case study of family

Fundamentals of case study research in family medicine and community health

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Michael D Fetters 2

The aim of this article is to introduce family medicine researchers to case study research, a rigorous research methodology commonly used in the social and health sciences and only distantly related to clinical case reports. The article begins with an overview of case study in the social and health sciences, including its definition, potential applications, historical background and core features. This is followed by a 10-step description of the process of conducting a case study project illustrated using a case study conducted about a teaching programme executed to teach international family medicine resident learners sensitive examination skills. Steps for conducting a case study include (1) conducting a literature review; (2) formulating the research questions; (3) ensuring that a case study is appropriate; (4) determining the type of case study design; (5) defining boundaries of the case(s) and selecting the case(s); (6) preparing for data collection; (7) collecting and organising the data; (8) analysing the data; (9) writing the case study report; and (10) appraising the quality. Case study research is a highly flexible and powerful research tool available to family medicine researchers for a variety of applications.

• Significance statement

Given their potential for answering ‘how’ and ‘why’ questions about complex issues in their natural setting, case study designs are being increasingly used in the health sciences. Conducting a case study can, however, be a complex task because of the possibility of combining multiple methods and the need to choose between different types of case study designs. In order to introduce family medicine and community health researchers to the fundamentals of case study research, this article reviews its definition, potential applications, historical background and main characteristics. It follows on with a practical, step-by-step description of the case study process that will be useful to researchers interested in implementing this research design in their own practice.

• Introduction

This article provides family medicine and community health researchers a concise resource to conduct case study research. The article opens with an overview of case study in the social and health sciences, including its definition, potential applications, historical background and core features. This is followed by a 10-step description of the process of conducting a case study project, as described in the literature. These steps are illustrated using a case study about a teaching programme executed to teach international medical learners sensitive examination skills. The article ends with recommendations of useful articles and textbooks on case study research.

• Origins of case study research

Case study is a research design that involves an intensive and holistic examination of a contemporary phenomenon in a real-life setting. 1–3 It uses a variety of methods and multiple data sources to explore, describe or explain a single case bounded in time and place (ie, an event, individual, group, organisation or programme). A distinctive feature of case study is its focus on the particular characteristics of the case being studied and the contextual aspects, relationships and processes influencing it. 4 Here we do not include clinical case reports as these are beyond the scope of this article. While distantly related to clinical case reports commonly used to report unusual clinical case presentations or findings, case study is a research approach that is frequently used in the social sciences and health sciences. In contrast to other research designs, such as surveys or experiments, a key strength of case study is that it allows the researcher to adopt a holistic approach—rather than an isolated approach—to the study of social phenomena. As argued by Yin, 3 case studies are particularly suitable for answering ‘how’ research questions (ie, how a treatment was received) as well as ‘why’ research questions (ie, why the treatment produced the observed outcomes).

Given its potential for understanding complex processes as they occur in their natural setting, case study increasingly is used in a wide range of health-related disciplines and fields, including medicine, 5 nursing, 6 health services research 1 and health communication. 7 With regard to clinical practice and research, a number of authors 1 5 8 have highlighted how insights gained from case study designs can be used to describe patients’ experiences regarding care, explore health professionals’ perceptions regarding a policy change, and understand why medical treatments and complex interventions succeed or fail.

In anthropology and sociology, case study as a research design was introduced as a response to the prevailing view of quantitative research as the primary way of undertaking research. 9 From its beginnings, social scientists saw case study as a method to obtain comprehensive accounts of social phenomena from participants. In addition, it could complement the findings of survey research. Between the 1920s and 1960s, case study became the predominant research approach among the members of the Department of Sociology of the University of Chicago, widely known as ‘The Chicago School’. 10 11 During this period, prominent sociologists, such as Florian Znaniecki, William Thomas, Everett C Hughes and Howard S Becker, undertook a series of innovative case studies (including classical works such as The Polish peasant in Europe and America or Boys in White ), which laid the foundations of case study designs as implemented today.

In the 1970s, case study increasingly was adopted in the USA and UK in applied disciplines and fields, such as education, programme evaluation and public policy research. 12 As a response to the limitations of quasi-experimental designs for undertaking comprehensive programme evaluations, researchers in these disciplines saw in case studies—either alone or in combination with experimental designs—an opportunity to gain additional insights into the outcomes of programme implementation. In the mid-1980s and early 1990s, the case study approach became recognised as having its own ‘logic of design’ (p46). 13 This period coincides with the publication of a considerable number of influential articles 14–16 and textbooks 4 17 18 on case study research.

These publications were instrumental in shaping contemporary case study practice, yet they reflected divergent views about the nature of case study, including how it should be defined, designed and implemented (see Yazan 19 for a comparison of the perspectives of Yin, Merriam and Stake, three leading case study methodologists). What these publications have in common is that case study revolves around four key features.

First, case study examines a specific phenomenon in detail by performing an indepth and intensive analysis of the selected case. The rationale for case study designs, rather than more expansive designs such as surveys, is that the researcher is interested in investigating the particularity of a case, that is, the unique attributes that define an event, individual, group, organisation or programme. 2 Second, case study is conducted in natural settings where people meet, interact and change their perceptions over time. The use of the case study design is a choice in favour of ‘maintaining the naturalness of the research situation and the natural course of events’ (p177). 20

Third, case study assumes that a case under investigation is entangled with the context in which it is embedded. This context entails a number of interconnected processes that cannot be disassociated from the case, but rather are part of the study. The case study researcher is interested in understanding how and why such processes take place and, consequently, uncovering the interactions between a case and its context. Research questions concerning how and why phenomena occur are particularly appropriate in case study research. 3

Fourth, case study encourages the researcher to use a variety of methods and data types in a single study. 20 21 These can be solely qualitative, solely quantitative or a mixture of both. The latter option allows the researcher to gain a more comprehensive understanding of the case and improve the accuracy of the findings. The four above-mentioned key features of case study are shown in table 1 , using the example of a mixed methods case study evaluation. 22

There are many potential applications for case study research. While often misconstrued as having only an exploratory role, case study research can be used for descriptive and explanatory research (p7–9). 3 Family medicine and community health researchers can use case study research for evaluating a variety of educational programmes, clinical programmes or community programmes.

• Case study illustration from family medicine

In the featured study, Japanese family medicine residents received standardised patient instructor-based training in female breast, pelvic, male genital and prostate examinations as part of an international training collaboration to launch a new family medicine residency programme. 22 From family medicine residents, trainers and staff, the authors collected and analysed data from post-training feedback, semistructured interviews and a web-based questionnaire. While the programme was perceived favourably, they noted barriers to reinforcement in their home training programme, and taboos regarding gender-specific healthcare appear as barriers to implementing a similar programme in the home institution.

• A step-by-step description of the process of carrying out a case study

As shown in table 2 and illustrated using the article by Shultz et al , 22 case study research generally includes 10 steps. While commonly conducted in this order, the steps do not always occur linearly as data collection and analysis may occur over several iterations or implemented with a slightly different order.

Step 1. Conduct a literature review

During the literature review, researchers systematically search for publications, select those most relevant to the study’s purpose, critically appraise them and summarise the major themes. The literature review helps researchers ascertain what is and is not known about the phenomenon under study, delineate the scope and research questions of the study, and develop an academic or practical justification for the study. 23

Step 2. Formulate the research questions

Research questions critically define in operational terms what will be researched and how. They focus the study and play a key role in guiding design decisions. Key decisions include the case selection and choice of a case study design most suitable for the study. According to Fraenkel et al , 24 the key attributes of good research questions are (1) feasibility, (2) clarity, (3) significance, (4) connection to previous research identified in the literature and (5) compliance with ethical research standards.

Step 3. Ensure that a case study is appropriate

Before commencing the study, researchers should ensure that case study design embodies the most appropriate strategy for answering the study questions. The above-noted four key features—in depth examination of phenomena, naturalness, a focus on context and the use of a combination of methods—should be reflected in the research questions as well as subsequent design decisions.

Step 4. Determine the type of case study design

Researchers need to choose a specific case study design. Sometimes, researchers may define the case first (step 5), for example, in a programme evaluation, and the case may need to be defined before determining the type. Yin’s 3 typology is based on two dimensions, whether the study will examine a single case or multiple cases, and whether the study will focus on a single or multiple units of analysis. Figure 1 illustrates these four types of design using a hypothetical example of a programme evaluation. Table 3 shows an example of each type from the literature.

Types of case study designs. 3 21

In type 1 holistic single case design , researchers examine a single programme as the sole unit of analysis. In type 2 embedded single case design , the interest is not exclusively in the programme, but also in its different subunits, including sites, staff and participants. These subunits constitute the range of units of analysis. In type 3 holistic multiple case design , researchers conduct a within and cross-case comparison of two or more programmes, each of which constitutes a single unit of analysis. A major strength of multiple case designs is that they enable researchers to develop an in depth description of each case and to identify patterns of variation and similarity between the cases. Multiple case designs are likely to have stronger internal validity and generate more insightful findings than single case designs. They do this by allowing ‘examination of processes and outcomes across many cases, identification of how individual cases might be affected by different environments, and the specific conditions under which a finding may occur’ (p583). 25 In type 4 embedded multiple case design , a variant of the holistic multiple case design, researchers perform a detailed examination of the subunits of each programme, rather than just examining each case as a whole.

Step 5. Define the boundaries of the case(s) and select the case(s)

Miles et al 26 define a case as ‘a phenomenon of some sort occurring in a bounded context’ (p28). What is and is not the case and how the case fits within its broader context should be explicitly defined. As noted in step 4, this step may occur before choice of the case study type, and the process may actually occur in a back-and-forth fashion. A case can entail an individual, a group, an organisation, an institution or a programme. In this step, researchers delineate the spatial and temporal boundaries of the case, that is, ‘when and where it occurred, and when and what was of interest’ (p390). 9 Aside from ensuring the coherence and consistency of the study, bounding the case ensures that the planned research project is feasible in terms of time and resources. Having access to the case and ensuring ethical research practice are two central considerations in case selection. 1

Step 6. Prepare to collect data

Before beginning the data collection, researchers need a study protocol that describes in detail the methods of data collection. The protocol should emphasise the coherence between the data collection methods and the research questions. According to Yin, 3 a case study protocol should include (1) an overview of the case study, (2) data collection procedures, (3) data collection questions and (4) a guide for the case study report. The protocol should be sufficiently flexible to allow researchers to make changes depending on the context and specific circumstances surrounding each data collection method.

Step 7. Collect and organise the data

While case study is often portrayed as a qualitative approach to research (eg, interviews, focus groups or observations), case study designs frequently rely on multiple data sources, including quantitative data (eg, surveys or statistical databases). A growing number of authors highlight the ways in which the use of mixed methods within case study designs might contribute to developing ‘a more complete understanding of the case’ (p902), 21 shedding light on ‘the complexity of a case’ (p118) 27 or increasing ‘the internal validity of a study’ (p6). 1 Guetterman and Fetters 21 explain how a qualitative case study can also be nested within a mixed methods design (ie, be considered the qualitative component of the design). An interesting strategy for organising multiple data sources is suggested by Yin. 3 He recommends using a case study database in which different data sources (eg, audio files, notes, documents or photographs) are stored for later retrieval or inspection. See guidance from Creswell and Hirose 28 for conducting a survey and qualitative data collection in mixed methods and DeJonckheere 29 on semistructured interviewing.

Step 8. Analyse the data

Bernard and Ryan 30 define data analysis as ‘the search for patterns in data and for ideas that help explain why these patterns are there in the first place’ (p109). Depending on the case study design, analysis of the qualitative and quantitative data can be done concurrently or sequentially. For the qualitative data, the first step of the analysis involves segmenting the data into coding units, ascribing codes to data segments and organising the codes in a coding scheme. 31 Depending on the role of theory in the study, an inductive, data-driven approach can be used where meaning is found in the data, or a deductive, concept-driven approach can be adopted where predefined concepts derived from the literature, or previous research, are used to code the data. 32 The second step involves searching for patterns across codes and subsets of respondents, so major themes are identified to describe, explain or predict the phenomenon under study. Babchuk 33 provides a step-by-step guidance for qualitative analysis in this issue. When conducting a single case study, the within-case analysis yields an in depth, thick description of the case. When the study involves multiple cases, the cross-comparison analysis elicits a description of similarities and divergence between cases and may generate explanations and theoretical predictions regarding other cases. 26

For the quantitative part of the case study, data are entered in statistical software packages for conducting descriptive or inferential analysis. Guetterman 34 provides a step-by-step guidance on basic statistics. In case study designs where both data strands are analysed simultaneously, analytical techniques include pattern matching, explanation building, time-series analysis and creating logic models (p142–167). 3

Step 9. Write the case study report

The case study report should have the following three characteristics. First, the description of the case and its context should be sufficiently comprehensive to allow the reader to understand the complexity of the phenomena under study. 35 Second, the data should be presented in a concise and transparent manner to enable the reader to question, or to re-examine, the findings. 36 Third, the report should be adapted to the interests and needs of its primary audience or audiences (eg, academics, practitioners, policy-makers or funders of research). Yin 3 suggests six formats for organising case study reports, namely linear-analytic, comparative, chronological, theory building, suspense and unsequenced structures. To facilitate case transferability and applicability to other similar contexts, the case study report must include a detailed description of the case.

Step 10. Appraise quality

Although presented as the final step of the case study process, quality appraisal should be considered throughout the study. Multiple criteria and frameworks for appraising the quality of case study research have been suggested in the literature. Yin 3 suggests the following four criteria: construct validity (ie, the extent to which a study accurately measures the concepts that it claims to investigate), internal validity (ie, the strength of the relationship between variables and findings), external validity (ie, the extent to which the findings can be generalised) and reliability (ie, the extent to which the findings can be replicated by other researchers conducting the same study). Yin 37 also suggests using two separate sets of guidelines for conducting case study research and for appraising the quality of case study proposals. Stake 4 presents a 20-item checklist for critiquing case study reports, and Creswell and Poth 38 and Denscombe 39 outline a number of questions to consider. Since these quality frameworks have evolved from different disciplinary and philosophical backgrounds, the researcher’s approach should be coherent with the epistemology of the study. Figure 2 provides a quality appraisal checklist adapted from Creswell and Poth 38 and Denscombe. 39

Checklist for evaluating the quality of a case study. 38 39

The challenges to conducting case study research include rationalising the literature based on literature review, writing the research questions, determining how to bound the case, and choosing among various case study purposes and designs. Factors held in common with other methods include analysing and presenting the findings, particularly with multiple data sources.

Other resources

Resources with more in depth guidance on case study research include Merriam, 17 Stake 4 and Yin. 3 While each reflects a different perspective on case study research, they all provide useful guidance for designing and conducting case studies. Other resources include Creswell and Poth, 38 Swanborn 2 and Tight. 40 For mixed methods case study designs, Creswell and Clark, 27 Guetterman and Fetters, 21 Luck et al , 6 and Plano Clark et al 41 provide guidance. Byrne and Ragin’s 42 The SAGE Handbook of Case-Based Methods and Mills et al ’s 43 Encyclopedia of case study research provide guidance for experienced case study researchers.

• Conclusions

Family medicine and community health researchers engage in a wide variety of clinical, educational, research and administrative programmes. Case study research provides a highly flexible and powerful research tool to evaluate rigorously many of these endeavours and disseminate this information.

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What Is a Case Study?

Weighing the pros and cons of this method of research

Verywell / Colleen Tighe

• Pros and Cons

What Types of Case Studies Are Out There?

Where do you find data for a case study, how do i write a psychology case study.

A case study is an in-depth study of one person, group, or event. In a case study, nearly every aspect of the subject's life and history is analyzed to seek patterns and causes of behavior. Case studies can be used in many different fields, including psychology, medicine, education, anthropology, political science, and social work.

The point of a case study is to learn as much as possible about an individual or group so that the information can be generalized to many others. Unfortunately, case studies tend to be highly subjective, and it is sometimes difficult to generalize results to a larger population.

While case studies focus on a single individual or group, they follow a format similar to other types of psychology writing. If you are writing a case study, we got you—here are some rules of APA format to reference.  

At a Glance

A case study, or an in-depth study of a person, group, or event, can be a useful research tool when used wisely. In many cases, case studies are best used in situations where it would be difficult or impossible for you to conduct an experiment. They are helpful for looking at unique situations and allow researchers to gather a lot of˜ information about a specific individual or group of people. However, it's important to be cautious of any bias we draw from them as they are highly subjective.

What Are the Benefits and Limitations of Case Studies?

A case study can have its strengths and weaknesses. Researchers must consider these pros and cons before deciding if this type of study is appropriate for their needs.

One of the greatest advantages of a case study is that it allows researchers to investigate things that are often difficult or impossible to replicate in a lab. Some other benefits of a case study:

• Allows researchers to capture information on the 'how,' 'what,' and 'why,' of something that's implemented
• Gives researchers the chance to collect information on why one strategy might be chosen over another
• Permits researchers to develop hypotheses that can be explored in experimental research

On the other hand, a case study can have some drawbacks:

• It cannot necessarily be generalized to the larger population
• Cannot demonstrate cause and effect
• It may not be scientifically rigorous
• It can lead to bias

Researchers may choose to perform a case study if they want to explore a unique or recently discovered phenomenon. Through their insights, researchers develop additional ideas and study questions that might be explored in future studies.

It's important to remember that the insights from case studies cannot be used to determine cause-and-effect relationships between variables. However, case studies may be used to develop hypotheses that can then be addressed in experimental research.

Case Study Examples

There have been a number of notable case studies in the history of psychology. Much of  Freud's work and theories were developed through individual case studies. Some great examples of case studies in psychology include:

• Anna O : Anna O. was a pseudonym of a woman named Bertha Pappenheim, a patient of a physician named Josef Breuer. While she was never a patient of Freud's, Freud and Breuer discussed her case extensively. The woman was experiencing symptoms of a condition that was then known as hysteria and found that talking about her problems helped relieve her symptoms. Her case played an important part in the development of talk therapy as an approach to mental health treatment.
• Phineas Gage : Phineas Gage was a railroad employee who experienced a terrible accident in which an explosion sent a metal rod through his skull, damaging important portions of his brain. Gage recovered from his accident but was left with serious changes in both personality and behavior.
• Genie : Genie was a young girl subjected to horrific abuse and isolation. The case study of Genie allowed researchers to study whether language learning was possible, even after missing critical periods for language development. Her case also served as an example of how scientific research may interfere with treatment and lead to further abuse of vulnerable individuals.

Such cases demonstrate how case research can be used to study things that researchers could not replicate in experimental settings. In Genie's case, her horrific abuse denied her the opportunity to learn a language at critical points in her development.

This is clearly not something researchers could ethically replicate, but conducting a case study on Genie allowed researchers to study phenomena that are otherwise impossible to reproduce.

There are a few different types of case studies that psychologists and other researchers might use:

• Collective case studies : These involve studying a group of individuals. Researchers might study a group of people in a certain setting or look at an entire community. For example, psychologists might explore how access to resources in a community has affected the collective mental well-being of those who live there.
• Descriptive case studies : These involve starting with a descriptive theory. The subjects are then observed, and the information gathered is compared to the pre-existing theory.
• Explanatory case studies : These   are often used to do causal investigations. In other words, researchers are interested in looking at factors that may have caused certain things to occur.
• Exploratory case studies : These are sometimes used as a prelude to further, more in-depth research. This allows researchers to gather more information before developing their research questions and hypotheses .
• Instrumental case studies : These occur when the individual or group allows researchers to understand more than what is initially obvious to observers.
• Intrinsic case studies : This type of case study is when the researcher has a personal interest in the case. Jean Piaget's observations of his own children are good examples of how an intrinsic case study can contribute to the development of a psychological theory.

The three main case study types often used are intrinsic, instrumental, and collective. Intrinsic case studies are useful for learning about unique cases. Instrumental case studies help look at an individual to learn more about a broader issue. A collective case study can be useful for looking at several cases simultaneously.

The type of case study that psychology researchers use depends on the unique characteristics of the situation and the case itself.

There are a number of different sources and methods that researchers can use to gather information about an individual or group. Six major sources that have been identified by researchers are:

• Archival records : Census records, survey records, and name lists are examples of archival records.
• Direct observation : This strategy involves observing the subject, often in a natural setting . While an individual observer is sometimes used, it is more common to utilize a group of observers.
• Documents : Letters, newspaper articles, administrative records, etc., are the types of documents often used as sources.
• Interviews : Interviews are one of the most important methods for gathering information in case studies. An interview can involve structured survey questions or more open-ended questions.
• Participant observation : When the researcher serves as a participant in events and observes the actions and outcomes, it is called participant observation.
• Physical artifacts : Tools, objects, instruments, and other artifacts are often observed during a direct observation of the subject.

If you have been directed to write a case study for a psychology course, be sure to check with your instructor for any specific guidelines you need to follow. If you are writing your case study for a professional publication, check with the publisher for their specific guidelines for submitting a case study.

Here is a general outline of what should be included in a case study.

Section 1: A Case History

This section will have the following structure and content:

Background information : The first section of your paper will present your client's background. Include factors such as age, gender, work, health status, family mental health history, family and social relationships, drug and alcohol history, life difficulties, goals, and coping skills and weaknesses.

Description of the presenting problem : In the next section of your case study, you will describe the problem or symptoms that the client presented with.

Describe any physical, emotional, or sensory symptoms reported by the client. Thoughts, feelings, and perceptions related to the symptoms should also be noted. Any screening or diagnostic assessments that are used should also be described in detail and all scores reported.

Your diagnosis : Provide your diagnosis and give the appropriate Diagnostic and Statistical Manual code. Explain how you reached your diagnosis, how the client's symptoms fit the diagnostic criteria for the disorder(s), or any possible difficulties in reaching a diagnosis.

Section 2: Treatment Plan

This portion of the paper will address the chosen treatment for the condition. This might also include the theoretical basis for the chosen treatment or any other evidence that might exist to support why this approach was chosen.

• Cognitive behavioral approach : Explain how a cognitive behavioral therapist would approach treatment. Offer background information on cognitive behavioral therapy and describe the treatment sessions, client response, and outcome of this type of treatment. Make note of any difficulties or successes encountered by your client during treatment.
• Humanistic approach : Describe a humanistic approach that could be used to treat your client, such as client-centered therapy . Provide information on the type of treatment you chose, the client's reaction to the treatment, and the end result of this approach. Explain why the treatment was successful or unsuccessful.
• Psychoanalytic approach : Describe how a psychoanalytic therapist would view the client's problem. Provide some background on the psychoanalytic approach and cite relevant references. Explain how psychoanalytic therapy would be used to treat the client, how the client would respond to therapy, and the effectiveness of this treatment approach.
• Pharmacological approach : If treatment primarily involves the use of medications, explain which medications were used and why. Provide background on the effectiveness of these medications and how monotherapy may compare with an approach that combines medications with therapy or other treatments.

This section of a case study should also include information about the treatment goals, process, and outcomes.

When you are writing a case study, you should also include a section where you discuss the case study itself, including the strengths and limitiations of the study. You should note how the findings of your case study might support previous research. 

In your discussion section, you should also describe some of the implications of your case study. What ideas or findings might require further exploration? How might researchers go about exploring some of these questions in additional studies?

Need More Tips?

Here are a few additional pointers to keep in mind when formatting your case study:

• Never refer to the subject of your case study as "the client." Instead, use their name or a pseudonym.
• Read examples of case studies to gain an idea about the style and format.
• Remember to use APA format when citing references .

Crowe S, Cresswell K, Robertson A, Huby G, Avery A, Sheikh A. The case study approach .  BMC Med Res Methodol . 2011;11:100.

Crowe S, Cresswell K, Robertson A, Huby G, Avery A, Sheikh A. The case study approach . BMC Med Res Methodol . 2011 Jun 27;11:100. doi:10.1186/1471-2288-11-100

Gagnon, Yves-Chantal.  The Case Study as Research Method: A Practical Handbook . Canada, Chicago Review Press Incorporated DBA Independent Pub Group, 2010.

Yin, Robert K. Case Study Research and Applications: Design and Methods . United States, SAGE Publications, 2017.

By Kendra Cherry, MSEd Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

• Interactive Cases

The Sanchez Family

The Sanchez family is a large extended family living in a largely Latinx community in the Midwest. You are their social worker, having just been hired at the local social service agency where Mrs. Sanchez sought assistance in her search for health care for her nephew. You begin your work building a relationship with Mrs. Sanchez, who is already known to some of your coworkers, at least vaguely, due to her membership in the Catholic Church and the family’s participation, at earlier points, in some of the recreation and community activities the organization facilitates. Now, your job is to provide a psychosocial assessment, develop a case plan, and then execute that plan. This is a complex case that will require you to apply everything you are learning in your social work program! To get started, begin where all social work begins—by learning more about those you’ll be serving.

For Instructors

This case illustrates the concept of systems theory and helps students approach the phases of the helping process with a particular family whose experiences are shaped by their cultural identities, community context, and policy landscape. Students exploring this case will gain a glimpse into the complexity of families and the ethics, values, and skills of anti-racist social work practice. While instructors should emphasize that all cases necessarily incorporate composite sketches of multidimensional individuals and their intersecting social identities, you can trust that this case was carefully drawn from deep practice experience in Latinx communities and among mixed-status Latinx households. Instructors have successfully used the Sanchez Family case in practice classes, to introduce social work as a broad and nimble profession, and in policy study, where students can consider reforms that would better meet the needs of the members of the Sanchez family. The elements layered into the case, including the photos of members of the Sanchez family, map of their community, ecomap (to which students are encouraged, at multiple points, to add additional resources), and family genogram, help students to immerse themselves in the case, thereby transcending a mere ‘scenario’, as a vehicle for transformative teaching.

To round out the materials provided in the case, you are encouraged to use the case to catalyze other discussions with your students as well. For example:

• How does the town map highlight the importance of geography to social work?
• How is the genogram helpful? How might different members of the Sanchez family view their family system differently?
• As they work the case, what are the ethical issues that arise?
• How would approaching the Sanchez family from an explicitly anti-racist perspective change the practice experience?
• How will/did they measure success?
• How might the social worker’s own identities affect the experience of working with the Sanchez family? What lessons can students pull from these insights to inform their work with other clients?
• How did working this case increase their understanding of the biopsychosocial/spiritual underpinnings of practice?

My Goals For This Case

Become acquainted with the individual members of the family and learn about the family's dynamics.

Learn how the larger social environment—culture, social policy, and social forces—affects their individual lives.

Develop your problem-solving skills through a four-phase interventive process: Engage, Assess, Intervene, and Evaluate.

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© 2016 Presidents and Fellows of Harvard College Published by Harvard Family Research Project

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Article contents

Family, culture, and communication.

• V. Santiago Arias V. Santiago Arias College of Media and Communication, Texas Tech University
• , and  Narissra Maria Punyanunt-Carter Narissra Maria Punyanunt-Carter College of Media and Communication, Texas Tech University
• https://doi.org/10.1093/acrefore/9780190228613.013.504
• Published online: 22 August 2017

Through the years, the concept of family has been studied by family therapists, psychology scholars, and sociologists with a diverse theoretical framework, such as family communication patterns (FCP) theory, dyadic power theory, conflict, and family systems theory. Among these theories, there are two main commonalities throughout its findings: the interparental relationship is the core interaction in the familial system because the quality of their communication or coparenting significantly affects the enactment of the caregiver role while managing conflicts, which are not the exception in the familial setting. Coparenting is understood in its broader sense to avoid an extensive discussion of all type of families in our society. Second, while including the main goal of parenting, which is the socialization of values, this process intrinsically suggests cultural assimilation as the main cultural approach rather than intergroup theory, because intercultural marriages need to decide which values are considered the best to be socialized. In order to do so, examples from the Thai culture and Hispanic and Latino cultures served to show cultural assimilation as an important mediator of coparenting communication patterns, which subsequently affect other subsystems that influence individuals’ identity and self-esteem development in the long run. Finally, future directions suggest that the need for incorporating a nonhegemonic one-way definition of cultural assimilation allows immigration status to be brought into the discussion of family communication issues in the context of one of the most diverse countries in the world.

• parental communication
• dyadic power
• family communication systems
• cultural assimilation

Introduction

Family is the fundamental structure of every society because, among other functions, this social institution provides individuals, from birth until adulthood, membership and sense of belonging, economic support, nurturance, education, and socialization (Canary & Canary, 2013 ). As a consequence, the strut of its social role consists of operating as a system in a manner that would benefit all members of a family while achieving what is considered best, where decisions tend to be coherent, at least according to the norms and roles assumed by family members within the system (Galvin, Bylund, & Brommel, 2004 ). Notwithstanding, the concept of family can be interpreted differently by individual perceptions to an array of cultural backgrounds, and cultures vary in their values, behaviors, and ideas.

The difficulty of conceptualizing this social institution suggests that family is a culture-bound phenomenon (Bales & Parsons, 2014 ). In essence, culture represents how people view themselves as part of a unique social collective and the ensuing communication interactions (Olaniran & Roach, 1994 ); subsequently, culture provides norms for behavior having a tremendous impact on those family members’ roles and power dynamics mirrored in its communication interactions (Johnson, Radesky, & Zuckerman, 2013 ). Thus, culture serves as one of the main macroframeworks for individuals to interpret and enact those prescriptions, such as inheritance; descent rules (e.g., bilateral, as in the United States, or patrilineal); marriage customs, such as ideal monogamy and divorce; and beliefs about sexuality, gender, and patterns of household formation, such as structure of authority and power (Weisner, 2014 ). For these reasons, “every family is both a unique microcosm and a product of a larger cultural context” (Johnson et al., 2013 , p. 632), and the analysis of family communication must include culture in order to elucidate effective communication strategies to solve familial conflicts.

In addition, to analyze familial communication patterns, it is important to address the most influential interaction with regard to power dynamics that determine the overall quality of family functioning. In this sense, within the range of family theories, parenting function is the core relationship in terms of power dynamics. Parenting refers to all efforts and decisions made by parents individually to guide their children’s behavior. This is a pivotal function, but the quality of communication among people who perform parenting is fundamental because their internal communication patterns will either support or undermine each caregiver’s parenting attempts, individually having a substantial influence on all members’ psychological and physical well-being (Schrodt & Shimkowski, 2013 ). Subsequently, parenting goes along with communication because to execute all parenting efforts, there must be a mutual agreement among at least two individuals to conjointly take care of the child’s fostering (Van Egeren & Hawkins, 2004 ). Consequently, coparenting serves as a crucial predictor of the overall family atmosphere and interactions, and it deserves special attention while analyzing family communication issues.

Through the years, family has been studied by family therapists, psychology scholars, and sociologists, but interaction behaviors define the interpersonal relationship, roles, and power within the family as a system (Rogers, 2006 ). Consequently, family scholarship relies on a wide range of theories developed within the communication field and in areas of the social sciences (Galvin, Braithwaite, & Bylund, 2015 ) because analysis of communication patterns in the familial context offers more ecological validity that individuals’ self-report measures. As many types of interactions may happen within a family, there are many relevant venues (i.e., theories) for scholarly analysis on this subject, which will be discussed later in this article in the “ Family: Theoretical Perspectives ” section. To avoid the risk of cultural relativeness while defining family, this article characterizes family as “a long-term group of two or more people related through biological, legal, or equivalent ties and who enact those ties through ongoing interactions providing instrumental and/or emotional support” (Canary & Canary, 2013 , p. 5).

Therefore, the purpose of this article is to provide an overview of the most relevant theories in family communication to identify frustrations and limitations with internal communication. Second, as a case in point, the United States welcomes more than 50 million noncitizens as temporary visitors and admits approximately 1 million immigrants to live as lawful residents yearly (Fullerton, 2014 ), this demographic pattern means that nearly one-third of the population (102 million) comes from different cultural backgrounds, and therefore, the present review will incorporate culture as an important mediator for coparenting, so that future research can be performed to find specific techniques and training practices that are more suitable for cross-cultural contexts.

Family: Theoretical Perspectives

Even though the concept of family can be interpreted individually and differently in different cultures, there are also some commonalities, along with communication processes, specific roles within families, and acceptable habits of interactions with specific family members disregarding cultural differences. This section will provide a brief overview of the conceptualization of family through the family communication patterns (FCP) theory, dyadic power theory, conflict, and family systems theory, with a special focus on the interparental relationship.

Family Communication Patterns Theory

One of the most relevant approaches to address the myriad of communication issues within families is the family communication patterns (FCP) theory. Originally developed by McLeod and Chaffee ( 1973 ), this theory aims to understand families’ tendencies to create stable and predictable communication patterns in terms of both relational cognition and interpersonal behavior (Braithwaite & Baxter, 2005 ). Specifically, this theory focuses on the unique and amalgamated associations derived from interparental communication and its impact on parenting quality to determine FCPs and the remaining interactions (Young & Schrodt, 2016 ).

To illustrate FCP’s focus on parental communication, Schrodt, Witt, and Shimkowski ( 2014 ) conducted a meta-analysis of 74 studies (N = 14,255) to examine the associations between the demand/withdraw family communication patterns of interaction, and the subsequent individual, relational, and communicative outcomes. The cumulative evidence suggests that wife demand/husband withdraw and husband demand/wife withdraw show similar moderate correlations with communicative and psychological well-being outcomes, and even higher when both patterns are taken together (at the relational level). This is important because one of the main tenets of FCP is that familial relationships are drawn on the pursuit of coorientation among members. Coorientation refers to the cognitive process of two or more individuals focusing on and assessing the same object in the same material and social context, which leads to a number of cognitions as the number of people involved, which results in different levels of agreement, accuracy, and congruence (for a review, see Fitzpatrick & Koerner, 2005 ); for example, in dyads that are aware of their shared focus, two different cognitions of the same issue will result.

Hereafter, the way in which these cognitions are socialized through power dynamics determined socially and culturally by roles constitutes specific interdependent communication patterns among family members. For example, Koerner and Fitzpatrick ( 2006 ) provide a taxonomy of family types on the basis of coorientation and its impact on communication pattern in terms of the degree of conformity in those conversational tendencies. To wit, consensual families mostly agree for the sake of the hierarchy within a given family and to explore new points of view; pluralistic families allow members to participate equally in conversations and there is no pressure to control or make children’s decisions; protective families maintain the hierarchy by making decisions for the sake of achieving common family goals; and laissez-faire families, which are low in conversation and conformity orientation, allow family members to not get deeply involved in the family.

The analysis of family communication patterns is quintessential for family communication scholarly work because it influences forming an individual’s self concept in the long run. As a case in point, Young and Schrodt ( 2016 ) surveyed 181 young adults from intact families, where conditional and interaction effects between communication patterns and conformity orientation were observed as the main predictors of future romantic partners. Moreover, this study concluded that FCPs and interparental confirmation are substantial indicators of self-to-partner confirmation, after controlling for reciprocity of confirmation within the romantic relationship. As a consequence, FCP influences children’s and young adults’ perceptions of romantic behavior (e.g., Fowler, Pearson, & Beck, 2010 ); the quality of communication behavior, such as the degree of acceptation of verbal aggression in romantic dyads (e.g., Aloia & Solomon, 2013 ); gender roles; and conflict styles (e.g., Taylor & Segrin, 2010 ), and parental modeling (e.g., Young & Schrodt, 2016 ).

This suggests three important observations. First, family is a very complex interpersonal context, in which communication processes, specific roles within families, and acceptable habits of interactions with specific family members interact as subsystems (see Galvin et al., 2004 ; Schrodt & Shimkowski, 2013 ). Second, among those subsystems, the core interaction is the individuals who hold parenting roles (i.e., intact and post divorced families); the couple (disregarding particular sexual orientations), and, parenting roles have a reciprocal relationship over time (Le, McDaniel, Leavitt, & Feinberg, 2016 ). Communication between parenting partners is crucial for the development of their entire family; for example, Schrodt and Shimkowski ( 2013 ) conducted a survey with 493 young adult children from intact (N = 364) and divorced families (N = 129) about perceptions of interparental conflict that involves triangulation (the impression of being in the “middle” and feeling forced to display loyalty to one of the parents). Results suggest that supportive coparental communication positively predicts relational satisfaction with mothers and fathers, as well as mental health; on the other hand, antagonist and hostile coparental communication predicted negative marital satisfaction.

Consequently, “partners’ communication with one another will have a positive effect on their overall view of their marriage, . . . and directly result[ing in] their views of marital satisfaction” (Knapp & Daly, 2002 , p. 643). Le et al. ( 2016 ) conducted a longitudinal study to evaluate the reciprocal relationship between marital interaction and coparenting from the perspective of both parents in terms of support or undermining across the transition to parenthood from a dyadic perspective; 164 cohabiting heterosexual couples expecting their first child were analyzed from pregnancy until 36 months after birth. Both parents’ interdependence was examined in terms of three variables: gender difference analysis, stability over time in marriage and coparenting, and reciprocal associations between relationship quality and coparenting support or undermining. The findings suggest a long-term reciprocal association between relationship quality and coparenting support or undermining in heterosexual families; the quality of marriage relationship during prenatal stage is highly influential in coparenting after birth for both men and women; but, coparenting is connected to romantic relationship quality only for women.

Moreover, the positive association between coparenting and the parents’ relationship relates to the spillover hypothesis, which posits that the positive or negative factors in the parental subsystem are significantly associated with higher or lower marital satisfaction in the spousal subsystem, respectively. Ergo, overall parenting performance is substantially affected by the quality of marital communication patterns.

Dyadic Power

In addition, after analyzing the impact of marital interaction quality in families on marital satisfaction and future parental modeling, it is worth noting that marital satisfaction and coparenting are importantly mediated by power dynamics within the couple (Halstead, De Santis, & Williams, 2016 ), and even mediates marital commitment (e.g., Lennon, Stewart, & Ledermann, 2013 ). If the quality of interpersonal relationship between those individuals who hold parenting roles determines coparenting quality as well, then the reason for this association lies on the fact that virtually all intimate relationships are substantially characterized by power dynamics; when partners perceive more rewards than costs in the relationship, they will be more satisfied and significantly more committed to the relationship (Lennon et al., 2013 ). As a result, the inclusion of power dynamics in the analysis of family issues becomes quintessential.

For the theory of dyadic power, power in its basic sense includes dominance, control, and influence over others, as well as a means to meet survival needs. When power is integrated into dyadic intimate relationships, it generates asymmetries in terms of interdependence between partners due to the quality of alternatives provided by individual characteristics such as socioeconomic status and cultural characteristics such as gender roles. This virtually gives more power to men than women. Power refers to “the feeling derived from the ability to dominate, or control, the behavior, affect, and cognitions of another person[;] in consequence, this concept within the interparental relationship is enacted when one partner who controls resources and limiting the behavioral options of the other partner” (Lennon et al., 2013 , p. 97). Ergo, this theory examines power in terms of interdependence between members of the relationship: the partner who is more dependent on the other has less power in the relationship, which, of course, directly impact parenting decisions.

As a case in point, Worley and Samp ( 2016 ) examined the balance of decision-making power in the relationship, complaint avoidance, and complaint-related appraisals in 175 heterosexual couples. Findings suggest that decision-making power has a curvilinear association, in which individuals engaged in the least complaint avoidance when they were relatively equal to their partners in terms of power. In other words, perceptions of one another’s power potentially encourage communication efficacy in the interparental couple.

The analysis of power in intimate relationships, and, to be specific, between parents is crucial because it not only relates to marital satisfaction and commitment, but it also it affects parents’ dyadic coping for children. In fact, Zemp, Bodenmann, Backes, Sutter-Stickel, and Revenson ( 2016 ) investigated parents’ dyadic coping as a predictor of children’s internalizing symptoms, externalizing symptoms, and prosocial behavior in three independent studies. When there is a positive relationship among all three factors, the results indicated that the strongest correlation was the first one. Again, the quality of the marital and parental relationships has the strongest influence on children’s coping skills and future well-being.

From the overview of the two previous theories on family, it is worth addressing two important aspects. First, parenting requires an intensive great deal of hands-on physical care, attention to safety (Mooney-Doyle, Deatrick, & Horowitz, 2014 ), and interpretation of cues, and this is why parenting, from conception to when children enter adulthood, is a tremendous social, cultural, and legally prescribed role directed toward caregiving and endlessly attending to individuals’ social, physical, psychological, emotional, and cognitive development (Johnson et al., 2013 ). And while parents are making decisions about what they consider is best for all family members, power dynamics play a crucial role in marital satisfaction, commitment, parental modeling, and overall interparental communication efficacy in the case of postdivorce families. Therefore, the likelihood of conflict is latent within familial interactions while making decisions; indeed, situations in which family members agree on norms as a consensus is rare (Ritchie & Fitzpatrick, 1990 ).

In addition to the interparental and marital power dynamics that delineates family communication patterns, the familial interaction is distinctive from other types of social relationships in the unequaled role of emotions and communication of affection while family members interact and make decisions for the sake of all members. For example, Ritchie and Fitzpatrick ( 1990 ) provided evidence that fathers tended to perceive that all other family members agree with his decisions or ideas. Even when mothers confronted and disagreed with the fathers about the fathers’ decisions or ideas, the men were more likely to believe that their children agreed with him. When the children were interviewed without their parents, however, the majority of children agreed with the mothers rather than the fathers (Ritchie & Fitzpatrick, 1990 ). Subsequently, conflict is highly present in families; however, in general, the presence of conflict is not problematic per se. Rather, it is the ability to manage and recover from it and that could be problematic (Floyd, 2014 ).

One of the reasons for the role of emotions in interpersonal conflicts is explained by the Emotion-in-Relationships Model (ERM). This model states that feelings of bliss, satisfaction, and relaxation often go unnoticed due to the nature of the emotions, whereas “hot” emotions, such as anger and contempt, come to the forefront when directed at a member of an interpersonal relationship (Fletcher & Clark, 2002 ). This type of psychophysical response usually happens perhaps due to the different biophysical reactive response of the body compared to its reaction to positive ones (Floyd, 2014 ). There are two dimensions that define conflict. Conflict leads to the elicitation of emotions, but sometimes the opposite occurs: emotions lead to conflict. The misunderstanding or misinterpretation of emotions among members of a family can be a source of conflict, as well as a number of other issues, including personality differences, past history, substance abuse, mental or physical health problems, monetary issues, children, intimate partner violence, domestic rape, or maybe just general frustration due to recent events (Sabourin, Infante, & Rudd, 1990 ). In order to have a common understanding of this concept for the familial context in particular, conflict refers to as “any incompatibility that can be expressed by people related through biological, legal, or equivalent ties” (Canary & Canary, 2013 , p. 6). Thus, the concept of conflict goes hand in hand with coparenting.

There is a myriad of everyday family activities in which parents need to decide the best way to do them: sometimes they are minor, such as eating, watching TV, or sleeping schedules; others are more complicated, such as schooling. Certainly, while socializing and making these decisions, parents may agree or not, and these everyday situations may lead to conflict. Whether or not parents live together, it has been shown that “the extent to which children experience their parents as partners or opponents in parenting is related to children’s adjustment and well-being” (Gable & Sharp, 2016 , p. 1), because the ontology of parenting is materialized through socialization of values about every aspect and duty among all family members, especially children, to perpetuate a given society.

As the findings provided in this article show, the study of family communication issues is pivotal because the way in which those issues are solved within families will be copied by children as their values. Values are abstract ideas that delineate behavior toward the evaluation of people and events and vary in terms of importance across individuals, but also among cultures. In other words, their future parenting (i.e., parenting modeling) of children will replicate those same strategies for conflict solving for good or bad, depending on whether parents were supportive between each other. Thus, socialization defines the size and scope of coparenting.

The familial socialization of values encompasses the distinction between parents’ personal execution of those social appraisals and the values that parents want their children to adopt, and both are different things; nonetheless, familial socialization does not take place in only one direction, from parents to children. Benish-Weisman, Levy, and Knafo ( 2013 ) investigated the differentiation process—or, in other words, the distinction between parents’ own personal values and their socialization values and the contribution of children’s values to their parents’ socialization values. In this study, in which 603 Israeli adolescents and their parents participated, the findings suggest that parents differentiate between their personal values and their socialization values, and adolescents’ values have a specific contribution to their parents’ socialization values. As a result, socialization is not a unidirectional process affected by parents alone, it is an outcome of the reciprocal interaction between parents and their adolescent children, and the given importance of a given value is mediated by parents and their culture individually (Johnson et al., 2013 ). However, taking power dynamics into account does not mean that adolescents share the same level of decision-making power in the family; thus, socialization take place in both directions, but mostly from parents to children. Finally, it is worth noticing that the socialization of values in coparenting falls under the cultural umbrella. The next section pays a special attention to the role of culture in family communication.

The Role of Culture in Parenting Socialization of Values

There are many individual perceived realities and behaviors in the familial setting that may lead to conflict among members, but all of them achieve a common interpretation through culture; indeed, “all family conflict processes by broad cultural factors” (Canary & Canary, 2013 , p. 46). Subsequently, the goal of this section is to provide an overview of the perceived realities and behaviors that exist in family relationships with different cultural backgrounds. How should one approach the array of cultural values influencing parental communication patterns?

An interesting way of immersing on the role of culture in family communication patterns and its further socialization of values is explored by Schwartz ( 1992 ). The author developed a value system composed of 10 values operationalized as motivational goals for modern society: (a) self-direction (independence of thought and action); (b) stimulation (excitement, challenge, and novelty); (c) hedonism (pleasure or sensuous gratification); (d) achievement (personal success according to social standards); (e) power (social status, dominance over people and resources); (f) conformity (restraint of actions that may harm others or violate social expectations); (g) tradition (respect and commitment to cultural or religious customs and ideas); (h) benevolence (preserving and enhancing the welfare of people to whom one is close); (i) universalism (understanding, tolerance, and concern for the welfare of all people and nature); and (j) security (safety and stability of society, relationships, and self).

Later, Schwartz and Rubel ( 2005 ) applied this value structure, finding it to be commonly shared among over 65 countries. Nevertheless, these values are enacted in different ways by societies and genders about the extent to which men attribute more relevance to values of power, stimulation, hedonism, achievement, and self-direction, and the opposite was found for benevolence and universalism and less consistently for security. Also, it was found that all sex differences were culturally moderated, suggesting that cultural background needs to be considered in the analysis of coparental communication when socializing those values.

Even though Schwartz’s work was more focused on individuals and societies, it is a powerful model for the analysis of the role of culture on family communication and parenting scholarships. Indeed, Schwartz et al. ( 2013 ) conducted a longitudinal study with a sample of 266 Hispanic adolescents (14 years old) and their parents that looked at measures of acculturation, family functioning, and adolescent conduct problems, substance use, and sexual behavior at five time points. Results suggest that higher levels of acculturation in adolescents were linked to poorer family functioning; however, overall assimilation negatively predicted adolescent cigarette smoking, sexual activity, and unprotected sex. The authors emphasize the role of culture, and acculturation patterns in particular, in understanding the mediating role of family functioning and culture.

Ergo, it is crucial to address the ways in which culture affects family functioning. On top of this idea, Johnson et al. ( 2013 ) observed that Western cultures such as in the United States and European countries are oriented toward autonomy, favoring individual achievement, self-reliance, and self-assertiveness. Thus, coparenting in more autonomous countries will socialize to children the idea that achievement in life is an outcome of independence, resulting in coparenting communication behaviors that favor verbal praise and feedback over physical contact. As opposed to autonomy-oriented cultures, other societies, such as Asian, African, and Latin American countries, emphasize interdependence over autonomy; thus, parenting in these cultures promotes collective achievement, sharing, and collaboration as the core values.

These cultural orientations can be observed in parents’ definitions of school readiness and educational success; for Western parents, examples include skills such as counting, recognizing letters, or independently completing tasks such as coloring pictures, whereas for more interdependent cultures, the development of obedience, respect for authority, and appropriate social skills are the skills that parents are expecting their children to develop to evaluate school readiness. As a matter of fact, Callaghan et al. ( 2011 ) conducted a series of eight studies to evaluate the impact of culture on the social-cognitive skills of one- to three-year-old children in three diverse cultural settings such as Canada, Peru, and India. The results showed that children’s acquisition of specific cognitive skills is moderated by specific learning experiences in a specific context: while Canadian children were understanding the performance of both pretense and pictorial symbols skillfully between 2.5 and 3.0 years of age, on average, Peruvian and Indian children mastered those skills more than a year later. Notwithstanding, this finding does not suggest any kind of cultural superiority; language barriers and limitations derived from translation itself may influence meanings, affecting the results (Sotomayor-Peterson, De Baca, Figueredo, & Smith-Castro, 2013 ). Therefore, in line with the findings of Schutz ( 1970 ), Geertz ( 1973 ), Grusec ( 2002 ), Sotomayor-Peterson et al. ( 2013 ), and Johnson et al. ( 2013 ), cultural values provide important leverage for understanding family functioning in terms of parental decision-making and conflict, which also has a substantial impact on children’s cognitive development.

Subsequently, cultural sensitivity to the analysis of the familial system in this country needs to be specially included because cultural differences are part of the array of familial conflicts that may arise, and children experience real consequences from the quality of these interactions. Therefore, parenting, which is already arduous in itself, and overall family functioning significantly become troublesome when parents with different cultural backgrounds aim to socialize values and perform parenting tasks. The following section provides an account of these cross-cultural families.

Intercultural Families: Adding Cultural Differences to Interparental Communication

For a country such as the United States, with 102 million people from many different cultural backgrounds, the presence of cross-cultural families is on the rise, as is the likelihood of intermarriage between immigrants and natives. With this cultural diversity, the two most prominent groups are Hispanics and Asians, particular cases of which will be discussed next. Besides the fact that parenting itself is a very complex and difficult task, certainly the biggest conflict consists of making decisions about the best way to raise children in terms of their values with regard to which ethnic identity better enacts the values that parents believe their children should embrace. As a result, interracial couples might confront many conflicts and challenges due to cultural differences affecting marital satisfaction and coparenting.

Assimilation , the degree to which a person from a different cultural background has adapted to the culture of the hostage society, is an important phenomenon in intermarriage. Assimilationists observe that children from families in which one of the parents is from the majority group and the other one from the minority do not automatically follow the parent from the majority group (Cohen, 1988 ). Indeed, they follow their mothers more, whichever group she belongs to, because of mothers are more prevalent among people with higher socioeconomic status (Gordon, 1964 ; Portes, 1984 ; Schwartz et al., 2013 ).

In an interracial marriage, the structural and interpersonal barriers inhibiting the interaction between two parents will be reduced significantly if parents develop a noncompeting way to communicate and solve conflicts, which means that both of them might give up part of their culture or ethnic identity to reach consensus. Otherwise, the ethnic identity of children who come from interracial marriages will become more and more obscure (Saenz, Hwang, Aguirre, & Anderson, 1995 ). Surely, parents’ noncompeting cultural communication patterns are fundamental for children’s development of ethnic identity. Biracial children develop feelings of being outsiders, and then parenting becomes crucial to developing their strong self-esteem (Ward, 2006 ). Indeed, Gordon ( 1964 ) found that children from cross-racial or cross-ethnic marriages are at risk of developing psychological problems. In another example, Jognson and Nagoshi ( 1986 ) studied children who come from mixed marriages in Hawaii and found that the problems of cultural identification, conflicting demands in the family, and of being marginal in either culture still exist (Mann & Waldron, 1977 ). It is hard for those mixed-racial children to completely develop the ethnic identity of either the majority group or the minority group.

The question of how children could maintain their minority ethnic identity is essential to the development of ethnic identity as a whole. For children from interracial marriage, the challenge to maintain their minority ethnic identity will be greater than for the majority ethnic identity (Waters, 1990 ; Schwartz et al., 2013 ) because the minority-group spouse is more likely to have greater ethnic consciousness than the majority-group spouse (Ellman, 1987 ). Usually, the majority group is more influential than the minority group on a child’s ethnic identity, but if the minority parent’s ethnicity does not significantly decline, the child’s ethnic identity could still reflect some characteristics of the minority parent. If parents want their children to maintain the minority group’s identity, letting the children learn the language of the minority group might be a good way to achieve this. By learning the language, children form a better understanding of that culture and perhaps are more likely to accept the ethnic identity that the language represents (Xin & Sandel, 2015 ).

In addition to language socialization as a way to contribute to children’s identity in biracial families, Jane and Bochner ( 2009 ) indicated that family rituals and stories could be important in performing and transforming identity. Families create and re-create their identities through various kinds of narrative, in which family stories and rituals are significant. Festivals and rituals are different from culture to culture, and each culture has its own. Therefore, exposing children to the language, rituals, and festivals of another culture also could be helpful to form their ethnic identity, in order to counter problems of self-esteem derived from the feeling of being an outsider.

To conclude this section, the parenting dilemma in intercultural marriages consists of deciding which culture they want their children to be exposed to and what kind of heritage they want to pass to children. The following section will provide two examples of intercultural marriages in the context of American society without implying that there are no other insightful cultures that deserve analysis, but the focus on Asian-American and Hispanics families reflects the available literature (Canary & Canary, 2013 ) and its demographic representativeness in this particular context. In addition, in order to acknowledge that minorities within this larger cultural background deserve more attention due to overemphasis on larger cultures in scholarship, such as Chinese or Japanese cultures, the Thai family will provide insights into understanding the role of culture in parenting and its impact on the remaining familial interaction, putting all theories already discussed in context. Moreover, the Hispanic family will also be taken in account because of its internal pan-ethnicity variety.

An Example of Intercultural Parenting: The Thai Family

The Thai family, also known as Krob Krua, may consist of parents, children, paternal and maternal grandparents, aunts, uncles, grandchildren, in-laws, and any others who share the same home. Thai marriages usually are traditional, in which the male is the authority figure and breadwinner and the wife is in charge of domestic items and the homemaker. It has been noted that Thai mothers tend to be the major caregivers and caretakers in the family rather than fathers (Tulananda, Young, & Roopnarine, 1994 ). On the other hand, it has been shown that Thai mothers also tend to spoil their children with such things as food and comfort; Tulananda et al. ( 1994 ) studied the differences between American and Thai fathers’ involvement with their preschool children and found that American fathers reported being significantly more involved with their children than Thai fathers. Specifically, the fathers differed in the amount of socialization and childcare; Thai fathers reported that they obtained more external support from other family members than American fathers; also, Thai fathers were more likely to obtain support for assisting with daughters than sons.

Furthermore, with regard to the family context, Tulananda and Roopnarine ( 2001 ) noted that over the years, some attention has been focused on the cultural differences among parent-child behaviors and interactions; hereafter, the authors believed that it is important to look at cultural parent-child interactions because that can help others understand children’s capacity to socialize and deal with life’s challenges. As a matter of fact, the authors also noted that Thai families tend to raise their children in accordance with Buddhist beliefs. It is customary for young Thai married couples to live with either the wife’s parents (uxorilocal) or the husband’s parents (virilocal) before living on their own (Tulananda & Roopnarine, 2001 ). The process of developing ethnicity could be complicated. Many factors might influence the process, such as which parent is from the minority culture and the cultural community, as explained in the previous section of this article.

This suggests that there is a difference in the way that Thai and American fathers communicate with their daughters. As a case in point, Punyanunt-Carter ( 2016 ) examined the relationship maintenance behaviors within father-daughter relationships in Thailand and the United States. Participants included 134 American father-daughter dyads and 154 Thai father-daughter dyads. The findings suggest that when quality of communication was included in this relationship, both types of families benefit from this family communication pattern, resulting in better conflict management and advice relationship maintenance behaviors. However, differences were found: American fathers are more likely than American daughters to employ relationship maintenance behaviors; in addition, American fathers are more likely than Thai fathers to use relationship maintenance strategies.

As a consequence, knowing the process of ethnic identity development could provide parents with different ways to form children’s ethnic identity. More specifically, McCann, Ota, Giles, and Caraker ( 2003 ), and Canary and Canary ( 2013 ) noted that Southeast Asian cultures have been overlooked in communication studies research; these countries differ in their religious, political, and philosophical thoughts, with a variety of collectivistic views and religious ideals (e.g., Buddhism, Taoism, Islam), whereas the United States is mainly Christian and consists of individualistic values.

The Case of Hispanic/Latino Families in the United States

There is a need for including Hispanic/Latino families in the United States because of the demographic representativeness and trends of the ethnicity: in 2016 , Hispanics represent nearly 17% of the total U.S. population, becoming the largest minority group. There are more than 53 million Hispanics and Latinos in the United States; in addition, over 93% of young Hispanics and Latinos under the age of 18 hold U.S. citizenship, and more than 73,000 of these people turn 18 every month (Barreto & Segura, 2014 ). Furthermore, the current Hispanic and Latino population is spread evenly between foreign-born and U.S.-born individuals, but the foreign-born population is now growing faster than the number of Hispanic children born in the country (Arias & Hellmueller, 2016 ). This demographic trend is projected to reach one-third of the U.S. total population by 2060 ; therefore, with the growth of other minority populations in the country, the phenomenon of multiracial marriage and biracial children is increasing as well.

Therefore, family communication scholarship has an increasing necessity to include cultural particularities in the analysis of the familial system; in addition to the cultural aspects already explained in this article, this section addresses the influence of familism in Hispanic and Latino familial interactions, as well as how immigration status moderates the internal interactions, reflected in levels of acculturation, that affect these families negatively.

With the higher marriage and birth rates among Hispanics and Latinos living in the United States compared to non-Latino Whites and African American populations, the Hispanic familial system is perhaps the most stereotyped as being familistic (Glick & Van Hook, 2008 ). This family trait consists of the fact that Hispanics place a very high value on marriage and childbearing, on the basis of a profound commitment to give support to members of the extended family as well. This can be evinced in the prevalence of extended-kind shared households in Hispanic and Latino families, and Hispanic children are more likely to live in extended-family households than non-Latino Whites or blacks (Glick & Van Hook, 2008 ). Living in extended-family households, most likely with grandparents, may have positive influences on Hispanic and Latino children, such as greater attention and interaction with loving through consistent caregiving; grandparents may help by engaging with children in academic-oriented activities, which then affects positively cognitive educational outcomes.

However, familism is not the panacea for all familial issues for several reasons. First, living in an extended-family household requires living arrangements that consider adults’ needs more than children’s. Second, the configuration of Hispanic and Latino households is moderated by any immigration issues with all members of the extended family, and this may cause problems for children (Menjívar, 2000 ). The immigration status of each individual member may produce a constant state of flux, whereas circumstances change to adjust to economic opportunities, which in turn are limited by immigration laws, and it gets even worse when one of the parents isn’t even present in the children’s home, but rather live in their home country (Van Hook & Glick, 2006 ). Although Hispanic and Latino children are more likely to live with married parents and extended relatives, familism is highly affected by the immigration status of each member.

On the other hand, there has been research to address the paramount role of communication disregarding the mediating factor of cultural diversity. For example, Sotomayor-Peterson et al. ( 2013 ) performed a cross-cultural comparison of the association between coparenting or shared parental effort and family climate among families from Mexico, the United States, and Costa Rica. The overall findings suggest what was explained earlier in this article: more shared parenting predicts better marital interaction and family climate overall.

In addition, parenting quality has been found to have a positive relationship with children’s developmental outcomes. In fact, Sotomayor-Peterson, Figueredo, Christensen, and Taylor ( 2012 ) conducted a study with 61 low-income Mexican American couples, with at least one child between three and four years of age, recruited from a home-based Head Start program. The main goal of this study was to observe the extent that shared parenting incorporates cultural values and income predicts family climate. The findings suggest that the role of cultural values such as familism, in which family solidarity and avoidance of confrontation are paramount, delineate shared parenting by Mexican American couples.

Cultural adaptation also has a substantial impact on marital satisfaction and children’s cognitive stimulation. Indeed, Sotomayor-Peterson, Wilhelm, and Card ( 2011 ) investigated the relationship between marital relationship quality and subsequent cognitive stimulation practices toward their infants in terms of the actor and partner effects of White and Hispanic parents. The results indicate an interesting relationship between the level of acculturation and marital relationship quality and a positive cognitive stimulation of infants; specifically, marital happiness is associated with increased cognitive stimulation by White and high-acculturated Hispanic fathers. Nevertheless, a major limitation of Hispanic acculturation literature has been seen, reflecting a reliance on cross-sectional studies where acculturation was scholarly operationalized more as an individual difference variable than as a longitudinal adaptation over time (Schwartz et al., 2013 ).

Culture and Family Communication: the “so what?” Question

This article has presented an entangled overview of family communication patterns, dyadic power, family systems, and conflict theories to establish that coparenting quality plays a paramount role. The main commonality among those theories pays special attention to interparental interaction quality, regardless of the type of family (i.e., intact, postdivorce, same-sex, etc.) and cultural background. After reviewing these theories, it was observed that the interparental relationship is the core interaction in the familial context because it affects children from their earlier cognitive development to subsequent parental modeling in terms of gender roles. Thus, in keeping with Canary and Canary ( 2013 ), no matter what approach may be taken to the analysis of family communication issues, the hypothesis that a positive emotional climate within the family is fostered only when couples practice a sufficient level of shared parenting and quality of communication is supported.

Nevertheless, this argument does not suggest that the role of culture in the familial interactions should be undersold. While including the main goal of parenting, which is the socialization of values, in the second section of this article, the text also provides specific values of different countries that are enacted and socialized differently across cultural contexts to address the role of acculturation in the familial atmosphere, the quality of interactions, and individual outcomes. As a case in point, Johnson et al. ( 2013 ) provided an interesting way of seeing how cultures differ in their ways of enacting parenting, clarifying that the role of culture in parenting is not a superficial or relativistic element.

In addition, by acknowledging the perhaps excessive attention to larger Asian cultural backgrounds (such as Chinese or Japanese cultures) by other scholars (i.e., Canary & Canary, 2013 ), an insightful analysis of the Thai American family within the father-daughter relationship was provided to exemplify, through the work of Punyanunt-Carter ( 2016 ), how specific family communication patterns, such as maintenance relationship communication behaviors, affect the quality of familial relationships. Moreover, a second, special focus was put on Hispanic families because of the demographic trends of the United States, and it was found that familism constitutes a distinctive aspect of these families.

In other words, the third section of this article provided these two examples of intercultural families to observe specific ways that culture mediates the familial system. Because one of the main goals of the present article was to demonstrate the mediating role of culture as an important consideration for family communication issues in the United States, the assimilationist approach was taken into account; thus, the two intercultural family examples discussed here correspond to an assimilationist nature rather than using an intergroup approach.

This decision was made without intending to diminish the value of other cultures or ethnic groups in the country, but an extensive revision of all types of intercultural families is beyond the scope of this article. Second, the assimilationist approach forces one to consider cultures that are in the process of adapting to a new hosting culture, and the Thai and Hispanic families in the United States comply with this theoretical requisite. For example, Whites recognize African Americans as being as American as Whites (i.e., Dovidio, Gluszek, John, Ditlmann, & Lagunes, 2010 ), whereas they associate Hispanics and Latinos with illegal immigration in the United States (Stewart et al., 2011 ), which has been enhanced by the U.S. media repeatedly since 1994 (Valentino et al., 2013 ), and it is still happening (Dixon, 2015 ). In this scenario, “ask yourself what would happen to your own personality if you heard it said over and over again that you were lazy, a simple child of nature, expected to steal, and had inferior blood? . . . One’s reputation, whether false or true, cannot be hammered, hammered, hammered, into one’s head without doing something to one’s character” (Allport, 1979 , p. 142, cited in Arias & Hellmueller, 2016 ).

As a consequence, on this cultural canvas, it should not be surprising that Lichter, Carmalt, and Qian ( 2011 ) found that second-generation Hispanics are increasingly likely to marry foreign-born Hispanics and less likely to marry third-generation or later coethnics or Whites. In addition, this study suggests that third-generation Hispanics and later were more likely than in the past to marry non-Hispanic Whites; thus, the authors concluded that there has been a new retreat from intermarriage among the largest immigrant groups in the United States—Hispanics and Asians—in the last 20 years.

If we subscribe to the idea that cultural assimilation goes in only one direction—from the hegemonic culture to the minority culture—then the results of Lichter, Carmalt, and Qian ( 2011 ) should not be of scholarly concern; however, if we believe that cultural assimilation happens in both directions and intercultural families can benefit both the host and immigrant cultures (for a review, see Schwartz et al., 2013 ), then this is important to address in a country that just elected a president, Donald Trump, who featured statements racially lambasting and segregating minorities, denigrating women, and criticizing immigration as some of the main tenets of his campaign. Therefore, we hope that it is clear why special attention was given to the Thai and Hispanic families in this article, considering the impact of culture on the familial system, marital satisfaction, parental communication, and children’s well-being. Even though individuals with Hispanic ancentry were in the United States even before it became a nation, Hispanic and Latino families are still trying to convince Americans of their right to be accepted in American culture and society.

With regard to the “So what?” question, assimilation is important to consider while analyzing the role of culture in family communication patterns, power dynamics, conflict, or the functioning of the overall family system in the context of the United States. This is because this country is among the most popular in the world in terms of immigration requests, and its demographics show that one out of three citizens comes from an ethnic background other than the hegemonic White culture. In sum, cultural awareness has become pivotal in the analysis of family communication issues in the United States. Furthermore, the present overview of family, communication, and culture ends up supporting the idea of positive associations being derived from the pivotal role of marriage relationship quality, such that coparenting and communication practices vary substantially within intercultural marriages moderated by gender roles.

Culture is a pivotal moderator of these associations, but this analysis needs to be tethered to societal structural level, in which cultural differences, family members’ immigration status, media content, and level of acculturation must be included in family research. This is because in intercultural marriages, in addition to the tremendous parenting role, they have to deal with cultural assimilation and discrimination, and this becomes important if we care about children’s cognitive development and the overall well-being of those who are not considered White. As this article shows, the quality of familial interactions has direct consequences on children’s developmental outcomes (for a review, see Callaghan et al., 2011 ).

Therefore, the structure and functioning of family has an important impact on public health at both physiological and psychological levels (Gage, Everett, & Bullock, 2006 ). At the physiological level, the familial interaction instigates expression and reception of strong feelings affecting tremendously on individuals’ physical health because it activates neuroendocrine responses that aid stress regulation, acting as a stress buffer and accelerating physiological recovery from elevated stress (Floyd & Afifi, 2012 ; Floyd, 2014 ). Robles, Shaffer, Malarkey, and Kiecolt-Glaser ( 2006 ) found that a combination of supportive communication, humor, and problem-solving behavior in husbands predicts their wives’ cortisol and adrenocorticotropic hormone (ACTH)—both physiological factors are considered as stress markers (see 2006 ). On the other hand, the psychology of individuals, the quality of family relationships has major repercussions on cognitive development, as reflected in educational attainment (Sohr-Preston et al., 2013 ), and highly mediated by cultural assimilation (Schwartz et al., 2013 ), which affects individuals through parenting modeling and socialization of values (Mooney-Doyle, Deatrick, & Horowitz, 2014 ).

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Case Study Illustrating Family Systems Interventions in a School Setting to Address Anxiety and School Avoidance

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• https://doi.org/10.1080/2692398X.2020.1849935

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Collaborating with parents is an important skill set for school-based mental health professionals. While school districts expect school psychologists and school counselors to facilitate family-school collaboration, most receive little training in family counseling and systems theory in their graduate programs. School psychologists and school counselors could benefit from resources that demonstrate how to use a family systems approach in a school setting. This article uses a single case study to illustrate how school-based mental health professionals can use brief family counseling to address anxiety and school avoidance. The article describes a family systems approach and interventions such as reframing, subsystems work, consultation, and encouraging gradual progress.

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1 The case of Noah is a composite based on multiple cases with similar clinical presentations involving anxiety, school avoidance, and family dynamics. These cases had similar successful responses to family interventions. Using a case that is an amalgam of multiple cases, absent any identifying information, provides the reader with an authentic clinical description and “takes reasonable steps to disguise the person” (American Psychological Association (APA), Citation 2017 ; Standard 4.07).

• American Psychological Association (APA). (2017). Ethical principles of psychologists and code of conduct. American Psychological Association.  http://www.apa.org/ethics/code/   Google Scholar

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Family Dynamics and Child Outcomes: An Overview of Research and Open Questions

• Published: 22 March 2017
• Volume 33 , pages 163–184, ( 2017 )

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• Juho Härkönen 1 ,
• Fabrizio Bernardi 2 &
• Diederik Boertien 3  

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Previous research has documented that children who do not live with both biological parents fare somewhat worse on a variety of outcomes than those who do. In this article, which is the introduction to the Special Issue on “Family dynamics and children’s well-being and life chances in Europe,” we refine this picture by identifying variation in this conclusion depending on the family transitions and subpopulations studied. We start by discussing the general evidence accumulated for parental separation and ask whether the same picture emerges from research on other family transitions and structures. Subsequently, we review studies that have aimed to deal with endogeneity and discuss whether issues of causality challenge the general picture of family transitions lowering child well-being. Finally, we discuss whether previous evidence finds effects of family transitions on child outcomes to differ between children from different socioeconomic and ethnic backgrounds, and across countries and time-periods studied. Each of the subsequent articles in this Special Issue contributes to these issues. Two articles provide evidence on how several less often studied family forms relate to child outcomes in the European context. Two other articles in this Special Issue contribute by resolving several key questions in research on variation in the consequences of parental separation by socioeconomic and immigrant background, two areas of research that have produced conflicting results so far.

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1 Introduction

The recent decades of family change—including the increases in divorce and separation rates, single parenthood, cohabitation, and step family formation—led to an explosion in popular and academic interest in the consequences of family dynamics for children’s well-being and life chances (cf. Amato 2000 , 2010 ; Amato and James 2010 ; Ribar 2004 ; Sweeney 2010 ; McLanahan et al. 2013 ). Most notably, previous studies have found that children who do not live with both biological parents fare somewhat worse than those who do in terms of psychological well-being, health, schooling, and later labor market attainment, and differ with respect to their own family lives in adulthood. Scholars have interpreted these findings through a relatively small group of factors that include parental and children’s stress associated with family transitions, family conflict, changes in economic resources, and parenting styles. Beyond these established findings, however, several questions remain imperfectly answered.

This Special Issue on “Family Dynamics and Children’s Well-Being and Life Chances in Europe” consists of this introductory article and four empirical studies that address some of these open questions. In general, they give more nuance to the overall association between growing up with both biological parents and child outcomes. More precisely, do these associations differ according to the type of family structure studied? Are these differences in child outcomes due to causal effects of family structures and transitions, or do they reflect preexisting disadvantages between families? And finally, are all children equally affected by family structures and transitions?

In this introduction, we first introduce the theme of family dynamics and children’s outcomes by giving an overview of the findings of parental separation and child outcomes (Sect.  2 ). Parental separation has been the family transition that has attracted most attention among social scientists, and many of our examples later in the article consider this research too. In addition to summarizing the evidence on the relationship between parental separation and psychological well-being, education, social relationships, and own family lives, we discuss how parental separations have been conceptualized, an issue we return to in the subsequent sections.

Parental separation is, however, just one of the family transitions children can experience during their childhoods. The first open question that in our view requires more attention regards the effects of these other family transitions and forms, namely the number of transitions, stepfamilies, and joint residential custody after parental separation (Sect.  3 ). Two of the articles in this Special Issue contribute to this stream of research. Mariani et al. ( 2017 ) present the first European analysis of the effects of family trajectories on children born to lone mothers. Radl et al. ( 2017 ) investigate, in addition to parental separation effects, whether co-residing with siblings or grandparents is related to child outcomes and whether the latter condition the former effects.

The second open question concerns the causal status of the estimated effects (Sect.  4 ): Do family structures and their changes really affect child outcomes, or do the associations reflect some unmeasured underlying factors? This question has attracted deserved attention (e.g., Amato 2000 ; Ribar 2004 ; McLanahan et al. 2013 ), and we review some commonly used methods, using the effects of parental separation as our example. We pay attention to what effects the methods can estimate, in addition to assessing which unobserved variables the different methods adjust for. This discussion highlights the importance of thinking about methodological choices and interpretations of the results in light of the underlying theoretical model of parental separation. The article in this Special Issue by Bernardi and Boertien ( 2017 ) provides also an empirical contribution to this field.

Finally, the last question refers to the heterogeneity in the effects of family dynamics: Are the consequences of parental separation and other family transitions similar for all children? Existing evidence suggests that the answer is no (Amato 2000 ; Demo and Fine 2010 ), but the conclusions about who suffers and who does not remain imperfect, as discussed in Sect.  5 . Three of the articles of this Special Issue analyze these questions, one from a cross-national perspective (Radl et al. 2017 ), one by comparing parental separation effects by socioeconomic background (Bernardi and Boertien 2017 ), and one by immigrant background (Erman and Härkönen 2017 ).

In the final section of this introduction (Sect.  6 ), we discuss some ways forward for future research on family dynamics and children’s outcomes. Two articles in this Special Issue fulfill part of this research agenda by providing evidence on how several less often studied family forms relate to child outcomes in the European context (Mariani et al. 2017 ; Radl et al. 2017 ). The two other articles in this Special Issue (Bernardi and Boertien 2017 ; Erman and Härkönen 2017 ) contribute to the research on heterogeneous consequences of parental separation by clarifying some open questions regarding variation in these consequences by socioeconomic and immigrant background.

2 Parental Separation and Children’s Outcomes

In the 2000s, the share of children who experienced their parents’ separation before age 15 ranged from 10 to 12% in countries such as Bulgaria, Georgia, Italy, and Spain to 35–42% in France, Estonia, Lithuania, and Russia (Andersson et al., forthcoming). In the late 1980s/early 1990s, the corresponding figures ranged from 7 to 30% (Italy and Sweden, respectively, Andersson and Philipov 2002 ).

Parental separation changes children’s lives in many ways. Many scholars conceptualize separations as processes, which often begin way before and last well beyond the actual separation (e.g., Amato 2000 ; Demo and Fine 2010 ; Härkönen 2014 ), even if these starting and ending points can be hard to define. The pre-separation process often involves increasing estrangement and conflict between the parents. These can themselves have negative effects on children’s well-being, and parental separation might therefore already start leaving its traces even before the parents have formally broken up. Not all separations follow such a trajectory. Some families may have had long-lasting conflicts, and other separations might have ended relatively well-functioning partnerships with at least moderate levels of satisfaction (Amato and Hohmann-Marriott 2007 ). The parental separation can in such cases come as an unexpected event for children.

As a result of the separation, children cease to live full-time with both parents, which requires adjustment to the new situation and can start, intensify, or end exposure to parental conflict (Amato 2010 ; Cherlin 1999 ; Pryor and Rodgers 2001 ). Even if joint residential custody of the child post-separation (i.e., children’s alternate living with each parent) is becoming increasingly common, up to one-third and above in Sweden (Bergström et al. 2015 ), the child often receives less involved parenting from the nonresident parent (usually the father), whereas the resident parent’s (usually the mother’s) parenting styles can be affected by increasing time demands (Amato 2000 , 2010 ; McLanahan and Sandefur 1994 ; Seltzer 2000 ). Besides changes in family relationships, a breakup of a household can lead to a drop in economic resources (e.g., Uunk 2004 ). Depending on the country, separated parents may need to adjust their labor supply to meet their new time and economic demands (Kalmijn et al. 2007 ; Uunk 2004 ). Many children also need to move after their parents’ separation, which requires adjustment to a new home environment and possibly a new neighborhood and school. A separation can be followed by further changes in the family structure, such as parental re-partnering, entry of step-siblings, and sometimes, another family dissolution.

Several studies have documented that on average, the lives of children whose parents separated differ from children who lived with both of their parents throughout childhood (Amato 2000 , 2010 ; McLanahan and Sandefur 1994 ; McLanahan et al. 2013 ; Härkönen 2014 ). In the next paragraphs, we provide an overview of the associations of parental separation with some of the most commonly studied child outcomes: psychological well-being and behavioral problems, education, social relationships, and own family lives. In the subsequent sections, we will refine this basic picture by concentrating on other family forms, causality, and heterogeneity in effects.

2.1 Psychological Well-Being and Behavioral Problems

Children of divorce have lower psychological well-being and more behavioral problems than children who grew up in intact families (Amato 2001 ; Amato and James 2010 ; Gähler and Palmtag 2015 ; Kiernan and Mensah 2009 ; Mandemakers and Kalmijn 2014 ). In general, parental separation is more strongly related to externalizing than internalizing problems (Amato 2001 ), and these associations can persist, and even become stronger, into adulthood (Chase-Lansdale et al. 1995 ; Cherlin et al. 1991 ; Lansford 2009 ).

Growing up in a conflict-ridden but stable family can have more negative effects on children’s psychological well-being than parental separation (e.g., Amato et al. 1995 ; Dronkers 1999 ; Hanson 1999 ; Demo and Fine 2010 ). Kiernan and Mensah ( 2009 ) found a role for both maternal depression and economic resources when explaining the lower emotional well-being of children from separated families, whereas Turunen ( 2013 ) found that parental involvement explained part of the lower emotional well-being of children with separated parents, but economic resources did not.

2.2 Education

Children of divorce have lower school grades and test scores (Dronkers 1992 ; Mandemakers and Kalmijn 2014 ; Grätz 2015 ), have lower school engagement (Havermans et al. 2014 ), differ in the kind of track entered in high school (Dronkers 1992 ; Jonsson and Gähler 1997 ; Grätz 2015 ), and have lower final educational attainment (Bernardi and Radl 2014 ; Bernardi and Boertien 2016a ; Gähler and Palmtag 2015 ).

Lower school grades and cognitive performance explain part, but not all of the effect of parental separation on completed education (Dronkers 1992 ). A recent study found that British children of divorce were less likely to continue to full-time upper secondary education even though the parental separation did not affect their school grades (Bernardi and Boertien 2016a ). Parental separation can therefore affect the children’s educational decisions irrespective of their school performance.

Changes in parental resources are an important explanation for the lower educational performance of the children of divorce (Bernardi and Boertien 2016a ; Jonsson and Gähler 1997 ; McLanahan and Sandefur 1994 ; Thomson et al. 1994 ). Studies that have looked into the role of parenting have found differing results, some reporting that parenting partly mediates the effect of separation on educational attainment, while others found parenting to not influence the relationship between parental divorce and school outcomes (Dronkers 1992 ).

2.3 Social Relationships

Despite the increase in shared residential custody (Bjarnason and Arnarsson 2011 ), parental separation generally reduces the child’s contact frequency and relationship quality with the nonresident parent (usually the father), with grandparents and, sometimes, the mother (e.g., Kalmijn 2012 ; Kalmijn and Dronkers 2015 ; Lansford 2009 ). These effects can last into adulthood (Albertini and Garriga 2011 ; Kalmijn 2012 ). Joint residential custody, good inter-parental relations, and good early child-father relations can improve post-separation contact with the father (Kalmijn 2015 ; Kalmijn and Dronkers 2015 ). On the other hand, parental separation can improve the relationships between siblings due to mutual support (Geser 2001 ), but does not seem to trigger more support from friends and other kin (Kalmijn and Dronkers 2015 ).

Good parent–child relationships are desirable by themselves and can also improve other child outcomes (Bastaits et al. 2012 ; Swiss and Le Bourdais 2009 ). For example, having a close relationship with the nonresident parent who engages in authoritative parenting has been found to foster children’s well-being and academic success (Amato and Gilbreth 1999 ). At the same time, contact frequency alone is less important and in some cases, the nonresident parent’s involvement may have negative effects if it increases instability and stress for the child (Laumann-Billings and Emery 2000 ), for example due to continued parental conflict (Kalil et al. 2011 ).

2.4 Own Family Lives

Children of divorce tend to start dating and have their sexual initiation earlier (Wolfinger 2005 ) and many move out of the parental home at a younger age (e.g., Ní Bhrolcháin et al. 2000 ; Ongaro and Mazzuco 2009 ), often because of conflict with parents and their potential new partners (Wolfinger 2005 ). Some studies have also found that children of divorce start cohabiting earlier, are more likely to cohabit than to marry, and have partners of lower socioeconomic status (Erola et al. 2012 ; Reneflot 2009 ; but see also Ní Bhrolcháin et al. 2000 ).

The most consistent family demographic finding is that children whose parents divorced are more likely to divorce themselves as adults (e.g., Diekmann and Engelhardt 1999 ; Dronkers and Härkönen 2008 ; Kiernan and Cherlin 1999 ; Lyngstad and Engelhardt 2009 ; Wolfinger 2005 ). Differences in the life course trajectories before forming the union explain part of this association (Diekmann and Engelhardt 1999 ; Kiernan and Cherlin 1999 ). Other studies have pointed out that parental separation can lead to poorer interpersonal skills and set an example of a feasible solution to relationship problems (Wolfinger 2005 ).

3 What About Other Family Forms?

We have so far focused on parental separation and its relation to child outcomes. Parental separation is not the only family transition children can experience. Between <5% (much of Europe) and up to 15% (Czech Republic, Russia, UK, and USA) of children are born to lone mothers (Andersson et al., forthcoming; Mariani et al. 2017 , this Special Issue). Furthermore, between 14% (Italy and Georgia) and 60% (Belgium) of European children whose parents separate end up living with a stepparent within 6 years (Andersson et al., forthcoming) and often, with step-siblings (Halpern-Meekin and Tach 2008 ). Children’s residence arrangements likewise vary, with some residing primarily with one parent (usually the mother), whereas others alternate between parents (joint residential custody). Extending the focus of research beyond parental separation is necessary to form a more comprehensive view of the effects of the changing family landscape on children’s lives (King 2009 ; Sweeney 2010 ). Footnote 1

One argument puts forward that family stability rather than family structure matters for children’s well-being (cf. Fomby and Cherlin 2007 ; Waldfogel et al. 2010 ). From this perspective, children born to lone mothers who do not experience any family transitions during their childhood (such as the entrance of a stepparent) should do better than children who were born in a two-parent family but experienced a family transition (such as parental separation). Others claim that specific family forms and movements between them do matter beyond general family instability (Magnuson and Berger 2009 ; Lee and McLanahan 2015 ). The findings of Mariani et al. ( 2017 , this Special Issue) are among those that speak against the general instability thesis and show that the types of family transitions experienced by children born to lone mothers matter for their well-being.

Stepfamilies have gained the attention of many scholars. Children in stepfamilies tend to have poorer outcomes compared to those from intact families and display patterns of well-being closer to single-parent families (Amato 1994 , 2001 ; Gennetian 2005 ; Jonsson and Gähler 1997 ; Thomson et al. 1994 ). Indeed, children in stepfamilies can even have lower psychological well-being and educational achievement than children living with a single mother (Amato 1994 ; Biblarz and Raftery 1999 ; Thomson et al. 1994 ).

Reasons for the poorer performance of children with stepparents include the added complexity in family relationships that is often introduced by the presence of a stepparent. This can lead to ambiguity in roles and to conflict in the family (Thomson et al. 1994 ; Sweeney 2010 ), which is among the reasons why having a stepparent often leads to an earlier move from the parental home, especially among girls (Ní Bhrolcháin et al. 2000 ; Reneflot 2009 ). Another explanation points to the presence of step-siblings as stepparents may put less time and effort into their stepchildren than their biological ones (Biblarz and Raftery 1999 ; Evenhouse and Reilly 2004 ). However, having a stepparent can also have positive effects as (s)he can provide financial resources or help in monitoring the children (Thomson et al. 1994 ; King 2006 ; Sweeney 2010 ). Erola and Jalovaara ( 2016 ) showed how a stepparent’s SES was more predictive on adulthood SES than the nonresident father’s SES, and as predictive as the biological father’s SES in intact families. All in all, the effects of step-parenthood are complex and can differ between children who experienced a parental separation and those who never lived with their biological father (Sweeney 2010 ).

The increase in joint residential custody after parental separation has raised interest in its consequences for children. Many studies have reported that children in joint residential custody fare better than children who reside with only one of the parents (usually the mother) on outcomes such as health and psychological well-being, and contact and relationships with their parents and grandparents (Bjarnason and Arnarsson 2011 ; Turunen 2016 ; Westphal et al. 2015 ). However, questions of causality remain unresolved and parents who opt for joint custody might have been particularly selected from those with higher socioeconomic status and lower levels of post-separation conflict. Indeed, many studies find that joint custody may have negative consequences for children in case of high parental conflict (e.g., Vanassche et al. 2014 ; also, Kalil et al. 2011 ). This suggests that policy changes toward joint custody as a default solution may produce unwanted consequences.

4 But What About Causality?

There is a long-standing debate that concerns whether associations between family types and child outcomes reflect causal effects, or whether they are confounded by unmeasured variables. For example, parents who separate can have different (unmeasured) personality traits from those who do not. Other examples include parental unemployment, mental health, or a developing substance abuse problem, which may not only lead to separation, but also affect the parent’s children.

Researchers have used increasingly sophisticated methods to control for different unmeasured sources of bias (for reviews, Amato 2000 , 2010 ; Ribar 2004 ; McLanahan et al. 2013 ). In this section, we discuss some of these methods. We focus on studies that have estimated the effects of parental separation, which serves to illustrate some of the questions involved.

Like most similar reviews, we discuss which (un)measured confounders can be controlled for by the different methods and provide examples of studies that have used them. We also discuss some of the limitations to causal inference in these methods, particularly in light of the underlying theoretical model of parental separation that is assumed. Above, we discussed how parental separations are often theorized as processes that can follow quite different trajectories for different families (Amato 2000 ; Demo and Fine 2010 ; Härkönen 2014 ). Some separations are characterized by a downward spiral of increasing conflict, which can leave its mark on children already before the parents physically separate. Other separations end relatively well-functioning families and can come as a surprise to the children, whereas in some cases the families had high conflict levels for a long time. In this section, we discuss causal inference in light of these underlying models. In the next section, we discuss how these different types of parental separations can have different effects on children.

In addition, we engage in a related but much smaller discussion of what causal questions the different methods can be used to answer (cf., Manski et al. 1992 ; Ní Bhrolcháin 2001 ; Sigle-Rushton et al. 2014 ). A major issue in this regard concerns the counterfactual scenario assumed by different methods. In most studies, the estimated effects are interpreted as telling about how the parents’ physical separation (the separation event) affected the children compared to the counterfactual case in which the parents did not separate. This is, however, not the only possible effect that can be estimated, nor is this interpretation necessarily the correct one in each case.

First, knowing about the effects of the parental separation event is obviously important, but scholars, parents, counselors, and policy makers could likewise benefit from knowing about the “total” effects of parental separation that include the effects of the preceding separation process as well. Second, instead of asking what the effect of the parental separation (compared to them staying together) is, one can ask what the effect is of the parents separating at a specific point in time (the effect of postponing separation) (cf. Furstenberg and Kiernan 2001 ). Our discussion below points to these issues and suggests how some methods can be more appropriate for answering certain questions than others. Rather than providing a comprehensive discussion on this relatively uncovered topic, we wish to stimulate closer consideration of these issues in future research.

4.1 Regression Models

Before discussing methods that adjust for unmeasured confounding factors, we briefly discuss estimation of parental separation effects with linear and logistic (or similar) regression models, which are by far the most common methods used. With these methods, one compares the outcomes of children who experienced parental separation to the outcomes of children from intact families, adjusting for observed confounding variables. Because the possibilities for controlling for all factors that may bias the results are limited, the estimates from regression models cannot usually be interpreted as causal effects (e.g., McLanahan et al. 2013 ; Ribar 2004 ).

Pre-separation parental conflict is often pointed out as an omitted variable that can threaten causal claims. Controlling for pre-separation conflict generally leads to a substantial reduction in the effect of parental separation (e.g., Hanson 1999 ; Gähler and Garriga 2013 ), suggesting that exposure to the parental conflict rather than the parental separation event is largely responsible for the poorer performance of the children of divorce. This example can be used to think about the correspondence between the specified regression model and the underlying theoretical model of parental separation. Controlling for the level of pre-separation parental conflict (or related measures of the family environment) is most appropriate if it is reasonable to assume that families’ conflict levels remain stable; comparing children from separated and intact families at similar levels of earlier conflict can then inform about how the children of divorce would have fared had the parents remained together. However, this is not obvious if the separation followed an increase in parental conflict, because the family environment may have continued to worsen had the parents not separated.

If the above and other conditions for making causal claims are met, which effects do they inform us about? A regression model that controls for pre-separation parental conflict or other related measures is best seen as telling about the effects of the parental separation event. However, an increase in parental conflict is often an inherent part of the parental separation process, and controlling for levels of parental conflict close to the parental separation would not be warranted if one is interested in understanding how exposure to the parental separation process, in addition to the separation event, affects children’s outcomes (cf. Amato 2000 ). The choice of control variables should thus be done with a consideration to the underlying model of parental separation and the effect one wants to estimate.

4.2 Sibling Fixed Effects

Sibling fixed effects (SFE) models compare siblings from the same family who differ in their experience of parental separation before a certain age or life stage, or in the amount of time spent in a specific family type (cf. McLanahan et al. 2013 ; Sigle-Rushton et al. 2014 ). SFE controls for factors and experiences that are shared by the siblings, such as parental SES and many neighborhood and school characteristics. This has made SFE a popular method, not least in Europe. Some SFE studies found no effects of parental separation or other family forms on educational outcomes (Björklund and Sundström 2006 ). Others have found a weak to moderate negative effect on various outcomes even in an SFE design (e.g., Ermisch et al. 2004 ; Sandefur and Wells 1999 ; Sigle-Rushton et al. 2014 ; Grätz 2015 ).

Comparison of siblings from the same family is a core aspect of the SFE design. This affects the data requirements and the interpretation of the results. To fix ideas, we can use an example of the effects of parental separation on children’s school grades at age 15. For an SFE analysis, one needs data on multiple siblings, some of whom experienced the parental separation before age 15 whereas others did not. This requirement reduces the effective sample size. The sibling who did not experience the parental separation is always the older one, and her grades are used to infer about the counterfactual grades of her younger sibling, had she not experienced the parental separation. SFE controls for everything shared by the siblings, but additional controls are needed to adjust for differences between them. Some of these—such as birth order and birth cohort and/or parental age (Sigle-Rushton et al. 2014 )—are available in many datasets, but remaining unobserved differences (as well as measurement error) can cause important bias to the estimates (Ermisch et al. 2004 ; Frisell et al. 2012 ).

SFE models are most informative of the effects of parental separation if it is reasonable to assume that the family environment (including levels of parental conflict) would remain stable in the absence of the parental separation (Sigle-Rushton et al. 2014 ). In such a case, it is most likely that the younger sibling would have experienced a similar family environment as the older sibling, had the parents not separated. The interpretation of SFE results becomes more problematic if the parental separation is the culmination of a deterioration of the family environment (such as increased parental conflict). It is likely that the family environment would have continued to deteriorate had the parents not separated, and the younger sibling would have been taking her grades in a more conflictual family (than her older sibling experienced). Without additional measures, SFE models thus generally rely on the assumption of the stability of the family environment (cf. Sigle-Rushton et al. 2014 ).

SFE models estimate the effect of the event of the parental separation rather than the separation process. Because SFE models are estimated from a subsample of families that dissolved, the estimates are difficult to generalize without making additional assumptions. Also, because the estimates tell about differences between siblings who experienced parental separation but at different ages, or experienced a different amount of time in a separated family, the estimates are best interpreted as effects of the timing of the separation, as argued in detail by Sigle-Rushton and colleagues (2014).

4.3 Longitudinal Designs

Research with longitudinal data has been more applied  in the USA than in Europe (McLanahan et al. 2013 ), possibly because of data access issues. Such data can be analyzed using many methods, but unlike with SFE, these methods can only be used to analyze outcomes that are measured more than once. Similar to SFE models, longitudinal studies generally report weaker effects on child outcomes of parental separation and other family transitions than found in cross-sectional analyses.

4.3.1 Lagged Dependent Variables

In lagged dependent variable (LDV) analyses, one controls for the dependent variable at an earlier measurement point (before parental separation) (Johnson 2005 ; McLanahan et al. 2013 ). The idea is to adjust for initial differences in outcomes between children from separated and intact families. LDV is mostly used in cohort and other studies with just two or few measurement points. Early examples include studies in Britain, which found that although children of divorce had lower psychological well-being already pre-divorce, parental divorce had negative long-term effects (Cherlin et al. 1991 ; Chase-Lansdale et al. 1995 ). Limitations of LDV models include that the estimates are sensitive to omitted variables that affect both the separation and the pre-separation outcome, as well as measurement error in the latter (Johnson 2005 ).

The pre-separation measurement point can correspond poorly to the stages of the parental separation process, especially in cohort studies in which measurements are often done several years apart. LDV models are therefore most appropriate if the differences in the outcome between children who experienced parental separation and those who did not can be assumed to be stable. If one assumes that the child’s well-being deteriorated prior to the separation, the lagged dependent variable can capture part of the effect of the separation process. However, if the measurements are taken several years apart, it is even more difficult than usual to tell whether the outcome was measured before or during the pre-separation deterioration in well-being and consequently, how the estimated coefficient should be interpreted.

4.3.2 Individual Fixed Effects

Individual fixed effects (IFE) models are based on comparing individuals before and after the parental separation and in effect, use individuals as their own control groups to control for time-constant unobserved factors. In an early British IFE study, Cherlin et al. ( 1998 ) concluded that experience of parental separation had weak to moderate negative effects on adulthood psychological well-being, and Amato and Anthony ( 2014 ) reported similar effects on educational, psychological, and health outcomes in the USA. Other American studies have used IFE designs to analyze the effects of the number of transitions (e.g., Fomby and Cherlin 2007 ), of different family transitions (e.g., Lee and McLanahan 2015 ), or combined SFE and IFE approaches (Gennetian 2005 ).

IFE methods estimate the effect of parental separation if it is reasonable to assume that the child whose parents separated would have experienced similar (age-specific) outcomes in the absence of separation as observed before the separation (Aughinbaugh et al. 2005 ). Again, this is most feasible if the child’s level of well-being can be assumed to have remained stable. This is less likely if the child’s well-being began to deteriorate already before the separation, because this deterioration could have continued had the parents not separated. Two US studies attempted to address this issue by tracing behavioral problems and academic achievement before and after the parental separation (Aughinbaugh et al. 2005 ) and by using a triple-difference approach, which compares trends (and not just levels) in the outcome between children from separated and intact families (Sanz-de-Galdeano and Vuri 2007 ). Neither study found the event of parental separation to have appreciable effects.

Furthermore, as in SFE models, IFE effects are estimated only from those children who actually experienced the separation. This generally means a reduction in sample size. For the same reason, IFE results generalize primarily to that group.

4.3.3 Placebo Tests and Growth-Curve Models

Longitudinal data can also be used to conduct “placebo tests,” that is, to analyze whether future separation (e.g., t  + 1) predicts earlier outcomes ( t , or earlier). Bernardi and Boertien (in this Special Issue) found with British data that although children who experienced parental separation before age 16 had a lower probability of transitioning to post-compulsory secondary education, this was not the case for children whose parents separated between ages 17 and 19 (i.e., after the educational transition age). This supports the view that the separation, and not the family environment that preceded it, had an effect on educational decisions.

Finally, longitudinal data have been analyzed with growth-curve models (GCM) to track trajectories in children’s outcomes. Cherlin et al. ( 1998 ) reported that the effects of parental separation on psychological problems increased through adolescence and young adulthood. Even though growth-curve models enable analysis of how effects develop, they are not immune to confounding from unmeasured variables that can affect both the initial level of well-being and its development over time (McLanahan et al. 2013 ). To address this, Kim ( 2011 ) combined matching methods with GCM and found that cognitive skills and non-cognitive traits developed negatively already through the separation period and the effects were amplified by the separation event.

4.4 Interpreting Causal Effects

Controlling for measured and unmeasured confounders practically always leads to reduced effect sizes, which means that children who experienced parental separation would have fared differently to children from intact families regardless. Some studies have found no effects, but the prevailing conclusion is that parental separation can have weak to moderate negative effects (Amato 2000 , 2010 ; McLanahan et al. 2013 ; Ribar 2004 ).

Increasing adoption of advanced methods to control for unmeasured variables improves our understanding of the consequences of family change. None of the methods are, however, completely immune to confounding by unobserved variables. Relatedly, they also correspond differently to underlying theoretical models of parental separation, which affects their interpretation.

We repeatedly mentioned how the methods are most robust if it is reasonable to assume that the family environment, and the children’s well-being, remained stable before the separation and would have remained stable in its absence. Such a scenario characterizes some separations but provides a poorer description of many others where separation was a culmination of a deteriorating family environment (Amato 2000 ; Demo and Fine 2010 ; Härkönen 2014 ). In some cases, additional (time-varying) control variables (e.g., Ermisch et al. 2004 ; Lee and McLanahan 2015 ) or more complex research designs (e.g., Sanz-de-Galdeano and Vuri 2007 ) can be used to alleviate these problems. When choosing the appropriate variables or designs, one should decide whether one is interested in the effects of the separation event or the exposure to the whole separation process. Both are relevant, and their analysis each carries specific challenges. We also discussed how some estimates might be better interpreted as indicators of the influence of the timing of parental separation (cf. Furstenberg and Kiernan 2001 ), another relevant yet different question. All in all, scholars should pay attention to which effects their methods estimate and think of this in light of the underlying theoretical model of parental separation or other family dynamics they are interested in (cf. Manski et al. 1992 ; Ní Bhrolcháin 2001 ).

5 For Whom, When, and Where are Family Transitions Most Consequential?

Most studies reviewed above analyzed what happens on average . Whereas the finding that children growing up in non-traditional families have different outcomes is very consistent, this result hides a large variation in effects at the individual level. A minority of children suffer from a parental separation, but a somewhat smaller minority shows improvements in well-being and performance, and even if parental separation can be a taxing experience associated with sadness and feelings of loss, a large minority or even a majority of children do “just fine” without robust effects in either direction (Amato 2000 , 2010 ; Amato and Anthony 2014 ; Amato and James 2010 ; Demo and Fine 2010 ). Next, we discuss how this heterogeneity in effects is related to pre-separation parental conflict and children’s and parents’ socio-demographic attributes. After that, we review what is known about variation in the effects over time and cross-nationally.

5.1 For Whom Does It Matter?

Which children are more likely to suffer from parental separation than others? Studies both from the USA (Amato et al. 1995 ; Hanson 1999 ; Booth and Amato 2001 ) and Europe (Dronkers 1999 ) have found that pre-separation parental conflict moderates the effects of the separation. Parental separation can be beneficial for children from high-conflict families, but is more likely to have negative effects when parental conflict was low and the separation came as a relative surprise.

Other studies have analyzed variation in the effects of parental separation by demographic characteristics. Although some studies have found gender-specific effects, most have not, leading Amato and James ( 2010 ) to conclude that the gender differences in effects are modest at most. Similar variation in findings characterizes research on effects of stepfamilies (Sweeney 2010 ).

Child’s age at parental separation has been another moderator of interest. Breakups occurring while children are adults have no or the smallest effects (Cherlin et al. 1998 ; Kiernan and Cherlin 1999 ; Furstenberg and Kiernan 2001 ; Lyngstad and Engelhardt 2009 ). Studies on educational outcomes often find the effects to be most pronounced when parents divorced close to important educational decision points (Jonsson and Gähler 1997 ; Lyngstad and Engelhardt 2009 ; Sigle-Rushton et al. 2014 ). Otherwise, findings differ in their conclusions about the childhood stages most sensitive to family disruption, and the specific pattern of heterogeneity is likely to depend on the outcome studied.

Recently, scholars have become increasingly interested in whether effects of parental separation differ by parental socioeconomic status (Augustine 2014 ; Grätz 2015 ; Mandemakers and Kalmijn 2014 ). Although having resources can help families to deal with family transitions, children from resourceful families could also lose more from parental separation (Bernardi and Radl 2014 ; Bernardi and Boertien 2016a ). In line with these contrasting predictions, empirical results are mixed, with some findings pointing to stronger negative effects in families with high (Augustine 2014 ; Grätz 2015 ; Mandemakers and Kalmijn 2014 ) or low socioeconomic status (Bernardi and Boertien 2016a ; Bernardi and Radl 2014 ; Biblarz and Raftery 1999 ; Martin 2012 ; McLanahan and Sandefur 1994 ). Bernardi and Boertien ( 2017 , this Special Issue) address this inconsistency. They show that methodological choices underlie part of this variation in results, but their substantive conclusion is that the negative effect of parental separation on educational choices is stronger for children whose high-socioeconomic status father moves out. The greater financial losses are an important part of the explanation, which also suggests that the results might be different for outcomes that are less responsive to financial resources.

Other studies have compared the effects of parental separation and single parenthood between ethnic, racial, and migrant groups. Many US studies have found that Black children are less affected by growing up in a non-intact family than White children (Fomby and Cherlin 2007 ; McLanahan and Bumpass 1988 ; McLanahan and Sandefur 1994 ; Sun and Li 2007 ). Some European studies have found variation in family structure effects by ethnic and immigrant background (Kalmijn 2010 , forthcoming; Erman and Härkönen, this ‘Special Issue’). In general, the family structure effects are weaker in groups in which parental separation and single motherhood are more common, which has been explained by less stigma, better ways of handling father absence, a broadly disadvantaged position with less to lose, or differential selection by unobserved factors, as argued by Erman and Härkönen in this Special Issue.

Instead of analyzing different predictors of separation separately, Amato and Anthony ( 2014 ) used several of these predictors together to, first, predict the children’s propensity to experience parental separation, and second, analyze whether parental divorce effects vary by this propensity. They found that the effects were the strongest for children with the highest risk of experiencing parental divorce, a result seemingly at odds with the above-mentioned findings of weaker effects in groups with higher separation rates.

5.2 Stability Over Time

It is straightforward to expect that the effects of family transitions on child outcomes should have waned over time. As non-traditional family forms have become more common, the social stigma attached to them should decrease (Lansford 2009 ). Children of divorce are also increasingly likely to retain close contact with both of their parents (e.g., Amato and Gilbreth 1999 ; Gähler and Palmtag 2015 ) and families and societies may have in general become better in handling the consequences of family change. Yet, several studies have reported remarkable stability in the negative associations between parental separation and educational attainment, psychological well-being, and own family dissolution risk (Albertini and Garriga 2011 ; Biblarz and Raftery 1999 ; Dronkers and Härkönen 2008 ; Sigle-Rushton et al. 2005 ; Li and Wu 2008 ; Gähler and Palmtag 2015 ). Some studies have found changing effects, but in opposite directions: a waning intergenerational transmission of divorce (Wolfinger 2005 ; Engelhardt et al. 2002 ), but a strengthening effect of parental separation on educational attainment (Kreidl et al. 2017 ).

Why this general stability? One possibility is that although some factors associated with parental separation, such as stigma, have become less common, other proximate consequences—including shock, grief, and anger over the separation of the parents (Pryor and Rodgers 2001 )—have remained stable. Another potential explanation refers to changing selection into separation. Parental separation has become increasingly associated with low levels of maternal education (Härkönen and Dronkers 2006 ). The motives for divorce have also changed over time. Fewer parental separations are today preceded by severe conflict and violence, whereas more are characterized by psychological motives and disagreements upon the division of labor (De Graaf and Kalmijn 2006 ; Gähler and Palmtag 2015 ). In general, changing selectivity of parental separation can have offset any weakening trend in its effects. The data requirements to disentangle these explanations are high, but those studies which have appropriate variables support the conclusion of a generally stable effect (Sigle-Rushton et al. 2005 ; Gähler and Palmtag 2015 ).

5.3 Cross-National Variation

Associations between family structure and child outcomes are robust in the sense that they are generally found in each country (cf. Amato and James 2010 ) and are often more similar than one might expect (Härkönen 2015 ). However, many studies have reported cross-national variation in the strength of associations (e.g., Brolin Låftman 2010 ; Radl et al. 2017 , this Special Issue). A series of studies found that countries with policies aimed at equalizing the living conditions between different types of families had smaller family structure gaps in educational achievement (Pong et al. 2003 ; Hampden-Thompson 2013 ; however, see Brolin Låftman 2010 ). Larger family structure differences have also been reported in economically more developed societies, where the nuclear family plays a more important role (Amato and Boyd 2014 ).

Dronkers and Härkönen ( 2008 ) found that the intergenerational transmission of divorce was weaker in countries where parental divorce was more common. This fits the intuition of weaker penalties when certain family behaviors are more common. However, other studies have found the opposite (Pong et al. 2003 ; Kreidl et al. 2017 ). An explanation is that in societies in which separation is uncommon, it is more often a solution to ending very troubled relationships and therefore more likely to be beneficial for the children.

6 Discussion and Recommendations for Future Research

We set the stage for future research in four directions. First, understanding the effects of heterogeneous family forms and transitions will be a research priority in the future as well (Amato 2010 ). Most of the research reviewed in this introduction has focused on the effects of parental separation, but scholars have been increasingly aware of and interested in the complexity of family forms in today’s societies. Some of this research was addressed in this article, and the analyses by Mariani, Özcan, and Goisis, and Radl, Salazar, and Cebolla-Boado in this Special Issue are further contributions to this topic: the former being the first to look at the outcomes of children born in lone mother families within one European country (the UK), and the latter providing a cross-national overview of the effects of various types of family structures. Future research, particularly in Europe, should continue addressing questions such as the effects of experiencing multiple family transitions and of complex family life course trajectories during childhood. Family complexity can also mean that the boundaries between family forms become blurred. An example is the increasing popularity of joint residential custody, which questions earlier divisions into single-parent and two-parent families. Understanding the effects of family forms under family complexity thus also means an update in conceptual thinking.

Second, children react to (changes in) family circumstances in remarkably different ways (e.g., Amato and Anthony 2014 ), which is hidden under the average effects reported in most studies. Three of the papers in this Special Issue address these questions and identify subgroups for which effects appear to be more limited compared to other groups such as low SES families and children from ethnic minorities. Better understanding the sources of vulnerability and resilience in the face of family change will continue to be a priority for research, and in this task, future research will benefit from combining theoretical and methodological approaches from sociology, demography, psychology, and genetics (cf. Amato 2010 ; Demo and Fine 2010 ).

Another related task for future research will be to systematize the research on variation in family structure effects across individuals and families, groups, and societal contexts. As reviewed in this article, the findings often point to confusingly different directions. Many studies, including the ones by Erman and Härkönen and Bernardi and Boertien in this Special Issue, have found that parental separation effects on educational outcomes are weaker in socioeconomic and ethnic groups where it is more frequent, but Amato and Anthony ( 2014 ) reported that the effects are more negative for children who had the highest risk of experiencing parental separation. Yet another group of studies have reported that the effects of parental separation are more negative when the parents had lower levels of conflict—and presumably, low likelihood of separating—before the separation (Amato et al. 1995 ; Dronkers 1999 ; Hanson 1999 ; Demo and Fine 2010 ). Many cross-national studies have concluded that these effects are stronger in societies in which parental separation is more common (Pong et al. 2003 ; Kreidl et al. 2017 ). At the same time, most studies continue to find that parental separation effects have remained stable even though more children have been experiencing it. Understanding these seemingly contradictory results will need theoretical development and appropriate data and designs to test them. Bernardi’s and Boertien’s study in this Special Issue provides a good example of such research.

Third, future research will undoubtedly continue employing sophisticated methods to analyze whether family structures and transitions have causal effects on children’s lives. Yet as discussed above, conceptual thought of what effects can be estimated with different methods and what effects are of most theoretical interest has not necessarily kept up with the methodological advances (for exceptions: Manski et al. 1992 ; Ní Bhrolcháin 2001 ; Sigle-Rushton et al. 2014 ). Using parental separation as our example, we distinguished between the effects of separations as events and separations as processes, as well as between the experience of separation and its timing. Researchers should pay more attention to these differences in the conceptualization of effects, which essentially boils down to the consideration of the underlying theoretical model of parental separation. Better recognition of these differences can contribute to theory-building and methodological advancement and help in formulating advice to parents, family counselors, and policy makers.

Last, these issues have implications for understanding social inequality in a time of family change. The “diverging destinies” thesis (McLanahan and Percheski 2008 ) holds that socioeconomically uneven family change, in which the retreat from stable two-parent families is happening particularly among those with low levels of education, can reduce social mobility. Yet whether this is the case depends not only on differences in family structures by socioeconomic background, but also on the strength of the effects of these family structures on the outcomes in question; if the effects are nil or weak, it does not matter who lives in which kind of family. The inequality-amplifying effects of socioeconomic differences in family structures can furthermore be shaped by heterogeneity in family structure effects (Bernardi and Boertien 2016b ). Bernardi’s and Boertien’s (2017, this Special Issue) findings, that the negative effects of parental separation are weaker for children whose parents have low levels of education, imply that the socioeconomic differences in family instability are less important in affecting intergenerational inequality than often thought. Erman’s and Härkönen’s ( 2017 , this Special Issue) results show that parental separation effects are weaker among ancestry groups where parental separation is more common suggest the same for ethnic inequalities. Together, these findings refine arguments stating that divergence in family structures will lead to an increase in inequality. Instead, the results imply that whether this happens or not is contingent on the strength of these effects and on whether they are similar across groups.

This quest will likely continue in the future; Ultee ( 2016 ) anticipated that in 2096, the book awarded for preservation of European sociological research will be called “Growing Up With Four Parents”.

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Acknowledgements

This Special Issue features research done within work package 5 (Family Transitions and Children’s Life Chances) of FamiliesAndSocieties ( www.familiesandsocieties.eu ). We thank the members of the consortium and our work package for productive collaborations and fruitful discussions during the project. We also thank the editorial team of European Journal of Population for the opportunity to publish this Special Issue and their feedback on earlier drafts. In addition, we are grateful to the reviewers for constructive comments to earlier versions to each of the articles in this Special Issue. The research leading to these results has received funding from the European Union’s Seventh Framework Programme (FP7/2007–2013) under Grant Agreement No. 320116 for the research project FamiliesAndSocieties and from the Strategic Research Council of the Academy of Finland (Decision Number: 293103) for the research consortium Tackling Inequality in Time of Austerity (TITA).

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Härkönen, J., Bernardi, F. & Boertien, D. Family Dynamics and Child Outcomes: An Overview of Research and Open Questions. Eur J Population 33 , 163–184 (2017). https://doi.org/10.1007/s10680-017-9424-6

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Family Relationships and Well-Being

Patricia a thomas.

1 Department of Sociology and Center on Aging and the Life Course, Purdue University, West Lafayette, Indiana

2 Department of Sociology, Michigan State University, East Lansing

Debra Umberson

3 Department of Sociology and Population Research Center, University of Texas at Austin

Family relationships are enduring and consequential for well-being across the life course. We discuss several types of family relationships—marital, intergenerational, and sibling ties—that have an important influence on well-being. We highlight the quality of family relationships as well as diversity of family relationships in explaining their impact on well-being across the adult life course. We discuss directions for future research, such as better understanding the complexities of these relationships with greater attention to diverse family structures, unexpected benefits of relationship strain, and unique intersections of social statuses.

Translational Significance

It is important for future research and health promotion policies to take into account complexities in family relationships, paying attention to family context, diversity of family structures, relationship quality, and intersections of social statuses in an aging society to provide resources to families to reduce caregiving burdens and benefit health and well-being.

For better and for worse, family relationships play a central role in shaping an individual’s well-being across the life course ( Merz, Consedine, Schulze, & Schuengel, 2009 ). An aging population and concomitant age-related disease underlies an emergent need to better understand factors that contribute to health and well-being among the increasing numbers of older adults in the United States. Family relationships may become even more important to well-being as individuals age, needs for caregiving increase, and social ties in other domains such as the workplace become less central in their lives ( Milkie, Bierman, & Schieman, 2008 ). In this review, we consider key family relationships in adulthood—marital, parent–child, grandparent, and sibling relationships—and their impact on well-being across the adult life course.

We begin with an overview of theoretical explanations that point to the primary pathways and mechanisms through which family relationships influence well-being, and then we describe how each type of family relationship is associated with well-being, and how these patterns unfold over the adult life course. In this article, we use a broad definition of well-being, including multiple dimensions such as general happiness, life satisfaction, and good mental and physical health, to reflect the breadth of this concept’s use in the literature. We explore important directions for future research, emphasizing the need for research that takes into account the complexity of relationships, diverse family structures, and intersections of structural locations.

Pathways Linking Family Relationships to Well-Being

A life course perspective draws attention to the importance of linked lives, or interdependence within relationships, across the life course ( Elder, Johnson, & Crosnoe, 2003 ). Family members are linked in important ways through each stage of life, and these relationships are an important source of social connection and social influence for individuals throughout their lives ( Umberson, Crosnoe, & Reczek, 2010 ). Substantial evidence consistently shows that social relationships can profoundly influence well-being across the life course ( Umberson & Montez, 2010 ). Family connections can provide a greater sense of meaning and purpose as well as social and tangible resources that benefit well-being ( Hartwell & Benson, 2007 ; Kawachi & Berkman, 2001 ).

The quality of family relationships, including social support (e.g., providing love, advice, and care) and strain (e.g., arguments, being critical, making too many demands), can influence well-being through psychosocial, behavioral, and physiological pathways. Stressors and social support are core components of stress process theory ( Pearlin, 1999 ), which argues that stress can undermine mental health while social support may serve as a protective resource. Prior studies clearly show that stress undermines health and well-being ( Thoits, 2010 ), and strains in relationships with family members are an especially salient type of stress. Social support may provide a resource for coping that dulls the detrimental impact of stressors on well-being ( Thoits, 2010 ), and support may also promote well-being through increased self-esteem, which involves more positive views of oneself ( Fukukawa et al., 2000 ). Those receiving support from their family members may feel a greater sense of self-worth, and this enhanced self-esteem may be a psychological resource, encouraging optimism, positive affect, and better mental health ( Symister & Friend, 2003 ). Family members may also regulate each other’s behaviors (i.e., social control) and provide information and encouragement to behave in healthier ways and to more effectively utilize health care services ( Cohen, 2004 ; Reczek, Thomeer, Lodge, Umberson, & Underhill, 2014 ), but stress in relationships may also lead to health-compromising behaviors as coping mechanisms to deal with stress ( Ng & Jeffery, 2003 ). The stress of relationship strain can result in physiological processes that impair immune function, affect the cardiovascular system, and increase risk for depression ( Graham, Christian, & Kiecolt-Glaser, 2006 ; Kiecolt-Glaser & Newton, 2001 ), whereas positive relationships are associated with lower allostatic load (i.e., “wear and tear” on the body accumulating from stress) ( Seeman, Singer, Ryff, Love, & Levy-Storms, 2002 ). Clearly, the quality of family relationships can have considerable consequences for well-being.

Marital Relationships

A life course perspective has posited marital relationships as one of the most important relationships that define life context and in turn affect individuals’ well-being throughout adulthood ( Umberson & Montez, 2010 ). Being married, especially happily married, is associated with better mental and physical health ( Carr & Springer, 2010 ; Umberson, Williams, & Thomeer, 2013 ), and the strength of the marital effect on health is comparable to that of other traditional risk factors such as smoking and obesity ( Sbarra, 2009 ). Although some studies emphasize the possibility of selection effects, suggesting that individuals in better health are more likely to be married ( Lipowicz, 2014 ), most researchers emphasize two theoretical models to explain why marital relationships shape well-being: the marital resource model and the stress model ( Waite & Gallager, 2000 ; Williams & Umberson, 2004 ). The marital resource model suggests that marriage promotes well-being through increased access to economic, social, and health-promoting resources ( Rendall, Weden, Favreault, & Waldron, 2011 ; Umberson et al., 2013 ). The stress model suggests that negative aspects of marital relationships such as marital strain and marital dissolutions create stress and undermine well-being ( Williams & Umberson, 2004 ), whereas positive aspects of marital relationships may prompt social support, enhance self-esteem, and promote healthier behaviors in general and in coping with stress ( Reczek, Thomeer, et al., 2014 ; Symister & Friend, 2003 ; Waite & Gallager, 2000 ). Marital relationships also tend to become more salient with advancing age, as other social relationships such as those with family members, friends, and neighbors are often lost due to geographic relocation and death in the later part of the life course ( Liu & Waite, 2014 ).

Married people, on average, enjoy better mental health, physical health, and longer life expectancy than divorced/separated, widowed, and never-married people ( Hughes & Waite, 2009 ; Simon, 2002 ), although the health gap between the married and never married has decreased in the past few decades ( Liu & Umberson, 2008 ). Moreover, marital links to well-being depend on the quality of the relationship; those in distressed marriages are more likely to report depressive symptoms and poorer health than those in happy marriages ( Donoho, Crimmins, & Seeman, 2013 ; Liu & Waite, 2014 ; Umberson, Williams, Powers, Liu, & Needham, 2006 ), whereas a happy marriage may buffer the effects of stress via greater access to emotional support ( Williams, 2003 ). A number of studies suggest that the negative aspects of close relationships have a stronger impact on well-being than the positive aspects of relationships (e.g., Rook, 2014 ), and past research shows that the impact of marital strain on health increases with advancing age ( Liu & Waite, 2014 ; Umberson et al., 2006 ).

Prior studies suggest that marital transitions, either into or out of marriage, shape life context and affect well-being ( Williams & Umberson, 2004 ). National longitudinal studies provide evidence that past experiences of divorce and widowhood are associated with increased risk of heart disease in later life especially among women, irrespective of current marital status ( Zhang & Hayward, 2006 ), and longer duration of divorce or widowhood is associated with a greater number of chronic conditions and mobility limitations ( Hughes & Waite, 2009 ; Lorenz, Wickrama, Conger, & Elder, 2006 ) but only short-term declines in mental health ( Lee & Demaris, 2007 ). On the other hand, entry into marriages, especially first marriages, improves psychological well-being and decreases depression ( Frech & Williams, 2007 ; Musick & Bumpass, 2012 ), although the benefits of remarriage may not be as large as those that accompany a first marriage ( Hughes & Waite, 2009 ). Taken together, these studies show the importance of understanding the lifelong cumulative impact of marital status and marital transitions.

Gender Differences

Gender is a central focus of research on marital relationships and well-being and an important determinant of life course experiences ( Bernard, 1972 ; Liu & Waite, 2014 ; Zhang & Hayward, 2006 ). A long-observed pattern is that men receive more physical health benefits from marriage than women, and women are more psychologically and physiologically vulnerable to marital stress than men ( Kiecolt-Glaser & Newton, 2001 ; Revenson et al., 2016 ; Simon, 2002 ; Williams, 2004 ). Women tend to receive more financial benefits from their typically higher-earning male spouse than do men, but men generally receive more health promotion benefits such as emotional support and regulation of health behaviors from marriage than do women ( Liu & Umberson, 2008 ; Liu & Waite, 2014 ). This is because within a traditional marriage, women tend to take more responsibility for maintaining social connections to family and friends, and are more likely to provide emotional support to their husband, whereas men are more likely to receive emotional support and enjoy the benefit of expanded social networks—all factors that may promote husbands’ health and well-being ( Revenson et al., 2016 ).

However, there is mixed evidence regarding whether men’s or women’s well-being is more affected by marriage. On the one hand, a number of studies have documented that marital status differences in both mental and physical health are greater for men than women ( Liu & Umberson, 2008 ; Sbarra, 2009 ). For example, Williams and Umberson (2004) found that men’s health improves more than women’s from entering marriage. On the other hand, a number of studies reveal stronger effects of marital strain on women’s health than men’s including more depressive symptoms, increases in cardiovascular health risk, and changes in hormones ( Kiecolt-Glaser & Newton, 2001 ; Liu & Waite, 2014 ; Liu, Waite, & Shen, 2016 ). Yet, other studies found no gender differences in marriage and health links (e.g., Umberson et al., 2006 ). The mixed evidence regarding gender differences in the impact of marital relationships on well-being may be attributed to different study samples (e.g., with different age groups) and variations in measurements and methodologies. More research based on representative longitudinal samples is clearly warranted to contribute to this line of investigation.

Race-Ethnicity and SES Heterogeneity

Family scholars argue that marriage has different meanings and dynamics across socioeconomic status (SES) and racial-ethnic groups due to varying social, economic, historical, and cultural contexts. Therefore, marriage may be associated with well-being in different ways across these groups. For example, women who are black or lower SES may be less likely than their white, higher SES counterparts to increase their financial capital from relationship unions because eligible men in their social networks are more socioeconomically challenged ( Edin & Kefalas, 2005 ). Some studies also find that marital quality is lower among low SES and black couples than white couples with higher SES ( Broman, 2005 ). This may occur because the former groups face more stress in their daily lives throughout the life course and these higher levels of stress undermine marital quality ( Umberson, Williams, Thomas, Liu, & Thomeer, 2014 ). Other studies, however, suggest stronger effects of marriage on the well-being of black adults than white adults. For example, black older adults seem to benefit more from marriage than older whites in terms of chronic conditions and disability ( Pienta, Hayward, & Jenkins, 2000 ).

Directions for Future Research

The rapid aging of the U.S. population along with significant changes in marriage and families indicate that a growing number of older adults enter late life with both complex marital histories and great heterogeneity in their relationships. While most research to date focuses on different-sex marriages, a growing body of research has started to examine whether the marital advantage in health and well-being is extended to same-sex couples, which represents a growing segment of relationship types among older couples ( Denney, Gorman, & Barrera, 2013 ; Goldsen et al., 2017 ; Liu, Reczek, & Brown, 2013 ; Reczek, Liu, & Spiker, 2014 ). Evidence shows that same-sex cohabiting couples report worse health than different-sex married couples ( Denney et al., 2013 ; Liu et al., 2013 ), but same-sex married couples are often not significantly different from or are even better off than different-sex married couples in other outcomes such as alcohol use ( Reczek, Liu, et al., 2014 ) and care from their partner during periods of illness ( Umberson, Thomeer, Reczek, & Donnelly, 2016 ). These results suggest that marriage may promote the well-being of same-sex couples, perhaps even more so than for different-sex couples ( Umberson et al., 2016 ). Including same-sex couples in future work on marriage and well-being will garner unique insights into gender differences in marital dynamics that have long been taken for granted based on studies of different-sex couples ( Umberson, Thomeer, Kroeger, Lodge, & Xu, 2015 ). Moreover, future work on same-sex and different-sex couples should take into account the intersection of other statuses such as race-ethnicity and SES to better understand the impact of marital relationships on well-being.

Another avenue for future research involves investigating complexities of marital strain effects on well-being. Some recent studies among older adults suggest that relationship strain may actually benefit certain dimensions of well-being. These studies suggest that strain with a spouse may be protective for certain health outcomes including cognitive decline ( Xu, Thomas, & Umberson, 2016 ) and diabetes control ( Liu et al., 2016 ), while support may not be, especially for men ( Carr, Cornman, & Freedman, 2016 ). Explanations for these unexpected findings among older adults are not fully understood. Family and health scholars suggest that spouses may prod their significant others to engage in more health-promoting behaviors ( Umberson, Crosnoe, et al., 2010 ). These attempts may be a source of friction, creating strain in the relationship; however, this dynamic may still contribute to better health outcomes for older adults. Future research should explore the processes by which strain may have a positive influence on health and well-being, perhaps differently by gender.

Intergenerational Relationships

Children and parents tend to remain closely connected to each other across the life course, and it is well-established that the quality of intergenerational relationships is central to the well-being of both generations ( Merz, Schuengel, & Schulze, 2009 ; Polenick, DePasquale, Eggebeen, Zarit, & Fingerman, 2016 ). Recent research also points to the importance of relationships with grandchildren for aging adults ( Mahne & Huxhold, 2015 ). We focus here on the well-being of parents, adult children, and grandparents. Parents, grandparents, and children often provide care for each other at different points in the life course, which can contribute to social support, stress, and social control mechanisms that influence the health and well-being of each in important ways over the life course ( Nomaguchi & Milkie, 2003 ; Pinquart & Soerensen, 2007 ; Reczek, Thomeer, et al., 2014 ).

Family scholarship highlights the complexities of parent–child relationships, finding that parenthood generates both rewards and stressors, with important implications for well-being ( Nomaguchi & Milkie, 2003 ; Umberson, Pudrovska, & Reczek, 2010 ). Parenthood increases time constraints, producing stress and diminishing well-being, especially when children are younger ( Nomaguchi, Milkie, & Bianchi, 2005 ), but parenthood can also increase social integration, leading to greater emotional support and a sense of belonging and meaning ( Berkman, Glass, Brissette, & Seeman, 2000 ), with positive consequences for well-being. Studies show that adult children play a pivotal role in the social networks of their parents across the life course ( Umberson, Pudrovska, et al., 2010 ), and the effects of parenthood on health and well-being become increasingly important at older ages as adult children provide one of the major sources of care for aging adults ( Seltzer & Bianchi, 2013 ). Norms of filial obligation of adult children to care for parents may be a form of social capital to be accessed by parents when their needs arise ( Silverstein, Gans, & Yang, 2006 ).

Although the general pattern is that receiving support from adult children is beneficial for parents’ well-being ( Merz, Schulze, & Schuengel, 2010 ), there is also evidence showing that receiving social support from adult children is related to lower well-being among older adults, suggesting that challenges to an identity of independence and usefulness may offset some of the benefits of receiving support ( Merz et al., 2010 ; Thomas, 2010 ). Contrary to popular thought, older parents are also very likely to provide instrumental/financial support to their adult children, typically contributing more than they receive ( Grundy, 2005 ), and providing emotional support to their adult children is related to higher well-being for older adults ( Thomas, 2010 ). In addition, consistent with the tenets of stress process theory, most evidence points to poor quality relationships with adult children as detrimental to parents’ well-being ( Koropeckyj-Cox, 2002 ; Polenick et al., 2016 ); however, a recent study found that strain with adult children is related to better cognitive health among older parents, especially fathers ( Thomas & Umberson, 2017 ).

Adult Children

As children and parents age, the nature of the parent–child relationship often changes such that adult children may take on a caregiving role for their older parents ( Pinquart & Soerensen, 2007 ). Adult children often experience competing pressures of employment, taking care of their own children, and providing care for older parents ( Evans et al., 2016 ). Support and strain from intergenerational ties during this stressful time of balancing family roles and work obligations may be particularly important for the mental health of adults in midlife ( Thomas, 2016 ). Most evidence suggests that caregiving for parents is related to lower well-being for adult children, including more negative affect and greater stress response in terms of overall output of daily cortisol ( Bangerter et al., 2017 ); however, some studies suggest that caregiving may be beneficial or neutral for well-being ( Merz et al., 2010 ). Family scholars suggest that this discrepancy may be due to varying types of caregiving and relationship quality. For example, providing emotional support to parents can increase well-being, but providing instrumental support does not unless the caregiver is emotionally engaged ( Morelli, Lee, Arnn, & Zaki, 2015 ). Moreover, the quality of the adult child-parent relationship may matter more for the well-being of adult children than does the caregiving they provide ( Merz, Schuengel, et al., 2009 ).

Although caregiving is a critical issue, adult children generally experience many years with parents in good health ( Settersten, 2007 ), and relationship quality and support exchanges have important implications for well-being beyond caregiving roles. The preponderance of research suggests that most adults feel emotionally close to their parents, and emotional support such as encouragement, companionship, and serving as a confidant is commonly exchanged in both directions ( Swartz, 2009 ). Intergenerational support exchanges often flow across generations or towards adult children rather than towards parents. For example, adult children are more likely to receive financial support from parents than vice versa until parents are very old ( Grundy, 2005 ). Intergenerational support exchanges are integral to the lives of both parents and adult children, both in times of need and in daily life.

Grandparents

Over 65 million Americans are grandparents ( Ellis & Simmons, 2014 ), 10% of children lived with at least one grandparent in 2012 ( Dunifon, Ziol-Guest, & Kopko, 2014 ), and a growing number of American families rely on grandparents as a source of support ( Settersten, 2007 ), suggesting the importance of studying grandparenting. Grandparents’ relationships with their grandchildren are generally related to higher well-being for both grandparents and grandchildren, with some important exceptions such as when they involve more extensive childcare responsibilities ( Kim, Kang, & Johnson-Motoyama, 2017 ; Lee, Clarkson-Hendrix, & Lee, 2016 ). Most grandparents engage in activities with their grandchildren that they find meaningful, feel close to their grandchildren, consider the grandparent role important ( Swartz, 2009 ), and experience lower well-being if they lose contact with their grandchildren ( Drew & Silverstein, 2007 ). However, a growing proportion of children live in households maintained by grandparents ( Settersten, 2007 ), and grandparents who care for their grandchildren without the support of the children’s parents usually experience greater stress ( Lee et al., 2016 ) and more depressive symptoms ( Blustein, Chan, & Guanais, 2004 ), sometimes juggling grandparenting responsibilities with their own employment ( Harrington Meyer, 2014 ). Using professional help and community services reduced the detrimental effects of grandparent caregiving on well-being ( Gerard, Landry-Meyer, & Roe, 2006 ), suggesting that future policy could help mitigate the stress of grandparent parenting and enhance the rewarding aspects of grandparenting instead.

Substantial evidence suggests that the experience of intergenerational relationships varies for men and women. Women tend to be more involved with and affected by intergenerational relationships, with adult children feeling closer to mothers than fathers ( Swartz, 2009 ). Moreover, relationship quality with children is more strongly associated with mothers’ well-being than with fathers’ well-being ( Milkie et al., 2008 ). Motherhood may be particularly salient to women ( McQuillan, Greil, Shreffler, & Tichenor, 2008 ), and women carry a disproportionate share of the burden of parenting, including greater caregiving for young children and aging parents as well as time deficits from these obligations that lead to lower well-being ( Nomaguchi et al., 2005 ; Pinquart & Sorensen, 2006 ). Mothers often report greater parental pressures than fathers, such as more obligation to be there for their children ( Reczek, Thomeer, et al., 2014 ; Stone, 2007 ), and to actively work on family relationships ( Erickson, 2005 ). Mothers are also more likely to blame themselves for poor parent–child relationship quality ( Elliott, Powell, & Brenton, 2015 ), contributing to greater distress for women. It is important to take into account the different pressures and meanings surrounding intergenerational relationships for men and for women in future research.

Family scholars have noted important variations in family dynamics and constraints by race-ethnicity and socioeconomic status. Lower SES can produce and exacerbate family strains ( Conger, Conger, & Martin, 2010 ). Socioeconomically disadvantaged adult children may need more assistance from parents and grandparents who in turn have fewer resources to provide ( Seltzer & Bianchi, 2013 ). Higher SES and white families tend to provide more financial and emotional support, whereas lower SES, black, and Latino families are more likely to coreside and provide practical help, and these differences in support exchanges contribute to the intergenerational transmission of inequality through families ( Swartz, 2009 ). Moreover, scholars have found that a happiness penalty exists such that parents of young children have lower levels of well-being than nonparents; however, policies such as childcare subsidies and paid time off that help parents negotiate work and family responsibilities explain this disparity ( Glass, Simon, & Andersson, 2016 ). Fewer resources can also place strain on grandparent–grandchild relationships. For example, well-being derived from these relationships may be unequally distributed across grandparents’ education level such that those with less education bear the brunt of more stressful grandparenting experiences and lower well-being ( Mahne & Huxhold, 2015 ). Both the burden of parenting grandchildren and its effects on depressive symptoms disproportionately fall upon single grandmothers of color ( Blustein et al., 2004 ). These studies demonstrate the importance of understanding structural constraints that produce greater stress for less advantaged groups and their impact on family relationships and well-being.

Research on intergenerational relationships suggests the importance of understanding greater complexity in these relationships in future work. For example, future research should pay greater attention to diverse family structures and perspectives of multiple family members. There is an increasing trend of individuals delaying childbearing or choosing not to bear children ( Umberson, Pudrovska, et al., 2010 ). How might this influence marital quality and general well-being over the life course and across different social groups? Greater attention to the quality and context of intergenerational relationships from each family member’s perspective over time may prove fruitful by gaining both parents’ and each child’s perceptions. This work has already yielded important insights, such as the ways in which intergenerational ambivalence (simultaneous positive and negative feelings about intergenerational relationships) from the perspectives of parents and adult children may be detrimental to well-being for both parties ( Fingerman, Pitzer, Lefkowitz, Birditt, & Mroczek, 2008 ; Gilligan, Suitor, Feld, & Pillemer, 2015 ). Future work understanding the perspectives of each family member could also provide leverage in understanding the mixed findings regarding whether living in blended families with stepchildren influences well-being ( Gennetian, 2005 ; Harcourt, Adler-Baeder, Erath, & Pettit, 2013 ) and the long-term implications of these family structures when older adults need care ( Seltzer & Bianchi, 2013 ). Longitudinal data linking generations, paying greater attention to the context of these relationships, and collected from multiple family members can help untangle the ways in which family members influence each other across the life course and how multiple family members’ well-being may be intertwined in important ways.

Future studies should also consider the impact of intersecting structural locations that place unique constraints on family relationships, producing greater stress at some intersections while providing greater resources at other intersections. For example, same-sex couples are less likely to have children ( Carpenter & Gates, 2008 ) and are more likely to provide parental caregiving regardless of gender ( Reczek & Umberson, 2016 ), suggesting important implications for stress and burden in intergenerational caregiving for this group. Much of the work on gender, sexuality, race, and socioeconomic status differences in intergenerational relationships and well-being examine one or two of these statuses, but there may be unique effects at the intersection of these and other statuses such as disability, age, and nativity. Moreover, these effects may vary at different stages of the life course.

Sibling Relationships

Sibling relationships are understudied, and the research on adult siblings is more limited than for other family relationships. Yet, sibling relationships are often the longest lasting family relationship in an individual’s life due to concurrent life spans, and indeed, around 75% of 70-year olds have a living sibling ( Settersten, 2007 ). Some suggest that sibling relationships play a more meaningful role in well-being than is often recognized ( Cicirelli, 2004 ). The available evidence suggests that high quality relationships characterized by closeness with siblings are related to higher levels of well-being ( Bedford & Avioli, 2001 ), whereas sibling relationships characterized by conflict and lack of closeness have been linked to lower well-being in terms of major depression and greater drug use in adulthood ( Waldinger, Vaillant, & Orav, 2007 ). Parental favoritism and disfavoritism of children affects the closeness of siblings ( Gilligan, Suitor, & Nam, 2015 ) and depression ( Jensen, Whiteman, Fingerman, & Birditt, 2013 ). Similar to other family relationships, sibling relationships can be characterized by both positive and negative aspects that may affect elements of the stress process, providing both resources and stressors that influence well-being.

Siblings play important roles in support exchanges and caregiving, especially if their sibling experiences physical impairment and other close ties, such as a spouse or adult children, are not available ( Degeneffe & Burcham, 2008 ; Namkung, Greenberg, & Mailick, 2017 ). Although sibling caregivers report lower well-being than noncaregivers, sibling caregivers experience this lower well-being to a lesser extent than spousal caregivers ( Namkung et al., 2017 ). Most people believe that their siblings would be available to help them in a crisis ( Connidis, 1994 ; Van Volkom, 2006 ), and in general support exchanges, receiving emotional support from a sibling is related to higher levels of well-being among older adults ( Thomas, 2010 ). Relationship quality affects the experience of caregiving, with higher quality sibling relationships linked to greater provision of care ( Eriksen & Gerstel, 2002 ) and a lower likelihood of emotional strain from caregiving ( Mui & Morrow-Howell, 1993 ; Quinn, Clare, & Woods, 2009 ). Taken together, these studies suggest the importance of sibling relationships for well-being across the adult life course.

The gender of the sibling dyad may play a role in the relationship’s effect on well-being, with relationships with sisters perceived as higher quality and linked to higher well-being ( Van Volkom, 2006 ), though some argue that brothers do not show their affection in the same way but nevertheless have similar sentiments towards their siblings ( Bedford & Avioli, 2001 ). General social support exchanges with siblings may be influenced by gender and larger family context; sisters exchanged more support with their siblings when they had higher quality relationships with their parents, but brothers exhibited a more compensatory role, exchanging more emotional support with siblings when they had lower quality relationships with their parents ( Voorpostel & Blieszner, 2008 ). Caregiving for aging parents is also distributed differently by gender, falling disproportionately on female siblings ( Pinquart & Sorensen, 2006 ), and sons provide less care to their parents if they have a sister ( Grigoryeva, 2017 ). However, men in same-sex marriages were more likely than men in different-sex marriages to provide caregiving to parents and parents-in-law ( Reczek & Umberson, 2016 ), which may ease the stress and burden on their female siblings.

Although there is less research in this area, family scholars have noted variations in sibling relationships and their effects by race-ethnicity and socioeconomic status. Lower socioeconomic status has been associated with reports of feeling less attached to siblings and this influences several outcomes such as obesity, depression, and substance use ( Van Gundy et al., 2015 ). Fewer socioeconomic resources can also limit the amount of care siblings provide ( Eriksen & Gerstel, 2002 ). These studies suggest sibling relationship quality as an axis of further disadvantage for already disadvantaged individuals. Sibling relationships may influence caregiving experiences by race as well, with black caregivers more likely to have siblings who also provide care to their parents than white caregivers ( White-Means & Rubin, 2008 ) and sibling caregiving leading to lower well-being among white caregivers than minority caregivers ( Namkung et al., 2017 ).

Research on within-family differences has made great strides in our understanding of family relationships and remains a fruitful area of growth for future research (e.g., Suitor et al., 2017 ). Data gathered on multiple members within the same family can help researchers better investigate how families influence well-being in complex ways, including reciprocal influences between siblings. Siblings may have different perceptions of their relationships with each other, and this may vary by gender and other social statuses. This type of data might be especially useful in understanding family effects in diverse family structures, such as differences in treatment and outcomes of biological versus stepchildren, how characteristics of their relationships such as age differences may play a role, and the implications for caregiving for aging parents and for each other. Moreover, it is important to use longitudinal data to understand the consequences of these within-family differences over time as the life course unfolds. In addition, a greater focus on heterogeneity in sibling relationships and their consequences at the intersection of gender, race-ethnicity, SES, and other social statuses merit further investigation.

Relationships with family members are significant for well-being across the life course ( Merz, Consedine, et al., 2009 ; Umberson, Pudrovska, et al., 2010 ). As individuals age, family relationships often become more complex, with sometimes complicated marital histories, varying relationships with children, competing time pressures, and obligations for care. At the same time, family relationships become more important for well-being as individuals age and social networks diminish even as family caregiving needs increase. Stress process theory suggests that the positive and negative aspects of relationships can have a large impact on the well-being of individuals. Family relationships provide resources that can help an individual cope with stress, engage in healthier behaviors, and enhance self-esteem, leading to higher well-being. However, poor relationship quality, intense caregiving for family members, and marital dissolution are all stressors that can take a toll on an individual’s well-being. Moreover, family relationships also change over the life course, with the potential to share different levels of emotional support and closeness, to take care of us when needed, to add varying levels of stress to our lives, and to need caregiving at different points in the life course. The potential risks and rewards of these relationships have a cumulative impact on health and well-being over the life course. Additionally, structural constraints and disadvantage place greater pressures on some families than others based on structural location such as gender, race, and SES, producing further disadvantage and intergenerational transmission of inequality.

Future research should take into account greater complexity in family relationships, diverse family structures, and intersections of social statuses. The rapid aging of the U.S. population along with significant changes in marriage and families suggest more complex marital and family histories as adults enter late life, which will have a large impact on family dynamics and caregiving. Growing segments of family relationships among older adults include same-sex couples, those without children, and those experiencing marital transitions leading to diverse family structures, which all merit greater attention in future research. Moreover, there is some evidence that strain in relationships can be beneficial for certain health outcomes, and the processes by which this occurs merit further investigation. A greater use of longitudinal data that link generations and obtain information from multiple family members will help researchers better understand the ways in which these complex family relationships unfold across the life course and shape well-being. We also highlighted gender, race-ethnicity, and socioeconomic status differences in each of these family relationships and their impact on well-being; however, many studies only consider one status at a time. Future research should consider the impact of intersecting structural locations that place unique constraints on family relationships, producing greater stress or providing greater resources at the intersections of different statuses.

The changing landscape of families combined with population aging present unique challenges and pressures for families and health care systems. With more experiences of age-related disease in a growing population of older adults as well as more complex family histories as these adults enter late life, such as a growing proportion of diverse family structures without children or with stepchildren, caregiving obligations and availability may be less clear. It is important to address ways to ease caregiving or shift the burden away from families through a variety of policies, such as greater resources for in-home aid, creation of older adult residential communities that facilitate social interactions and social support structures, and patient advocates to help older adults navigate health care systems. Adults in midlife may experience competing family pressures from their young children and aging parents, and policies such as childcare subsidies and paid leave to care for family members could reduce burden during this often stressful time ( Glass et al., 2016 ). Professional help and community services can also reduce the burden for grandparents involved in childcare, enabling grandparents to focus on the more positive aspects of grandparent–grandchild relationships. It is important for future research and health promotion policies to take into account the contexts and complexities of family relationships as part of a multipronged approach to benefit health and well-being, especially as a growing proportion of older adults reach late life.

This work was supported in part by grant, 5 R24 HD042849, Population Research Center, awarded to the Population Research Center at The University of Texas at Austin by the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

Conflict of Interest

None reported.

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Family leadership challenges: Disrupting the momentum at Samsung

Samsung is a Korean conglomerate (or chaebol) founded in 1938. Once a sole trading company, it has grown into a myriad of companies generating over $380 billion globally in industries as varied as construction, semiconductors, shipbuilding, banking and entertainment. Like most Korean conglomerates, an unusual feature of Samsung is that it has no overarching holding company; it is a constellation of companies sharing a common name and tightly interwoven cross-ownership ties. This ownership structure allows the third-generation descendant of the family business, Jae-Yong Lee, to control the conglomerate with shares in only a few affiliates. The case focuses on three pivotal moments of the Lee family’s leadership of the Samsung Group: the leadership transmission from the founder Byung-Chul to the second generation; the hospitalization of the visionary leader Kun-Hee and the succession to the third generation; and Jae-Yong’s arrest and later conviction, causing a leadership vacuum within the group.

• The case describes multiple events throughout the company’s 80-year history and illustrates diverse aspects of a family business.
• It also presents an interesting account of the business, economic, political and social development of South Korea since 1930s.
• The instructor can use the case to provide real examples of some or all of the following topics: the role of vision in business, family business succession, and ethical leadership.

The Case Centre

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Asia Pacific Case Center

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There is a Chinese saying that wealth does not last beyond three generations, and the reality is that sustaining family businesses is a significant...

Combining insights from the socioemotional wealth and institutional perspectives, we hypothesize that firms controlled by families offer greater jo...

Prior research lacks an understanding of how decision makers preserve longevity within family businesses. This study examines longevity under a mic...

Julia Binder and Manuel Braun delve into why a circular approach to business can help build more resilience and boost profitability.

Digital product innovation (DPI) is critical for the survival of firms, especially those operating in traditional industrial-age industries. While ...