Preadolescence is a time of emotional, physical, social, and relational changes, which can lead to mental health concerns. Parents of preadolescents also experience changes within their roles as parents, and both parents and preadolescents experienced a wide range of changes and challenges during the COVID-19 pandemic. A mental health intervention focused on enhancing the parent-child relationship among parents of preadolescents is important for overall family functioning. This phenomenological study explored the experiences of parents of preadolescents after participating in a virtual child-parent relationship therapy (CPRT) intervention. Participants were seven parents ages 35 to 56 years-old with preadolescent children between the ages of 9 to 12 years-old. Semi-structured interviews were conducted following the CPRT intervention and analyzed. Six themes were found, including impact of group on learning, child's engagement with parent, child qualities, parent's understanding of self, importance of parent-child relationship, and integration of CPRT skills. The emerging themes indicated that the seven participants experienced changes in themselves, in their child, and in their parent-child relationships. Participants discussed their experiences with the virtual format and their integration of CPRT skills. The participants also reported feeling closeness and support from other group members, even with the virtual format. Findings from this study highlight several clinical implications for working with parents of preadolescents virtually using CPRT. Recommendations for future research are discussed.

For the past 40 years, one southwestern US university counseling program has sponsored two mental health training clinics in which master's and doctoral level students have learned to provide child parent relationship therapy (CPRT) services to community parents. In their training, students learn about the positive effects of CPRT, particularly on parental stress. To date, however, no program evaluation has been conducted at these clinics focusing specifically on parental stress outcomes after the completion of CPRT or to determine the demographics and characteristics of parents who pursue CPRT. The purpose of this study was to conduct such an evaluation of archival data spanning 7 years. Participants were 129 parents (70% female, 30% male; 80% Caucasian, 35% Hispanic/ Latino, 6% African American, and 4% Asian; 62% married, 9% separated, 16% divorced). Results from a t-test indicated a statistically significant decrease in self-reported parental stress, with a moderate effect size. Multiple regression revealed that women and those who attended with a co-parent reported greater stress reduction. This study confirmed the benefit of CPRT, provided by counselors-in-training, on reducing parental stress and indicated clientele for which and conditions in which those benefits might be optimized.

abstract: The current study examined effects of representations of relationships with parents on young adults’ representations of romantic relationships and self-esteem, with particular attention paid to the role of fathers, instability of representations, and bidirectional effects. Data were obtained from two waves (Waves 4 and 5) of a five-wave study. At wave 4, 287 young adults (mean age = 20) participated, and at Wave 5, 276 young adults (mean age = 22) participated. One-time interviews (Behavioral Systems Questionnaires; BSQ) were conducted to measure the level of representations of relationships with parents. Nightly diary checklists (7 nights at Wave 4, and 5 nights at Wave 5) were used to measure the level and instability of representations of romantic relationships (BSQ) and self-esteem (Rosenberg Self Esteem Scale). Two styles of representations, including secure versus dismissing (e.g., relying on parents or romantic partners when distressed versus not relying on them) and preoccupied (e.g., worrying about rejection and excessive dependency) were measured for relationships with parents and romantic partners. The results showed evidence for unique roles of fathers, instability of representations, and bidirectional effects. Relationships with fathers affected young adults’ self-esteem. More nightly fluctuations in security with romantic partners predicted higher levels of security with romantic partners, but only in the context of more secure relationships. More nightly fluctuations in self-esteem predicted more dismissive representations of fathers. Bidirectional effects involved young adults’ representations of both romantic relationships and self-esteem, and their representations of relationships with parents. The relation between instability of representations of romantic relationships and later security in romantic relationships might represent learning about romantic relationships. The relation between instability of self-esteem and later dismissive styles with fathers (e.g., not relying on fathers when distressed) at this age might be an indication of learning to become autonomous from fathers. Finally, I also hypothesize that during emerging adulthood, fathers tend to encourage children to solve their stress or problems by themselves, while mothers tend to still provide help when children are distressed. These suggested hypotheses should be examined in future research. / Dissertation/Thesis / Doctoral Dissertation Psychology 2016

Children’s mental health is a topic of concern, not only in the escalating number of children who meet diagnostic criteria for disorders, but also for the practitioners desiring to treat them effectively. Parental involvement in treatment results in more favorable outcomes with longer treatment gains observed, thus reducing mental health issues. An additional factor in children’s mental health is the effect of levels of parental acceptance toward the child. Parental acceptance is a positive outcome that has been observed in previous studies conducted with Child-Parent Relationship Therapy (CPRT). There are many reported barriers to seeking treatment for mental health issues, including time, cost, distance, and access. Online therapies have been found to reduce or eliminate most barriers to treatment, and is a preferred format for certain populations. To date, however, there have been no studies conducted on whether CPRT is effective in increasing levels of parental acceptance in an online format. Eight participants from around the world completed the ten-week CPRT training in an online format. Levels of parental acceptance were measured by the Porter Parental Acceptance Scale (Porter, 1954; PPAS) in self-reported pre- and post-treatment assessments. A perception survey was also conducted to assess participants’ perception of the process of an online parent training format, including benefits and challenges. This mixed-methods study found that an online version of CPRT does significantly increase parental acceptance levels. Participants also reported positive perceptions of the online training format. Positive themes reported in the survey responses related to convenience, community, access, and user experience.

This thesis examines International IJVs and the conditions that contribute to their success. The original contribution to knowledge of his thesis is the identification of Trust, the Parent Relationship and Long-Term Commitment as conditions most likely to foster successful IJVs. This thesis showed the applicability of these conditions to IJVs in the automotive sector and also demonstrates the dependency of each condition to the other by identifying a sequential order with which the conditions These conditions are established through interviewing senior management from both parents and the internal management of 13 successful IJVs in the automotive industry. The thesis is divided into a qualitative and quantitative analysis. Key themes from the respondent s qualitative views of success are extracted, coded and then analysed to provide robust empirical results. The data acquired from the respondents is analysed using fuzzy-set Qualitative Comparative Analysis (fsQCA). The conditions leading to success are the parent s relationship, the level of trust that exists between the parents and their long-term commitment to the IJV.

This quasi-experimental study examined the effects of child-parent relationship therapy (CPRT) with low income first generation immigrant Hispanic parents. Forty-eight parents were randomly assigned by school site to the experimental group (n=24) and to the no treatment control group (n=24). A two factor (Time x Group) repeated measures analysis of variance was performed to examine the effects of group membership (experimental, control) and time (pretest, posttest) on each of the six hypotheses. Dependent variables for the Spanish version of the Child Behavior Checklist (CBCL) included Externalizing Problems, Internalizing Problems, and Total Problems. Dependent variables for the Spanish version of the Parenting Stress Index (PSI) included Child Domain, Parent Domain, and Total Stress. Results indicated that from pre-test to post-test, parents who participated in the CPRT treatment group reported a statistically significant improvement on their children's behaviors at the alpha .025 level (Internalizing Problems p< .001; Externalizing Problems p< .001; Total Problems p<.001) when compared to children whose parents did not participate in CPRT. Partial eta squared (ηp2) further indicated that the effects of CPRT treatment on the experimental group compared to the control group from pre-test to post-test was large (ηp2 = .56; ηp2 = .59; and ηp2 = .68, respectively). Similarly, results indicated that from pre-test to post-test, parents who participated in the CPRT treatment group reported a statistically significant improvement on parent-child relationship stress at the alpha .025 level (Child Domain p< .001; Parent Domain p< .001; Total Stress p< .001) when compared to parents who did not participate in CPRT. Partial eta squared (ηp2) further indicated that the effects of CPRT treatment on the experimental group compared to the control group from pre-test to post-test was large (ηp2 = .39; ηp2 = .51; and ηp2 = .42, respectively).

This randomized controlled study is a preliminary investigation on the effects of Child-Parent Relationship Therapy (CPRT) with 61 adoptive parents. The participants in this study identified themselves as the following: 54 European American, 3 Black American, 3 Hispanic/Latino, and 1 individual who chose not to indicate ethnicity. The study included 23 couples and 15 individual mothers. The CPRT is a structured, time limited approach that trains caregivers to be an active participant as a therapeutic change agent in their child's life. Results from a two (group) by two (measures) split plot ANOVA indicated that adoptive parents who participated in 10 weeks of CPRT reported statistically significant decreases in child behavior problems and parent child-relationship stress. Statistically significant increases in parent empathy were also reported by raters blinded to the study. CPRT demonstrated a medium to large treatment effect on reducing children's behavior problems and parent-child relationship stress. In addition, CPRT demonstrated a large treatment effect on increasing parental empathy. The results of the study provide preliminary support for CPRT as a responsive intervention for adoptive parents and their children.

Adoptive parents often struggle to understand and meet the social-emotional behavioral needs of their adopted child, particularly when the child's pre-adoption experience lacked a secure relationship with an attuned and responsive caregiver. This randomized controlled study, a replication of Carnes-Holt and Bratton's 2014 research, investigated the effects of child parent relationship therapy (CPRT) for adoptive families who reported attached-related concerns such as difficulties establishing a mutually satisfying parent-child relationship as well as concerns about the adopted child's behavior and parental stress. Participants were 49 adoptive parents (61% female; 7% couples; 86% European American, 6% Latino, 6% Asian, and 2% Black American) with adoptees between the ages of 2.5 to 9 (50% female; 35% European American, 22% Asian, 12% Latino, 10% Black American, and 21% Biracial or other). Eighty-four percent of children were adopted internationally or from the foster care system. Parents were randomly assigned to CPRT or treatment as usual (TAU). Results from 2 (group) by 2 (time) repeated measures ANOVAs indicated that compared to the TAU control group, parents who participated in CPRT reported statistically significant improvement in child behavior problems, parent-child relationship stress, and parental empathy, with a large treatment effects on all measures. Findings confirmed results from Carnes-Holt and Bratton's study and provided strong support for CPRT as a responsive intervention for adoptive parents and their children.

Objective: Numerous studies trying to find the causes and implications of binge drinking on college campuses have focused their attention on the heavy drinkers. The purpose of this study was to understand why and how college students choose to abstain from drinking. The study also examined the experiences of the abstaining college students on a campus where 83% of the student body drinks. Methods: Twelve undergraduate students from the University of Richmond participated in this qualitative study. Individual interviews using open-ended questions were conducted to ascertain the reasons for their abstinence and their experiences as college students. After the interviews, the 12 students were assigned to focus groups to discuss and compare their experiences and to test emergent themes.Results: The three most often mentioned reasons for the decision to abstain were (a) they wanted to maintain control over their body and environment, (b) it is illegal to drink under age 21 and (c) they did not want to disappoint their parents. The students described needing strong personal convictions about the decision to abstain in order to stand up to social pressures to fit in. Most of the students (11) made the decision during their high school years. A supportive network of peers and high parental expectations helped solidify the decision to abstain throughout high school. The transition period into college and the development of a social network is the most difficult time to be an abstainer, since most social activities revolve around drinking. The meaning they gave to their experience on campus was that it is more difficult to develop a social network as an abstainer, but the relationships are deeper and more genuine than those developed over nights of drinking. Conclusions: The choice to abstain from drinking is often made during high school and maintained through social support. The transition into college and the lack of a social network is a tenuous period during which the decision to abstain is challenged. University administrators need to look into alternative ways in which new students can develop their social network where drinking is not the primary focus.

[pt] O nascimento de um bebê com síndrome de Down, sem diagnóstico prénatal, configura um momento potencialmente traumático para seus pais. Este acontecimento intervém no exercício da parentalidade, sobretudo quando esta se inaugura neste contexto. Investigamos a importância do preparo das equipes de saúde em lidar com esta experiência e, assim, propiciar a emergência do apego e dos vínculos entre o bebê e os pais. Para tal empreendimento estudamos as relações pais-bebê pelo prisma de diversas teorias, iniciando com a teoria do apego de John Bowlby, passando pelo eu-pele de Didier Anzieu e finalizando com Freud, Winnicott e Bion. Abordamos, ainda, o tema da construção da parentalidade com o bebê portador da síndrome de Down e as suas especificidades: o luto pelo bebê ideal, o narcisimo ferido dos pais e as vicissitudes do trauma. Exploramos o dispositivo de estimulação precoce e introduzimos possíveis contribuições do campo da psicanálise e da psicoterapia da relação pais-bebê. Pesquisamos este universo através de um estudo de campo, realizando entrevistas semi-estruturadas com pais e profissionais da área. Das análises do discurso dos sujeitos, cinco categorias emergiram: o momento da notícia, o luto, a formação dos laços afetivos, a síndrome de Down e a estimulação precoce. Estas categorias foram discutidas em profundidade, a partir dos capítulos teóricos. Constatamos que os profissionais dos centros obstétricos que comunicam aos pais o diagnóstico do filho e os terapeutas quando realizam a estimulação precoce do bebê, em geral, não consideram os aspectos relacionais entre os membros do conjunto pais-bebê-profissionais como parte do próprio trabalho, e isto, além de gerar diversos impasses nas maternidade e nos centros de estimulação precoce, não contribui para a elaboração do luto pelo bebê ideal por parte dos pais, nem para o acionamento do potencial maturativo do bebê e do seu advento como sujeito. Inovamos, ao propor, então, um deslocamento da estimulação precoce do bebê ao acolhimento precoce da família. / [en] The birth of a child with Down syndrome without a prenatal diagnosis configures a potentially traumatic moment for parents. This event affects the exercise of parenthood, especially when the later is inaugurated in this context. We researched the importance of the preparation of health teams in dealing with this experience and, therefore, in fostering attachment and bonds between infant and parents. For such project, we studied the parents-baby relationships trough the prism of several theories, starting with John Bowlby´s attachment theory, passing trough the skin ego from Didier Anzieu and finalizing with Freud, Winnicott and Bion. We approached also the theme of the parenthood construction with a baby with Down syndrome and its specificities: the mourning for the ideal baby, the parents´ hurt narcissism and the trauma vicissitudes. We explored the early intervention device and introduced possible contributions from the psychoanalysis field and from the infant-parent psychotherapy. We researched this universe through a field study, performing semi-structured interviews with parents and professionals from this sector. From the analysis of the speeches of these subjects five categories were raised: the moment of breaking the news, the mourning, the formation of affective bonds, the Down syndrome and the early intervention. These categories were discussed in depth at the theory chapters. We noted that the professionals from obstetrician centers that communicate the child diagnosis to the parents and the therapists when performing early intervention in the baby, in general, do not consider the relationships aspects of the parent-infant-professionals group as part of their own work, and this situation, besides generating several roadblocks at the maternity centers and at the early intervention centers, do not contribute to the elaboration of the parents´ mourning of the ideal baby, as well as to driving the maturational potential of the infant and its advent as subject. We innovated, when proposing a displacement of the early intervention of the infant to the early family welcome.