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PubMed1999

The association between spouses' self-reports of attachment styles and representations of family dynamics.

The current research assesses the association between spouses' self-reports of attachment style and their perceptions of family dynamics. The sample included 93 Israeli married couples with young children. Both husbands and wives completed the adult attachment style scale and the perceived and ideal versions of FACES III. Findings showed that spouses whose self-reports endorsed the secure style perceived relatively high levels of family cohesion and adaptability; persons who endorsed the anxious-ambivalent style reported high levels of family cohesion but low levels of adaptability; and persons who endorsed the avoidant style reported relatively low levels of both family dimensions. In addition, significant associations were found between reports of attachment styles, on the one hand, and ideal representations of family dynamics, the marital partner's representations of family dynamics, and spouses' discrepancies in these representations, on the other. Findings are discussed in terms of attachment theory.

Adult↗
PubMed1989

Some familial dynamic aspects in drug abusers.

In some families drug abuse may be seen as a failed attempt at individuation. Family therapy cannot succeed unless a variety of factors, including guilt, are seen as related to family dynamics.

Family↗
PubMed2003

Family dynamics in biblical times: Joseph as a family psychotherapist.

Families have existed for thousands of years and are the most enduring form of small social group. This article discusses the family of Jacob as described in the Bible, and analyses the dynamics of the family system, the relationships between family members and the ways in which they interact and respond to stressful events. Such events disrupted the equilibrium of the family and led to a severe crisis, but this was eventually resolved peacefully and family members were reconciled. The story of Joseph, Jacob's son, unfolds as possibly the earliest description of a psychotherapeutic intervention to resolve a long-standing family crisis.

Bible↗
PubMed1994

Children with myelomeningocele: the impact of disability on family dynamics and social conditions. A Nordic study.

Family dynamics and social conditions were studied of 527 children with myelomeningocele aged four to 18 years from Denmark, Finland, Norway and Sweden; the control group was a representative sample of 7792 children of the same age-range and from the same countries. Information was obtained from postal questionnaires and from patients' charts. Overall, there were more similarities than differences between index and control families, the major difference occurring in measures related to the mothers' situation. Variations within groups of index families were in many respects more important than differences between index and control families. In spite of the different welfare systems developed to support families with disabled children, this study clearly showed that the responsibility for the care of the disabled child still lies primarily with the mother. Increased efforts must be made to meet the needs of these mothers.

Adolescent↗
PubMed1988

Family dynamics and emotional expression among patients with chronic pain and depression.

Exploration of the relative roles of family dynamics and release of constrained, negative emotion in changing pain and depressive symptoms. Eighteen patients presenting mild to moderate depression and diagnoses of psychogenic pain disorder were randomly assigned to 1 of 2 treatment groups. One group was designed to facilitate the release of constrained and overcontrolled negative affect while the other was designed to provide information about pain and depression. Findings suggest that initial incongruity between patient's and significant other's ratings of family relationships retard changes in pain status and depressive symptoms. No significant differences were noted between patients who were taught to express negative feelings and those who were taught simply to understand those feelings. Results are discussed in terms of theories about family dynamics in the initiation and maintenance of pain conditions and in terms of the role of constrained affect as a precursor to both psychogenic pain and depression.

Chronic Disease↗
PubMed1986

The will as a vehicle of family dynamics.

The will is an instrument of generational transfer and change. In addition to the realistic decision making processes that go into the writing of a will, family dynamics play a role in this deliveration. This paper will describe a family where a surviving parent changed her will since she claimed that two of her three children were not showing her adequate love and respect. In brief family therapy and with legal support, the will was changed to its original form, dividing the estate equally. No changes were facilitated in family atmosphere or style. Several months later her eldest son's child was referred for treatment because of a behaviour problem at school and this family entered into family treatment. The family had to deal with the emotional disengagement of the grandmother. In addition, her oldest son's sadness, disappointment in his mother's behaviour, which was reflected in the grandson's symptomatology were worked through as well as structural changes to help build an organized family with a tradition based on integrity, trust, and respect. Family dynamics and changes in wills will be discussed.

Child Behavior Disorders↗
PubMed1981

Psychodynamics and therapeutic aspects of anorexia nervosa. A study of family dynamics and prognosis.

38 patients who had suffered from anorexia nervosa were examined and followed up in a catamnestic study, and their biography, family dynamics, eliciting situation and history of illness were studied. The investigation was carried out by means of interviews, questionnaires and personality tests. As to biography and family dynamics, our results are partly complementary and partly contradictory to previously published results of other investigations. Our patients received inpatient psychotherapy over an average period of 3 months and were followed up 2-5 years later. The following prognostic criteria proved to be significant: vomiting as part of the symptoms; chronification (psychotherapy delay), and ability to achieve a constructive therapist/patient alliance. Patients whose weight was largely back to normal by the end of therapy, but were still amenorrhoeic, showed unfavourable development in psychosocial relations. The catamnestic results improved with increasing time lapse between the end of therapy and follow-up investigation.

Adolescent↗
PubMed1975

Family dynamics, childhood depression, and attempted suicide in a 7-year-old boy: a case study.

Overt suicidal behavior in children is uncommon. The few papers discussing this area include only minimal descriptions of family dynamics and do not, in general, utilize the concept of childhood depression in the formulation of this behavior. This paper reviews the literature in the two areas of suicidal behavior and depression in children and presents in detail the family dynamics surrounding a suicidal attempt in a 7-year-old boy. The case is formulated in terms of childhood depression, and the course of treatment is discussed.

Aggression↗
PubMed1995

Expressed emotion, family dynamics and symptom severity in a predictive model of social adjustment for schizophrenic young adults.

While numerous studies have concluded that high expressed emotion (EE) in relatives predicts relapse in schizophrenia, other aspects of patient outcome have not been well studied. Our purpose was to determine the extent to which family dynamics and expressed emotion may predict variance in patient social adjustment when controlling for symptom severity. Sixty-nine schizophrenic outpatients and 108 of their relatives participated. Relatives' EE was assessed, and they were administered the FACES III for perceptions of family cohesion and adaptability. Patients were interviewed at about the same time as their relatives and again 9 months later with the Social Adjustment Scale (SAS-II) and the BPRS. Between 9% and 58% of variance in each of the five SAS scales was explained by selected EE and family dynamics scales, while symptom severity was held constant. Among the results, it was found that better social adjustment in patients was associated with less family adaptability, and with greater emotional overinvolvement in relatives. Adjustment of patients in the work role was associated with more Critical Comments from mothers. In conclusion, some aspects of high EE are associated with better social adjustment in schizophrenic patients.

Adolescent↗
PubMed1994

Family dynamics and attitudes toward marriage.

To examine our hypothesis that family experiences would be associated with attitudes toward marriage, we administered the Family Environment Scale (FES; Moos & Moos, 1986) and a Marriage Attitudes Questionnaire (MAQ; adapted from Long, 1987) to 40 unmarried college students. Correlational analyses indicated that for the conflict subscale of the FES, only two of the six marital expectation questions approached significance. However, family expressiveness (another subscale of the FES) was significantly correlated with three of the marital expectation questions and approached significance with a fourth question. These results indicated that higher expressiveness in the family was significantly related to positive attitudes toward marriage. We concluded that family dynamics need to be studied from multiple perspectives to identify factors that influence marital expectations.

Age Factors↗
PubMed2000

Beyond parent education: the impact of extended family dynamics in deaf education.

The impact of childhood deafness on family dynamics, with particular attention given to the influence and role of grandparents, is discussed. Models for the successful involvement of parents in the education of deaf children are already in place and can be applied to extended family, especially grandparents, with promising results. An informal questionnaire focusing on grandparents' support, involving 10 hearing parents of deaf infants and preschool children, is reviewed.

Adult↗
PubMed1980

Addendum to a case of traumatic neurosis: consideration of family dynamics.

The previously reported case of a youmg boy who had experienced a severe trauma is reviewed. The initial report had described the concepts of psychic trauma and traumatic neurosis and had conceptualized the case in terms of these concepts. In this second report, an addendum to the first, the later reassessment of the case is reported and important contributory family dynamics are identified. It is concluded that the importance of the concept of traumatic neurosis with its emphasis on the inner world of the child, must leave the diagnostician ever aware of the inner worlds of the parents and to the dynamics of family life.

Attitude to Death↗
PubMed1992

Family dynamics, adolescent delinquency, and adult criminality.

Family and offending is probably the theme most researched in criminology. A comprehensive array of characteristics of family life have been linked to offending since the beginning of this century. This theme has been approached from two directions: a bivariable point of view, in which one characteristic of the family is related to a measure of offending, and a multivariate point of view, in which some family characteristics are used to explain offending. The literature is dominated by bivariable studies and although there are a few multivariate studies no specific theoretical perspective is proposed. In this paper we choose a control theory perspective and a comprehensive set of family variables to answer the following question: Can the explanation of offending be improved by a dynamic system family control theory? Additionally, the literature is principally focused on adolescent delinquency; in consequence we will study the following question: Are the family characteristics that explain most efficiently juvenile delinquency the same ones for the explanation of adult criminality?

Adolescent↗
PubMed1995

The childhood and family dynamics of transvestites.

This article reports a survey of childhood experiences and family dynamics reported by a sample of 85 cross-dressing males drawn from the readership of a magazine for transvestites. The sample had a higher percentage of only children and eldest children compared to a national sample and also a much closer relationship with their mothers than with their fathers. Their identification as nuclear or marginal transvestites or transsexuals is related to the quality of the reported relationship with the mother, to the factors they identify as associated with their cross-dressing, and to their sexual orientation. Covert cross-dressers account for over three fourths of the subjects, but those who were overt (their cross-dressing openly encouraged by female family members) show significantly different patterns and distributions on several variables. A constellation of family and parental relationships is proposed--drawn in part from the insights of object relations and family systems theory--which may contribute to the development of transvestism.

Adult↗
PubMed1978

The Slovak-American "swaddling ethos": homeostat for family dynamics and cultural continuity.

This paper explores the systemic relationships among cultural ethos, family dynamics, personality configuration, and child-rearing patterns among multigeneration Slovak-Americans. The "swaddling ethos" is posited to serve as a homeostat whose regulatory function can be discerned through the analysis of family structure and process, in particular through the explication of values, affective patterns, roles, boundaries, and structural units within the family. The core of the ethos is a dependency-security complex that attaches the individual to an extended family network of obligation, indebtedness, and reciprocity (ethnic, Slovak); induces rebellion against such attachment (mainstream American); and undermines efforts toward separation-individuation, resulting in the perpetuation of an ethnic tradition.

Attitude↗
PubMed1989

[Family dynamics of psychosocially disturbed adolescents].

Using a personality centered method psycho-socially disturbed adolescents aged between 17 and 22 years were treated by the intended dynamic group psychotherapy. An attempt was made to include the family in the care, which succeeded in 2/3 of the cases. The observations of the family dynamics are presented as follows: 1. a description of the dependence behaviour; 2. a phenomenologic description of disintegrating or rigid family structures; 3. the significance for therapeutic aims and prognosis is attached to the modalities of interaction according to Stierlin.

Adolescent↗
PubMedDate not supplied

[Family dynamics: sleep quality of women caregivers of family members with Alzheimer disease].

This replication study/Riccio 1996) sets out to explore the Quality of sleep of 34 women primary caregivers of Alzheimer's Disease patients at home. A descriptive, correlational and longitudinal design has been used. Key aspects considered were the quality of nocturnal sleep, the daytime sleepiness, the hours of caring, the educational level, the employment, the time for personal needs and the levels of depression and anxiety. After an initial interview, the caregivers were asked to fill in several instruments to measure the variables taken into consideration. The caregivers presented poor quality in their sleep. Quality of nocturnal sleep was negatively affected by more hours of caring (p < 0.02), high depression and anxiety levels (p < 0.05 and 0.007 respectively). The education level, the employment outside home and the amount of time spent for themselves, positively affected the quality of sleep (p < 0.01, 0.04, 0.05 respectively). This research pointed out that hours of caring, directly and indirectly, cause sleep problem to Alzheimer's Disease caregivers enhancing nursing care implications.

Adult↗