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55-Word stories: Breathing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The brief pieces of creative writing in Families, Systems, and Health's 55-Word Stories section encapsulate key experiences in health care using elements of poetry, prose, or both. "Breathing" offers the author's reflection on a patient who requires the use of a medical ventilator. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Walker, Jenny G. Source Type: journals

55-Word stories: Doctor, I think my daughter needs Ritalin.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The brief pieces of creative writing in Families, Systems, and Health's 55-Word Stories section encapsulate key experiences in health care using elements of poetry, prose, or both. "Doctor, I Think My Daughter Needs Ritalin" offers the author's reflection on a father's alcoholism and the repercussions for his daughter. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Roy, Ruby Source Type: journals

55-Word stories: Waga kanja no tame ni (for my patient).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The brief pieces of creative writing in Families, Systems, and Health's 55-Word Stories section encapsulate key experiences in health care using elements of poetry, prose, or both. "Waga kanja no tame ni (For my Patient)" shares the author's reflection on a patient in the standard haiku format. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Johnson, Jaimie M. Source Type: journals

55-Word stories: Peripheral vestibular disorder.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The brief pieces of creative writing in Families, Systems, and Health's 55-Word Stories section encapsulate key experiences in health care using elements of poetry, prose, or both. "Peripheral Vestibular Disorder" shares the author's experiences with the titular disorder and his search for treatment. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Long, Thomas Source Type: journals

55-Word stories: Insomnia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The brief pieces of creative writing in Families, Systems, and Health's 55-Word Stories section encapsulate key experiences in health care using elements of poetry, prose, or both. "Insomnia" shares the author's reflection on his wife's breast cancer. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Shapiro, Dan Source Type: journals

55-Word stories: Introducing the 55-word stories feature section.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Families, Systems, and Health is pleased to inaugurate a new creative writing feature to accompany the poetry column. These brief pieces of creative writing encapsulate key experiences in health care using elements of poetry, prose, or both. We hope readers enjoy these pieces and perhaps consider writing their own 55-word stories as a means of reflection or sharing with colleagues. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Fogarty, Colleen T. Source Type: journals

Examining family networks of HIV+ women in drug recovery: Challenges and opportunities.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the family and household networks, romantic partnerships, and parenting arrangements of our participants. We also describe family member enrollment in the research study and the stability of romantic partnerships, parenting, and living arrangements over 1 year. We conclude with methodological implications for future family based clinical research with HIV+ adults. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Mitrani, Victoria B.; Weiss-Laxer, Nomi S.; Ow, Christina E.; Ross-Russell, Samantha; Burns, Myron J.; Feaster, Daniel J. Source Type: journals

Parent–child collaborative decision making for the management of chronic illness: A qualitative analysis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Parent–child collaborative decision making (CDM) is a potentially important precursor to full decision-making independence and may be particularly significant for the management of childhood chronic illnesses. The primary aim of this qualitative study was to explore the concept of CDM from the perspective of children and parents. Children (ages 8–19 years) with asthma, type 1 diabetes, or cystic fibrosis and parents of children with these illnesses participated in focus groups and individual interviews. Participants described various ways they collaborate with one another (e.g., asking for the other’s opinion; provid...
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Miller, Victoria A. Source Type: journals

The role of parent–adolescent attachment in the glycemic control of adolescents with type 1 diabetes: A pilot study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This pilot study explored the associations between parent and adolescent reports of adolescent attachment and glycemic control in adolescents with Type 1 diabetes. We hypothesized that more secure attachment would correlate with more optimal diabetes control. Thirty-one families completed written self-report questionnaires about adolescent attachment, demographic data, and diabetes control. Adolescents and parents reported on their perceptions of adolescents’ attachment to mothers and fathers. Mean HbA1c for the sample was 7.6% (SD = 1.14). Mothers’ perceptions of adolescents’ attachment were significantly correlated...
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Rosenberg, Tziporah; Shields, Cleveland G. Source Type: journals

Cultural influences on the survivorship of families affected by childhood cancer: A case for using family systems theories.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper uses the family systems perspective to synthesize existing studies on the 3 components of Olson’s (2000) Circumplex Model—family cohesion, flexibility, and communication—as they relate to family adaptation to cancer; and to extend the discussion to the cultural influences on these components. Family systems theory was found to be a useful framework for understanding the variance of positive and negative family adaptation in the survivorship of childhood cancer and the cultural impact on the family level variables. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Yi, Jaehee Source Type: journals

Family routines and rituals when a parent has cancer.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A growing literature has drawn attention to the psychosocial impact of cancer on families with young children. However, to help families develop adaptive responses to chronic illness, recent scholarship has begun to advocate a shift in orientation from a deficit to a strengths perspective. In this article, the authors examine the reorganization of family life after cancer diagnosis by reporting findings from a qualitative study of families with young children (ages 2–9) dealing with a parent’s cancer. The authors focus specifically on parents’ self-reports of how their families developed and experienced new routines ...
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Buchbinder, Mara; Longhofer, Jeffrey; McCue, Kathleen Source Type: journals

Family illness narratives of inherited cancer risk: Continuity and transformation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Family narratives of genetic disease address multigenerational legacies of illness, guide expectations about future diagnoses and anticipated losses, and promote continuity and coherence. Yet contemporary families with histories of genetic disease face the challenge of integrating long-standing family illness narratives with technological advances in the detection and treatment of the identified disease. The authors recommend the use of narrative methods to (a) integrate multiple or competing perspectives into a comprehensive story of the illness experience, (b) accommodate historically based illness narratives to modern t...
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Werner-Lin, Allison; Gardner, Daniel S. Source Type: journals

Outcomes that matter in chronic illness: A taxonomy informed by self-determination and adult-learning theory.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The inability to cure disease or reverse dysfunction results in chronic illness. With it, patients, their families, and society face a unique set of needs and challenges. In the United States, its care consumes 75% of total health care resources. Two thirds of Medicare resources are spent on the 25% of beneficiaries having multiple chronic diseases. Surprisingly, health outcomes of greatest importance to this population remain poorly described and researched. A new taxonomy is presented that uses insights from Self Determination Theory and Adult Learning Theory to expand the scope of recognized health outcomes by including...
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: Zubialde, John P.; Mold, James; Eubank, Daniel Source Type: journals

A tribute to Susan McDaniel and Tom Campbell on the occasion of our honoring them with the Don Bloch Award.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pays tribute to Susan McDaniel and Tom Campbell, a family physician and family therapist, who promoted collaboration between their respective fields. McDaniel and Campbell probed to learn more about the conditions under which this collaboration was particularly helpful, more about what prevented it, and more about which others could work inside this circle. In a continuous stream of presentations, papers, chapters, and books, over a quarter century they refined and extended the notion that proper collaboration could in truth cause the biopsychosocial to become a useful, coherent model under which to render health care. (Ps...
Source: Families, Systems, and Health - October 9, 2009 Category: Global & Universal Authors: deGruy, Frank Source Type: journals

A vision for Families, Systems, & Health.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Producing a journal that regularly offers clear articulations from many domains of relationship in health and healthcare, and occasionally offers a new articulation of the patterns that connect across domains, is the first goal the new editorial team for Families, Systems, & Health has set itself. The second is making FSH an accepted and well-used outlet in the worlds of medicine, mental health, and systems thought. As an approach to both goals, the editorial team wants to broaden the readership and the contributors to FSH by making the journal accessible to authors who do their scholarly writing in Spanish. The plan is to...
Source: Families, Systems, and Health - September 5, 2009 Category: Global & Universal Authors: Blount, Alexander Source Type: journals

I promise I won’t.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The author recounts some of her experiences working in a tribal clinic as a family doctor. Among her clients was a 17-year-old pregnant girl who, shortly before the birth of her baby, announced that she planned to drink peyote tea while she was in labor. Many of the adult nonpregnant patients who were members of the Native American Church used peyote as part of religious ceremonies. Misunderstanding was common between Native Americans and the area’s health care professionals. When the author first joined the clinic, she was asked if she would help hospital personnel develop better relations with the Native Americans in t...
Source: Families, Systems, and Health - July 9, 2009 Category: Global & Universal Authors: Van Tol, Lois Source Type: journals

Telehealth and rural depression: Physician and patient perspectives.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was an investigation of the acceptability of behavioral telehealth to PCPs and patients with depression as a way of making mental health treatments more accessible to rural patients. The researchers conducted 10 focus groups across rural Nebraska with PCPs and patients they had treated for depression. A qualitative multiple-case study approach was used to analyze the transcriptions. The participants felt that behavioral telehealth is a reasonable solution to the access-to-care problem. They expressed concern that professional and therapeutic relationships would be difficult to maintain at a distance and they pro...
Source: Families, Systems, and Health - July 9, 2009 Category: Global & Universal Authors: Swinton, Jonathan J.; Robinson, W. David; Bischoff, Richard J. Source Type: journals

Treatment of depression in a low-income primary care setting with colocated mental health care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In order to characterize depression treatment-as-usual in a large primary care practice in the United States with colocated mental health care, and to examine predictors of receiving any treatment and receiving adequate treatment, primary care patients were systematically approached in waiting rooms. Those with a minimum level of depression symptoms (n = 91) were asked to participate in a study in which they completed assessments of mental health service use, depression symptoms, and related problems. Results suggested that most patients with elevated depressive symptoms were receiving some type of mental health care, indi...
Source: Families, Systems, and Health - July 9, 2009 Category: Global & Universal Authors: Uebelacker, Lisa A.; Smith, Marcia; Lewis, Angelique W.; Miller, Ivan W.; Sasaki, Ryan Source Type: journals

Sleep disruption and decline in marital satisfaction across the transition to parenthood.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite the joy surrounding the birth of a child, numerous studies have documented a robust decline in marital satisfaction across the transition to parenthood. Various hypotheses, each supported by empirical evidence, have sought to explain this decline. This review considers the additional role of sleep loss in the postpartum decline in marital satisfaction. The authors begin by highlighting the problem of parental sleep disruption in a child’s 1st year of life and then outline findings related to the affective and cognitive consequences of sleep deprivation and chronic sleep restriction. The demands brought on by the ...
Source: Families, Systems, and Health - July 9, 2009 Category: Global & Universal Authors: Medina, Anna Marie; Lederhos, Crystal L.; Lillis, Teresa A. Source Type: journals

Dyadic measures of the parent–child relationship during the transition to adolescence and glycemic control in children with type 1 diabetes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To identify aspects of family behavior associated with glycemic control in youth with type 1 diabetes mellitus during the transition to adolescence, the authors studied 121 9- to 14-year-olds (M = 12.1 yrs) and their parents, who completed the Diabetes Family Conflict Scale (DFCS) and the Diabetes Family Responsibility Questionnaire (DFRQ). From the DFRQ, the authors derived 2 dyadic variables, frequency of agreement (exact parent and child concurrence about who was responsible for a task) and frequency of discordance (opposite parent and child reports about responsibility). The authors divided the cohort into Younger (n =...
Source: Families, Systems, and Health - July 9, 2009 Category: Global & Universal Authors: Anderson, Barbara J.; Holmbeck, Grayson; Iannotti, Ronald J.; Lochrie, Amanda; Laffel, Lori; Volkening, Lisa K.; McKay, Siripoom V. Source Type: journals

A collaborative care model for patients with Type-2 diabetes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The research on diabetes has shown the need to move from a traditional medical model to a patient-team orientation. This has led to a number of collaborative programs targeting the patient and family’s comprehensive needs. This paper details one collaborative care program for underserved patients with Type-2 diabetes set in rural, eastern North Carolina. Roles of the therapeutic team are incorporated along with a case example highlighting the bio-psychosocial-spiritual model in action. Sustainability, challenges, and strengths are included to facilitate a realistic appraisal of the program. (PsycINFO Database Record (c) ...
Source: Families, Systems, and Health - July 9, 2009 Category: Global & Universal Authors: Phelps, Kenneth W.; Howell, Cathy D.; Hill, Stephanie G.; Lamson, Angela L.; Smith, Doug A.; Hodgson, Jennifer L.; Seemann, Tina S. Source Type: journals

A vision for Families, Systems, & Health.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Producing a journal that regularly offers clear articulations from many domains of relationship in health and healthcare, and occasionally offers a new articulation of the patterns that connect across domains, is the first goal the new editorial team for Families, Systems, & Health has set itself. The second is making FSH an accepted and well-used outlet in the worlds of medicine, mental health, and systems thought. As an approach to both goals, the editorial team wants to broaden the readership and the contributors to FSH by making the journal accessible to authors who do their scholarly writing in Spanish. The plan is to...
Source: Families, Systems, and Health - July 9, 2009 Category: Global & Universal Authors: Blount, Alexander Source Type: journals

Camp Golden Treasures: A multidisciplinary weight-loss and a healthy lifestyle camp for adolescent girls.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Camp Golden Treasures, (CGT) the first non-profit weight loss camp for overweight adolescent girls in the nation, was held for six weeks from June 24 to August 3, 2007 at the East Carolina University campus in Greenville, NC. The primary goal was to support campers to lose weight, raise self esteem, and to learn the tools necessary to lead a healthy lifestyle while reducing risks for developing chronic disease or mitigating the effects of existing obesity-related conditions (sleep apnea, insulin resistance, hypertension, lower extremity dysfunction, etc.). While at CGT, campers learned about the importance of physical acti...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Pratt, Keeley J.; Lamson, Angela L.; Collier, David N.; Crawford, Yancey S.; Harris, Nancy; Gross, Kevin; Ballard, Sharon; Sarvey, Sharon; Saporito, Maria Source Type: journals

Munchausen Syndrome by Proxy: A pediatrician's observations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Munchausen Syndrome by Proxy (MSP) is a disturbing diagnosis that should be considered when persistent signs and symptoms defy adequate explanation despite extensive testing. Insistence by a parent (often mother) that more, and particularly invasive investigations be pursued, should serve as a warning sign that MSP might be present. The primary care provider who has an existing, over-time, relationship with the child and family is in an important position to raise the question of MSP because this professional may be able to recognize larger dynamics at play between child and family that are less apparent to subspecialists ...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Siegel, David M. Source Type: journals

Munchausen by mommy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Munchausen's Syndrome by Proxy is hard to diagnose and treat. The patient harms a defenseless person who is in his care, usually a baby or a child, in order to receive the attention the parent requires. Such a parent makes his child ill, introduces his body to various dangers, and with much concern and sacrifice brings him in for medical treatment, accompanying it all patiently, lovingly and anxiously. All the while, the caregiver is making sure to sabotage the healing and cause further harm. This syndrome is a challenge to family physicians, internists and pediatricians, since only the continuity of care of these families...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Kannai, Ruth Source Type: journals

Taking care of grieving through poetry: Memories of palliative care's presence or absence.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Families navigate loss of loved ones in a number of ways, including the creation of narratives of family experiences during the patient's illness and death. Robinson (2004) suggests that grieving family members create poetry together. Using a version of this method, the author processes losses by responding to the poems her husband wrote about the illnesses and deaths of a friend and several family members. Each poem is followed by a letter in which the author addresses the main character of the poem in order to provide new perspectives on her identity and her memories. (PsycINFO Database Record (c) 2009 APA, all rights re...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Cunningham, Nance Source Type: journals

Families in rural settings: Values regarding acute respiratory infections.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Evidence-based practice (EBP) is the integration of research, clinician experience, and patient values; however, most studies focus on research and clinician experience and ignore patient values. Acute respiratory infections (ARIs) are experienced routinely by both adults and children and are often mistreated with antibiotics, despite findings from multiple research studies indicating that antibiotics do not decrease the severity or duration of ARIs. Several studies indicate that clinicians tend to prescribe antibiotics for ARIs when they perceive that patients want them; however, little is known about actual patient value...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Morgan, Kari; Hart, Ann Marie Source Type: journals

The effect of a multi-disciplinary integrative intervention on health status and general health perception in primary care frequent attenders.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to assess the effect of a biopsychosocial intervention on patients' feelings of well-being, perceptions of health and health indicators before and after treatment in a clinic for primary care frequent attenders. One hundred patients referred to a community-based clinic were assessed using the WONCA-COOP charts and MOS-SF36 questionnaires before and after treatment with an intervention consisting of a narrative interview, short-term cognitive-behavioral therapy, stress reduction techniques and medication. Sixty-three out of 100 patients who completed the COOP charts at intake completed them a...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Matalon, Andre; Yaphe, John; Nahmani, Tzvia; Portuguez-Chitrit, Noa; Maoz, Benyamin Source Type: journals

Breaking bad news: Communication around parental multiple sclerosis with children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigates the relation of communication around parental multiple sclerosis (MS) to family dysfunction and mental health problems of the children in Greek families. Fifty-six families with a parent with MS were studied regarding emotional well-being of children, parental depression, family functioning, and illness' related impairment, correlated to the amount of information about parental illness provided to children. Significant differences were found in three dimensions of child psychopathology on maternal scores of Child Behavior Checklist, between children who had partial information about parental illness...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Paliokosta, Elena; Diareme, Stavroula; Kolaitis, Gerasimos; Tsalamanios, Emmanuel; Ferentinos, Spyros; Anasontzi, Sofia; Lympinaki, Eirini; Tsiantis, Alkis; Tsiantis, John; Karageorgiou, Clementine; Romer, George Source Type: journals

Posttraumatic growth and adverse long-term effects of parental cancer in children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the long-term impact of parental cancer during childhood. Nineteen female and 8 male adults who had a parent with terminal or nonterminal cancer during childhood participated in face-to-face interviews during which they discussed how their parent's cancer affected their lives. Their interview responses were transcribed and analyzed using a constant comparative method of analysis. Posttraumatic growth experiences were reported by 44% of participants, and 59% reported adverse consequences. Future research should examine ways to identify factors that can help affected children experience posttraumatic grow...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Wong, Melisa L.; Cavanaugh, Courtenay E.; MacLeamy, Jennifer B.; Sojourner-Nelson, Athena; Koopman, Cheryl Source Type: journals

Collaborative approaches to increasing family support for HIV positive youth.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Family therapists working in medical contexts often struggle to find a common language for communication with medical staff about the importance of family support. HIV positive youth are a group who have particular need for family support to help improve medication adherence, promote more open and positive communication, and decrease substance use and risk behaviors. In this paper, the authors retrospectively examined the levels of family support in a sample of 50 North American urban minority youth coping with HIV in an HIV/AIDs pediatric clinic from 2003 to 2007 at 2 time points (pre- and postdiagnosis) and began develop...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Davey, Maureen P.; Foster, Jill; Milton, Katrina; Duncan, Tracey M. Source Type: journals

Nighttime caregiving behaviors among parents of young children with Type 1 diabetes: Associations with illness characteristics and parent functioning.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Parents of young children with Type 1 diabetes describe daily management as relentless. Nighttime caregiving, including nocturnal blood glucose monitoring (NBGM), occurs and may increase parents' anxiety and stress. The goal of this study was to examine the frequency of NBGM among parents of young children with Type 1 diabetes, and to identify children's illness characteristics and parents' fear of hypoglycemia, anxiety, and parenting stress associated with nighttime monitoring. Parents (N = 71) of children with Type 1 diabetes ages 2 to 6 completed questionnaires to assess frequency of NBGM, illness characteristics and he...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Monaghan, Maureen C.; Hilliard, Marisa E.; Cogen, Fran R.; Streisand, Randi Source Type: journals

Families and childhood cancer: An exploration of the observations of a pediatric oncology treatment team.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors propose that families facing childhood cancer inadvertently become part of a distinct cultural group. To better train clinicians working with these families, this study was conducted as a phenomenological exploration of the common experiences of those who work with, and participate in, this “culture of cancer” (i.e., members of a pediatric oncology treatment team that includes medical family therapists). Two primary themes emerged from the data: culture of change and relationships. A qualitative description of medical family therapists as part of the treatment team was also developed. Insight into this cult...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Harrington, Amanda Douglas; Kimball, Thomas G.; Bean, Roy A. Source Type: journals

Factors associated with the psychological and behavioral adjustment of siblings of youths with spina bifida.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The intensive health management activities associated with spina bifida (SB) often command a pervasive presence in the lives of families and may place some members at risk for psychosocial difficulties. However, research on the risk and protective factors associated with sibling adjustment is limited. Anchored upon a social-ecological theoretical framework, the purpose of this cross-sectional study was to explore the relationships between select individual, family, and peer factors and sibling adjustment. A convenience sample of 224 adolescent siblings and parents of youths with SB responded to anonymous mailed surveys. Si...
Source: Families, Systems, and Health - March 30, 2009 Category: Global & Universal Authors: Bellin, Melissa H.; Bentley, Kia J.; Sawin, Kathleen J. Source Type: journals

Commentary: Accountability and praise.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Commentary discussing two poems "In Praise of the Birthing Vacuum" by Martina Nicholson and "Account, Accountable" by Arlene Katz. Perhaps the most telling difference in the poems has to do with family and community. In the Katz poem, family is crumbling. The couple's child has died, and they cling to each other, seemingly alone in the world, except for their sympathetic but powerless visitor. The author writes that we need people like Dr. Katz who are not afraid to speak out in the face of others' suffering. But just as importantly in these times, we need voices of gratitude and rejoicing, like that of Dr. Nicholson, voic...
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Shapiro, Johanna Source Type: journals

I want the best for my child.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is about a doctor who is discussing a complicated birth by a woman named Myrna. The article details Myrna's pregnancy complications and the subsequent death of her baby. The doctor in the story details the process of informing Myrna and her husband about the complications of the pregnancy and the risks associated. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Fogarty, Colleen T. Source Type: journals

Promoting collaborative care in Canada: The Canadian Collaborative Mental Health Initiative.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Canadian Collaborative Mental Health Initiative was funded in December of 2003 as part of Health Canada's Primary Health Care Transition Fund. Representing 12 national organizations, its goals were to promote greater collaboration between mental health services and primary care services. Over its 2 years mandate the CCMHI developed 12 background papers on different aspects of collaboration in Canada and produced 12 toolkits to assist providers, learners and consumers in establishing and working productively within collaborative partnerships. It also worked with the 12 partner organizations to develop a charter, which a...
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Kates, Nick Source Type: journals

Transformations in collaborative healthcare.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes federal initiatives from the Substance Abuse and Mental Health Services Administration (SAMHSA) aimed at transforming mental health systems towards integration with primary care, discusses potential barriers to integration and how collaborators are thinking about overcoming these barriers, and shares success stories from two integration initiatives that have worked in a health plan in Colorado and an initiative in Canada. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Power, A. Kathryn; Chawla, Neelu Source Type: journals

African American caretakers' views of ADHD and use of outpatient mental health care services for children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined primarily African American mothers' experiences with their child's ADHD in order to develop a theory that links conceptualization of ADHD with implications for clinical outpatient mental health services. Semi-structured interviews with 34 parents of children 6 to 18 years old and recently diagnosed with ADHD probed for understanding of their child's behaviors and their treatment expectations. Using a grounded theory approach, a theoretical model emerged describing a process of how parents making sense of ADHD, either as a medical illness, a general problem, or a behavior that was not a problem. Making s...
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Mychailyszyn, Matthew P.; dosReis, Susan; Myers, MaryAnne Source Type: journals

Commentary on impacts of HIV/AIDS stigma on family identity and interactions in China.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper is a commentary comparing work with HIV/AIDS in China and in New York City. Case stories illustrate the need to break the silence surrounding HIV/AIDS in order to activate family support and individual well-being. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Black, Lascelles W. Source Type: journals

Impacts of HIV/AIDS stigma on family identity and interactions in china.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examines the impact of HIV-related stigma on families living with HIV/AIDS in China. In-depth, semistructured interviews were conducted with 30 people living with HIV/AIDS and with 15 of their family members, including spouses, parents, and siblings. Findings show that HIV-related stigma is associated with bringing shame to the family, losing family "face," and damaging within-family relations and broader family social networks. HIV/AIDS stigma was reported to have major impacts on family identity and interactions. In order to cope with these pressures, families reported joining self-support programs, educating ...
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Li, Li; Wu, Zunyou; Wu, Sheng; Jia, Manhong; Lieber, Eli; Lu, Yao Source Type: journals

The health of grandmothers raising grandchildren: Does the quality of family relationships matter?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study addresses the physical health of caregiving grandmothers in a sample of 1015 grandmothers raising grandchildren. The study focuses on closeness and conflict in key relationships and demographic factors related to grandmothers' self-reported health in skipped-generation and three-generation families. It was found that conflict between grandmother and grandchild was related to poor health in skipped-generation families, whereas conflict between grandmother and parent was related to poor health in three-generation families. Although closeness between grandmother and grandchild was related to better health in skippe...
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Goodman, Catherine C.; Tan, P. Philip; Ernandes, Patricia; Silverstein, Merril Source Type: journals

Autonomy support from family and friends and weight loss in college women.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the effect of autonomy support and autonomous self-regulation on self-reported weight loss. Participants reported significantly greater weight loss when they perceived their family and friends as autonomy supportive of their weight loss efforts. Autonomy support from family and friends was also shown to moderate the effects of an experimental intervention that was delivered in an autonomy-supportive or controlling manner. Furthermore, autonomy support was significantly related to autonomous self-regulation, but its effects on weight loss held true even after controlling for self-regulation, suggesting a...
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Powers, Theodore A.; Koestner, Richard; Gorin, Amy A. Source Type: journals

Good intentions gone awry: Assessing parental "miscarried helping" in diabetes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
"Miscarried helping" is a pattern of frustration and conflict surrounding diabetes management as caregivers escalate their efforts to ensure adequate self-care by their children. This paper describes the development of a new measure of this construct and preliminary assessment of its psychometric properties. The 15-item Helping for Health Inventory (HHI) was developed based on the theoretical concept of "miscarried helping." Parents of adolescents with poorly controlled diabetes (n = 40) who were enrolled in a behavioral intervention trial completed the HHI as part of a comprehensive assessment battery. Results confirmed a...
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Harris, Michael A.; Antal, Holly; Oelbaum, Rhea; Buckloh, Lisa M.; White, Neil H.; Wysocki, Tim Source Type: journals

Brief behavioral couples therapy for drug abuse: A randomized clinical trial examining clinical efficacy and cost-effectiveness.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to examine the clinical efficacy and cost-effectiveness of a brief version of behavioral couples therapy (B-BCT) with substance-abusing patients (n = 184) and their nonsubstance-abusing intimate partners. Participants were randomly assigned to 1 of 4 treatment conditions: (a) B-BCT, (b) standard behavioral couples therapy (BCT), (c) individual-based therapy (IBT), or (d) a psychoeducational attention control treatment (PACT). Equivalency testing revealed that, compared to BCT, B-BCT had equivalent posttreatment and 12-month posttreatment substance use outcomes. In addition, during the 12-month...
Source: Families, Systems, and Health - January 5, 2009 Category: Global & Universal Authors: Fals-Stewart, William; Lam, Wendy K. K. Source Type: journals

Pediatric undernutrition: The value of integrated treatment formulation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The current author and his colleagues have been trying, somewhat unsuccessfully as indicated by the title of this Casebook presentation, to change the terminology from the more historically accepted "Failure to Thrive" to the more clinically accurate "Pediatric Undernutrition" (Kessler, 1999). Nevertheless, the current case highlights the importance of reformulating this clinical syndrome away from a unitary biomedical perspective to one that simultaneously considers child and family life circumstances and mental health needs as suggested by Dr. George L. Engel, from the University of Rochester. (PsycINFO Database Record (...
Source: Families, Systems, and Health - October 16, 2008 Category: Global & Universal Authors: Kessler, Daniel B. Source Type: journals

Multidisciplinary intervention for failure to thrive--Casebook.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the case of Jonas, a father and a working man who had psychiatric issues, and and his wife Audrey. Originally the case discusses the family's primary care practice and their collaboration to help Jonas' psychiatric issues. Once the couple's baby boy Aiden was born, the focus shifted to his physical development. The case focused on collaborative interventions in the family's primary care practice to help bring Aiden out of his failure to thrive path. (PsycINFO Database Record (c) 2008 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 16, 2008 Category: Global & Universal Authors: Rosenberg, Tziporah; Brown, Elizabeth; Gawinski, Barbara Source Type: journals

Teaching housekeeping: Learning to manage the emotional impact of patient care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes a residency educational process that considers the reciprocal impact doctors and patients have on each other, using a modified "MegaClinic" conference model. Specific description of the 1-hr, once-a-month interdisciplinary conference is provided, including preparation, examples of discussion content, and facilitator considerations. The MegaClinic considers how a physician, in the context of the entire office system, interacts with and is influenced by a succession of patients who are coincidentally scheduled during the same patient-care session. (PsycINFO Database Record (c) 2008 APA, all rights rese...
Source: Families, Systems, and Health - October 16, 2008 Category: Global & Universal Authors: Sternlieb, Jeffrey L. Source Type: journals

Keeping the family in focus at an HIV/AIDS pediatric clinic.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article highlights a successful collaboration between Drexel's Couple and Family Therapy Program and a Pediatric and Adolescent HIV/AIDS clinic at St. Christopher's Hospital for Children. The authors describe a brief history of St. Christopher's Pediatric and Adolescent HIV/AIDS clinic and its transition from a more traditional nonfamily therapy model to one that is systemic. An illustrative case example and lessons learned about developing successful collaborations with HIV/AIDS clinics are presented. (PsycINFO Database Record (c) 2008 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 16, 2008 Category: Global & Universal Authors: Davey, Maureen P.; Duncan, Tracey M.; Foster, Jill; Milton, Katrina Source Type: journals

Taking lessons from a pro.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This narrative discusses the author's 5 year journey with a patient named Helen. His relationship with this patient helped him to relearn a core principle of helping relationships: the value of "being with" rather than "doing to." There is intrinsic value walking alongside another without trying to guide; to be a "learner" rather than a "knower." Helen was looking for a caddy to walk by her side and offer her an opinion of the terrain ahead rather than a pro to correct her swing. (PsycINFO Database Record (c) 2008 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - October 16, 2008 Category: Global & Universal Authors: Marvel, Kim Source Type: journals