Amaryll Perlesz

Psychological distress and family satisfaction following traumatic brain injury: injured individuals and their primary, secondary, and tertiary carers.

Objective: To assess family psychosocial outcome following traumatic brain injury (TBI) in all family members, including relatives more peripheral to the person with the injury. Design: A cross-sectional design was used to gather outcome data from individuals with TBI and primary, secondary, and tertiary carers, 19.3 months posttrauma. Multivariate analyses of variance (ANOVAs) ascertained differences in levels of psychological distress and family satisfaction within families. Setting and participants: Seventy-nine families (65 individuals with TBI, 72 primary carers, 43 secondary carers, and 22 tertiary carers) were drawn from a sample of outpatients of three metropolitan, acute rehabilitation hospitals over a 12-month period. Outcome measures: In addition to using the Family Satisfaction Scale (FSS), measures of psychological distress included the Beck Depression Inventory (BDI), State Anxiety Inventory (SAI), and Profile of Mood States (POMS). Results: Although it was noted that a significant proportion of family members were not psychologically distressed and reported good family satisfaction, people with TBI remain at greater risk of poor psychosocial outcome than do their relatives. Of other family members, primary carers—particularly wives—are at greatest risk of poor psychosocial outcome, and a number of secondary and tertiary carers also displayed high levels of psychological distress. Conclusions: Male relatives (the majority of whom were secondary or tertiary carers) may report their distress in terms of anger and fatigue, rather than as depression and anxiety. Future research could develop TBI-specific measures of anger and fatigue as screening instruments to identify peripheral family members requiring assistance in adapting to TBI. Many families—despite their initial traumatic experience—eventually cope well, encouraging researchers and clinicians to focus future research efforts on those families who have made good adjustments to TBI.

Stigma or respect: Lesbian-parented families negotiating school settings

This article explores the interface between lesbian-parented families and mainstream society through the example of schools. Lesbian-parented families are an increasingly visible family form; they are diverse and complex and raise challenges for heteronormative social institutions. Based on qualitative family interviews with lesbian-parented families in Melbourne, we discuss the dialectic between schools and families. In many heteronormative school contexts family members were stigmatized and burdened by secrecy and fear about their family configuration. However, there were also a significant minority of family members who felt respected, supported and safe within the school environment.These parents and children were out and proud about their families, and schools had responded with acceptance in both the schoolyard and the curriculum. We discuss the contextual factors (including social location and family formation), impacting on and constraining the interface between the families and schools, and point to opportunities for change.

Through children's eyes: children's experience of living with a parent with an acquired brain injury.

While previous literature on brain injury reports high levels of stress and burden in primary caregivers, the impact on children has been overlooked. This paper reports on an in-depth, qualitative research project exploring the experiences of four children living with fathers with an acquired brain injury (ABI). The findings indicate that these children were negatively impacted and at risk of emotional and behavioural difficulties. The children reported a complexity of feelings associated with the trauma and multiple losses, including profound grief, social isolation and fear of family disintegration and violence. Despite the difficulties they faced, the children also demonstrated resilience and reported positive outcomes such as having greater independence. Although only a small pilot study, the current findings highlight the need for both clinicians and researchers to be more proactive in questioning their clients and families about the level of violence following ABI and that disclosure may be more likely to occur with on-going involvement and support. The study concludes that early intervention and systemic support is required to minimize the trauma for these children. Further research is recommended, not only to replicate these findings in a larger sample, but also to explore in-depth childrens experience of living with a parent with a brain injury.

Lesbian parents negotiating the health care system in Australia

Twenty Australian lesbian-parented families were interviewed in multigenerational family groups about the interface between their public and private worlds. Experiences of the health care bureaucracy were difficult, whereas many participants found individual providers to be approachable and caring. Three strategies were used for disclosure of their sexual orientation to health care providers: private, proud, and passive. Influences on the strategy used included family formation, role of the non-birth parent, geographic location, and expected continuity of care. Parents displayed a high degree of thoughtful planning in utilizing their preferred disclosure strategy in order to optimize safety, particularly for their children.

Bisexual Parents and Family Diversity: Findings From the Work, Love, Play Study

This article reports on findings from the Work, Love, Play study, an Australian/New Zealand study of same-sex attracted parents. There were 48 parents in this study who identified as bisexual. There was a diversity of contexts in which people in this sample were parenting: heterosexual relationships, same-sex relationships, coparenting with ex-partners or nonpartners, and sole parenting. A large number of these bisexual parents had experience of divorce or separation since having children, but most reported positive aspects to their parenting relationships with ex-partners. Very few people in this study reported that bisexual identity created difficulties for them as a parent.

Understanding resilience in same-sex parented families: the work, love, play study

BackgroundWhile families headed by same-sex couples have achieved greater public visibility in recent years, there are still many challenges for these families in dealing with legal and community contexts that are not supportive of same-sex relationships. The Work, Love, Play study is a large longitudinal study of same-sex parents. It aims to investigate many facets of family life among this sample and examine how they change over time. The study focuses specifically on two key areas missing from the current literature: factors supporting resilience in same-sex parented families; and health and wellbeing outcomes for same-sex couples who undergo separation, including the negotiation of shared parenting arrangements post-separation. The current paper aims to provide a comprehensive overview of the design and methods of this longitudinal study and discuss its significance.Methods/DesignThe Work, Love, Play study is a mixed design, three wave, longitudinal cohort study of same-sex attracted parents. The sample includes lesbian, gay, bisexual and transgender parents in Australia and New Zealand (including single parents within these categories) caring for any children under the age of 18 years. The study will be conducted over six years from 2008 to 2014. Quantitative data are to be collected via three on-line surveys in 2008, 2010 and 2012 from the cohort of parents recruited in Wave1. Qualitative data will be collected via interviews with purposively selected subsamples in 2012 and 2013. Data collection began in 2008 and 355 respondents to Wave One of the study have agreed to participate in future surveys. Work is currently underway to increase this sample size. The methods and survey instruments are described.DiscussionThis study will make an important contribution to the existing research on same-sex parented families. Strengths of the study design include the longitudinal method, which will allow understanding of changes over time within internal family relationships and social supports. Further, the mixed method design enables triangulation of qualitative and quantitative data. A broad recruitment strategy has already enabled a large sample size with the inclusion of both gay men and lesbians.

Deconstructing the Fear of Father Absence

Abstract This paper critically examines Louise Silversteins and Carl Auerbachs paper on Deconstructing the Essential Father. The paper provides research support for their position that children benefit from stable, consistent, loving, low-conflict parenting arrangements; irrespective of the gender of the parent. Silverstein and Auerbach, however, go beyond this conclusion to also recommend that children would benefit from being reconnected with their ‘absent’ fathers. The current paper challenges this particular conclusion to their critique and explores the apparently contradictory position that there is no essential need for fathers yet efforts should be made to proactively develop and support social and emotional connections between children and their fathers. The paper also examines other literature and research findings around the ‘unique’ contribution of social fathering in raising children, and concludes that there is no social, psychological, or developmental justification to legislate for father presence. There is no research-based credibility in promoting patriarchal, nuclear family formation as a preferred social and family structure to optimise childrens emotional, social, physical, and economic outcomes. The political and social pretext that underlines ‘father absence fear’ is just that; a pretext to retain the hegemony of patriarchal nuclear family life and restore fathers to their ‘rightful’ positions of power and control within families. In developing a conclusion to this critique, the paper draws on a brief case-study from a lesbian-parented family research project conducted in Victoria, Australia, and illustrates implications for family therapists with a brief clinical vignette.

Family resilience in families where a parent has a mental illness

Summary This study explores the concept of family resilience where a parent has a mental illness. Eleven Australian adults who have grown up in a household with a parent who had a diagnosed mental illness participated in an in-depth interview. The interviews focused on the ways in which these families responded to challenges in everyday life, particularly related to parental mental illness. Findings Families developed resilience through processes such as shared humour or regular family rituals and routines. In some cases, open communication about mental illness enabled families to better cope when parents were unwell and to build a greater sense of family connectedness. However, data suggest that parental mental illness potentially creates stress and confusion for families and there are multiple social and cultural barriers that make it difficult for families to acknowledge and speak openly about mental illness. For participants, resilience tended to be about maintaining a balance between stress/distress and optimism and strength within their family. Applications The article highlights the importance of family context when describing resilience, and identifies specific clinical implications for working with families affected by parental mental illness.

In search of a name for lesbians who mother their non-biological children.

ABSTRACT We are interested in how language has been used in the literature to describe and define the role and relationship of non-birth lesbian mothers to their children. Although previous researchers and clinicians have presented strong cases for a variety of descriptions, there is little agreement about what language best reflects and, indeed, legitimizes this relationship. We have previously argued that “the search for a definitive term is unlikely to bear fruit” (Brown & Perlesz, 2007), and, in this article, we revisit the variety of labels used and explore the implications of this language. Language is not only determined by social and individual understandings of mothering and parenting, but is also influenced by pathways to lesbian parenting and negotiated roles and relationships within families. Language has the power not only to acknowledge and affirm but also to negate and render invisible the position and distinctive contribution of lesbian mothers who have not given birth to their children.

Gay and bisexual dads and diversity: Fathers in the work, love, play study

Abstract This paper reports on findings from the Work, Love, Play (WLP) study, an Australian/New Zealand study of same-sex attracted parents. There were 88 fathers who responded to the WLP survey. There was a diversity of contexts in which these men had become parents and were currently parenting: 34 (39%) had become parents while in a previous heterosexual relationship, 20 (23%) were parenting children who had been conceived via surrogacy in the context of the respondent’s current same-sex relationship, 17 (19%) had become parents through sperm donation and co-parenting arrangements with single women or lesbian couples, while 10 (11%) were parents to foster children. The shift to parent- hood generated largely positive outcomes for most men including bringing men closer to their families, although some men who had children from previous heterosexual relationships faced challenges confronting their families concerns about the impact of their ‘coming out’ on their children.