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Substance abuse and family interaction.

The authors propose that substance use and abuse may be understood and effectively treated when the individual user or abuser is viewed in the context of his family or stable living group. This viewpoint attributes an important role in the maintenance of individual substance abuse to interactional processes within the family system. The theoretical assumptions implied by this viewpoint are discussed. A selective literature review examines the available evidence, from both experimental and clinical-descriptive studies, that is relevant to this proposal. The next step toward a more systematic investigation of these ideas is outlined, including testable hypotheses, methodological issues and problems, and potentially useful techniques.

Authoritarianism↗

The origins of fatherhood: an ancient family process.

Despite appearances to the contrary (fostered by anthropocentric nursery stories), a distinct role for male parents does not exist in nature. Fatherhood was invented by humans during the agricultural revolution about six thousand years ago. Symbolized by the new god-king, it incorporated the mother's originally superior role in primate families--the control or ownership of children. The male deity could even make his own offspring without female help. This inflated political figure was designed to compensate for the male's modest role in procreation, once the facts of life were known. Patriarchy was born out of an envious attack on mothers.

Agriculture↗

Transition to fatherhood. An exploratory study.

An exploratory study of the transition to fatherhood for 50 first-time fathers is described. Subjects completed questionnaires within three weeks of their infant's birth and again three to five weeks postpartum on the topics of infant feeding, lifestyle changes, depression, fathering activities with their own father and those planned with their own child, marital adjustment, and infant feeding. Subjects showed no evidence of depression, were maritally well adjusted, were very involved in infant care, had experienced many lifestyle changes, and planned to continue to be very involved with their child.

Adaptation, Psychological↗

Expectant father's stress--due to the mother's expectations?

Despite the increased attention to the role of the father in the childbearing family, relatively little is known of those factors that facilitate or hinder the transition to parenthood. To study the relationship between stress in the prospective father and congruence of attitudes between husband and wife regarding the projected role of the father with the newborn, 103 prenatal couples were studied. Results supported the position that anxiety in the father increased as discordance between husband and wife increased regarding the projected father role. No relationship was found between anxiety and the amount of projected involvement by the father in child care.

Anxiety↗

Of voles and men.

Explore the source record for details and available documents.

Animals↗

The disclosure decisions of parents who conceive children using donor eggs.

STUDY OBJECTIVE: To identify variables that influence the disclosure decisions of parents who conceive children using donor eggs and to compare such variables among disclosing, nondisclosing, and undecided families. DESIGN: Exploratory, comparative, descriptive. SETTING: A university hospital-assisted reproductive technology program in the Midwest. PARTICIPANTS: Thirty-one couples with children conceived with anonymously donated eggs. METHODS: Audiotaped telephone interviews, measures of social support and family environment, and a demographic survey. MAIN OUTCOME MEASURES: Content analysis of interview transcripts and comparison of recurring themes among groups. RESULTS: The majority of parents intended disclosure. Dominant themes among disclosing parents included the belief that a child has a right to know and concerns about the harmful effects of family secrets. Among nondisclosing parents, common themes were knowing of no compelling reason to tell and perceiving potential harm in telling. Undecided parents reported concerns about how and when to tell and the child's possible reaction. Parents in all groups expressed concern about their disclosure decisions. CONCLUSIONS: Dominant decisional influences were beliefs and values and concerns about possible harm. Longitudinal study is needed to determine the impact of disclosure decisions on children, families, and society.

Adult↗

Fathers' perspectives during pregnancy, postperinatal loss.

OBJECTIVE: To present information about the father's perspective during the experience of a pregnancy following perinatal loss. DESIGN: Descriptive phenomenology. SETTING: Interviews were done in a venue chosen by fathers (home, clinic). PARTICIPANTS: Ten fathers who had experienced a loss within the prior year and were currently with that partner in a subsequent pregnancy. FOUR THEMES EMERGED: Recognition, preoccupation, stoicism, and support. CONCLUSIONS: Participants describe the need to be recognized by others. The orderly conduct of their daily lives is disrupted by preoccupation with the pregnancy. They feel unable to share their own anxiety and fear because they want to protect the mothers. Societal pressure to "be strong" and the belief that "men don't share" appear to inhibit fathers from getting support. Strategies to assess and support fathers emotionally at the time of loss and in the subsequent pregnancy need to be explored.

Adaptation, Psychological↗

Socio-economic characteristics in children with coeliac disease.

AIM: To study the relationship between socio-economic factors and coeliac disease. METHODS: This study was part of a prospective cohort study of 16 286 children born from 1 October 1997-1 October 1999 (the ABIS study; All Babies in Southeast Sweden). Eight paediatric departments recorded all children with coeliac disease in southeast Sweden. Coeliac disease was confirmed through biopsy. Socio-economic characteristics (maternal employment, civil status, whether parents were born in Sweden, parental education, place of living before pregnancy and during pregnancy, crowded living), infant sex, previous siblings, parental age and maternal alcohol consumption during pregnancy were analysed using logistic regression. All data, except for those related to diagnosis of coeliac disease, were obtained through a questionnaire distributed at birth. RESULTS: Coeliac disease in the offspring was less common among mothers who had worked < 3 mo during pregnancy (odds ratio, OR = 0.29; 95% CI: 0.09-0.94; p = 0.039). This risk decrease remained after adjustment for confounders (adjusted OR = 0.28; 95% CI: 0.09-0.92; p = 0.035). No other socio-economic factor was related to coeliac disease. CONCLUSION: This study indicates that most socio-economic factors are probably of little importance to the development of coeliac disease.

Alcohol Drinking↗

Assessment of the potential for maladaptive parenting in expectant fathers with the Adult-Adolescent Parenting Inventory (AAPI).

The purpose of this investigation was to determine if expectant fathers could be assessed for potential maladaptive parenting with the Adult-Adolescent Parenting Inventory (AAPI). Image factor analysis with matrix rotation by SPSSx was used to replicate Bavolek's (1984) earlier work. It was concluded that the AAPI was appropriate for use with expectant fathers because their responses were not significantly different than those of other populations. The 232 subjects' scores indicated that although they had appropriate attitudes toward empathy and family roles, they had limited knowledge of child growth and development and had strong beliefs in physical discipline. Recommendations include the need for further studies using the AAPI to validate its effectiveness as a predictive tool in the primary prevention of child abuse and neglect.

Adaptation, Psychological↗

The impact of the child's deficiency on the father: a study of fathers of mentally retarded and of chronically ill children.

Psychological assessments of fathers of mentally retarded, of chronically ill, and of healthy children indicate that the first two groups undergo significant stress associated with their fathering a handicapped child. Some fathers of mentally retarded children appear subject to a pattern of neurotic-like constriction. Differences in the experiences of fathers and mothers of deficient children are discussed, and suggestions for treatment are offered.

Adult↗

Munchausen syndrome by proxy abuse perpetrated by men.

Fifteen families are described in which one or more child incurred factitious illness abuse as a result of the father's false story and actions. The degree of direct physical harm, and the chance of death, was high in those families in which the father had Munchausen syndrome or marked somatising disorder. Eleven children died and another six survived repetitive smothering or poisoning. Although the extent of the risk to children living with a parent who has marked somatising disorder is unsure, there must be vigilance on behalf of those children.

Apnea↗