Exploring resilience in adult daughter and spousal carers of people living with dementia in North West England: an ecological approach

Purpose Research has shown that informal carers of people living with dementia (PLWD) can be resilient in the face of caregiving challenges. However, little is known about resilience across different kinship ties. This study aims to update and build on our previous work, using an ecological resilience framework to identify and explore the factors that facilitate or hinder resilience across spousal and adult daughter carers of PLWD. Design/methodology/approach This study conducted in-depth qualitative interviews with a purposive sample of 13 carers from North West England and analysed the data using a constructivist grounded theory approach (Charmaz, 2003). Findings Adult daughters were motivated to care out of reciprocity, whereas spouses were motivated to care out of marital duty. Spouses had a more positive and accepting attitude towards caregiving and were better able to maintain continuity, which facilitated their resilience. Research limitations/implications Resilience emerged on multiple levels and depended on the type of kinship tie, which supports an ecological approach to resilience. The implications of these findings are discussed. Originality/value This paper makes a novel contribution to the literature as it uses an in-depth qualitative methodology to compare resilience across spousal and adult daughter carers of PLWD. This study adopts an ecological approach to identify not just individual-level resilience resources but also interactive community- and societal-level resources.

Within-Family Patterns of Sharing Instrumental Support to Older Parents of Multi-Child Families in China

In different multi-child families, adult children may share their instrumental support to older parents in distinct ways regarding its family mean level and differentiation among multiple offspring within families. Based on the family systems theory and the collective ambivalence perspective, we aimed (1) to identify different within-family patterns in relation to multiple offspring’s sharing instrumental support to an older parent in Chinese multi-child families; (2) to investigate potential individual and family predictors for different within-family patterns. Applying data from the China Family Panel Studies (2016, N=5791 older adults aged 60+), we employed latent profile analysis for classifying patterns and multinomial logistic regression for investigating predictors. Results showed three within-family patterns identified: independent (59.78%), highly-ambivalent (30.41%) and filial-cohesive (9.81%). Compared with the independent families, older parents in highly-ambivalent families were more likely to be older (OR=1.03), divorced/widowed (OR=0.61), to have lower educational levels(OR=0.84, ), poorer physical health (OR=0.92), to live in rural areas (OR=0.84), to have at least one adult daughter (OR=1.95)and one coresiding adult child (OR=3.22). Older parents in filial-cohesive families tended to be mothers (OR=0.82), divorced/widowed (OR=0.62), to have fewer adult children (OR=0.78) ,to have at least one adult daughter (OR=1.67) and one coresiding adult child (OR=2.16). The youngest adult children in filial-cohesive families tended to be older (OR=1.04). This study highlighted the importance of capturing different within-family dynamics regarding instrumental support to older parents among multiple adult children at the family level. It also uncovered the commons and differences between multi-child aging families in contemporary China.

Module 5—Problem-Solving (Sessions 13–15)

This chapter is designed to help clinicians teach clients an efficient, step-by-step approach for problem-solving. Family members are first taught to systematically examine their beliefs and values to help them identify issues worth tackling (e.g., to pick their battles wisely). Next, clients are taught a systematic technique, using detailed handouts, for operationalizing their chosen problems, identifying the best solution or set of solutions, and developing a plan to implement the solution/s. In subsequent sessions, clinicians are instructed to help families revise their implementation strategy, if needed, or move on to tackle a new problem. Several examples of relevant problem-solving homework assignments that families can complete together are provided. The chapter concludes with a case example of problem-solving with a Jewish mother and her adult daughter.

Mother–Adult Daughter Questionnaire: Psychometric Evaluation Across First- and Second-Generation Black Immigrant Women

This study was conducted to determine the generalizability of the Mother–Adult Daughter Questionnaire (MAD) for first- and second-generation Afro-Caribbean women. The measure was created specifically to explore adult daughters’ reports of their relationship with their mothers in order to capture the values of connectedness, trust in hierarchy, and interdependence in the mother–daughter relationship. We test this cross-generational applicability to (1) determine the generalizability of the measure for first- and second-generation women and (2) assess whether the means of the subscales differ across first- and second-generation women. Confirmatory factor analysis (CFA) was used to test the factor structure of the MAD with this population. The sample ( N = 285) was comprised of reports from 129 adult daughters born in the United States and 156 born in the Caribbean. CFAs indicated that the scoring algorithm for the subscales fit these data well. Results indicated that the MAD subscales (Connectedness, Trust in Hierarchy, and Interdependence) were applicable and may operate similarly across first- and second-generation Afro-Caribbean women.

My adult son, my adult daughter – reflections of mothers of children with profound intellectual disabilities

Diana Aksamit, Barbara Marcinkowska, My adult son, my adult daughter – reflec-tions of mothers of children with profound intellectual disabilities. Interdisciplinary Contexts of Special Pedagogy, no. 26, Poznań 2019. Pp. 255–269. Adam Mickiewicz University Press. ISSN 2300-391X. e-ISSN 2658-283X. DOI: https://doi.org/10.14746/ikps.2019.26.12 Everyone has the right to participate in society, regardless of his or her current personal situation, level of psychosocial functioning or experience. No reason can justify marginalisation or exclusion of people from social life at any stage of their lives. The aim of the article is an attempt to characterise the adulthood of people with profound intellectual disabilities on the basis of subjective assessment of their mothers. The methodology applied was that of a qualitative research, where the main research technique was narrative interviews. The results of the research demonstrate that adulthood is the stage of life when people with profound intellectual disabilities and their caregivers require special support in mental, spiritual, social, societal and educational dimensions.