley, who changed her career aspirations to become a mental health worker following an episode of significant mental health difficulties. Keeley's story illustrates the application of the locally developed WORKS framework in conceptualising and supporting Keeley's vocational recovery. Approach: A narrative approach highlights the partnerships that developed between Keeley, the Occupational Therapist, Sally, and the User Support and Employment Service. Findings: The WORKS framework supported Keeley and Sally to collaboratively develop a successful employment pathway. Strategies, including attention to Keeley's view of her capabilities and aspirations, volunteer placements, support of peers, employer engagement and planning for sustainable employment, assisted Keeley to establish her chosen career. Keeley's journey highlights the leadership role that mental health services can assume by providing paid work for people with experience of mental health difficulties.     

‘I'm Home for the Kids’: Contradictory Implications for Work–Life Balance of Teleworking Mothers

This study explores the experience of time flexibility and its relationship to work–life balance among married female teleworkers with school‐aged children. Drawing from a larger study of teleworkers from a Canadian financial corporation, 18 mothers employed in professional positions discussed work, leisure and their perceptions of work–life balance in in‐depth interviews. Telework was viewed positively because flexible scheduling facilitated optimal time management. A key factor was the pervasiveness of caregiving, which could result in ongoing tensions and contradictions between the ethic of care and their employment responsibilities. The ideology of ‘intensive mothering’ meant that work schedules were closely tied to the rhythms of children's school and leisure activities. The different temporal demands of motherhood and employment resulted in little opportunity for personal leisure. Time ‘saved’ from not having to commute to an office was reallocated to caregiving, housework or paid employment rather than to time for their self. The women also experienced a traditional gendered division of household labour and viewed telework as a helpful tool for combining their dual roles. Time flexibility enhanced their sense of balancing work and life and their perceived quality of life. At the same time, they did not question whether having the primary responsibility for caregiving while engaged in paid employment at home was fair or whether it was a form of exploitation.     

The family caregiving career: implications for community-based long-term care practice and policy

Informal (i.e., unpaid) long-term care for disabled older adults is often chronic, but it is only recently that research has considered the longitudinal implications of family caregiving. In particular, investigators have conceptualized caregiving as a "career," and within the caregiving career, a number of diverse trajectories and transitions can occur. Following a summary of these findings, this paper considers how longitudinal caregiving research can influence and potentially address key policy and practice concerns, especially in the delivery and support of community-based long-term care (CBLTC) services. It is suggested that with the refinement of the informal long-term care literature, existing policy and practice to support caregiving families can be similarly advanced.     

The roles of adult daughters in long-term care facilities: Alternative role manifestations

Our understanding of the roles of family members within long-term care settings remains limited. Existing research conceptualizes the term “role” as a unidimensional concept and views the caregiving role as static. Employing a multidimensional conceptualization of roles, and guided by symbolic interactionism and the conceptual framework of the caregiving career, the purpose of this study was to gain a deeper and more comprehensive understanding of the roles of adult daughters in long-term care facilities from their perspectives. Specific techniques of the grounded theory approach combined with active interviews and personal logs were used as the research design procedures. Five caregiving role manifestations emerged in the women's stories: active monitors, regular visitors, accepting relinquishers, unaccepting relinquishers, and indirect supporters. Several factors explained differences in the role manifestations such as the focus of the support, perceptions of the psychological presence of the parent, and the sense of obligation and pressure to care.     

Sharon: A self-employed lone parent with a disabled child

Sharon's story was collected as part of a study of parents combining employment with the care of disabled children in Britain. Sharon is a lone parent with three daughters, one of whom, Helen, has severe epilepsy. Here she explains to researcher, Trish Heaton why work is important to her but also why it is so difficult for her to sustain work and caring in the context of minimal formal or informal support from within the community. The practical and emotional difficulties of negotiating with inflexible services can drive working parents to crisis point. Sharon describes one such crisis point where all her arrangements had broken down. The supports she needed were minimal, but their absence had a profound impact.     

Nonstandard parental employment schedules and father involvement

This study assesses the impact of nonstandard employment schedules (shift work) on parenting among US fathers of young children in dual-earner couples. The outcomes examined include total caregiving, caregiving without the mother present, and the elements of father involvement proposed by Pleck: positive engagement, warmth, and control. Models with latent variables and with lagged dependent variables are estimated using three waves of nationally representative data from the Early Child Longitudinal Study – Birth Cohort. The results indicate that employment scheduling mainly shapes the context in which involvement takes place. Compared to dual-earner couples who are each employed during the day, fathers in couples in which at least one parent has a nonstandard schedule tend to care for their children more in the mother's absence. To a more limited extent, they also do more caregiving overall. These effects are most conclusively found when the father works during the day and the mother works during the evening, when the mother works during the day but the father works a night, split, rotating, or other shift, and when both parents have nonstandard schedules. Parental work schedules, however, have little impact on father involvement aside from care.     

Still the Favorite? Parents' Differential Treatment of Siblings Entering Young Adulthood

This study examined within‐family stability in parents' differential treatment of siblings from adolescence to young adulthood and the effect of differential treatment in young adulthood on grown siblings' relationship quality. The author used longitudinal data on parent–child and sibling relations from the sibling sample of the National Longitudinal Study of Adolescent Health (N = 1,470 sibling dyads). Within‐dyad fixed effects regression models revealed that the adolescent sibling who was closer to parents went on to be the young adult sibling who was closer to and received more material support from parents. Results from an actor–partner interdependence model revealed that differential parental financial assistance of young adult siblings predicted worse sibling relationship quality. These findings demonstrate the lasting importance of affect between parents and offspring earlier in the family life course and the relevance of within‐family inequalities for understanding family relations.     

Family Subsystems Predicting Adolescents’ Perceptions of Sibling Relationship Quality Over Time

This study examined associations between parents’ relationship conflict and parent–adolescent triangulation, and changes in adolescents’ perceptions of sibling affection and hostility. The goal was to learn whether conflict in parents’ relationships spills over to siblings’ relationships, or whether siblings compensate by becoming less hostile and more affectionate. Using a subsample (N = 400) from the Flourishing Families Project (FFP), we found a trend for mother–adolescent triangulation predicting an increase in sibling hostility across 2 years. Fathers’ reports of relationship conflict were related to increased levels of initial sibling hostility, but predicted a marginal decrease in hostility over time. Findings support increased understanding of parenting dynamics associated with changes in sibling relationship quality, and have the potential to inform clinical practice.     

Ageing Siblings: Supporting New Care Partnerships

Through the lens of a case study of a sibling caring for an unmarried sister affected by dementia, the article explores a phenomenon of growing social importance, late life care for those ageing without a spouse, partner or adult children. The purpose of the article is to describe the experience of sibling care partnering, to highlight the needs of sibling care partnerships and discuss how the support group model can address some of the challenges faced by this population. This article addresses the caregiving sibling's experience of participating in a support group of adult children caregivers of parents with Alzheimer's. Ultimately, the article argues for the development of services geared specifically for older adult siblings caring for each other for the first time in later life.     

The Nature and Correlates of Sibling Influence in Two‐Parent African American Families

Guided by research and theory on sibling similarities and differences, this study explored the nature and correlates of 2 processes of sibling influence—social learning and sibling differentiation—during adolescence. Participants included 2 adolescent‐age siblings (M = 16.29 years for older siblings and M = 12.59 years for younger siblings, respectively) from 166 two‐parent African American families. Significant nonlinear associations between these two influence dynamics and some sibling relationship qualities were discovered. For sibling differentiation, but not social learning, these links were further moderated by gender composition of the sibling dyad. Additional analyses revealed that youths' reports of social learning were generally linked to smaller differences between siblings, whereas differentiation processes were linked to greater differences in siblings' individual characteristics.     

Evaluation of a multi-site program designed to strengthen relational bonds for siblings separated by foster care

Sibling relationships in foster care settings have received increased attention in recent years. Despite growing evidence regarding the protective potential of sibling relationships for youth in care, some sibling groups continue to experience foster care related separation, and few programs exist to address the needs of these youth.This study describes and evaluates Camp To Belong, a multi-site program designed to provide short-term reunification to separated sibling groups through a week-long summer camp experience. Using a pre-test post-test survey design, this paper examines changes in youth ratings of sibling conflict and sibling support across camps located in six geographically distinct regions of the United States. The effects of youth age, number of prior camp exposures, and camp location were tested using multilevel modeling procedures.Findings suggest that participation in Camp To Belong may reduce sibling conflict, and improvements in sibling support are noted for youth who have had prior exposure to the camp’s programming. Camp-level variance in the sibling support outcome highlight the complex nature of relationships for siblings separated by foster care, and suggest the need for additional research. Lessons learned from this multi-site evaluation and future directions are discussed.     

‘I couldn’t just entirely be her sister’: the relational and social policy implications of care between young adult siblings with and without disabilities

Research has commonly explored siblings of people with disabilities’ roles in care for their brothers or sisters with disabilities. Social policy has also commonly framed young adult siblings of people with disabilities as ‘young carers’. However, there has been less consideration of the implications of care for the relationship shared between young adult siblings with and without disabilities and of what this may mean for social policy. What do different types of care mean for sibling relationships? What are the relational and social policy implications of care between siblings? Drawing on a qualitative study of 25 siblings with disabilities and 21 siblings without disabilities aged 15–29, this article explores how young adult siblings perceive, talk and act with regard to the different types of care enacted between them. The article identifies how, during young adulthood, some types of care can endanger siblings’ capacity to feel like siblings and discusses ways that young adult siblings talk and act in order to – as best they can – keep their role within the bounds of a normative sibling relationship. The findings are discussed in light of implications for social policy, particularly with regard to seeing siblings of people with disabilities as ‘young carers’.     

Negotiating Inequality Among Adult Siblings: Two Case Studies

Qualitative instrumental case study analysis of adult siblings from 2 families explores how socioeconomic inequality among them affects their relationships to one another. Eight middle‐aged siblings’ observations of childhood, parental expectations, work and family history, lifestyle, and current sibling ties indicate that childhood interdependence, parallel parental treatment, similar intergenerational mobility, greater success of the younger rather than older siblings, and economic success due to other than individual effort facilitate smoother negotiations of material inequality and enhance the negotiation of sibling relationships as important sources of support. These new insights on negotiating sibling ties over time are related to various forms of capital, a life course perspective, and ambivalence, and point to fresh avenues for future research and theory.     

Gendered stories of parental caregiving among siblings

Using data from in-depth interviews with eight pairs of male and female siblings, we investigate the influence of gender on the division of responsibility among adult children who are providing care to their elderly parent and how parental caregiving provides an opportunity for the explicit (re)negotiation of gender dynamics across household boundaries. We explore the ways that “helper brothers” and “co-provider brothers” divide care with their sisters, and the impact of this division of care on the sisters' roles as coordinators of care and their future plans for their parents' care. “Specialized knowledge” also emerges as an important factor in the gendered division of care among the respondents. Finally, we examine the consequences of our findings with regards to gender relations and discuss the limitations of this exploratory study.