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Families
John Sargent, M.D.
2
Learning Objectives
 1) Learn about the structure, organization
and functioning of families
 2) Learn about the unique stresses
associated with families of varying
composition
3
There are a variety of ways of knowing
and understanding families:
A. Anthropology
 views the family as the source and
carrier of culture
B. Social Psychology
 sees families as small groups with
tasks to successfully master
4
Understanding Families (cont.)
C. Developmental psychology
 studies the environment within
which children are raised and grow
into themselves
5
Understanding Families (cont.)
D. Clinical Psychology and Psychiatry
 As the environment within which
normal or abnormal behavior begins,
takes hold and becomes the patterns
enacted by children
6
Understanding Families (cont.)
E. As the base for all members to
experience connection and belonging
while each experiences simultaneously
the push toward autonomy and
independence
7
Understanding Families (cont.)
F. As the environment within which
children learn to know, experience and
modulate their emotions through
relationships with attachment figures
8
Understanding Families (cont.)
G. As a system where the whole is greater
than the sum of the parts and where
each individual affects and is affected
by every other individual
9
Families offer:
 An experience of connection with history
 Stories of ancestors which offer meaning
and value to lives
 A sense of identity through identification
with family members
10
Families offer (cont.):
 A safe haven in which to relax and
experience acceptance and regard
 A set of relationships within which one
experiences care and guidance and the
opportunity to care for and guide others
11
Families are also places within which
 Physical intimacy among some members is
sanctioned
 And is also forbidden among other
members
12
Families have very specific tasks:
 Gathering enough resources to ensure
survival
 Procreation and looking after immature
children
 Promoting maturation and successful
aging and loss
 Providing enough empathetic connection
to encourage attention to the above tasks
13
Variables of interest in understanding
families:
 Functional collaboration
 Gender expectations
 Power
 Responsibility
 Warmth
 Positive support
 Cultural background and difference
14
Family Coherence
 Basic Building Blocks of Family Life
– Coherence
– Organization
– Communication
– Values and Beliefs
15
Coherence
 A sense of uniqueness and identity of the
family
 A sense of membership, inclusion and
belonging
 A sense of personal space and voice
 A recognition of developmental status and
skills
 Accommodation to individual differences
16
Coherence (cont.)
 A secure base for emotional expression and
regulation
 A recognition of the shared effort to pursue
family activities such as providing safety,
nurturance and socialization
 The shared capacity to resolve conflict
 To reflect on family strengths, capacities and
areas of difficulty
 To reflect upon the family as members see it.
17
Family Adaptability and Reactions
to Change
 Recognition of stress or change
 Labeling of the challenge
 Developing a shared approach to the
problem
18
Family Adaptability and Reactions
to Change (cont.)
 Utilizing the family as a focal point for
developing and evaluating stress
management strategies
 The role of family coherence in these
family actions
19
Family Coherence and Individual
Resilience
 The role of belonging
 Family attachment as an affect monitor and
mediator of emotional expression
 The role of family myths
 The role of family competence in building
individual self-esteem
 The role of ritual and celebration
20
When Family Coherence Fails
 The possibility of multiple definitions of
the family
 Too rigidly defined family views failing to
accept individual difference
21
When Family Coherence Fails (cont.)
 The role of individual temperamental
factors and non shared environment
 Family behavior amplifying affective
responses, leading to isolation and
scapegoating
22
Partner Relationship: Important
Features
 Negotiation of Interpersonal Distance
 Negotiation of roles and tasks assignment
 Emotional tone – positive comments vs.
criticism
23
Partner Relationship: Important
Features (Cont.)
 Negotiation of cultural integration
 Negotiation of connection to extended
family
 Negotiation of location and career
intensity
 Negotiation of sexual behavior and leisure
activities
24
Significant Components of Parenting
I. Nurturance
II. Structure
III. Affiliation
IV. Attachment
25
I. Nurturance requires
A. Access to resources
B. Capacity to use them for the child
C. Own needs being met
26
Nurturance Requires (cont.)
D.) Reinforcement for providing for the
child
 Support from important adults
 Clear response from the child-
satiation, comfort, satisfaction,
quieting
 Infant’s social responsiveness
connects the child with caretakers
27
Nurturance Requires (cont.)
E.) Empathic capacity to infer infant’s
needs
 Appreciation of intentionality of
infant
 Reflectiveness on the parents’ part
leading to an appreciation of
reciprocal selfhood
28
Nurturance Requires (cont.)
F. Absence of compelling consistent
concerns (addiction, severe poverty,
depression, spouse abuse, severe
marital disruption)
29
II. Structure Requires
A. Capacity to appreciate developmental
abilities
B. Avoidance of polarized adult
interactions
30
Structure Requires (cont.)
C. Acceptance of responsibility for child
D. Willingness to distance from the child
enough to set a limit
31
Structure Requires (cont.)
E. Capacity to define the child’s world so
that competence develops
F. Utilizing the child’s responsiveness to
limits to reinforce future adherence
32
Structure Requires (cont.)
G. Providing a sense that limits occur
through knowledge of the child and the
capacity to appreciate his/her skills and
needs
33
III. Affiliation Requires
A. The capacity to know the child
B. Creating a coherent picture of the child
34
Affiliation Requires (cont.)
C. Willingness to accept and appreciate
the child as he/she is
D. Appreciation of the child’s affective
responses as legitimate
35
Affiliation Requires (cont.)
E. Willingness to respond to the child’s
affective expression with knowledge
and neither dismissiveness, anxiety nor
disorganization
36
IV. Attachment Requires
A. Capacity for affect expression and
modulation
B. Sense that relationships provide
knowing, definition, safety and
ultimately self-expression and self-
awareness
37
Attachment Requires (cont.)
C. Recognition that stress can be dealt
with socially and affectively
D. Synchrony exists between connection,
calming, safety and competence
38
Variations in Family Structure
 Single-parent family
 Divorcing family/post-
divorce family
 Blended family
 Grandparent-or kin-
headed family
 Foster care family
 Adoptive family
 Gay and lesbian
parents
 Unmarried couple
as parents
 Bicultural family
39
Common Stresses and Concerns of
Single-Parent Families
 Economic concerns
 Need for social support
 Relationship of children with noncustodial
parent
 Balance among home, child rearing, and
work
 Relationship with and support from
extended family
40
Common Stresses and Concerns
of Single-Parent Families (cont.)
 Balance between nurturance and limit
setting for children throughout
development
 Maintaining a positive relationship with
children and between siblings
 Time pressures
 Need for fulfilling personal and social life
41
Common Stresses and Concerns
of Single-Parent Families (cont.)
 Recognizing strengths and
accomplishments
 Accepting and grieving losses
 Collaboration with noncustodial parent
 Added burden of health or mental health
concerns of parent and children
42
Common Stresses and Concerns
of Single-Parent Families (cont.)
 Negotiations with school, child care
providers, and community supports
 Dealing with cultural and community
attitudes
43
Common Stresses and Concerns of
Blended Families
 Introducing the children to a new adult
 Parental decision to remarry
 Determine step-parenting roles and
responsibilities
 Facilitating relationship between
stepparents and children
44
Common Stresses and Concerns of
Blended Families (cont.)
 Facilitating relationship between
stepchildren
 Developing methods of dealing with ex-
spouse(s)
 Potential for moving and relocating
 Engaging stepparent in health and mental
health treatment for the children
45
Common Stresses and Concerns of
Blended Families (cont.)
 Dealing with adaptation to the new family,
including resolving differences and
conflicts in the new marriage
 Developing relationships with new
extended family
46
Common Stresses and Concerns of
Blended Families (cont.)
 Preparing for birth of children in the new
marriage
 Realizing the potential for dissolution of
the new marriage and the impact of this
on the children
47
Common Stresses and Concerns of
Grandparent/Kin-headed Families
 Appreciating the stress associated with
relocating the child
 Dealing with grandparent (kin) reactions to
natural parent’s inability to raise the child
 Assisting the child with the emotional
reaction to loss or inconsistency of natural
parent and previous poor treatment or care
48
Common Stresses and Concerns of
Grandparent/kin-headed Families
(cont.)
 Allowing room for involvement of natural
parent as appropriate
 Dealing with economic concerns, including
finances for child rearing
 Dealing with custody ambiguities
 Grandparent health or mental health
concerns
49
Common Stresses and Concerns of
Grandparent/kin-headed Families
(cont.)
 Dealing with inconsistencies between
natural parent and grandparent or kin
child-rearing practices
 Integrating the children with other
household members
50
Common Stresses and Concerns of
Grandparent/kin-headed Families
(cont.)
 Dealing with social service, education, and
health and mental health systems
effectively
 Encouraging time and respite for all family
members
51
Common Stresses and Concerns
of Foster Care Families
 Ensuring foster care family availability,
certification, training, and adequacy of
living situation
 Establishing collaborative relationship
among foster family, social service agency,
mental health professionals, and the
children (as appropriate)
52
Common Stresses and Concerns
of Foster Care Families (cont.)
 Ensuring adequate economic resources for
family life
 Dealing with the child’s reaction to
parental loss and relocation
 Providing information to the children
about reasons for and duration of foster
care
53
Common Stresses and Concerns
of Foster Care Families (cont.)
 Assisting the children with mental health
problems, including responses to previous
trauma or loss
 Assisting the children with reestablishing
relationship with natural parents if that
occurs or with inconsistencies of natural
parent’s involvement
54
Common Stresses and Concerns
of Foster Care Families (cont.)
 Dealing with the uncertainty of placement
duration and permanency planning
 Assisting the children with any moves
among foster families
55
Common Stresses and Concerns
of Foster Care Families (cont.)
 Developing positive attachment with and
emotional support for the children through
developmental transitions
 Establishing effective limit-setting
responses for potentially traumatized
children
56
Common Stresses and Concerns
of Adoptive Families
 Building attachment and emotional
support for children in adoptive family
 Developing methods of assisting children
with their emotional responses to change,
parental loss, and possible previous
traumatization
57
Common Stresses and Concerns
of Adoptive Families (cont.)
 Dealing with cultural or temperamental
differences between parents and children
 Dealing with parental emotional response
to reasons for adopting children
 Developing effective parenting skills with
often challenging children
58
Common Stresses and Concerns
of Adoptive Families (cont.)
 Appreciating and responding to child’s
experience of not “belonging” to the
adoptive family throughout development
 Responding to naturally occurring
adoptive parent-child conflicts and
disagreements
59
Common Stresses and Concerns
of Adoptive Families (cont.)
 Developing methods of recognizing the
value of adoptive parents’ decision to
raise nonbiologic children
 Identifying and using ratifying and
supportive assistance from mental
health, educational, and social systems,
when necessary
60
Common Stresses and Concerns
of Adoptive Families (cont.)
 Assisting children with the decision to
learn more about their birth culture or
meet their natural parents
61
Common Stresses and Concerns
of Gay and Lesbian Families
 Reaching agreement and commitment
to raise children together
 Recognizing strengths, successes, and
capacities of homosexual parents
62
Common Stresses and Concerns of
Gay and Lesbian Families (cont.)
 Dealing with the degree to which each
parental partner is open about his or
her lifestyle with extended family,
neighbors, and community; the
education system; health and mental
health resources; and the other biologic
parent
63
Common Stresses and Concerns of
Gay and Lesbian Families (cont.)
 Developing a way to explain parental
lifestyle to children
 Assisting children with an explanation of
their family for peers, teachers,
coaches, and others
64
Common Stresses and Concerns of
Gay and Lesbian Families (cont.)
 Responding to discriminatory or
misunderstanding comments by family,
community members, ex-partners,
school personnel, health or mental
health providers, or children’s peers
65
Common Stresses and Concerns of
Gay and Lesbian Families (cont.)
 Dealing with the children’s questions
and preferences throughout
development
 Dealing with naturally occurring parent-
child conflicts, recognizing how they
may be altered by parental lifestyle
66
Common Stresses and Concerns of
Gay and Lesbian Families (cont.)
 Assisting children with their own
lifestyle and relationship choices
 Dealing with stresses within the
parents’ relationship
67
Common Stresses and Concerns
of Unmarried Couples
 Maintaining commitment to the
relationship and to parenting
 Determining parental roles in providing
support to the children and setting
limits
 Recognizing and responding to areas of
tenuousness, ambivalence, and
insecurity in the parents’ relationship
68
Common Stresses and Concerns
of Unmarried Couples (cont.)
 Facilitating children’s relationship with
both parents
 Recognizing children’s responses to
changes in the relationship either
toward greater permanence or toward
separation
69
Common Stresses and Concerns
of Unmarried Couples (cont.)
 Assisting the children’s response to
separation should that occur and
considering possibility of child’s continued
involvement with separated partner if
mutually acceptable
 Acknowledging and responding to
difficulties associated with others’ reaction
to unmarried status
70
Common Stresses and Concerns
of Bicultural Families
 Establishing family culture
 Appreciating individual parental cultural
differences, traditions, and expectations
 Recognizing children’s need for self-
definition and exploration of both
parents’ cultures
71
Common Stresses and Concerns
of Bicultural Families (cont.)
 Appreciating and responding to
extended family concerns, questions,
and responses
 Establishing a dialogue that recognized
the strengths, possibilities, and
uncertainties of this bicultural synthesis
for this family
72
Common Stresses and Concerns
of Bicultural Families (cont.)
 Assisting the children with responses to
questions and potentially insensitive
comments from peers and adults in
their lives
 Developing family traditions that
respect both cultural heritages

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Families.ppt

  • 2. 2 Learning Objectives  1) Learn about the structure, organization and functioning of families  2) Learn about the unique stresses associated with families of varying composition
  • 3. 3 There are a variety of ways of knowing and understanding families: A. Anthropology  views the family as the source and carrier of culture B. Social Psychology  sees families as small groups with tasks to successfully master
  • 4. 4 Understanding Families (cont.) C. Developmental psychology  studies the environment within which children are raised and grow into themselves
  • 5. 5 Understanding Families (cont.) D. Clinical Psychology and Psychiatry  As the environment within which normal or abnormal behavior begins, takes hold and becomes the patterns enacted by children
  • 6. 6 Understanding Families (cont.) E. As the base for all members to experience connection and belonging while each experiences simultaneously the push toward autonomy and independence
  • 7. 7 Understanding Families (cont.) F. As the environment within which children learn to know, experience and modulate their emotions through relationships with attachment figures
  • 8. 8 Understanding Families (cont.) G. As a system where the whole is greater than the sum of the parts and where each individual affects and is affected by every other individual
  • 9. 9 Families offer:  An experience of connection with history  Stories of ancestors which offer meaning and value to lives  A sense of identity through identification with family members
  • 10. 10 Families offer (cont.):  A safe haven in which to relax and experience acceptance and regard  A set of relationships within which one experiences care and guidance and the opportunity to care for and guide others
  • 11. 11 Families are also places within which  Physical intimacy among some members is sanctioned  And is also forbidden among other members
  • 12. 12 Families have very specific tasks:  Gathering enough resources to ensure survival  Procreation and looking after immature children  Promoting maturation and successful aging and loss  Providing enough empathetic connection to encourage attention to the above tasks
  • 13. 13 Variables of interest in understanding families:  Functional collaboration  Gender expectations  Power  Responsibility  Warmth  Positive support  Cultural background and difference
  • 14. 14 Family Coherence  Basic Building Blocks of Family Life – Coherence – Organization – Communication – Values and Beliefs
  • 15. 15 Coherence  A sense of uniqueness and identity of the family  A sense of membership, inclusion and belonging  A sense of personal space and voice  A recognition of developmental status and skills  Accommodation to individual differences
  • 16. 16 Coherence (cont.)  A secure base for emotional expression and regulation  A recognition of the shared effort to pursue family activities such as providing safety, nurturance and socialization  The shared capacity to resolve conflict  To reflect on family strengths, capacities and areas of difficulty  To reflect upon the family as members see it.
  • 17. 17 Family Adaptability and Reactions to Change  Recognition of stress or change  Labeling of the challenge  Developing a shared approach to the problem
  • 18. 18 Family Adaptability and Reactions to Change (cont.)  Utilizing the family as a focal point for developing and evaluating stress management strategies  The role of family coherence in these family actions
  • 19. 19 Family Coherence and Individual Resilience  The role of belonging  Family attachment as an affect monitor and mediator of emotional expression  The role of family myths  The role of family competence in building individual self-esteem  The role of ritual and celebration
  • 20. 20 When Family Coherence Fails  The possibility of multiple definitions of the family  Too rigidly defined family views failing to accept individual difference
  • 21. 21 When Family Coherence Fails (cont.)  The role of individual temperamental factors and non shared environment  Family behavior amplifying affective responses, leading to isolation and scapegoating
  • 22. 22 Partner Relationship: Important Features  Negotiation of Interpersonal Distance  Negotiation of roles and tasks assignment  Emotional tone – positive comments vs. criticism
  • 23. 23 Partner Relationship: Important Features (Cont.)  Negotiation of cultural integration  Negotiation of connection to extended family  Negotiation of location and career intensity  Negotiation of sexual behavior and leisure activities
  • 24. 24 Significant Components of Parenting I. Nurturance II. Structure III. Affiliation IV. Attachment
  • 25. 25 I. Nurturance requires A. Access to resources B. Capacity to use them for the child C. Own needs being met
  • 26. 26 Nurturance Requires (cont.) D.) Reinforcement for providing for the child  Support from important adults  Clear response from the child- satiation, comfort, satisfaction, quieting  Infant’s social responsiveness connects the child with caretakers
  • 27. 27 Nurturance Requires (cont.) E.) Empathic capacity to infer infant’s needs  Appreciation of intentionality of infant  Reflectiveness on the parents’ part leading to an appreciation of reciprocal selfhood
  • 28. 28 Nurturance Requires (cont.) F. Absence of compelling consistent concerns (addiction, severe poverty, depression, spouse abuse, severe marital disruption)
  • 29. 29 II. Structure Requires A. Capacity to appreciate developmental abilities B. Avoidance of polarized adult interactions
  • 30. 30 Structure Requires (cont.) C. Acceptance of responsibility for child D. Willingness to distance from the child enough to set a limit
  • 31. 31 Structure Requires (cont.) E. Capacity to define the child’s world so that competence develops F. Utilizing the child’s responsiveness to limits to reinforce future adherence
  • 32. 32 Structure Requires (cont.) G. Providing a sense that limits occur through knowledge of the child and the capacity to appreciate his/her skills and needs
  • 33. 33 III. Affiliation Requires A. The capacity to know the child B. Creating a coherent picture of the child
  • 34. 34 Affiliation Requires (cont.) C. Willingness to accept and appreciate the child as he/she is D. Appreciation of the child’s affective responses as legitimate
  • 35. 35 Affiliation Requires (cont.) E. Willingness to respond to the child’s affective expression with knowledge and neither dismissiveness, anxiety nor disorganization
  • 36. 36 IV. Attachment Requires A. Capacity for affect expression and modulation B. Sense that relationships provide knowing, definition, safety and ultimately self-expression and self- awareness
  • 37. 37 Attachment Requires (cont.) C. Recognition that stress can be dealt with socially and affectively D. Synchrony exists between connection, calming, safety and competence
  • 38. 38 Variations in Family Structure  Single-parent family  Divorcing family/post- divorce family  Blended family  Grandparent-or kin- headed family  Foster care family  Adoptive family  Gay and lesbian parents  Unmarried couple as parents  Bicultural family
  • 39. 39 Common Stresses and Concerns of Single-Parent Families  Economic concerns  Need for social support  Relationship of children with noncustodial parent  Balance among home, child rearing, and work  Relationship with and support from extended family
  • 40. 40 Common Stresses and Concerns of Single-Parent Families (cont.)  Balance between nurturance and limit setting for children throughout development  Maintaining a positive relationship with children and between siblings  Time pressures  Need for fulfilling personal and social life
  • 41. 41 Common Stresses and Concerns of Single-Parent Families (cont.)  Recognizing strengths and accomplishments  Accepting and grieving losses  Collaboration with noncustodial parent  Added burden of health or mental health concerns of parent and children
  • 42. 42 Common Stresses and Concerns of Single-Parent Families (cont.)  Negotiations with school, child care providers, and community supports  Dealing with cultural and community attitudes
  • 43. 43 Common Stresses and Concerns of Blended Families  Introducing the children to a new adult  Parental decision to remarry  Determine step-parenting roles and responsibilities  Facilitating relationship between stepparents and children
  • 44. 44 Common Stresses and Concerns of Blended Families (cont.)  Facilitating relationship between stepchildren  Developing methods of dealing with ex- spouse(s)  Potential for moving and relocating  Engaging stepparent in health and mental health treatment for the children
  • 45. 45 Common Stresses and Concerns of Blended Families (cont.)  Dealing with adaptation to the new family, including resolving differences and conflicts in the new marriage  Developing relationships with new extended family
  • 46. 46 Common Stresses and Concerns of Blended Families (cont.)  Preparing for birth of children in the new marriage  Realizing the potential for dissolution of the new marriage and the impact of this on the children
  • 47. 47 Common Stresses and Concerns of Grandparent/Kin-headed Families  Appreciating the stress associated with relocating the child  Dealing with grandparent (kin) reactions to natural parent’s inability to raise the child  Assisting the child with the emotional reaction to loss or inconsistency of natural parent and previous poor treatment or care
  • 48. 48 Common Stresses and Concerns of Grandparent/kin-headed Families (cont.)  Allowing room for involvement of natural parent as appropriate  Dealing with economic concerns, including finances for child rearing  Dealing with custody ambiguities  Grandparent health or mental health concerns
  • 49. 49 Common Stresses and Concerns of Grandparent/kin-headed Families (cont.)  Dealing with inconsistencies between natural parent and grandparent or kin child-rearing practices  Integrating the children with other household members
  • 50. 50 Common Stresses and Concerns of Grandparent/kin-headed Families (cont.)  Dealing with social service, education, and health and mental health systems effectively  Encouraging time and respite for all family members
  • 51. 51 Common Stresses and Concerns of Foster Care Families  Ensuring foster care family availability, certification, training, and adequacy of living situation  Establishing collaborative relationship among foster family, social service agency, mental health professionals, and the children (as appropriate)
  • 52. 52 Common Stresses and Concerns of Foster Care Families (cont.)  Ensuring adequate economic resources for family life  Dealing with the child’s reaction to parental loss and relocation  Providing information to the children about reasons for and duration of foster care
  • 53. 53 Common Stresses and Concerns of Foster Care Families (cont.)  Assisting the children with mental health problems, including responses to previous trauma or loss  Assisting the children with reestablishing relationship with natural parents if that occurs or with inconsistencies of natural parent’s involvement
  • 54. 54 Common Stresses and Concerns of Foster Care Families (cont.)  Dealing with the uncertainty of placement duration and permanency planning  Assisting the children with any moves among foster families
  • 55. 55 Common Stresses and Concerns of Foster Care Families (cont.)  Developing positive attachment with and emotional support for the children through developmental transitions  Establishing effective limit-setting responses for potentially traumatized children
  • 56. 56 Common Stresses and Concerns of Adoptive Families  Building attachment and emotional support for children in adoptive family  Developing methods of assisting children with their emotional responses to change, parental loss, and possible previous traumatization
  • 57. 57 Common Stresses and Concerns of Adoptive Families (cont.)  Dealing with cultural or temperamental differences between parents and children  Dealing with parental emotional response to reasons for adopting children  Developing effective parenting skills with often challenging children
  • 58. 58 Common Stresses and Concerns of Adoptive Families (cont.)  Appreciating and responding to child’s experience of not “belonging” to the adoptive family throughout development  Responding to naturally occurring adoptive parent-child conflicts and disagreements
  • 59. 59 Common Stresses and Concerns of Adoptive Families (cont.)  Developing methods of recognizing the value of adoptive parents’ decision to raise nonbiologic children  Identifying and using ratifying and supportive assistance from mental health, educational, and social systems, when necessary
  • 60. 60 Common Stresses and Concerns of Adoptive Families (cont.)  Assisting children with the decision to learn more about their birth culture or meet their natural parents
  • 61. 61 Common Stresses and Concerns of Gay and Lesbian Families  Reaching agreement and commitment to raise children together  Recognizing strengths, successes, and capacities of homosexual parents
  • 62. 62 Common Stresses and Concerns of Gay and Lesbian Families (cont.)  Dealing with the degree to which each parental partner is open about his or her lifestyle with extended family, neighbors, and community; the education system; health and mental health resources; and the other biologic parent
  • 63. 63 Common Stresses and Concerns of Gay and Lesbian Families (cont.)  Developing a way to explain parental lifestyle to children  Assisting children with an explanation of their family for peers, teachers, coaches, and others
  • 64. 64 Common Stresses and Concerns of Gay and Lesbian Families (cont.)  Responding to discriminatory or misunderstanding comments by family, community members, ex-partners, school personnel, health or mental health providers, or children’s peers
  • 65. 65 Common Stresses and Concerns of Gay and Lesbian Families (cont.)  Dealing with the children’s questions and preferences throughout development  Dealing with naturally occurring parent- child conflicts, recognizing how they may be altered by parental lifestyle
  • 66. 66 Common Stresses and Concerns of Gay and Lesbian Families (cont.)  Assisting children with their own lifestyle and relationship choices  Dealing with stresses within the parents’ relationship
  • 67. 67 Common Stresses and Concerns of Unmarried Couples  Maintaining commitment to the relationship and to parenting  Determining parental roles in providing support to the children and setting limits  Recognizing and responding to areas of tenuousness, ambivalence, and insecurity in the parents’ relationship
  • 68. 68 Common Stresses and Concerns of Unmarried Couples (cont.)  Facilitating children’s relationship with both parents  Recognizing children’s responses to changes in the relationship either toward greater permanence or toward separation
  • 69. 69 Common Stresses and Concerns of Unmarried Couples (cont.)  Assisting the children’s response to separation should that occur and considering possibility of child’s continued involvement with separated partner if mutually acceptable  Acknowledging and responding to difficulties associated with others’ reaction to unmarried status
  • 70. 70 Common Stresses and Concerns of Bicultural Families  Establishing family culture  Appreciating individual parental cultural differences, traditions, and expectations  Recognizing children’s need for self- definition and exploration of both parents’ cultures
  • 71. 71 Common Stresses and Concerns of Bicultural Families (cont.)  Appreciating and responding to extended family concerns, questions, and responses  Establishing a dialogue that recognized the strengths, possibilities, and uncertainties of this bicultural synthesis for this family
  • 72. 72 Common Stresses and Concerns of Bicultural Families (cont.)  Assisting the children with responses to questions and potentially insensitive comments from peers and adults in their lives  Developing family traditions that respect both cultural heritages