The Incarcerated Parent: Examining Mother-Child Conflict at the Margins through a Bio-Ecological Lens

ABSTRACT

This study examined conflict, parenting communication style, and attitudes regarding the parent-child relationship for a marginalized special population: incarcerated mothers and their children. Bronfenbrenner’s bio-ecological perspective served as a guiding framework, based on its ability to consider family interactions across ecological contexts, both proximal and distal to the developing child’s home setting. Fifty incarcerated mothers in the central U.S. provided in-depth interviews and individual self-report surveys. Findings indicate that incarcerated mothers most frequently used an authoritative parenting communication style in conflict situations that ended positively, and authoritarian style in conflict that ended negatively. Authoritative parenting was associated with incarcerated mothers’ reports of greater satisfaction with parenting. Study findings suggest that parenting communication style can help support efforts to reduce recidivism. Contextualizing these findings within Bronfenbrenner’s model, the present study affirms the role of proximal as well as distal factors governing relational communication between incarcerated mothers and their children.     

Managing physical and mental health conditions: Consumer perspectives on integrated care

Despite the growing trend of integrating primary care and mental health services, little research has documented how consumers with severe mental illnesses (SMI) manage comorbid conditions or view integrated services. We sought to better understand how consumers perceive and manage both mental and physical health conditions and their views of integrated services. We conducted semi-structured interviews with consumers receiving primary care services integrated in a community mental health setting. Consumers described a range of strategies to deal with physical health conditions and generally viewed mental and physical health conditions as impacting one another. Consumers viewed integration of primary care and mental health services favorably, specifically its convenience, friendliness, and knowledge of providers, and collaboration between providers. Although integration was viewed positively, consumers with SMI may need a myriad of strategies and supports to both initiate and sustain lifestyle changes that address common physical health problems.     

Recent developments in family psychoeducation as an evidence-based practice

Among potential resources for people with serious mental illnesses (SMI) and their families, professionally delivered family psychoeducation (FPE) is designed to engage, inform, and educate family members, so that they can assist the person with SMI in managing their illness. In this article, we review research regarding FPE outcomes and implementation since 2001, updating the previous review in this journal (McFarlane, Dixon, Lukens, & Lucksted, Journal of Marital and Family Therapy 2003; 29, 223). Research on a range of FPE variations continues to return mostly positive effects for adults with schizophrenia and increasingly, bipolar disorder. More recent studies include functional outcomes as well as the more common relapse and hospitalization. FPE research involving adults with other diagnoses is increasing, as is FPE research outside the United States In both cases, uneven methodologies and multiple FPE variations make drawing conclusions difficult, although the core utility of access to information, skill building, problem solving, and social support often shines though. Since the previous review, several FPE programs for parents of children or youth with mood disorders have also been developed, with limited research showing more positive than null results. Similarly, we review the developing inquiry into early intervention and FPE, short-form FPE, and cost studies involving FPE. The second half of the article updates the paradox of FPE's evidence base versus its persistently low use, via recent implementation efforts. Multiple challenges and facilitating factors across healthcare systems and financing, individual programs and providers, family members, and consumers shape this issue, and we conclude with discussion of the need for empirical evaluation of implementation strategies and models.     

Marital fertility and religion in Spain, 1985 and 1999

Since the transition to democracy in Spain in 1975, both total fertility and rates of church attendance of Catholics have dropped dramatically. In this study the 1985 and 1999 Spanish Fertility Surveys were used to investigate whether the significance of religion for fertility behaviour -- current family size and the spacing of births -- changed between the survey dates. In the 1985 survey, family size was similar for those Catholics who actively participated in religious activities and those who, though nominally Catholic, were not active participants. By 1999, the family size of the latter was lower and comparable to the family size of those without religious affiliation. These findings accord with the declines in both church attendance and fertility in Spain. The small groups of Protestants and Muslims had the highest fertility. Women in inter-faith unions had relatively low fertility.     

Evaluation of a Support Group for Parents of Children Hospitalized for Cancer and Hematopoietic Stem Cell Transplantation

ABSTARCT

Social isolation and high levels of psychosocial stress are common among parents of children who are hospitalized for cancer treatment. Many hospital-based programs offer support groups for parents, however there is little published guidance or systematic evidence on their effectiveness. This study describes the development and program evaluation of a 16-week parent support group offered to parents (N = 10) of children hospitalized for pediatric cancer or bone-marrow transplant. A summary of the pilot evaluation is provided and successes, barriers, and areas for future improvement are discussed.     

The Home and the ‘Hood: Associations Between Housing and Neighborhood Contexts and Adolescent Functioning

Adolescents from low‐income families face various opportunities and constraints as they develop, with possible ramifications for their well‐being. Two contexts of particular importance are the home and the neighborhood. Using adolescent data from the first two waves of the Three‐City Study (N = 1,169), this study explored associations among housing problems and neighborhood disorder with adolescents' socioemotional problems, and how these associations varied by parental monitoring and gender. Results of hierarchical linear models suggest that poor‐quality housing was most predictive of the functioning of girls and of adolescents with restrictive curfews, whereas neighborhood disorder was a stronger predictor for boys. Implications for future research on associations between housing and neighborhood contexts and adolescent development are discussed.     

Individual differences in infancy research: Letting the baby stand out from the crowd

Within the developmental literature, there is an often unspoken tension between studies that aim to capture broad scale, fairly universal nomothetic traits, and studies that focus on mechanisms and trajectories that are idiographic and bounded to some extent by systematic individual differences. The suitability of these approaches varies as a function of the specific research interests at hand. Although the approaches are interdependent, they have often proceeded as parallel research traditions. The current review notes some of the historical and empirical bases for this divide and suggests that each tradition would benefit from incorporating both methodological approaches to iteratively examine universal (nomothetic) phenomena and the individual differences (idiographic) factors that lead to variation in development. This work may help isolate underlying causal mechanisms, better understand current functioning, and predict long‐term developmental consequences. In doing so, we also highlight empirical and structural issues that need to be addressed to support this integration.     

Understanding the roles of subjective and objective aspects of time in the work-family interface

The experience of time has been posited as an important predictor of work-family conflict; however, few studies have considered subjective and objective aspects of time conjointly. This study examined the reported number of hours dedicated to work and family as indices of objective aspects of time, and perceived time pressure (in the work and family domains respectively) as an important feature of the subjective nature of temporal experiences within the work-family interface. Results indicate that the stress of having insufficient time to fulfill commitments in one domain (i.e., perceived time pressure) predicts work-family conflict, and that perceived time pressures predict the amount of time allocated to a domain. Additionally, findings suggest that domain boundaries are not symmetrical, with work boundaries being more rigidly constructed than family boundaries. Work-to-family and family-to-work conflict were generally related to overall health, turnover intentions, and work performance, as expected.     

Quantity and Quality of Gestural Input: Caregivers’ Sensitivity Predicts Caregiver–Infant Bidirectional Communication Through Gestures

Children's use of pointing and symbolic gestures—early communication skills which predict later language—is influenced by frequency of adults’ gestures. However, we wonder whether, like language, the sensitivity of adult–child interactions is also important for encouraging child gesturing, rather than simply quantity of adult gestural input. Furthermore, children's use of gestures influences qualities of adult–child interaction, eliciting greater responsiveness and richer communication. Thus, we investigated the moderating role of nonparental caregiver sensitivity on the relationship between caregivers’ and infants’ use of pointing and symbolic gestures. We observed 10 infants (ages 6–19 months) over 8 months with a total of 24 student caregivers completing short‐term internships, recording adult and child use of pointing and symbolic gestures. We used longitudinal growth models to examine change in gesturing and moderating roles of caregiver sensitivity in the relations between caregiver and child gesturing behavior. Caregivers’ sensitivity moderated effects of caregivers’ symbolic gestures on infants’ pointing and symbolic gestures, and the effects of infants’ pointing and symbolic gesture frequency on caregivers’ gesture use. Thus, caregivers’ gestures are most effective in supporting child gestures when in the context of sensitive interactions. Sensitivity is central to supporting children's early communicative behaviors, including pointing and symbolic gestures.