Multifamily Group Therapy: Impact on Family Functioning and Child Behavior

Author(s):  
William Meezan ◽  
Maura O'Keefe

The authors compare the effectiveness of multifamily group therapy (MFGT) with traditional family therapy with abusive and neglectful caregivers and their children. Positive changes in the family functioning of the MFGT group occurred in areas critical to the reduction of child abuse and neglect, whereas changes in the family functioning of those in traditional family therapy occurred only in the area of parental support. The MFGT group children became significantly more assertive and less submissive according to their self-report and, according to their caregivers, showed significantly fewer overall behavior problems and greater social competence at the end of treatment. Changes in the children in the comparison group were not self-reported and did not occur in the area of social competence. These positive findings argue that agencies should consider adopting this modality in the treatment of this population and that it should be included as a treatment option in family-centered child welfare services.

2021 ◽  
pp. 016402752110188
Author(s):  
Yifei Hou ◽  
Marissa Rurka ◽  
Siyun Peng

As Chinese households are becoming smaller with increasing numbers of adult children and older parents living apart, the extent to which patterns of parental support reflect traditional gender dynamics is under debate. Integrating theories of sibling compensation with ceremonial giving, we tested whether helping non-coresident parents in China is affected by sibship size and how these patterns depend on own and sibling(s)’ gender using a sample of 4,359 non-coresident parent-child dyads nesting within 3,285 focal adult children from China Health and Retirement Longitudinal Study 2013. Opposite to patterns in the United States and Europe, we found substitutions of daughters with sons—having more brothers was associated with daughters’ reduced probabilities and hours of helping. Sons’ patterns of helping were independent of number of brothers and sisters in the family, consistent with the theory of ceremonial giving. These findings reflect the dominance of traditional family dynamics despite changes in family structure.


1984 ◽  
Vol 29 (2) ◽  
pp. 77-88 ◽  
Author(s):  
P.D. Steinhauer ◽  
J. Santa-Barbara ◽  
H. Skinner

The Process Model of Family Functioning differs from the McMaster Model of Family Functioning and their common source, the Family Categories Schema, by its increased emphasis on the dynamic interaction between the major dimensions of family functioning, and by its stress on the interface between intrapsychic subsystems and the interpersonal dimensions of the family system. A model of family process rather than family structure, it defines six universal criteria of family functioning. It describes the processes involved in each along with the content components and the critical aspects of each. A self-report test developed from the model (FAM-III) is being widely used both as a research tool and as a clinical adjunct. Tests to define its validity and reliability continue.


2019 ◽  
Author(s):  
Petra ◽  
John S. Ogrodniczuk ◽  
Joanna Cheek ◽  
David Kealy ◽  
Ingrid Sochting

Background: Despite much attention in the clinical literature, research on alexithymia in the treatment setting has only recently gained traction. While several reports indicate limited benefit from therapy amongst patients with high alexithymia, this seems to be less so in the context of group therapy. This study considers a specific aspect of the group therapy process - family re-enactment - infacilitating improvement in overall quality of life for patients with high levels of alexithymia.Subjects and methods: Family re-enactment was examined as a potential mediator of the relationship between alexithymia and change in quality of life among 50 patients who completed treatment in an intensive, integrative group therapy programme. Patients completed three self-report measures: Toronto Alexithymia Scale-20 (baseline), Quality of Life Inventory (baseline, post-therapy), and Therapeutic Factors Inventory-Short Form (week 8). Regression with mediation analysis was employed using the change scorefor the QOLI as the dependent variable, alexithymia scores as the independent variable, and the family re-enactment score as the mediator; baseline quality of life was included in the model as a control variable.Results: Family re-enactment emerged as a significant mediator of the relationship between alexithymia and treatment outcome, implicating it as a contributing mechanism of change for alexithymic patients who participate in group therapy.Conclusion: Patients with higher levels of alexithymia (in particular, difficulty identifying and describing feelings) were more likely to positively endorse aspects of family re-enactment during group therapy, which in turn were significantly associated with greater improvement in patients’ overall quality of life.


Author(s):  
Orawan Louthrenoo ◽  
Linda Aurpibul ◽  
Peninnah Oberdorfer ◽  
Virat Sirisanthana

This study aimed to assess family functioning in adolescents with perinatal HIV infection receiving antiretroviral therapy compared with healthy controls. Correlations between self-reported and caregiver-reported family functions were also evaluated. A sample of 195 participants including 65 perinatally HIV-infected adolescents and 130 healthy controls were enrolled. The total family functioning score in HIV-infected adolescents was significantly lower than that in healthy controls by self-report (105.86 vs 115.41; P ≤ .001). Caregivers of HIV-infected adolescents also reported lower scores of family functioning than those of controls (109.91 vs 114.98; P ≤ .001). Among the HIV-infected group, there was no or minimal correlation between the self-reported and caregiver-reported total scores of family functioning. However, there were moderate correlations between self-reported and caregiver-reported family functioning total scores in the control group. Overall, HIV-infected adolescents reported lower family functioning than healthy controls. Improved functioning in the family may help with better adjustment in perinatally HIV-infected adolescents.


1989 ◽  
Vol 34 (7) ◽  
pp. 641-647 ◽  
Author(s):  
Judith E. Levene ◽  
Francis Newman ◽  
J.J. Jefferies

This pilot study compared the efficacy of two models of family therapy plus medication in the treatment of ten schizophrenic patients previously considered poor responders to neuroleptics alone. Focal Family Therapy (FFT), a limited psychodynamic model, was compared with Supportive Management Counselling (SMC), an educative, problem-solving approach. Family treatment was begun during admission to hospital and continued for up to six months post-discharge. Patient and family measures were administered on assessment, termination, and at three, six and 12 month follow-up interviews. Our data suggest that patients in both groups improved significantly following treatment on measures of social functioning and community tenure. The average increase in amount of time out of hospital was a full year, compared to previous rates. Patients receiving FFT demonstrated significantly greater improvement in symptoms, compared to patients in the SMC group. On average, families scored in the normal range on the family functioning measure at assessment and upon termination of treatment.


Author(s):  
Tara S. Peris ◽  
John Piacentini

This chapter provides an overview of the first family therapy session. It describes how to introduce families to the PFIT program and to develop a collaborative environment for establishing treatment goals. It describes psychoeducation about the role of the family in child OCD treatment, including family responses and expectations that may undermine success. It places particular emphasis on helping families to understand patterns of symptom accommodation that may be a barrier to treatment success, and it describes broader family dynamics that may interfere with efforts to change accommodation. The chapter also outlines steps for assessing current family functioning, including strengths and weakness, and for evaluating the family’s current strategies for managing OCD. Initial skills training begins with exercises designed to promote positivity in the home environment.


1995 ◽  
Vol 167 (5) ◽  
pp. 673-678 ◽  
Author(s):  
Clive North ◽  
Simon Gowers ◽  
Victoria Byram

BackgroundDifficulties in family functioning have been noted since early descriptions of anorexia nervosa and may be of importance aetiologically. Previous studies have a number of methodological problems.MethodThirty-five anorexic adolescents were age/sex matched with psychiatric and community controls. A diagnostic interview and a questionnaire, the Family Assessment Device (FAD) were administered to control subjects and their mothers. Anorexic families only received the McMaster Structured Interview of Family Functioning.ResultsMultivariate analyses of FAD scores showed pathological ratings for psychiatric control but not anorexic families, compared with community controls. By contrast objective ratings revealed marked dysfunction in anorexic families (greater in the purging subgroup).ConclusionFamily functioning in anorexic families is normal by self-report but not by an objective measure. Anorexic families in the purging subgroup appear most dysfunctional.


2019 ◽  
Vol 267 ◽  
pp. 04003 ◽  
Author(s):  
Chunhua Ma ◽  
Youpeng Wang

Aims: The current study aimed to examine the relationship between parental autonomy support and social competence among Chinese emerging adults, and explore whether social desirablity plays a mediating role between parental support and social competence. Methods: This study used cross-sectional and correlational design. Participants were 386 Chinese college students (72.8% girls) aged between 18 and 25 years. Data was collected via self-report questionnaires, including parental autonomy support (Genevie`ve A. Mageau, 2015), social desirablity (Karl Schuessler et al., 1978) and social competence(Valkenburg & Peter, 2008). Results: Structural equation modeling analysis controlling for age, gender and SES showed that (a) There was a significant positive correlation between parental autonomy support, social desirablity, and social competence; (b) Parental autonomy support was positively predicted to social desirablity and social competence; Social desirablity was positively predicted to social competence; (c) Social desirablity mediated the relationship between parental autonomy support and social competence.


1983 ◽  
Vol 2 (2) ◽  
pp. 91-103 ◽  
Author(s):  
Harvey A. Skinner ◽  
Paul D. Steinhauer ◽  
Jack Santa-Barbara

The Family Assessment Measure (FAM) is a self-report instrument that provides quantitative indices of family strengths and weaknesses. FAM is based on a process model of family functioning that integrates different approaches to family therapy and research. The basic concepts assessed by FAM include: task accomplishment, role performance, communication, affective expression, involvement, control, values and norms. FAM consists of three components: (1) a General Scale which focuses on the family as a system, (2) a Dyadic Relationships Scale which examines relationships between specific pairs, and (3) a Self-Rating Scale which taps the individual's perception of his/her functioning in the family. Each scale provides a different perspective on family functioning. FAM takes about 20-30 minutes to administer, and may be used as a clinical diagnostic tool, as a measure of therapy outcome, or as an instrument for basic research on family processes. This article reviews the theoretical model of family functioning, presents data on the reliability and discriminating power of FAM, and describes a case study as an illustration of information provided by FAM.


2013 ◽  
Vol 2 (2) ◽  
pp. 80
Author(s):  
Sofiana Millati ◽  
Fellianti Muzdalifah

Abstract The aim of this study is to analyze the family functioning among family with schizophrenic outpatient in Jakarta. The research was conducted in RSKD Duren Sawit and Komunitas Peduli Skizofrenia Indonesia during June-July 2013. This study used quantitative descriptive method. Incidental sampling was used as sampling technique. A total of 107 family members that lived with schizophrenic outpatient participated in this study. Family functioning assessed by self-report questionnaire Family Assessment Device (FAD) based on McMaster Model of Family Functioning. Statistical descriptive that used in this study were performed with SPSS 17.00 for windows. The result of this study showed that family functioning among family with schizophrenic outpatient was unhealthy based on general functioning dimension that assess the overall family functioning. Also found that almost all profiling dimensions of family functioning were unhealthy; communication, roles, affective involvement, and behavior control; except on problem solving and affective responsiveness dimensions were healthy. Keyword: family functioning, family, schizophrenia, outpatient


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