Ellie Brubaker

Preliminary Typology of Couplehood for Community-Dwelling Wives: “I” versus “We”:

A qualitative analysis of women whose husbands reside in nursing homes was conducted to understand the concept of couplehood. Couplehood is defined here as the extent to which one person perceives herself as married to another person (feeling like an “I” or like part of a “We”). An “I”—“We” continuum was presented to each woman, and noticeable patterns emerged. Some women identified themselves as perceiving no couplehood with their institutionalized husbands (“Unmarried Marrieds”). A second group of women perceived a high degree of couplehood (“‘Til Death Do Us Parts”), while a third group perceived low couplehood (“Husbandless Wives”). Differences seem to exist in terms of the degree to which couplehood is perceived (no, low, high). Implications of such a typology are offered for researchers, clinicians, and community-dwelling wives.

Adult child and elderly parent household

Intergenerational households—adult child and elderly parents—are an alternative lifestyle. A review of the literature suggests that several factors are related to the level of stress in these households. A number of structural, individual family member and family factors which may influence the stress level in intergenerational households are explicated. It is suggested that community resources mediate the linkages between the structural factors, individual family member factors, family factors, and the level of stress in intergenerational households. A number of practice strategies for preventing and dealing with stress are discussed.

Caregiving and cost of health care for later life families

In the future, the number of families providing care for elderly relatives as well as the costs associated with health care will continue to increase. The caregiving triad—individual, family and government—will need to balance the resources to meet the needs of the elderly. Public policy changes can assist older persons and their families as they address caregiving in the later years.