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PubMedDate not supplied

Detrimental therapist-client relationships--beyond thinking of "dual" or "multiple" roles: reflections on the 2001 AAMFT Code of Ethics.

This article presents reflections on and a critique of the recent revision of the AAMFT Code of Ethics on the multiple relationship ethical standard. A brief historical overview of terminology and the debate surrounding "dual" and "multiple" relationship ethical rules in marriage and family therapy is provided. The term "exploitation" is also delimited. Ethical principles and a set of standards addressing "detrimental" versus "potentially beneficial" interactions are introduced, deriving from works in other mental health professions. The article recommends: (a) the terms "dual" and "multiple" relationships should be abandoned; (b) the ethical principles underlying the AAMFT Code of Ethics need to be examined; and (c) the debate on the topic of detrimental therapist-client interactions in marriage and family therapy needs to be revisited, especially in light of a "positive ethics."

Beneficence↗
PubMed1994

Attitudes toward marriage and premarital sexual activity of college freshmen.

In order to explore the relationship between attitudes toward marriage and premarital sexual activity, 143 male and 198 female college freshmen were administered a general information questionnaire and a modified version of Hill's (1951) Favorableness of Attitudes Toward Marriage Scale. It was found that females had more favorable attitudes toward marriage than did males. It was also found that virgins had more favorable attitudes toward marriage than nonvirgins who had multiple sex partners. Scores for nonvirgins who had only one sex partner fell between those for virgins and nonvirgins who had multiple sex partners. The interaction of gender and group status (i.e., virgins, nonvirgins with only one partner, and nonvirgins with multiple partners) was not significant.

Adolescent↗
PubMed1998

Do marriage problems affect fathering more than mothering? A quantitative and qualitative review.

The important question of whether marital problems disrupt fathering more than mothering is addressed in (a) a quantitative review of evidence on marital conflict and parenting in intact families, and (b) a qualitative review of research on mother and father involvement with their children following divorce. We conclude that (a) there is limited evidence that, relative to mothering, fathering is more likely to be affected by marital conflict, but suggest that (b) marital status (i.e., divorce) affects fathering notably more than it affects mothering. We further suggest that marital problems may disrupt father involvement which, in turn, weakens the quality of father-child relationships; there likely are multiple alternative pathways through which marriage problems affect parenting, including both "spillover" and "compensation"; researchers need to examine more carefully how marital problems disrupt coparenting; child age and gender may moderate linkages between the parental and marital subsystems; and coparenting, marital happiness, and the institution of marriage itself may be essential first avenues of intervention for those who wish to improve or maintain fathers' involvement with their children.

Child↗
PubMed2006

Mothers of young adults with intellectual disability: multiple roles, ethnicity and well-being.

BACKGROUND: Two opposing perspectives--role strain and role enhancement--were considered as predictive of women's psychological and physical health. The authors examined the relation between multiple role occupancy (parenting, employment, marriage) and well-being (depression and health) among mothers of young adults with intellectual disability (ID). METHODS: Participants were 226 mothers aged 35-70 years old caring for a young adult aged 16-26 years old with moderate to severe/profound ID. Mothers were of either Latino ethnicity (n=117) or Anglo (n=109). Mothers' ethnicity and degree of acculturation and young adults' adaptive behaviour and behaviour problems were examined as potential moderators. RESULTS: Mothers who were employed, married, or both reported better well-being than mothers who were both unemployed and unmarried, especially when their offspring had relatively higher adaptive functioning. This relationship between role occupancy and well-being was fully mediated by socio-economic status (SES) factors. Results did not suggest a role enhancement effect, but instead indicated a role shortage effect; unemployed, unmarried mothers experienced markedly poor well-being, while all other mothers experienced comparable well-being. Well-being scores were higher for Anglo than for Latino mothers; this relationship was entirely accounted for by SES. In Latina mothers, the relation between role occupancy and well-being was moderated by degree of acculturation. CONCLUSIONS: Findings suggest that multiple roles benefit mothers of young adults with ID primarily through their impact on socio-economic resources. For more acculturated Latina mothers, occupying more roles predicted better well-being even after controlling for SES. Latina mothers who were unemployed and unmarried had lower SES, and this group emerged as at particular risk. The latter group may benefit most from respite assistance and other interventions aimed at addressing their physical and mental health.

Acculturation↗
PubMed1982

[Role of paratypical factors in determining human multiple pregnancy. I. A comparative statistical analysis of the social biology characteristics of the mothers].

Twelve social-biological characteristics were investigated in 400 mothers of monodizygotic twins and in 429 women in the control group. The mean age of mothers for dizygotic types of twins was, on the whole, authentically higher than that of the control women. The continuance of the working activity, the character of the work, inclination towards certain food have been reported to influence the manifestation of being a dizygotic twin. In addition to the above mentioned factors, the age of women at the beginning of their sexual life is of importance. Also, a woman's psychological attitude towards the possible pregnancy is reported to influence multiple pregnancy. The percentage of repeated marriages among twins mothers was higher than that in the control group. Conclusions are made on the use of the factors investigated for a probable estimation of manifestation of multiple pregnancy.

Age Factors↗
PubMed1998

Genetic and environmental influences on self-reported diet: a reared-apart twin study.

A sample of 66 monozyogtic twins reared apart (MZA) and 51 dizygotic twins reared apart (DZA), and 101 nontwin individuals (mostly spouses of the twins) who participated in the Minnesota Study of Twins Reared Apart (MISTRA) from 1979 to 1995 completed a self-report food frequency questionnaire. Intraclass-correlations and model-fitting analyses indicated that approximately 30% of the variance in the self-report of diet was attributable to genetic factors, with random environmental factors and measurement error responsible for the remaining variance. Spouse correlations were moderate. To investigate the effects of living together during marriage, the absolute differences between husband and wife on the dietary variables with years of marriage were correlated. None of the correlations were significant. Hierarchical multiple regression analyses also indicated that no convergence occurred during marriage. These results suggest that sharing a current family environment exerts minimal influence on individual differences in self-reported diet.

Adult↗
PubMed1996

Male sexual behavior and human papillomavirus DNA: key risk factors for cervical cancer in Spain.

BACKGROUND: It is now established that certain types of human papillomaviruses (HPVs) are the sexually transmitted agents etiologically linked to cervical cancer. Studies assessing the contribution of the male's sexual behavior and genital HPV DNA status to the risk of development of cervical neoplasia in sexual partners have yielded inconsistent results. PURPOSE: This study evaluates the role of men's sexual behavior and the presence of HPV DNA in the penis on the development of cervical cancer in their sexual partners in Spain, a low-risk area for cervical neoplasia. METHODS: Husbands (n = 633) of women participating in two case-control studies of cervical neoplasia were interviewed to obtain information on lifestyle habits, including sexual practices. Cytologic samples were taken from the distal urethra and the surface of the glans penis of 183 husbands of case women and of 171 husbands of control women. These samples were analyzed by a polymerase chain reaction-based system using a generic probe and 25 type-specific probes for the detection and typing of HPV DNA. Serologic specimens were also obtained and analyzed for antibodies to Chlamydia trachomatis, Treponema pallidum, herpes simplex virus type II, and Neisseria gonorrhoeae. RESULTS: The presence of HPV DNA in the husbands' penis conveyed a fivefold risk of cervical cancer to their wives (adjusted odds ratio [OR] for HPV DNA positivity = 4.9; 95% confidence interval [CI] = 1.9-12.6). The risk of cervical cancer was strongly related to HPV type (adjusted OR for HPV type 16 = 9.0; 95% CI = 1.1-77.5), to the husbands' number of extramarital partners (adjusted OR = 11.0; 95% CI = 3.0-40.0; for > or = 21 women versus one), and to the number of prostitutes as extramarital sexual partners (adjusted OR = 8.0; 95% CI = 2.9-22.2; for > or = 10 women versus none). Presence of antibodies to C. trachomatis (adjusted OR = 2.6; 95% CI = 1.4-4.6) and an early age at first sexual intercourse of the husband (adjusted OR = 3.2; 95% CI = 1.7-5.9; for < or = 15 years versus > or = 21 years) were also associated with cervical neoplasia in the wife. After adjustment for these variables and for the wife's pack-years of smoking, the husband's smoking was moderately associated with cervical cancer in his wife (adjusted OR = 2.5; 95% CI = 1.4-4.4; for > or = 26.2 pack-years versus none). CONCLUSIONS: The study supports the role of men as vectors of the HPV types that are related to cervical cancer. Life-time number of female sexual partners, number of female prostitutes as sexual partners, and detection of HPV DNA in the penis of husbands are all surrogate markers of exposure to HPV during marriage. IMPLICATIONS: Men who report multiple sexual partners or who are carriers of HPV DNA may be vectors of high-risk HPV types and may place their wives at high risk of developing cervical cancer. Prostitutes are an important reservoir of high-risk HPVs.

Carcinoma, Squamous Cell↗
PubMed1983

Multiple myeloma. Houses and spouses.

Two families in which successive spouses who lived in the same house developed multiple myeloma are reported. In the first instance, a man whose first wife died of multiple myeloma remarried, and his second wife also developed myeloma. In the second family, a woman's first husband died of multiple myeloma and her second husband did too. Radiation studies of the houses and yards showed no increased radioactivity. No evidence was found for excessive exposure to chemicals or other environmental agents, for contact with other patients having similar malignancies, or for exposure to viruses or other transmissible factors. The significance of the occurrence of multiple myeloma in subsequent spouses is unknown. It is hoped that this report will stimulate research for other instances and lead to careful epidemiologic, radiologic, and virologic studies.

Environmental Exposure↗
PubMed1993

Congruence in uncertainty between individuals with multiple sclerosis and their spouses.

The purpose of this study was to examine differences in the perception of illness uncertainty between husband and wife and to explore how these differences influence emotional well-being. Mood and family satisfaction were used as indicators of emotional well-being. The sample consisted of sixty-one married couples in which one spouse had multiple sclerosis. Results supported that both individual perceptions of illness uncertainty and congruence in perceived uncertainty between spouses may have negative effects on marital partners. For both spouses, those who reported higher levels of uncertainty were more likely to have lower moods and feel more dissatisfied with family life. However, the most crucial factor in determining family satisfaction for spouses with multiple sclerosis was their own perception of illness uncertainty, while for well spouses, it was the congruence between each partner's perception of the illness uncertainty.

Activities of Daily Living↗
PubMedDate not supplied

Chronic sorrow in multiple sclerosis. A case study.

Multiple sclerosis, one of the most common chronic disabilities among young adults, may potentiate the occurrence of chronic sorrow. Chronic sorrow differs from acute grief because it is permanent, periodic, and progressive in nature; it may be a normal component of chronic illness and disability. This study describes one woman's experience with multiple sclerosis, her chronic sorrow about the trajectory of her disability, her progressive loss of bodily function, and the stigma of chronic illness. It also reports some of the feelings experienced by her husband, the primary caregiver.

Caregivers↗
PubMed1979

Some psycho-social consequences of multiple sclerosis: problems of social interaction and group identity.

The study was concerned with the psycho-social consequences for married couples of multiple sclerosis being contracted by one of the partners. In particular, problems of social interaction and group identity were explored. In determining their mode of interaction with healthy people such couples can choose between normalizing, i.e. endeavouring to carry on their relationships with other people according to their pre-illness pattern, or of disassociating, i.e. turning away from former associates and seeking a new peer group among others with like affliction. In nearly every case husband and wife agreed on the choice of stratagem, a majority of the couples forming the sample opting for disassociation. Membership of the Multiple Sclerosis Society was much more usual among the disassociating couples than among those 'normalizing'. The variables of age, sex, social class and severity of illness were not found to affect the mode of interaction, whereas place of residence and medical interest in them, as perceived by patients and their spouses, were influencing factors.

Adult↗
PubMed1992

Epidemiological survey of multiple sclerosis in Catania city.

The findings of an epidemiological survey of multiple sclerosis (MS) in the urban area of Catania reveal a new and in some respects original pattern of MS cases recorded on 31 December 1989 (prevalence day). They explain why special attention should be paid to patients residing in that area, which shows a remarkable upward trend of the MS prevalence rates calling for further study and for more targeted intervention in the fields of prevention, treatment and rehabilitation.

Adolescent↗
PubMed1980

Multiple myeloma in husband and wife.

An instance of multiple myeloma (MM) in a married couple is discussed, since cases of MM in husband and wife have rarely been observed. The patients were aged 60 when the disease was discovered, and the interval between the diagnosis in the mates was 44 months. Genetic or environmental factors that could have explained the occurrence of myelomatosis were not found in these spouses. Therefore, on absence of a defined cause, our observation, like others previously reported in the literature, should be considered, although exceptional, a chance event.

Female↗