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| Family Process Heft 4/2003 |
| 1/2003 - 2/2003 - 3/2003 - 4/2003 - Überblick Evan Imber-Black, Ph.D. - Our Next Editor. In: Family Process 42(4), S. 437-438 Fiese, Barbara H. & Frederick S. Wamboldt (2003): Coherent Accounts of Coping with a Chronic Illness: Convergences and Divergences in Family Measurement Using a Narrative Analysis. In: Family Process 42(4), S. 439-451 abstract: Researchers and clinicians have shown increasing interest in family narratives as an avenue for accessing the family meaning-making process. In this study, we examine the convergences and divergences between narrative assessment, family self-report, and verbal accounts of family climate. Sixty-two families with a child with pediatric asthma were interviewed about the impact that asthma had on family life. These interviews were coded for narrative coherence, relationship expectations, and engagement with the interviewer. Primary caregivers were also interviewed using the Five Minute Speech sample (FMSS) and completed self-report assessments of family functioning (Family Assessment Device [FAD] Impact on the Family Scale [IOF]). Contrary to prediction. Narrative coherence was higher in those cases where Emotional Over-involvement (EOI) was present on the FMSS. Narrative coherence and engagement with the interviewer were positively related to self-report of family problem solving, communication, and affective responsiveness as measured on the FAD. Divergences and convergences between different types of family measurement are discussed in light of meaning-making processes associated with coping with a chronic illness. Seaburn, David B. & Giuseppe Erba (2003): The Family Experience of "Sudden Health": The Case of Intractable Epilepsy. In: Family Process 42(4), S. 453-467 abstract: This article reports the experience of "sudden health" among six families who participated in an exploratory qualitative study of families with a member who elects to have corrective surgery for intractable epilepsy. Families were interviewed pre- and post surgery (6-8months) and the interviews were analyzed using a constant comparative methodology. Findings indicated that (1) families were organized in two primary ways (nesting and crisis) to deal with epilepsy and the aftermath of surgery and (2) "sudden health" had differing effects on these families depending on their organizational style, emotional communication process, and developmental dynamics. Hoffman, Perry D., Ellie Buteau, Jill M. Hooley, Alan E. Fruzzeto & Martha L. Bruce (2003): Family Members' Knowledge about Borderline Personality Disorder: Correspondence with their Levels of Depression, Burden, Distress, and Expressed Emotion. In: Family Process 42(4), S. 469-478 abstract: Borderline personality disorder (BPD) is a severe and generally chronic disorder that presents patients and their family members with multiple challenges. Little is currently known about how much family members of patients with BPD know about this disorder. Thirty-two family members of BPD patients were assessed for their level of knowledge about BPD. Knowledge level was then correlated with family members' burden, depression, distress, and expressed emotion. Contrary to expectation, greater knowledge about BPD was associated with higher levels of family members' burden, distress, depression, and greater hostility toward patients. These findings raise concerns about (a) the value of information family members receive about BPD and (b) the importance of the source and accuracy of the information they receive. Further research is warranted and may provide additional information to this understudied area. Sluzki, Carlos E. & Ferid N. Agani (2003): Small Steps and Big Leaps in an Era of Cultural Transition: A Crisis in a Traditional Kosovar Albanian Family. In: Family Process 42(4), S. 479-484 abstract: This ethnographic vignette details the way a difficult crisis in an extended Kosovar family was managed by its own members within the mandates of that overtly patriarchal culture while creating important avenues for change. The cultural and historic context for these events is provided, and the nuances of this solution-oriented, culturally congruent, "natural" (i.e., not in a therapeutic context) process are discussed. Zinnur Kilic, Emine, Halise Devrimci Ozguven & Iaik Sayil (2003): The Psychological Effects of Parental Mental Health on Children Experiencing Disaster: The Experience of Bolu Earthquake in Turkey. In: Family Process 42(4), S. 485-495 abstract: Disasters affect families as a whole, and symptoms displayed by a family member may lead to secondary traumatizations for other members of the family, especially the children. This study examines the effects of parental psychopathology and family functioning on children's psychological problems six months after the earthquake in Bolu, Turkey. Forty-nine children aged between 7 and 14 and their parents were randomly chosen from among 800 families living in a survivor camp in Bolu. Both the children and parents were assessed by trained psychiatrists and psychologists using self-report measures for posttraumatic stress disorder (PTSD), depression, and anxiety symptoms six months after the earthquake. Family functioning in survivor families was also assessed using the Family Assessment Device (FAD). The results showed that the severity of PTSD in children was mainly affected by the presence of PTSD and the severity of depression in the father. State and. trait anxiety scores of children were related to general family functioning. The constellation of PTSD symptomatology was different in fathers than in mothers: the most common type of symptoms was "externalizing" in fathers with PTSD. This study supports the notion that the mere presence of PTSD in parents may not be enough to explain the relational process in families experiencing trauma. Our findings with earthquake survivors suggest that when fathers become more irritable and detached because of PTSD symptoms, their symptoms may affect children more significantly. Wampler, Karen S., Lin Shi, Briana S. Nelson & Thomas G. Kimball (2003): The Adult Attachment Interview and Observed Couple Interaction: Implications for an Intergenerational Perspective on Couple Therapy. In: Family Process 42(4), S. 497-515 abstract: One of the assumptions of intergenerational family therapy is that how a person thinks and talks about family of origin experiences has important implications for current family relationships. The Adult Attachment Interview (AAI) is a measure of attachment security based on how coherently the person can discuss attachment experiences in childhood. This study examined the relationship between attachment security. As measured by the AAI, and couple interaction, as measured by the Georgia Marriage Q-Sort (GMQ), in a sample of 28 couples in therapy for relationship problems. During a conflict resolution discussion, those individuals who wee less coherent in discussing their family of origin expressed more negative affect, less respect, less openness, more avoidance, and less willingness to negotiate when interacting with their partner. No evidence of intra-couple effects or "buffering" was found The findings support a key assumption of intergenerational approaches to family therapy and suggest that applying attachment theory is a promising direction for refining and developing new interventions for couples. Schiff, Miriam & Mary Mckernan Mckay (2003): Urban Youth Disruptive Behavioral Difficulties: Exploring Association with Parenting and Gender. In: Family Process 42(4), S. 517-529 abstract: The current study will examine behavioral difficulties among a sample of African American urban youth who were exposed to violence. Possible gender differences in disruptive behavioral difficulties, as well as possible associations between parental practices, family relationships, and youth disruptive behavioral difficulties are examined. A secondary data analysis from baseline data for 125 African American urban mothers and their children collected as part of a large-scale, urban, family-based, HIV prevention research study was analyzed. Findings reveal that externalizing behavioral problems in youth are associated with exposure to violence. Girls displayed significantly higher levels of externalizing behavioral difficulties than boys. Mothers' parenting practices and family relationships were associated with youths' externalizing behavior problems. Implications for interventions to reduce youths' exposure to violence and to develop gender sensitive interventions for youth and supportive interventions for their parents are discussed. Leung, Cynthia, Matthew R. Sanders, Shirley Leung, Rose Mak & Joseph Lau (2003): An Outcome Evaluation of the Implementation of the Triple P-Positive Parenting Program in Hong Kong. In: Family Process 42(4), S. 531-544 abstract: The present study evaluated the effectiveness of the Positive Parenting Program (Triple P) with a sample of Chinese parents of children with early onset conduct-related problems in Hong Kong. The participants consisted of 91 parents whose children attended maternal and child health centers and child assessment centers for service, and were between three to seven years old. Participants were randomly assigned to the intervention (TP) and a waitlist control group (WL). There was no significant difference in pre-intervention measures between the two groups. However, at post intervention, participants in the TP group reported significantly lower levels of child behavior problems, lower dysfunctional parenting styles, and higher parent sense of competence, compared to the WL group. Implications of these findings for the use of Triple P with families of Chinese descent are discussed. |
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