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At least 199 records · Page 11Linked to original sources

[Parent personality, family status and family dynamics in anorexia nervosa patients with special reference to father-daughter relations (a retrospective study)].

The present study was part of a large-scale retrospective comparative study on 103 pubertal patients with anorexia nervosa who were treated as outpatients and/or inpatients at the Pediatric and Youth Psychiatry Division of the University of Tübingen between 1979 and 1984. In the present substudy, a more detailed analysis was made of the data on the marriage and family situation, the personality structure of the parents, and the mother-daughter and father-daughter relationships. The findings do not support the hypothesis that individuals with anorexia nervosa have dominant mothers and weak fathers. A symbiotically close mother-daughter relationship with elements of aggression was found in about 75% of the subjects studied. In the fathers, the autoritarian-dominant type predominated. Slightly less that 17% of the fathers could be characterized as being weak and passive. Protestant patients were overrepresented in the population studied, and brothers were underrepresented. Both the high percentage of daughters who rejected their fathers in an aggressive way (33.3%) and the high percentage with a pronounced oedipal problem with their fathers (44.5%) led us to conclude that the father-daughter relationship has a significance which should not be overlooked in the context of anorexia development and symptom-maintaining dynamic features. In the light of these findings, the stereotype of a pathognomonic family constellation with a dominant mother or grandmother that is widespread in the literature is not tenable.

Adolescent↗

[Research in family dynamics with anorexia nervosa (author's transl)].

33 anorectic patients between the ages of 9 and 18 were treated from 1975 and 1980 as in-patients at the University clinic of neuro-psychiatry for children and juveniles. Familial criteria such as personal relationships; role allocation according to the Richter system and family structure were used as parameters. Sequence of siblings, age of parents and social factors were also taken into consideration.

Adolescent↗

Anorectic family dynamics: temperament and character data.

Modern psychobiologic research conceptualizes personality as a complex adaptive system involving a bidirectional interaction between heritable neurobiologic dispositions (temperament) and social learning (character). In this study, we evaluated temperament and character traits of patients with anorexia nervosa and their mothers and fathers, and we analyzed the correlation of temperament and character traits among family members in anorectic families. Finally, we tested the ability of the Temperament and Character Inventory (TCI) to discriminate between normal controls and anorectic subjects, their parents, and their families. Temperament and character features of 50 restricter anorectic patients and their parents (23 fathers and 25 mothers) were analyzed and then compared with a control group of 60 women and their 20 fathers and 20 mothers using the TCI. Data suggest that both temperament and character factors are involved in anorexia nervosa (AN). Anorectic individuals were high in harm avoidance (HA), low in novelty seeking (NS), and high in persistence (P) ("obsessive temperament type"). Their character was remarkable for low self-directedness (SD). Their mothers were distinguished by low SD. The fathers were high in HA, but also low in P, and high in reward dependence (RD). Again, they were low in SD. The anorectic family had low SD as a common denominator observed in all family members. This finding indicates that the psychopathology of AN extends beyond obsessiveness, but combines obsessiveness with low character development. None of the above temperament and character profiles is pathognomic of restricter anorectics. The observation that both temperament and character have an important role in the etiopathogenesis of AN has important treatment ramifications. The TCI was useful in discriminating between normal controls and anorectic subjects, their parents, and the whole anorectic family.

Anorexia Nervosa↗

Family dynamics.

This case study submitted as a case commentary for the RACGP examination presents the importance of opportunistic inquiries about the health of a mother presenting with a sick or injured child. It revealed significant psychosocial problems that could be helped with basic caring, support and counselling.

Adult↗

[Psychosomatic of acute respiratory-distress from the point of view of family dynamic (author's transl)].

Attacks of respiratory distress occur mainly during the time of prepuberty and puberty. They are in close relationship to the difficulties of the pubertal reparation processes of these children especially the ones for autonomy and individuation. The symptom of acute respiration distress should be viewed as the leading symptom of a complex neurovegetative psychosomatic disturbance. The disturbed functions of various organ systems are discussed. Relationships and correlations to known syndromes like hyperventilation syndrome or normocalcemic tetany are discussed. The causes and pathogenetic factors which show up working diagnostically and therapeutically with the families of these children are described. These factors are of special value for the physician in charge in regard to differentialdiagnosis and treatment-planning. A short description of the most frequent family-dysfunction patterns shows that the disturbed development of autonomy is connected with these family problems.

Adolescent↗

The family dynamics of intellectual development.

Birth order effects on intellectual performance show both positive and negative results. The confluence model reconciles these conflicting data by proving that these effects interact with the age of participants at testing, such that young children should show negative or no effects, whereas older individuals (past age 11 +/- 2 years) should show positive effects. Birth order studies strongly support this prediction. Some writers have claimed the apparent relation between birth order and intelligence is an artifact created by applying a cross-sectional analysis to data that should have been analyzed by comparing siblings within families. However, if siblings within the same family are compared all at the same time, their ages are necessarily different. As a result, birth order effects are confounded with age effects. Moreover, within-family data conceal patterns of aggregate effects that cross-sectional data reveal.

Adolescent↗

Attachment security in couple relationships: a systemic model and its implications for family dynamics.

Theory and research on adult attachment style emphasize the crucial role that the sense of attachment security plays in the formation and maintenance of couple relationships. In the present article, we review studies that have examined the contribution of adult attachment style to relational cognitions, emotions, and behaviors as well as to the formation, quality, and stability of dating and marital relationships. We discuss some of the measurement and design issues raised by this research. Based on the reviewed findings, we provide an integrative, systemic theoretical model delineating how the links between partners' attachment security and the quality of their couple relationship occurs. Finally, we discuss the implications of this model for the understanding of how attachment style and couple relationships combine to affect the family system in general, and parent-child relationships and children's developmental outcomes, in particular.

Adaptation, Psychological↗

Psychotherapeutic study of tics in childhood--on relationship between family dynamics and onset.

Among the tic children who received psychotherapy, 29 cases, which were followed up for more than five years (mean, 8 years) since the onset was available, were selected. Tics were classified as follows based on the process of psychotherapy; monosymptomatic process group 9, neurotic process group 17, distortion of personality development process group 3. The neurotic process group indicated the best prognosis. Next was the monosymptomatic process group. The distortion of personality development process group presented the least favorable prognosis. From the result of psychotherapy, the following methods appeared to be effective, for each of the groups above. "Activity therapy" for the monosymptomatic process group; "intensive therapy" for the neurotic process group: "milieu therapy" for the distortion of personality development group.

Adolescent↗

Family dynamics, gender differences and educational attainment in Filipino adolescents.

The relationship between parenting style, marital relationships and subsequent educational attainment is explored among 1428 Filipino adolescents attending school in 1994 and 1096 attending school in 1999. Girls in households where their fathers physically abused their mothers were significantly less likely to complete primary school, and girls who reported parental arguments completed fewer grades. In contrast, girls in households where parents made decisions jointly were more likely to finish secondary school and attain more grades. Boys attained more education if they reported being close to their mothers. Boys with authoritative mothers attained more grades and were more likely to complete secondary school as compared to boys with neglectful mothers. In this context, marital relationships and parent-child relationships are important for understanding adolescent educational attainment.

Adolescent↗