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ObjectiveOur research aim is to enrich the conceptualization of high conflict post-divorce co-parenting by understanding the dynamic process involved.BackgroundThe studied phenomena were explored by linking previous scientific knowledge to practice.MethodWe cross-referenced the previous study results with the experiences reported by eight professionals and tried to answer the following research question: how professionals’ experience and previous scientific knowledge contribute to a better understanding of HC post-divorce co-parenting? Individual face to face interviews were conducted and analyzed regarding the qualitative theoretical reasoning of thematic analysis.ResultsAnalysis allowed us to highlight how four main axes are related to HC post-divorce co-parenting: (1) Parents for life, (2) Acting in the child’s best interests, (3) Managing disagreements, and (4) Healing the separation.ConclusionOur findings capture high conflict post-divorce co-parenting as a multidimensional dynamic process. As such, dealing with co-parenting disagreements must be understood as a moment in a process that is influenced by, and influences, other dimensions.ImplicationsInterventions must consider the four dimensions and their reciprocal interactions. The essential elements underlying parents’ difficulties may reside at a multiplicity of levels: inter-relational, contextual, and intrapsychic. Each level contains key potential factors in understanding these families, and in formulating intervention guidelines.

Objective: To explore fathers' experiences as biological parents in father–stepmother families. Background: Biological parents play an important role in the formation and development of stepfamily relationships, but little is known about fathers in stepfamilies. Method: In-person interviews were conducted with 10 Belgian fathers. Interviews were analyzed using interpretative phenomenological analysis. Results: Three themes emerged from the data: (a) reflecting on children's experiences and transitions, (b) pursuing a shared family understanding, and (c) innovating new ways of doing fatherhood and family. The first theme centers on fathers' concerns about the impact family transitions may have on their children. The second theme centers on fathers' pursuit of a shared understanding that clarifies family roles and expectations within the stepfamily. The last theme addresses the creativity of these fathers as they co-construct new stepfamily and fatherhood identities in the absence of culturally ascribed norms. Conclusion: Given their connecting role as parent and partner, biological fathers in stepfamilies are key to the formation and development of a new family narrative. Findings contribute to family practitioners' understanding of how fathers experience stepfamily life.

Perceived responsiveness has become one of the most important constructs in the relationship sciences. It is central to the development of a secure attachment style, the experience of social support, an internal locus of control, and the sense of control in close relationships. Conversely, an unresponsive environment is associated with learned helplessness and depression. Viewed through the lens of the social relations model (SRM), perceived responsiveness in family relationships could have multiple sources: the perceiver; the target or partner; the perceiver-target relationship; and the family group. This study used the SRM to determine the relative importance of these sources of perceived responsiveness in the relationships of 207 two-parent two-child families. Characteristics of the perceiver and the target each accounted for about 25% of the systematic variance in perceived responsiveness, whereas the perceiver-target relationship accounted for approximately 48%. At the individual level of analysis, reciprocity of perceived responsiveness was pervasive in the family relationships of the two children. Regardless of age, young people who generally perceived others as responsive were generally perceived by others as responsive. At the dyadic level of analysis, reciprocity was present in two dyads: mother-father and older child-younger child. Reliable target variances support the view that perceived responsiveness is not just "inside the head" of the perceiver, and reciprocity correlations suggest potentially useful systemic interventions. (PsycINFO Database Record

Cette étude examine l’influence des adolescents sur leurs parents, dans les contextes socioculturels d’Afrique Subsaharienne (Togo) et d’Europe Occidentale (Belgique). À travers une démarche qualitative inductive, les données d’entretiens semi-directifs avec des adolescents qui consomment des substances psychoactives ont fait l’objet d’une analyse phénoménologique interprétative. Les résultats montrent une bidirectionnalité de cette influence et les thèmes qui émergent renvoient à la préoccupation sur les résultats scolaires, sur la consommation de substances, et sur les besoins matériels et affectifs des adolescents. L’étude a montré que les significations culturelles associées à la relation parent-adolescent et à la consommation de substances impriment l'agentivité de l’adolescent. Elle a permis de mieux comprendre l’adolescent comme un partenaire actif du processus de construction de son identité, au même titre que les parents, et permet de modifier bien d’idées reçues à propos des adolescents qui consomment des substances psychoactives., This study examines the influence of teenagers on their parents in the socio-cultural contexts of sub-Saharan Africa (Togo) and Western Europe (Belgium). Through an inductive qualitative approach, the data of semi-directive interviews with teenagers who use psychoactive substances were analyzed using the Interpretive Phenomenological Analysis method. The results show a bidirectionality of this influence and the themes that emerged refer to the school performance, the substances use and the material and emotional needs of youths. The study showed that the cultural meanings associated with parent-adolescent relationships and substances use influence the teenager’s agency. It has led to a better understanding of the teenager as an active partner in the process of the building of his own identity in the same way as parents and help to change many preconceived ideas about teenagers who use psychoactive substances.

This study was an attempt to determine the factor structure, reliability, validity, and adaptation of the Fisher Divorce Adjustment Scale (FDAS) for Iranian divorced individuals. The primary ration...

Addressing calls for more mediation process research, this qualitative study explored which contradictory tensions are in play in a helpful working relationship between mediators and their clients. Data were collected in semistructured interviews with divorce mediators (n = 12). Relational dialectical analysis detailed how divorce mediators varied practice styles along the central opposing pulls of client self-determination and professional control, neutrality and engagement, and efficiency and exploration. The findings counterbalance traditional hallmarks of mediation and highlight a range of dynamic truths in which mediators operate. Methodological limitations and implications for research and practice are discussed.

Background: Childhood cancer not only presents challenges to the life of the child with cancer but also to the siblings’ daily family life. The aim of the current study was to gain a better understanding of siblings’ experiences of living in a family where one child has been diagnosed with blood cancer. Method: Ten siblings of children with leukemia or non-Hodgkin lymphoma completed a semistructured interview about their everyday family life experiences postdiagnosis. The verbatim transcripts of the interviews served as the data for an interpretative phenomenological analysis. Results: The results showed that overall the siblings experienced a continuity in many aspects of their family life: they still experienced their family as an important source of support and information/communication, as warm and loving and as a safe harbor where family members aim to protect each other. However, at the same time, the participating siblings also expressed that some things felt unmistakably different postdiagnosis: They felt that their family as a whole had been ripped apart, with a greater focus on the diagnosed child and changing responsibilities for each family member. Conclusion: This study informs parents and clinicians about the daily family life experiences from the siblings’ perspective, a perspective that is often overlooked. A focus on challenges as well as continuities within family life, the wish for connection expressed by the siblings, and the uniqueness of every sibling’s experiences is what can be taken away from this study by psychosocial workers in the field.

The current theoretical paper presents a comprehensive overview of findings from research attempting to understand what happens with expatriates and their families while living abroad. Our paper draws on research on adjustment of individual family members (expatriates, their partners, and children) and families as a whole, across different literatures (e.g., cultural psychology, family psychology, stress literature). The key challenges of expatriation are discussed, as well as family members’ resources. Our findings lead to the following conclusions: First, there is lack of systematic research as studies are either missing a theoretical background or largely neglect the multi-informant approach. A comprehensive theory of expatriate family adjustment integrating multiple theoretical perspectives, including the culture identity formation and the impact of home country and host country culture, is called upon. Second, the majority of studies paid little attention to define the concept of family or failed to take into account the cultural aspect of relocation. Third, there is a call for more longitudinal studies including all family members as adjustment is a process that unfolds over time and therefore cannot be sufficiently explained by cross-sectional studies. Suggestions for future research and practical implications are provided, with a special focus on how families could be assisted during their adjustment process.

BACKGROUND This study aims to examine the adaptive process of children and mothers from multistressed low-income families in Singapore. It aims to bridge the knowledge gap left by existing poverty studies, which are predominately risk focused. Through a sequential longitudinal mixed-methods design, we will differentiate children and mothers who demonstrate varied social, developmental, and mental health trajectories of outcomes. Through utilizing the Latent Growth Curve Model (LGCM), we aim to detect the development and changes of the positive Family Agency and adaptive capacities of these families over time. The construct of Family Agency is underpinned by the theoretical guidance from the Social Relational Theory, which examines child agency, parent agency, relational agency, and the interactions among these members. It is hypothesized that positive Family Agency within low-income families may lead to better outcomes. The key research questions include whether the extent of positive Family Agency mediates the relationship among financial stress, resource utilization, home environment, and parental stress. OBJECTIVE The study elucidates the Family Agency construct through interviews with mother-child dyads. It also aims to understand how financial stress and resources are differentially related to home environment, parent stress, and parent and child outcomes. METHODS In phase 1, 60 mother-child dyads from families receiving government financial assistance and with children aged between 7 and 12 years will be recruited. In-depth interviews will be conducted separately with mothers and children. On the basis of 120 interviews, a measurement for the construct of Family Agency will be developed and will be pilot tested. In phase 2a, a longitudinal survey will be conducted over 3 time points from 800 mother-child dyads. The 3 waves of survey results will be analyzed by LGCM to identify the trajectories of adaptation pathways of these low-income families. In addition, 10 focus groups with up to 15 participants in each will be conducted to validate the LGCM results. RESULTS This project is funded by the Social Science Research Thematic Grant (Singapore). The recruitment of 60 mother-child dyads has been achieved. Data collection will commence once the amendment to the protocol has been approved by the Institutional Review Board. Analysis of phase 1 data will be completed by the end of the first quarter of 2019, and the first set of results is expected to be submitted for publication by the second quarter of 2019. Phase 2 implementation will commence in the second quarter of 2019, and the project end date is in May 2021. CONCLUSIONS Findings from this study can potentially inform social policy and programs as it refines the understanding of low-income families by distinguishing trajectories of adaptive capacities so that policies and interventions can be targeted in enhancing the adaptive pathways of low-income families with children. INTERNATIONAL REGISTERED REPOR PRR1-10.2196/11629

Purpose Pediatric cancer presents many challenges to the life of the child diagnosed with cancer and his/her family. Among the studies investigating risk and protective factors, social support has emerged as an important construct. However, little is known on how family members support each other in this particular context. Method In order to further explore this process, interviews were performed separately with mothers, fathers and siblings. For the purpose of this study (as this is part of a larger project), data from four families in which both parents and at least one sibling participated, were used. Multi Family Member Interview Analysis was used as the methodological framework to analyze the individual interviews, allowing a detailed and systematic analysis of shared family experiences. Results The analysis of the data revealed three themes: Being together matters: the families identified the need of being physically together; Finding support in (not) talking: the complexity of sharing emotions was explained and Working together as a team: the families described working together as a team in order to get everything organized. Conclusions This study broadens our understanding of the interpersonal process of family support-giving when facing pediatric cancer. When meeting with families, families should be invited as a unit in order to best capture family level experiences. Also, clinicians should be sensitive to the different cancer-related communication needs within the family (i.e., the need to talk or not to talk) and incorporate this knowledge into their care.

This study examined how 34 senior students and first-year college students with autism spectrum disorder, their mothers (n = 34) and fathers (n = 26) navigate the higher education transition, and how this context impacts on dynamics in the parent-child relationships. Semi-structured interviews were analyzed based on grounded theory and dyadic analysis principles. Both parties were confronted with an abundance of challenges and experienced strong feelings of ambivalence, stress and anxiety. Differences in perspectives occurred regarding the construction of adulthood, the acquisition of autonomy, disclosure and subscribing to support services. These differences caused tensions in the parent-child relationship, hindering the transformation of the relationship into an adult-like mutual relationship. Clinical implications are extrapolated on the basis of these findings.

Externalizing behavior (EB) has been found to be pervasive in children across different interactional systems. The transactional model is one of the most interesting and plausible mechanisms explaining the development of behavioral problems (Sameroff, 2009). The main goal of the study is to test bidirectional and recursive transactional relations between the quality of the caregiver–child relationship and children's externalizing behavior. The transactional model was tested in three-wave longitudinal cross-lagged models involving 117 children (78.5% boys) aged 4 at the beginning of the study and three caregivers, i.e. their mother, father and teacher. All of the children had been clinically referred for externalizing behavior. The multi-informant three-wave design was an original feature of this research. The results provided no evidence for a transactional process. The results suggest the singularity of each of these three interactional systems. They are discussed from the theoretical viewpoint and in terms of their clinical implications.

Pediatric cancer is a life threatening disease that challenges the life of the diagnosed child, the parents and possible siblings. Moreover, it also places considerable demands on family life. The aim of the current study was to explore changes in the family functioning after a pediatric cancer diagnosis. Ten couples that had a child with leukemia or Non-Hodgkin Lymphoma were interviewed individually about their experiences. Interviews were semi-structured and the data were analyzed using Multi Family Member Interview Analysis. Three themes emerged from the data: (1) Family Cohesion: Strengthened vs. Fragmented; (2) Educational Norms and Values: Overindulgence vs. Being Stricter, and (3) Normality: Loss vs. Preservation. The conflicting dynamics present in these emerging themes exemplify the complexity of this process of family adaptation. The current study illustrates the need to take into account the family level, as well as the conflicting feelings parents may experience after a pediatric cancer diagnosis.

In today’s Western societies, the transition to adulthood is prolonged, creating a separate developmental phase between adolescence and adulthood referred to as emerging adulthood. Following from this general delay in adult commitment-making, a considerable number of emerging adults continues to live in the parental household. The present study was conducted in Belgium and aimed to obtain a greater understanding of the home-leaving experience by qualitatively exploring how emerging adults who live with their parents or who have taken steps toward independent living experience their residential status. Twenty Belgian emerging adults, aged 24 to 25, were questioned during an interview. Responses were analyzed using interpretative phenomenological analysis. Emerging adults’ descriptions suggest that the home-leaving process is a complex period in life characterized by feelings of ambivalence, whereby young people are simultaneously trying to combine a strong need for independence with a wish to remain connected to the parents. Implications for clinical practice and future research are discussed.

Recent Belgian policy changes led to progressive shared parenting, mediation, and no-fault legislation. However, little is known about the practices and policy preferences of the implicated professionals. The present study surveyed 664 Flemish divorce lawyers, mental health professionals, and mediators. The majority of professionals supports no-fault divorce legislation, unified family courts, court-independent mediation, and well-informed trajectory decisions, but disagree with a primary caretaker presumption. Equally shared parenting agreements were uncommon in lawyers' practice and most frequent among mediators. Yet, whereas mediators were mostly skeptical, the majority of lawyers were convinced of the positive effect of such agreements on children. Mental health professionals are set apart by exclusive maternal authority agreements and rarely providing trajectory information in their practice. Implications for clients, practice, and policy are addressed. Keypoints for the Family Court Community Discusses recent sociological and legal developments in Flanders Details key policy and practice preferences of different divorce professionals Clarifies policy and practice differences and similarities between divorce professionals on: Equally shared parenting agreements No-fault divorce and the nature of mediation services Informing on divorce trajectories and changing divorce trajectories Informs on possibilities for interprofessionnal collaboration and areas of expertise

In contrast to mediation outcome studies, there is a lack of research on mediation processes. In response, this article explores mediators’ styles and goals and their determinants, such as the mediators’ professional background and client characteristics. Survey data of 359 divorce pro-fessionals were analyzed with the use of multiple regression analyses. Results showed that styles and goals are predominantly determined by professional-related characteristics. Lawyer mediators and mental health mediators diverged in advisory and interest-based styles but were unifi ed in all goals we studied. Th e goals, self-determination, advocacy, and processing emotions diff erentiated mediation from law and mental health practice. Implications are discussed.

Our study examined the relationships of relational pronouns used in parental conversation to the quality of early family interactions, as indexed by Family Alliance (FA). We hypothesized that more positive family interactions were associated with the use of more we-pronouns (e.g., we, us, our; we-ness) and fewer I- and you-pronouns (e.g., I, me, you, your; separateness) by both mothers and fathers. Our statistical model using a multilevel modelling framework and two levels of analysis (i.e., a couple level and an individual level) was tested on 47 non-referred families (n = 31 primiparous families; child’s age, M = 15.75 months, SD = 2.73) with we-ness and separateness as outcomes and FA functions as between-dyads variables. Analyses revealed that we-ness within the parental couple was only positively associated with family affect sharing while separateness was negatively associated with different FA functions (e.g., communication mistakes). Our main finding suggested that the kinds of personal pronouns used by parental couples when discussing children’s education would be associated to the emotional quality of the family interactions.

Studies have reported that mediation has higher settlement rates than litigation. The quality of these agreements as experienced by the parties as well as the processes that contribute to this subjective experience remains underexamined, however. In a large, representative, and multidisciplinary study of divorcing couples, we studied the relationship between the practices of lawyers and mediators and the quality of agreements experienced by their clients. We used multiple regression analysis to reveal that divorce mediation is significantly more likely than litigation to produce high-quality divorce settlements. Furthermore, we found that high-quality divorce agreements were more likely to occur when mediators and lawyers were perceived to have worked facilitatively. In addition, we found that pre-divorce conflict levels were inversely correlated with the quality of agreements. Which party initiated the divorce, the parties' gender, and the type of legal divorce did not explain variances in the quality of the agreements. In this article, we also discuss the training and practice implications of our findings.

Purpose: Major depression is becoming more common among adolescents. Most research into major depression disorder focuses on intrapersonal and interpersonal processes, but the importance of sociocultural factors is less investigated. This study explores the role of social representations in the construction of adolescents diagnosed with major depression. The researched was informed by the concept of human agency and Social Relational Theory. Method: Interviews were conducted with fifteen hospitalized adolescents diagnosed with a major depression disorder using a semi-structured interview schedule. The research question was: What are the social representations about being a normal person that influence depressed adolescents and their lived experiences of having major depression? Transcripts were subjected to Interpretative Phenomenological Analysis. Results: Five superordinate themes emerged out of the data: (a) Depression means personal failure; (b) Feeling bad is not allowed and is not normal: in fact, depression doesn’t really exist; (c) You are obliged to have an intimate relationship, otherwise you are not normal; (d) It is important to have future projects for personal and social well-being; (e) Being socially well integrated is normality. Conclusions: Clinical and therapeutic implications are discussed.

One purpose of family assessment is to formulate hypotheses that can guide clinical interventions. Family assessment is based on models about family functioning. In this paper the Social Relations Model (Kenny and La Voie, 1984; SRM) is presented as such a model about family dynamics. Moreover, SRM provides statistical tools to underpin empirical hypotheses about family functioning. An SRM family assessment of a family with a child in child psychiatric care exemplifies the possibilities and limitations of this SRM approach to family assessment. The subject of the family assessment is family members' sense of influence in their family relationships.

Bidirectional models of interpersonal influence in parent—child relationships underscore the influence of children on their parents. Following a social constructionist perspective, the present study uses Q methodology to explore meanings and beliefs concerning children's influence among members of the Belgian-Flemish culture. Children and adults each performed the Q-sorting tasks that were analysed separately. Q-factor analysis of the children-sorts produced five factors and six factors for the adults. These analyses revealed that a central understanding of children's influence for children and adults is the recognition of the full person and partnership of the child in the relationship. Children's responses focus on the responsiveness of the parents and stress that parents learn from them. Adults' responses emphasize the massiveness of children's influence on the parents' personal development.

This article reports on a qualitative study with 21 young adults who grew up with a depressed parent. We examined how young adults make sense of their childhood experiences of parental depression and how their retrospective reflections help us to understand the experiences of children and the processes of parentification. Participants recounted that their childhood consisted mainly of actions in the service of family well-being. At that time, they reflected on their own experiences only rarely. In adolescence, there was an evolution toward a greater consideration for oneself and a repositioning within the family. In the discussion, we explore the therapeutic implications of this study--and in particular--the meaningfulness of silence in the family process of parentification.

Dysfunctional use of the mobile phone has often been conceptualized as a 'behavioural addiction' that shares most features with drug addictions. In the current article, we challenge the clinical utility of the addiction model as applied to mobile phone overuse. We describe the case of a woman who overuses her mobile phone from two distinct approaches: (1) a symptom-based categorical approach inspired from the addiction model of dysfunctional mobile phone use and (2) a process-based approach resulting from an idiosyncratic clinical case conceptualization. In the case depicted here, the addiction model was shown to lead to standardized and non-relevant treatment, whereas the clinical case conceptualization allowed identification of specific psychological processes that can be targeted with specific, empirically based psychological interventions. This finding highlights that conceptualizing excessive behaviours (e.g., gambling and sex) within the addiction model can be a simplification of an individual's psychological functioning, offering only limited clinical relevance.The addiction model, applied to excessive behaviours (e.g., gambling, sex and Internet-related activities) may lead to non-relevant standardized treatments. Clinical case conceptualization allowed identification of specific psychological processes that can be targeted with specific empirically based psychological interventions. The biomedical model might lead to the simplification of an individual's psychological functioning with limited clinical relevance.

This study investigates children’s eating behavior in a context of bidirectional parent—child influences. Parents and children were asked about their sense of influence and of being influenced concerning food rules. For parents, these feelings seemed to be partly correlated with children’s eating behavior. Additionally, Social Relations Model analysis revealed that parents’ and children’s feelings of influence and being influenced were not only dependent on characteristics of the rater or actor, but also characteristics of the partner and of the unique relationship were found to be important. Furthermore, evidence was found for bidirectional influences, but only for the mother—older sibling dyad.

Serum concentrations of insulin-like growth factor 1 (IGF-1) and growth hormone were measured in 25 cats with untreated diabetes mellitus (11 of which were used for follow-up measurements, one to three, four to eight, nine to 12 and 13 to 16 weeks after their treatment with insulin began), 14 diabetic cats that had previously been treated with insulin, and seven diabetic cats that also had hypersomatotropism, two of which had not previously been treated with insulin; 18 healthy cats were used as controls. In the untreated diabetic cats the concentration of IGF-1 ranged from 13.0 to 433.0 ng/ml (median 170.5 ng/ml), which was significantly lower than the concentrations in the control cats (196.0 to 791.0 ng/ml, median 452.0 ng/ml). Their IGF-1 concentrations increased significantly when they were treated with insulin and after four to eight weeks were not different from those in the control cats. In the diabetic cats that had previously been treated with insulin the IGF-1 concentrations were 33.0 to 476.0 ng/ml (median 316.0 ng/ml), which was significantly lower than the concentrations in the control cats, but significantly higher than in the untreated diabetic cats. The IGF-1 concentrations in the two previously untreated diabetic cats with hypersomatotropism were low and low-normal but increased markedly after treatment with insulin. In the five previously treated cats with hypersomatotropism the concentration of IGF-1 was above the normal range. The concentrations of growth hormone in the treated and untreated diabetic cats without hypersomatotropisms were not significantly different and there was an overlap in its concentrations in the diabetic cats with and without hypersomatotropism.

Starting from the core systemic premise that humans influence each other, this paper focuses on child influences in the bidirectional parent–child relationship. Following a co-constructionist approach on bidirectionality, meaning constructions of children and their parents concerning child influences are explored. The authors used in-depth interviews separately with children and their parents. Phenomenological analysis shows similarities and differences in children's and parents' thinking. Both stress the difficulty and existential dimension of the subject and refer to this influence as mainly unintentional. In particular, children disentangle influence from power. Children focus on the responsiveness of their parents. Parents emphasize the overwhelming effects on their personal development. The importance of making room for constructive child influences in family therapy is acknowledged.