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The association between parental reports of attachment style and family dynamics, and offspring's reports of adult attachment style.

This research assessed the association between parents' reports of attachment styles and their perceptions of family environment, on the one hand, and offspring's reports of adult attachment styles, on the other. The sample included 98 Israeli young adults who completed the adult attachment style scale, and their mothers and fathers who completed this scale, as well as FACES III, and the conflict and expressiveness subscales of the Family Environment Scale. Findings revealed associations between parents' and offspring's reports of attachment styles, which were qualified by gender matching. They also indicated independent and differential contributions of the examined dimensions of perceived family environment to offspring's attachment styles. The discussion attempts to integrate attachment theory with a family system perspective.

Adolescent↗

Implications of changes in family dynamics in India: 1971-1988.

"This paper examines the implications of demographic transition...on kinship relationships in India during 1971-1988. Three simulations based on the schedules of fertility and mortality of India during 1971, 1981, and 1988 have been undertaken. The kinship size constitutes parents, grand parents, siblings (brothers and sisters) and children. Improved mortality condition has increased the percentage of kins in ancestor generation. The percentage of kins in ancestor generation was 15 percent in 1988 as compared to 8.5 percent in 1971.... The increase in the percent of kins in ancestor generation and the support ratio obviously shows the aging of the population."

Asia↗

Family dynamics in end-of-life treatment decisions.

The decision to withhold or withdraw life-sustaining treatment is now regularly weighed in chronic or terminal illness. Families are usually supportive advocates and concerned surrogate decision makers for patients, although they can also counter the wishes of the patient and disagree with the treatment team. Understanding the range of factors--internal and external, confronting the individual members and the family as a whole--that can influence family responses helps in working with families at this critical juncture in an illness. Interventions to assist the family and treatment team are discussed.

Aged↗

Do mothers-in-law matter? Family dynamics and fertility decision-making in urban squatter settlements of Karachi, Pakistan.

The perspectives of mothers-in-law about intra-household decision-making, family size and family planning are investigated, and their views compared with those of their sons and daughters-in-law. Women (717 daughters-in-law), their husbands (717 sons) and their 522 mothers-in-law were interviewed in eight squatter settlements in Karachi, Pakistan. Decisions about the schooling and health care of children, and the purchase of jewellery, are perceived to lie within the nuclear family domain (i.e. husband and wife). There was a difference in mothers-in-law's, daughters-in-law's and sons' desire to have more children. Twenty-eight per cent of mothers-in-law versus 58%, of daughters-in-law did not want more grandsons/sons and 36%, of mothers-in-law versus 66% of daughters-in-law did not want more granddaughters/daughters. The difference was markedly greater among the mother-in-law/daughter-in-law pairs than in the mother/son pairs. Overall, the mother-in-law's role seems to be somewhat overshadowed by that of her son (family male member), except for limiting family size. It is suggested that mothers-in-law should be included in Information-Education-Communication (IEC) campaigns about family planning.

Adult↗

Perceived family dynamics of persons with chronic pain.

This qualitative study was conducted to gain an understanding of the experiences of persons with chronic pain and their relationships with family members and the family as a whole. The framework of systemic organization was used to define the areas of investigation guiding the formulation of broad questions relative to family functioning. Thirty persons with chronic pain (age 31-82 years, 73% women, 83% married, 83% European-American, 17% African-American) participated in the study. A semi-structured interview was conducted to elicit narrative descriptions of the participants' perspective of the pain experience and family functioning. The data were analysed using a constant comparison method of analysis described by Strauss. The dominant themes that emerged included: (i) emotional distress, (ii) distancing from family members, (iii) inability to share difficult feelings, (iv) intense mutual involvement with family members and identification with others' problems, (v) family isolation from community, and (vi) attempt at healing. A mid-range theory developed out of the data and explicated with the framework of systemic organization, was one of balancing and counterbalancing connectedness (spirituality) with personal autonomy or separateness (control) in order to find congruence for the family and individuals within. The pain sometimes acted as a mechanism regulating the distance and closeness among family members. Based on this information, nurses can facilitate better understanding among family members, encourage autonomy, assist individuals to express feelings and needs more directly, and facilitate members to respond to each other.

Adult↗