Children's influence in the marital relationship.

In a 3-wave longitudinal study, the authors tested hypotheses regarding children's influence on the marital relationship, examining relations between interparental discord and children's negative emotional reactivity, agentic behavior, dysregulated behavior, and psychosocial adjustment. Participants were 232 cohabiting mothers and fathers who completed questionnaires and a marital conflict resolution task. Consistent with theory, interparental discord related to children's negative emotional reactivity, which in turn related to children's agentic and dysregulated behavior. Agentic behavior related to decreases in interparental discord, whereas dysregulated behavior related to increases in discord and elevations in children's adjustment problems. Person-oriented analyses of agentic and dysregulated responses indicated distinct clusters of children linked with meaningful individual differences in marital and psychosocial functioning. Results are discussed in terms of possible mechanisms of child effects, such as increased parental awareness of children's distress potentially leading to reduced marital conflict. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality traits versus the quality of the marital relationship as the determinant of marital sexuality

The question of whether personality traits or the relationship among marital partners is more significant for the importance of sexuality and satisfaction in sexual interaction was examined. It was demonstrated that only interaction variables were significant, satisfying sexual relationships existing only in happy marriages. Correspondence between the partners was quite good for "satisfaction in sexual interaction," but there was no correlation for the importance sexuality had for both partners. The comparison between the two sexes additionally showed that for women sexuality was less important and satisfying compared to men. This relationship held during various stages of the marital relationship.     

Alcohol abuse in clients presenting with marital problems.

84 women and 56 men seeking marital therapy were assessed for alcohol abuse, current marital disagreements about alcohol abuse, and reported interspousal aggression. More than one-third of the men in the sample met the criterion for alcoholism on a standard alcoholism screening interview, one-fifth of the men self-reported drinking at unsafe levels, and more than four-fifths of the Ss reported marital disagreements about alcohol abuse at least "frequently." 69% of respondents reported the occurrence of physical aggression in their relationship. Reported alcohol problems were associated with more severe marital distress, more steps being taken toward divorce, and greater male aggression. Results suggest that routine screening of marital therapy clients for alcohol abuse is needed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual abuse trauma among Chinese survivors

OBJECTIVE: As an initial effort to examine Chinese sexual abuse trauma in relation to the cultural construction of sexual victimization of women, this study applies Finkelhor and Browne's (1985) traumagenic dynamics model to examine post-abuse trauma among Chinese child and adolescent survivors in Taiwan. In analyzing sexual abuse trauma in the context of Chinese patriarchal familialism and cultural fetish for female chastity, this study attempts to explore cultural constructional process of sexual abuse in Chinese society. METHOD: This study conducted in-depth interviews with 19 survivors of, and three social workers on, sexual abuse in Taiwan. These interviews were guided by a semi-structured questionnaire on sexual abuse incidents and post-abuse responses/concerns, and had generated a total of 84 pages of written reports, which serve as the text-data for the analysis. RESULTS: This study identifies sexual stigmatization and senses of disempowerment and betrayal as the most pervasive trauma complex among Chinese sexual abuse survivors in Taiwan. This study found that, in addition to lowering self-esteem, sexual stigmatization results in polarized sexuality among adolescent survivors, as manifested in aversion to and preoccupation with sexuality. The abuse-induced disempowerment is manifested in the survivors' fear for personal safety and heightened sense of vulnerability to re-victimization. The sense of betrayal results in interpersonal difficulties as manifested in self-imposed isolation from others and/or suspicious attitudes toward others, which further impair the survivor's efficacy in meeting her abuse-induced clinging need. CONCLUSIONS: Overall, this study observes similar traumatic symptoms between Chinese survivors and their American counterparts as documented in the literature. Nevertheless, this study observes the sexual stigmatization represents the most prevailing post-abuse trauma among Chinese sexual abuse survivors, and reflects the patriarchal fetish for female chastity in the Chinese cultural construction of sexual victimization.     

Screening for marital and relationship discord.

Based on recent findings suggesting that marital discord is taxonic (i.e., that couples in discordant relationships differ qualitatively, and not just quantitatively, from couples in nondiscordant relationships), this study was designed to develop a brief screening measure for detecting the relationship discord taxon. A national, representative sample of 1,020 married couples completed the Marital Satisfaction Inventory—Revised. Data from this sample were used to create a 10-item screening measure. Using the cut scores from the original study that found evidence of taxonicity as a point of reference, the 10-item screen demonstrated good diagnostic performance in assessing the relationship discord taxon. Taxon classification based on the brief scale demonstrated good short-term stability. The scale is easily administered and scored, making it appropriate for use in clinical and research settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual abuse and the subsequent development of alcohol problems

The literature on sexual abuse and alcohol problems has been reviewed. Various methodological issues are relevant in determining whether there is merely an association or also a causal relationship. These include the definition of sexual abuse, the degree and timing of abuse, the methods of data collection, sample selection, the presence or absence of control groups, possible recall bias, difficulties with prospective studies for this subject, and the definition of alcohol misuse or dependence. Results with community and victim samples are conflicting, but studies on samples of problem drinkers suggest an association between severe alcohol problems and previous sexual abuse, at least in women. The association may be especially strong for earlier and more severe forms of sexual abuse. Possible mechanisms for an association were examined and are: (1) sexual abuse as a cause of alcohol misuse; (2) alcohol misuse predisposing people to sexual assault; (3) sexual assault and alcohol misuse both resulting from another factor; (4) sexual abuse predisposing to other conditions associated with alcohol misuse; and (5) an artefactual association. Regardless of the role of sexual abuse in causing alcohol problems, the available evidence suggests that victims of sexual abuse may present to services with more problematical patterns of drinking and more concurrent psychiatric disorder.     

Gender moderates the relationship between testosterone and marital interaction.

Higher testosterone levels are related to assertiveness and dominance. Given the relevance of those behavioral correlates to spouses' daily transactions, links between testosterone levels and marital interaction were explored among 92 newlywed couples. Marital problem-solving and social support transactions were assessed, and saliva was collected and assayed for testosterone. Whether marital behavior was related to husbands' and wives' testosterone levels was examined. The link between spouses' testosterone and their behavior was contingent on the partner's testosterone levels. Husbands exhibited more adaptive problem-solving behaviors and social support provision when husbands and wives were concordant for lower testosterone levels. In contrast, wives exhibited more adaptive support provision when spouses had discordant testosterone levels such that wives had higher levels and husbands had lower levels. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prospective prediction of husband marital aggression within newlywed couples

This study prospectively examined a social interactional model of husband marital aggression. Young couples were assessed at the time of their 1st marriage with respect to marital conflict styles, alcohol consumption, hostility, gender identity, perceived power inequity, and history of family violence. Couples were reassessed at their 1-year anniversary, and information concerning marital aggression was collected. Most of the constructs were prospectively related to husband aggression, but these relationships were largely mediated through marital conflict styles and husband alcohol consumption, which in turn were influenced by husband's hostility, gender identity, and perceived power inequity.     

Sexual abuse and alcoholism in a female population

AIMS: (1) To study the prevalence of childhood sexual abuse before the age of 18 years (CSA) and life-time sexual abuse (LSA) in a Swedish female, general population, (2) to analyse associations between CSA and life-time alcohol dependence or abuse (ADA), and (3) to identify possible confounding factors. DESIGN AND PARTICIPANTS: The study was conducted in two phases. Phase 1: an alcohol problem screening questionnaire was sent to 3130 women aged 25-65. The answers were scored. Phase 2: based on the questionnaire scores, a randomly selected stratified sample of 479 women was invited for an interview. Of these, 316 women participated in a structured face-to-face interview. SETTING: A sector of G?teborg city with 100,000 inhabitants. MEASUREMENTS: The interviews focused on substance use and on social, psychological and behavioural characteristics, including experiences of sexual abuse. Clinical psychiatric diagnoses were made according to DSM-III-R. Bivariate analyses and multivariate logistic regression analyses were performed. FINDINGS: The prevalence of CSA and LSA was 9.8% and 13.9%, respectively. CSA increased the risk for life-time ADA and anxiety, but not for depression. When potential confounding factors (e.g. early background factors, depression and anxiety) were adjusted for, CSA under 13 years of age still predicted ADA in multivariate analyses, but CSA under 18 years of age did not. CONCLUSIONS: LSA, and especially CSA under 13 years of age, are factors that should be considered in treatment of women with ADA and in psychiatric treatment of women.     

Observed sibling interaction: links with the marital and the mother-child relationship

The study examines whether the link between the marital relationship and sibling interaction is direct or mediated by the mother-child relationship. Seventy-three same-sex siblings pairs aged 3 years 6 months to 8 years 6 months were observed during free play. Mothers completed questionnaires assessing marital functioning and their relationship with their 2 children. Results indicated that older siblings' negative behavior is linked with negative dimensions of the marital and the mother-child relationship, whereas younger siblings' negative behavior is linked with the mother-child and the differential mother-child relationship. Siblings; positive behavior, although linked with spacing, is not linked with positive dimensions of family interaction. Most important, the linkage between negative marital relations and older siblings; negative behavior was found to be mediated by maternal power assertion, thereby supporting the indirect model of negative family interaction.     

Reciprocity in parenting of adolescents within the context of marital negativity.

The authors investigated the degree to which parents become more similar to each other over time in their childrearing behaviors. Mothers and fathers of 451 adolescents were assessed at 3 points in time, with 2-year lags between each assessment. Data on parent warmth, harshness, and monitoring were collected by parent self-report, adolescent report, and observer ratings of family interactions. After controlling for earlier levels of parenting, parent education, and adolescent deviancy, spouse’s parenting and marital negativity were significant predictors of later parenting. Marital negativity tended to be a stronger predictor of fathering than mothering. For fathers, associations between spouse’s parenting and later fathering were strongest in marriages characterized by low negativity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual abuse treatment for persons with developmental disabilities.

Recent research by the Sexual Abuse and Disability Project at the University of Alberta included a survey of 119 sexual abuse (SA) victims with developmental disabilities (DDs). Their responses indicated that SA treatment services for people with DDs are typically inaccessible, unavailable, and inappropriate. Inadequate treatment services appear to be due to the paucity of qualified professionals in the area of SA and DDs coupled with the slow development of appropriate SA treatment approaches. The application of adapted therapy approaches for people with DDs and examples of adapted SA treatment for children and women abused as children are presented. SA treatment issues for the developmentally disabled are discussed for practitioners' considerations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Exploring mutuality within the nurse-patient relationship

This article explores the concept of boundaries within the nurse-patient relationship. Drawing on child development theories the authors explore the difficulties of boundary maintenance and link this to the professional aspects of therapeutic alliance. The ability to establish clear boundaries between ourselves and others is closely related to the capacity to function as a healthy adult and as such may be said to play an important role in the development of mental health difficulties. However, it is generally accepted by psychological theorists that a certain amount of projection and transference are likely to occur in every two-person relationship and as a result boundary confusion is likely to be experienced by both parties to a greater or lesser extent in the nurse-patient relationship. If, as is currently asserted by the nursing profession, the nurse-patient relationship is based on the principle of equality then it follows that both the nurse and the patient carry equal responsibility for maintaining the boundaries within which their interactions take place. The authors argue that it may be more appropriate to think in terms of a relationship founded on the concept of 'mutuality'. Such a position enables the concept of therapeutic reciprocity to be embraced alongside the reality that ultimately it is the nurse who carries the responsibility for 'holding' the boundaries within which the relationship is 'acted out.'     

Sexual abuse of boys. Examples of a group-oriented treatment

Although the sexual abuse of boys is much less written and talked about than the sexual abuse of girls, it is thought that one of three victims of abuse is a boy. This article sums up the symptoms and reactions seen in male victims. Whereas women usually react with depression and guilt, men react more with anger. Psychosomatic symptoms are often seen, as well as sexual problems such as homophobia or exaggerated masculinisation. As many as 30-50% of male rapist and child molesters have been molested as children. This makes it important to establish a therapeutic dialogue with these men about what they have been through, so as to avoid the development of such behaviour if possible. Experience from the treatment of male adults who were sexually abused in childhood is described, and placed in relation to the existing literature on the subject.     

Conflict resolution within the supervisory relationship.

158 graduate students in clinical psychology were surveyed concerning the occurrence, handling, and outcome of conflicts in their supervisory experiences. 38% of the Ss with supervised experience reported a major conflict with a supervisor that made it difficult to learn from supervision. Ss described 3 areas of conflict—theoretical orientation or therapeutic approach, style of supervision, or personality issues. The degree to which conflicts were discussed and successfully resolved seemed to depend partly on the type of conflict; it was easier to resolve conflicts that centered on style of supervision than on personality issues. When conflicts were not resolved, Ss often sought support from others, altered their behavior to conceal difficulties, or appeared to comply with the supervisor. Implications for the learning process in supervision are discussed. (14 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Observed sibling interaction: Links with the marital and the mother–child relationship.

The study examines whether the link between the marital relationship and sibling interaction is direct or mediated by the mother–child relationship. Seventy-three same-sex sibling pairs aged 3 years 6 months to 8 years 6 months were observed during free play. Mothers completed questionnaires assessing marital functioning and their relationship with their 2 children. Results indicated that older siblings' negative behavior is linked with negative dimensions of the marital and the mother–child relationship, whereas younger siblings' negative behavior is linked with the mother–child and the differential mother–child relationship. Siblings' positive behavior, although linked with spacing, is not linked with positive dimensions of family interaction. Most important, the linkage between negative marital relations and older siblings' negative behavior was found to be mediated by maternal power assertion, thereby supporting the indirect model of negative family interaction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Couples group psychotherapy: Rebuilding the marital relationship following disclosure of sexual deviance.

Presents an overview of treatment methods for compulsive sexual behaviors as well as the authors' initial treatment efforts (a traditional, individual, intrapsychic model) and movement to a systems framework emphasizing the elements within the marital relationship that impede or promote acting-out. The authors' 3-stage couples group psychotherapy program and the treatment of 11 couples in this group are described. A case example illustrates the therapeutic effect of this group on a 31-yr-old male exhibitionist and his wife. (PsycINFO Database Record (c) 2010 APA, all rights reserved)