M.A. / Over the years it has become clear that divorce is an increasingly common occurrence. As a legal process, divorce sanctions the dissolution of a marriage but it does not necessarily dissolve the connections that developed between the individuals during a marriage. This is particularly the case when children are involved. Parents might choose to relinquish their connection to each other as husband and wife but they cannot relinquish the connection to their children as mother and father. This study was designed to explore the way in which the effects of parental divorce surface during the developmental period of young adulthood. The aim of the study was to offer some insight into the long-term effects of parental divorce and to add to the knowledge and understanding of this complex phenomenon. The design of the study was qualitative and data was collected through in-depth unstructured interviews with three young adults who have experienced parental divorce. The interviews with each of the participants were conducted as part of a therapeutic process. An intra-individual analysis of the information offered by each participant rendered an understanding of their phenomenological experience of parental divorce while an inter-individual analysis of their accounts permitted a discussion of common and contrasting themes and patterns. The literature reviews on the effects of parental divorce and the findings of this study, have formed the basis for a proposed a theoretical framework which will enhance the understanding of the phenomenological experience of parental divorce. It is hoped that the information gained will serve as guidelines for those working with individuals who have experienced parental divorce. Key Words: Parental divorce, young adult, identity, relationship, holism, system, cybernetics, constructivism, phenomenological, qualitative investigation, process.

Background. Caregivers of individuals with Autism Spectrum Disorder (ASD) are a highly stressed group and their parenting stress has been linked to increased depression, anxiety, and reduced parenting self-efficacy (Osborne & Reed, 2008; Rezendes & Scarpa, 2011; Weiss & Lunsky, 2011). Given these areas of concern that parents of children with autism experience, there is a need to look more closely at modifiable factors that improve parental well-being. As such, health habit behaviors, including sleep, diet, exercise, and substance use are modifiable factors demonstrated to be causally related to well-being in adults. The present dissertation consists of two studies that explored how parents’ engagement in health habits (sleep, diet, exercise, and substance use) related to their well-being (stress and depression) and explored the possible determinants of health habit engagement. Specifically, how parental characteristics (both psychological and demographic), social support (both relationship-based and resource-related), and child factors (child behavior and demographic variables), relate to parents’ engagement in these habits. And, in study two, these exploratory analyses went further by examining how parent’s engagement in healthy habits relates to the observed parenting quality. Methods and Results: Study 1. Study one was a needs assessment completed by mothers and fathers (n=68) of children in an Applied Behavior Analysis (ABA) early intervention program in the northeastern United States, all at-risk for a developmental disability, many of whom were at risk for developing ASD. Parents completed questionnaires that included questions about their healthy habit engagement adapted from the Promise Neighborhoods RFA Indicators and the Promise Neighborhoods Research Consortium [PNRC] Measurement System (Promise Neighborhoods Research Consortium: Measures, 2001) as well as those related to parent, social support, and child characteristics. Parental characteristics included demographic characteristics of caregiver age and education level along with questionnaires on the parent’s psychological functioning; a measure of well-being (WHO-5; Topp, Østergaard, Søndergaard, & Bech, 2015), parental stress (PSI-4; Abidin, 2012), and caregiver depressive symptoms (PHQ-9; Kroenke, Spitzer, & Williams, 2001). Questionnaires covering the second domain of social support included a measure of perceived social support (Interpersonal Support Evaluation List (ISEL-12); Cohen & Hoberman, 1983), marital satisfaction (Kansas Marital Satisfaction Scale; Schumm et al., 1986a), household income, and caregiver nativity. Questionnaires covering the third domain of child factors included a measure of child sleep problems (Children’s Sleep Habits Questionnaire; Owens, Spirito, & McGuinn, 2000), the ratio of children to adults in the home, child age, and child gender. Overall, about half of the caregivers reported an insufficient amount of sleep (less than 7 hours on average). A third of caregivers reported they did not exercise at all. Only a third reported eating breakfast every day, half ate only one serving of fruit most days and one serving of vegetables a day, half ate family meals prepared at home almost every day, a third ate fast food regularly, about half were told to lose weight. Most did not smoke or drink alcohol regularly. Additionally, about 30% reported elevated levels of depressive symptoms and elevated levels of parental stress. Significant relationships were found between parental characteristics, social support, child factors, and healthy habit engagement. Of note, caregiver stress, depression, and well-being were related adversely to mother’s sleep, diet, and substance use. Perceived social support was positively related to sleep, marital satisfaction negatively to smoking, household income negatively to diet and alcohol consumption, and nativity positively to sleep, diet, and alcohol consumption. No correlations were found with child factors and healthy habits. Examining a regression model of the facilitators and barriers to healthy habit engagement, caregiver well-being positively related (t=4.015, p<.001) while child sleep disruptions negatively related to healthy habit engagement (t=-2.344, p=.026). Additionally, depression was found tomediate the relationship between healthy habit engagement and parental stress using PROCESS (CI= (-1.811, -.324), R2=.274). Methods and Results: Study 2. Study two aimed to narrow in on a specific population of mothers of preschool-aged children with autism. Participants were 46 mother-child dyads, with children ages 2-6 to 5-6 recruited from a preschool utilizing an Applied Behavior Analysis (ABA) approach to schooling. Children had a classification of ASD, verified by the Autism Diagnostic Observation System – Two (ADOS-2) (Lord, Rutter, DiLavore, Risi, Gotham, & Bishop, 2012). Parenting behaviors, categorized as positive and harsh parenting, were observed across three tasks and coded using the Psychological Multifactor Care Scale — ASD Adapted Preschool Version (Brassard, Donnelly, Hart, & Johnson, 2016). Mothers completed the same questionnaires as study one for measures of healthy habit engagement, parental characteristics (excluding the WHO-5), and social support, There were additional child factor measures; however, including the child sleep problems and child externalizing behavior subscales from the CBCL (Achenbach & Rescorla, 2000), child language functioning (Vineland-III Communication subscale; Sparrow, Cicchetti, & Saulnier, 2016), ASD severity (ADOS-2), along with ratio of children to adults in the home, child age, and child gender. Overall, more than half of the mothers reported an insufficient amount of sleep (less than 7 hours on average). Almost half of mothers reported they did not exercise at all. Almost half reported eating breakfast every day, a third ate only one serving of fruit most days, and half ate one serving of vegetables a day, a third ate family meals prepared at home almost every day, a third ate fast food regularly, and a third were told to lose weight. Most did not smoke. Additionally, 11% of the sample had elevated depressives symptoms and 20% had elevated levels of parental stress. Similar significant relationships were found between parental characteristics, social support, child factors, and healthy habit engagement in study two. Of note, caregiver stress and depression were related negatively to caregiver’s sleep, diet, exercise, and being overweight. More perceived social support was related to better diet, household income to not being overweight, and nativity to smoking. Correlations were also found with child factors and healthy habits; child sleep with mother’s sleep, externalizing behavior problems withsmoking, and high child to adult ratio with mother’s sleep. Examining a regression model of the facilitators and barriers to healthy habit engagement, caregiver depressive symptoms related negatively to healthy habit engagement (t=-.380, p=.049). ASD severity (t=-.511, p=.045) and child age (t=-.523, p=.014) came out as negatively related to mother’s diet in a similar model analysis. Additionally, mothers sleep directly related to both positive (R2=.213) and harsh (R2=.165) observed parenting quality. Conclusion. The results from study one and study two suggest that sleep, diet, exercise and substance use are important for parent’s well-being in both parents of children in early intervention and mothers of preschool-aged children with autism. Furthermore, parental wellbeing was the most predictive of engagement in healthy habits when examining possible facilitators and barriers. Child sleep was an important potential barrier in parents of children in early intervention and autism severity and child age were important potential barriers to mother’s diet in mothers of preschool-aged children with ASD. Furthermore, in study two, mothers sleep was an important factor not only for well-being but also for an objective measure of parentingquality, further strengthening the importance and value of sleep for a highly stressed population.

This study aims to present an alternative framework with which to view the phenomenon of parental divorce and its perceived consequences for adult children of divorce in committed relationships. Research done within the traditional Newtonian framework is reviewed and its limitations explicated. The epistemological presuppositions of the new epistemology are presented along with their implications for conducting research. The importance of description as research methodology is emphasised. Written descriptions from various adult children of divorce are presented. Metadescriptions, by the author, are presented. These metadescriptions, based on the presuppositions of the new epistemology, highlight the value of describing the patterns of organisation which characterise the committed relationships of adult children of divorce. It is concluded that an alternative approach, based on the new epistemology, enlarges our understanding of the adult child of divorce within the context of a committed relationship. / Psychology / M.A. (Psychology)

This study aims to present an alternative framework with which to view the phenomenon of parental divorce and its perceived consequences for adult children of divorce in committed relationships. Research done within the traditional Newtonian framework is reviewed and its limitations explicated. The epistemological presuppositions of the new epistemology are presented along with their implications for conducting research. The importance of description as research methodology is emphasised. Written descriptions from various adult children of divorce are presented. Metadescriptions, by the author, are presented. These metadescriptions, based on the presuppositions of the new epistemology, highlight the value of describing the patterns of organisation which characterise the committed relationships of adult children of divorce. It is concluded that an alternative approach, based on the new epistemology, enlarges our understanding of the adult child of divorce within the context of a committed relationship. / Psychology / M.A. (Psychology)

M.Litt. et Phil. / Divorce has become a widespread phenomenon in modern society. The high divorce figures indicate a change of attitude in society. Today divorce has become a highly probable and accepted event with fewer stigmas attached to it. For children, the divorce of their parents is a totally unplanned life event over which they have little or no control. It can therefore be defined as a non-normative idiosyncratic life event. This event inevitably leads to stress and can have certain deleterious, but also positive, effects on children. The specific effects that a child experiences will be determined by an interaction of variables, viz. his personality and temperament, the environment and his family home. Riegel (1975) states that development evolves out of crises which can therefore be constructive and have significant meaning. If the child can adapt and work through the event of divorce constructively the divorce can lead to growth, and not necessarily to stagnation and more problems. In the litigation of custody some development has taken place. Traditionally, young children were placed in the custody of their mothers, and the judges who did the assignments depended on information which was obtained from the parents. This resulted in decisions which were not always in the best interests of the children. To assist the judges in the placement of children, family advocates were appointed, thus fulfilling the requirements of the Act on Mediation in Certain Divorce Matters, (Act 24 of 1987). The task of the family advocate is to act as a watchdog on behalf of minors who have been subjected to divorce and subsequent litigation over custody disputes. Custody disputes cause tension and uncertainty for the children involved. The family advocate ensures that the children are exposed to as little disruption as possible during the litigation process, and also sees to it that the proposed ruling in connection with the children is in their best interests. The motivation for this research stems from the developments which have taken place regarding the placement of children after divorce where a custody dispute erupts, as well as those regarding the functions and purpose of the family advocate in the process. Questions can be raised as to whether the system of family advocates succeeds in its primary aim to act on behalf of the children, and whether the children involved in a custody dispute are not subjected to more stress as a result of the litigation. As few study regarding these questions has been done and many new questions have evolved, an exploratory study was conducted on the subject. The aim of this study was to evaluate children with respect to three variables, namely, 1) positive self regard 2) loyalty conflict between biological parents 3) depression. These evaluations were done on three groups, namely, 1) children in a nuclear family, 2) children in a single-parent family where divorce had occurred, and 3) children in a family where a custody dispute had taken place. A non-experimental method of research was used. To test the specific hypotheses the following test instruments were used: Bene-Anthony family relations, Draw a Person Test (D.A.P.), and Draw a Family Test (D.A.F.). The conclusions of the study are, firstly, that children in nuclear families do have higher self regard than children from single-parent divorced families, but these latter, in turn, do not have higher self regard than those from custody dispute families. Furthermore, children from nuclear families do not have less loyalty conflict than children from single-parent divorced families, but these latter do have less loyalty conflict than those from custody dispute families. Finally, children from nuclear families do suffer less from depression • than children from single-parent divorced families, but these latter do not have less depression than those from custody dispute families. As this was merely an exploratory study only tendencies can be deduced from the results. Further studies will require larger and better controlled samples. Further research and development in the field of custody litigation is necessary so that the whole family, and especially the children, can use this life crisis as an opportunity for growth.

D.Cur. / The occupation of the SOS mother, which involves long-term care for orphaned and abandoned children under the SOS Children's Villages organisation, is unique and peculiar in many respects. She is expected to play a dual role of being a foster parent and a childcare professional, at the same time. The latter presents challenges of its own because the professional status is only recognised internally by the organisation. In one way or another, most of the children for which the SOS mother is responsible, have been exposed to some form of trauma. The problems of caring and parenting such children are well documented in the literature. These include learning and behaviour problems. For this reason, the mental health of the SOS mother, who is the focus of this study, should be of special interest to mental health practitioner. The motivation for this study arises out of a change that the organisation is trying to enforce in the work of the SOS mother. This change comes with the release of the new quality standards to guide village work. One of these standards, the SOS mother's autonomy, requires the SOS mother, like any mother in the community to take full responsibility for her SOS family, including the development of the children under her care. When she needs help, she seeks expert advice from village co-workers and from the community. In addition, the career of the SOS mother has to be developed so that she functions like a childcare professional and that her training is recognised by the government and other training institutions. This represents a big change from how most SOS villages have been operating. Up to this point, village co-workers made important decisions about the SOS family and the children while the SOS mother did the caring part. The change is expected to affect the interactions between SOS mothers and their co-workers and consequently, their mental health. For this reason, it was felt that there was a need to facilitate the implementation of the SOS mother's autonomy standard, which would also promote the mental health of the SOS mothers. The purpose of this research was, therefore, to develop and describe a model that would serve as a framework for the advanced psychiatric nurse practitioner to promote the mental health of SOS mothers by facilitating the implementation of the SOS mother's autonomy within SOS Children's Villages of Southern Africa Region 11. The research also focused on developing guidelines for the implementation of the model in practice.

The thesis is based on the Kidscreen Follow-up study. A representative sample of Spanish adolescents and youths and one of their parents were assessed twice (3 years apart) to evaluate adolescents and youths health related quality of life and mental health. The specific objectives of this thesis were to assess the effect of life events, and family and social variables (parents' mental health and home life) on three different health related outcomes: heath related quality of life, mental health, and psychosomatic complaints of adolescents and youths. The Coddington Life Events Scales were adapted into Spanish using the translation and back-translation process. Multiple linear regression and structural equation modelling were used to analyze the effect of the determinants selected. Life events and parents' mental health acted as risk factors for the outcomes selected, specially on mental health outcomes, whereas family factors like the relation with family members in home life were protective factors. Social factors inside the family should be promoted and reinforced to protect adolescents and youths from the effect of risk factors. / Aquesta tesi és part de l'estudi KIDSCREEN Follow-up. Utilitzant una mostra representativa d'adolescents i joves de l'estat espanyol, es van mesurar diferents aspectes relacionats amb la salut, avaluant la mostra dues vegades (amb una separació de 3 anys). Concretament, l'objectiu de la tesi va ser avaluar l'efecte dels aconteixements vitals i factors familiars i socials (salut mental dels pares i vida familiar) en tres resultats en salut: la qualitat de vida relacionada amb la salut, la salut mental i els problemes psicosomàtics dels adolescents i joves. Per això, es va adaptar l'escala Coddington Life Events Scales seguint la metodologia de traducció-retrotraducció. Es van utilizar models de regressió i models d'equacions estructurals per analitzar l'efecte dels determinants en salut. Els aconteixements vitals i la salut mental dels pares van ser dos factors de risc importants, especialment en la salut mental dels adolescents i joves. Per altra banda, les variables familiars com la relació dels membres de la família van actuar com a factors protectors. La cohesió dels membres de la família s'ha de promoure per tal de protegir els adolescents i joves de l'efecte de factors de risc.

Indiana University-Purdue University Indianapolis (IUPUI) / In the fields of formal and informal online adult education, the absence of a social context for instruction has been found to present significant limitations for learner persistence and retention. In the field of online psychoeducational intervention, self-administered and self-paced individualized prevention programs have been developed for delivery to large populations of anonymous users. These delivery models provide limited social context for instructional activities, due in part to the anonymity of their participants. When social interaction is included in their prevention programs through voluntary, asynchronous self-help/mutual aid discussion forums, anonymity may still limit social interaction, in favor of observational learning advantages for self-efficacy appraisals derived from "lurking". When these large-group models have been applied to online psychoeducation intervention programs for the purposes of encouraging mutual aid, interactive participation has been limited. This mixed methods study focused on a model for the design of an online small group psychoeducational intervention that integrated individual and social learning in a parent management training program. Self-paced participation was replaced with facilitator-led participation in an asynchronous discussion forum where topics were prioritized and sequenced with learning content from individual web-based training modules. Social interaction was facilitated through online problem-based learning discussion group. Despite assertions that interactive participation in online psychoeducational discussion forums may only be accomplished once a subscriber threshold of several hundred participants has been reached, this study found that small group participation through the program's integrated design resulted large effects for increases in parent self-agency and reduction of over-reactive, coercive parenting behaviors. Participation in the online problem-based group discussion forum was found to have contributed to participant outcomes when posting characteristics revealed the presence of both mutual aid processes and the application of individual learning module content.