Talking or Keeping Silent About Parental Mental Health Problems—A Grounded Theory of Parents' Decision Making and Experiences with Their Children

This grounded theory study explored parents' experiences of responding to their children's need for understanding parental mental health concerns. Fifteen parents with severe and enduring mental health difficulties participated in the study. The findings suggest four main social processes that influence parents' talk with their children about parental mental health issues, namely “Protecting and being protected,” “Responding to children's search for understanding,” “Prioritizing family life,” and “Relating to others.” Implications of the findings for clinical practice and future research are considered. In particular, the need for more family‐orientated services where parents experience parental mental health problems is highlighted.     

In Search of the Sources of Psychologically Controlling Parenting: The Role of Parental Separation Anxiety and Parental Maladaptive Perfectionism

This study investigated the role of two dimensions of parental separation anxiety—Anxiety about Adolescent Distancing (AAD) and Comfort with Secure Base Role (CSBR)—and parental maladaptive perfectionism in the prediction of psychologically controlling parenting. In a sample of middle adolescents and their parents (N=677), it was found that parents' AAD scores and maladaptive perfectionism were positively related to psychological control, whereas parents' CSBR scores were negatively related to psychological control. Further, psychological control served as an intervening variable in the links between parent characteristics and adolescent well‐being. These findings suggest that two qualitatively different types of psychological control may exist: one originating from parents' separation anxiety and another originating from parents' maladaptive perfectionist standards.     

Impact of Adolescents' Filial Self‐Efficacy on Quality of Family Functioning and Satisfaction

In this prospective study, we tested a structural model in which adolescents' perceived self‐efficacy to manage parental relationships affected their satisfaction with family life both directly, and indirectly, through its impact on family practices. Findings based on 380 Italian adolescents showed that perceived filial self‐efficacy was linked directly and indirectly to satisfaction with family life, and that these relations held both concurrently and longitudinally. In particular, the greater adolescents perceived their self‐efficacy, the more they reported open communication with their parents, the more accepting they were of their parents' monitoring of their own activities outside the home and the less inclined they were to get into escalative discord over disagreements. Regardless of whether perceived filial self‐efficacy was placed in the conceptual structure as a contributor to the quality of family interactions or as a partial product of family functioning, it consistently predicted satisfaction with family life.     

Family Emotional Support and the Individuation Process Among Asian‐ and Latino‐Heritage College‐Going Emerging Adults

This study examined whether discrepancies in emerging adults' perceptions of their own and their parents' value of education were associated with their individuation from family, and whether this relationship was mediated by family emotional support. A total of 82 Asian‐ and Latino‐heritage emerging adults completed a survey assessing their and their parents' value of education, family emotional support, and family engagement (our proxy for individuation). As predicted, larger discrepancies in the value placed on education were associated with less family engagement; this association was mediated by emerging adults' perceptions of family emotional support. These findings suggest that family emotional support may play an important role in the individuation process of Asian‐ and Latino‐heritage college‐going emerging adults.     

Correlates in Children's Experiences of Parents' Racial Socialization Behaviors

This study examined racial socialization processes among 94 African American parents of third‐, fourth‐, and fifth‐grade children as they were predicted by children's ethnic identity exploration and unfair treatment as well as by parents' ethnic identity and discrimination experiences. Findings indicated that children's ethnic identity exploration and parents' perceptions that their children had been treated unfairly by an adult because of their race were both significantly associated with the frequency of messages to children regarding discrimination (Preparation for Bias). Parents' perceptions of children's unfair treatment from an adult and children's perceptions that they had been treated unfairly by peers were significantly associated with parents' cautions and warnings to children about intergroup relations (Promotion of Mistrust). Moreover, the influence of parents' perceptions on Promotion of Mistrust were especially pronounced when children also reported unfair treatment from adults. Children's identity exploration and unfair treatment were not associated with parents' emphasis on ethnic pride, heritage, and diversity (Cultural Socialization/Pluralism). Thus, findings suggest that parental factors are most central in the racial socialization messages that children receive. However, children's perceptions of discrimination and information seeking regarding their own history appear to have some influence on parental messages about race.     

EDITOR's NOTES

Abstract

In order to uncover personal attributes and systemic influences involved in being accepting and supportive of their sons' gay identities, 14 members of a chapter of Parents and Friends of Lesbians and Gays were invited to describe their coming out processes as parents of gay sons. A qualitative approach examined parental definitions of acceptance, the parents' relationships with their sons, the parents' renditions of their coming out processes, and ecosystemic influences on the parents' coming out processes. Ethnographic content analysis suggested that the relevant attributes of parental personalities and their proximal environments were similar in this sample including emotional investment in the people involved, openness to new realities, and the capacity to find and use resources.     

Attachment and the Repetition of Trauma: A Case Study of Attachment‐Based Crisis Intervention

This article explores the difficult case of a 16‐year‐old who was causing a great deal of anxiety by presenting with dramatic behaviour, such as leaping off buildings, swallowing needles and poisons, and jumping in front of cars. The case study explores a six‐month period of crisis intervention, which focused on the unique kind of attachment relationship that existed between the teenager and his mother. The mother had experienced recurrent traumatisation prior to his birth, and it was found that the aftereffects of this traumatisation must have influenced the teenager's early attachment experiences and subsequent development. The attachment‐based therapy treated the crises as primarily ‘relational crises’. The therapy involved investigating and sharing formulations about their attachment history, cultivating an insight into the relational or dynamic determinants of the teenager's crises. Broader suggestions are made concerning the application of attachment theory to different approaches in family therapy, as well as to our understanding of phenomena such as transgenerational traumatisation.     

Planned Gay Father Families in Kinship Arrangements

The current study examined whether there are differences between gay father families (n = 36) and heterosexual families (n = 36) on father‐child relationship, fathers' experiences of parental stress and children's wellbeing. The gay fathers in this study all became parents while in same‐sex relationships. They donated sperm to lesbian couples and then shared the child‐rearing with them in kinship arrangements. It was also examined whether aspects that are related specifically to gay fathers (i.e., experiences of rejection, having to defend their family situation, with whom the children live, and conflicts with the children's mothers) are also related to the father‐child relationship, parental stress and children's wellbeing. Data were collected by means of questionnaires filled in by the fathers. No significant differences between the family types were found on emotional involvement and parental concern in the father‐child relationship, parental burden (as an aspect of parental stress) or the children's wellbeing. However, gay fathers felt less competent in their child‐rearing role than heterosexual fathers. For gay fathers especially, experiences of rejection and the feeling that they have to defend their situation were significantly related to father‐child relationship, parental stress and children's wellbeing.     

Parental Discipline and Abuse Potential Affects on Child Depression,Anxiety, and Attributions

The current study investigated differences in children's emotional functioning as a product of their parents' reported disciplinary practices and child abuse potential. Families with no known history of abuse were recruited to ascertain whether depressogenic attributional style and depressive or anxious symptomatology was evident in children of parents who used harsher physical punishment and who had higher abuse potential. Forty‐two New Zealand children ages 8–12 participated with their parents. Child‐report measures of depression, anxiety, and attributional style were compared with parents' responses on physical discipline scenarios and child abuse potential. Children's anxiety symptoms were higher in those children whose parents obtained higher abuse potential scores and had harsher discipline practices. Children's depressive symptoms and some components of maladaptive attributional style were also found in families with higher abuse potential. Results suggest emotional difficulties similar to those of maltreated children even without identifiable abuse.     

The Ties That Bind: Midlife Parents' Daily Experiences With Grown Children

Daily pleasant or stressful experiences with grown children may contribute to parental well‐being. This diary study focused on midlife parents' (N = 247) reports regarding grown children for 7 days. Nearly all parents (96%) had contact with a child that week via phone, text, or in person. Nearly all parents shared laughter or enjoyable interactions with grown children during the study week. More than half of parents experienced stressful encounters (e.g., child got on nerves) or stressful thoughts about grown children (e.g., worrying, fretting about a problem). Pleasant and stressful experiences with grown children were associated with parents' positive and negative daily moods. A pleasant experience with a grown child the same day as a stressful experience mitigated effects of those stressful experiences on negative mood, however. The findings have implications for understanding intergenerational ambivalence and stress buffering in this tie.     

Adolescent Deliberate Self‐Harm: Linkages to Emotion Regulation and Family Emotional Climate

Parents' responses to their children's emotional expressivity have been shown to significantly influence children's subsequent psychosocial functioning. This study hypothesized that adolescents' deliberate self‐harm (DSH) may be an outcome associated with poor emotion regulation as well as an invalidating family environment. The mediational role of specific emotion processes (i.e., poor awareness of emotion, difficulties expressing emotions) between family emotional environment and the frequency of DSH was examined with 131 psychiatrically hospitalized adolescents (M age=14.84 years, SD=1.75 years). Results indicated that adolescents who self‐injured reported that this behavior reduced their negative emotional states. Structural equation modeling provided support for the proposed model that family climate influences frequency of DSH through emotion regulation skills but the model held for girls only. A direct model effect was not supported. Emotion regulation partially mediated the relationship between family climate and DSH, and direct effects were also observed.     

What Parents Learn From Experience: The First Child as a First Draft?

This study sought evidence for the proposition that experiences with earlier‐born adolescents will improve parents' interactions with and parenting of later‐born adolescents. Participants were mothers, fathers, and both first‐ and second‐born siblings from 392 families participating in a longitudinal study. To collect information on siblings' family experiences, family members were interviewed individually in their homes. During the subsequent 2 to 3 weeks, 7 evening telephone interviews were also conducted, which focused on siblings' daily activities. Findings suggest that when parent‐adolescent relationships were measured at the same age for both siblings, parents experienced less conflict with their second‐born as compared with their firstborn adolescent offspring and exhibited greater knowledge of their second‐born offspring's daily activities as compared with their firstborns' daily experiences. These results are consistent with the notion that parents may learn from their childrearing experiences.     

Step In or Stay Out? Parents' Roles in Adolescent Siblings' Relationships

We studied parents' direct involvement in adolescent sibling relationships, including parents' reactions to sibling conflict and their time spent in the company of the sibling dyad. Participants were 185 White, working‐ and middle‐class families; firstborns averaged 15 and secondborns averaged 13.5 years of age. In separate home interviews mothers, fathers and both adolescents described their personal and family relationship qualities and experiences. In a series of 7 evening phone calls, family members reported on each day's activities including the time they spent and their companions in 63 daily activities (e.g., do dishes, play sports, talk on phone). Analyses revealed 3 general conflict reactions by parents: (a) noninvolvement (e.g., tell siblings to work out problem themselves); (b) intervene (e.g., step in and solve problem); and (c) coach (e.g., give advice about how to solve problem). We found mother‐father differences in conflict reactions and time spent with siblings; differences in parents' direct involvement as a function of the gender constellation of the sibling dyad also were evident. Direct involvement was linked to sibling relationship qualities and explained variance beyond that accounted for by an index of indirect involvement, that is, parental warmth. Further, parents' orientations toward autonomy were linked to the indices of involvement such that parents with stronger autonomy orientations were less involved, and parents' orientations explained variance in their involvement beyond that explained by adolescent characteristics.     

Parents' Involvement in Adolescents' Peer Relationships: A Comparison of Mothers' and Fathers' Roles

The goals of this study were to compare mothers' and fathers' direct involvement in adolescent girls' versus boys' peer relationships and to examine the links between parents' involvement and the qualities of adolescents' friendship and peer experiences. Participants were mothers, fathers, and firstborn adolescents (mean age = 15 years) in 187 working‐ and middle‐class families. Data were collected during home visits and a series of seven nightly telephone interviews. Parents' direct involvement was measured by parents' reports of their peer‐oriented activities, parents' knowledge about adolescents' peer experiences, and parents' time spent with adolescents and their peers. Findings revealed that mothers were more knowledgeable about adolescents' peer relationships than were fathers, that mothers with daughters reported the most peer‐oriented activities, and that both mothers and fathers spent more time with same‐sex adolescents and their peers. Parents' direct involvement was differentially related to girls' versus boys' peer experiences. Discussion highlights the role of parents' and adolescents' gender in shaping this dimension of family life in adolescence.     

Therapeutic Use of Fact Sheets in Family Therapy with Children and Adolescents With Functional Somatic Symptoms

Functional somatic symptoms signal distress and reflect an activation of the body's stress‐regulation systems. Many different types of stressors – physical, emotional or both – may activate the body's stress‐regulation systems. If stress‐related disruptions are extreme or are not limited in time, functional somatic symptoms may emerge, signalling that the body remains in a state of activation and somatic distress. In this paper, we describe the development of therapeutic fact sheets, which are used as part of our multimodal, family‐based, rehabilitation intervention for children and adolescents presenting with functional somatic symptoms. The fact sheets provide information about functional somatic symptoms – including their assessment and treatment – from a stress‐system framework. They are used in the context of a family intervention to facilitate engagement with the family and to reduce parental anxiety and reactivity. Whilst the fact sheets were initially developed for parents, over time we found that the sheets were also useful in managing anxiety in the medical and school systems. A key goal of this article is to share this resource with other clinicians working with children/adolescents with functional somatic symptoms.     

Spillover in the Home: The Effects of Family Conflict on Parents' Behavior

Conflict with a spouse or child may generate spillover, defined as short‐term affective changes in parents that affect their behavior with other family members. In a diverse sample of 86 parents, this 56‐day diary study examined daily bidirectional spillover between conflict in the marital or parent–child dyad and parents' irritable, frictional behavior with their child or spouse, respectively. Tests of daily associations between conflict and parent behavior revealed robust spillover effects according to parent as well as spouse and child reports. Parents' daily negative mood and child externalizing behavior contributed to several but not all of these associations. Daily spillover findings were largely unaffected by parents' neuroticism, suggesting that parents' day‐to‐day fluctuations in negative mood, not average levels of negative affectivity, promoted spillover. Significant direct effects of conflict on parent behavior even when controlling for negative mood, however, implicate additional cognitive or social processes as contributors to conflict spillover in families.     

The Family and Juvenile Delinquency*

This paper examines the effect of various “family variables” on the etiology of juvenile delinquency. These self-report data are unique in that they are from reports by parents of their child's behavior, the nature of the child's life at home, and parental perceptions of their relationship with the child. How the family and delinquency literature fit into control theory's conceptualization of the importance of a child's attachment to the family as a determinant of delinquency is evaluated. Variables measuring (1) family structure, (2) poor parental characteristics, (3) household characteristics, and (4) parent-child relationships are examined. The attachment variable was found to be the strongest predictor of delinquency and helps to “interpret” the effects of other variables that are significantly related to delinquency. The variables that predict male delinquency were found to be different from those that predict female delinquency. Characteristics of the parents' marriage play an important role for boys, while misbehavior of girls is more strongly predicted by variables measuring parent-child interaction and parental control.     

Intergenerational Experiences of Discrimination in Chinese American Families: Influences of Socialization and Stress

In this longitudinal study, we investigated the mechanisms by which Chinese American parents' experiences of discrimination influenced their adolescents' ethnicity‐related stressors (i.e., cultural misfit, discrimination, attitudes toward education). We focused on whether parents' ethnic‐racial socialization practices and perpetual foreigner stress moderated or mediated this relationship. Participants were 444 Chinese American families. Results indicated no evidence of moderation, but we observed support for mediation. Parental experiences of discrimination were associated with more ethnic‐racial socialization practices and greater parental perpetual foreigner stress. More ethnic‐racial socialization was related to greater cultural misfit in adolescents, whereas more perpetual foreigner stress was related to adolescents' poorer attitudes toward education and more reported discrimination. Relationships between mediators and outcomes were stronger for fathers than for mothers.     

Feeding the Hand that Bit You: Lesbian Daughters at Mid-Life Negotiating Parental Caretaking

SUMMARY

Like other women in our culture, lesbians find parental caretaking is a gendered expectation that often falls to them. This article explores how we negotiate competing demands and integrate our parents' needs into our lives. The daughter/parent relationship may have been strained by parental homophobia, exclusion of our partner, “splitting” between our lesbian and birth family lives, and physical distance. We may recall feelings of metaphorical and physical caretaking not offered to us when we came out, when lack of parental support may have brought financial abandonment and emotional upset. Inversion of the relationship into the child as parental caretaker, fraught with mixed emotions, can bring resolution of long-held resentments and pain.     

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’.