Wellbeing of gay fathers with children born through surrogacy: a comparison with lesbian-mother families and heterosexual IVF parent families.

STUDY QUESTION: Are there differences in levels of parental wellbeing (parental stress, psychological adjustment and partner relationship satisfaction) between gay-father families with infants born through surrogacy, lesbian-mother families with infants born through donor insemination, and heterosexual-parent families with infants born through IVF? SUMMARY ANSWER: There were no differences in parental wellbeing. WHAT IS KNOWN ALREADY: The only other study of parental wellbeing in gay-father families formed through surrogacy (mean age children: 4 years old) found no difference in couple relationship satisfaction between these families and lesbian-mother families formed through donor insemination and heterosexual-parent families formed without assisted reproductive technologies. STUDY DESIGN, SIZE, DURATION: This cross-sectional study is part of an international research project involving 38 gay-father families, 61 lesbian-mother families and 41 heterosexual-parent families with 4-month-olds. In each country (the UK, the Netherlands and France), participants were recruited through several sources, such as specialist lawyers with expertise in surrogacy (for the recruitment of gay fathers), lesbian and gay parenting support groups, fertility clinics (for the recruitment of lesbian and heterosexual parents), and/or online forums and magazines. PARTICIPANTS/MATERIALS, SETTING, METHODS: During a home visit when their infants were between 3.5 and 4.5 months old, participants completed standardized measures of parental stress, parental psychological adjustment (anxiety and depression) and partner relationship satisfaction. MAIN RESULTS AND THE ROLE OF CHANCE: All parents reported relatively low levels of parental stress, anxiety and depression, and were all relatively satisfied with their intimate relationships. After controlling for caregiver role (primary or secondary caregiver role), there were no significant family type differences in parental stress, P = 0.949, depression, P = 0.089, anxiety, P = 0.117, or relationship satisfaction, P = 0.354. LIMITATIONS, REASONS FOR CAUTION: The findings cannot be generalized to all first-time ART parents with infants because only families from relatively privileged backgrounds participated. WIDER IMPLICATIONS OF THE FINDINGS: Our findings may have implications for the development of policy and legislation in relation to these new family forms, as well as the regulation of surrogacy in the Netherlands and France. In addition, our findings might encourage professional organizations of obstetricians and gynecologists in these countries to recommend that requests for assisted reproduction should be considered regardless of the applicants' sexual orientation. STUDY FUNDING/COMPETING INTEREST(S): This research was supported, under the auspices of the Open Research Area (Application BO 3973/1-1; Principal Investigator, Michael E Lamb), by grants from the UK Economic and Social Research Council (ESRC; Grant ES/K006150/1; Principal Investigator, Michael E. Lamb), The Netherlands Organisation for Scientific Research (NWO; Grant NWO 464-11-001, Principal Investigator, Henny W.M. Bos) and the French Agence Nationale de Recherche (ANR; Grant ANR-12-ORAR-00005-01, Principal Investigator, Olivier Vecho) whose support is gratefully acknowledged. There were no competing interests.

Repetition of contaminating question types when children and youths with intellectual disabilities are interviewed.

BACKGROUND: The present study examined the effects of repeating questions in interviews investigating the possible sexual abuse of children and youths who had a variety of intellectual disabilities. We predicted that the repetition of option-posing and suggestive questions would lead the suspected victims to change their responses, making it difficult to understand what actually happened. Inconsistency can be a key factor when assessing the reliability of witnesses. MATERIALS: Case files and transcripts of investigative interviews with 33 children and youths who had a variety of intellectual disabilities were obtained from prosecutors in Sweden. The interviews involved 25 females and 9 males whose chronological ages were between 5.4 and 23.7 years when interviewed (M = 13.2 years). RESULTS: Six per cent of the questions were repeated at least once. The repetition of focused questions raised doubts about the reports because the interviewees changed their answers 40% of the time. CONCLUSIONS: Regardless of the witnesses' abilities, it is important to obtain reports that are as accurate and complete as possible in investigative interviews. Because this was a field study, we did not know which responses were accurate, but repetitions of potentially contaminating questions frequently led the interviewees to contradict their earlier answers. This means that the interviewers' behaviour diminished the usefulness of the witnesses' testimony.

Association between parenthood and problem behavior in a national sample of adolescents.

The association between problem behaviors and parental status was studied in a national sample of urban (n = 1263) and rural (n = 388) young women 15 to 17 years of age. When assessed according to age at childbearing, there was a clear association between problem behavior and the birth of a first child prior to age 19 years. The three parental status groups studied appeared ordered in risk, with school-aged mothers having engaged in the most problem behaviors, and followed, in turn, by young adult mothers (ie, those who had a child between 19 and 21 years of age), and then by women who had not had a child by age 21 years. Young urban women who engaged in three or more problem behaviors were more likely than women who claimed no involvement in problem behaviors to subsequently have a child prior to age 19 years. In addition, black adolescents reported fewer problem behaviors than did white adolescents. When individual behaviors were analyzed, school-aged mothers were more likely than either young adult mothers or nonmothers to have reported school suspension, truancy, runaway, smoking marijuana, and fighting. Although similar results were found in both samples, the effects appeared more consistent for young urban women. In future studies, researchers must determine whether adolescent mothers are at risk for parenting difficulties because of their previous involvement in problem behaviors.

Perceptions of parenthood among adolescent fathers.

To investigate perceptions of parenthood among adolescent fathers, we studied three groups of first-time fathers: adolescent fathers with adolescent partners (n = 21), adult fathers with adolescent partners (n = 14), and adult fathers with adult partners (n = 55). Subjects were interviewed during the immediate postpartum period and then again 3 months later. Group differences were noted concerning items related to paternal involvement, sex stereotypic behaviors, and stress, but not concerning preparation for parenthood. Fathers' perceptions appeared to be influenced by both their ages and those of the mothers as well as an interaction between these two fathers (adult fathers with adolescent partners v adult fathers with adult partners). Our results suggest that fathers with adolescent partners may benefit from interventions designed to promote more active involvement in parenthood.

Parental behavior of adolescent mothers.

The results of the studies reviewed lead to the conclusion that some adolescent parents are faced with excessive stress, have an inadequate social support network, lack adequate knowledge of child development, are developmentally immature, and possess inappropriate child-rearing attitudes. The lack of rigorous, well-controlled studies, however, makes these conclusions tentative at best. Each of the socioeconomic and psychological factors listed above, in addition to innate infant characteristics, affects parental behavior. Too few studies have been done to state conclusively which of these factors have major effects on adolescent parenting. Preliminary results would suggest, however, that adolescent and adult mothers interact differently with their children. The reasons why this occurs and the significance of this difference are not presently known. Although there are conflicting results, it appears as though children of adolescent parents are at a slightly increased risk for child abuse, but not suboptimal intellectual development, when compared to children of adult mothers.

Judicial involvement and conduct problems of fathers of infants born to adolescent mothers.

Data were obtained from retrospective review of 191 patient records to determine the extent and types of conduct problems among fathers of infants born to adolescent mothers. Ninety-eight fathers (51%) reported having committed a legal offense prior to the pregnancy. This rate appears substantially greater than rates of arrests of adolescents in the general population. When paired data for couples were analyzed, there was great similarity for severity of offense. Fathers, however, had committed more severe crimes than their partners. Male offenders came from families of lower socioeconomic status backgrounds and more single-parent families and were less frequently employed or in school (or graduated) than nonoffenders. They also had been more involved with various other problem behaviors, such as a previous pregnancy, drinking behavior, and behavior problems at school. There was a clustering of problem behaviors among offenders suggesting psychosocial maladjustment prior to the pregnancy. Our results suggest an association between fatherhood and delinquency among partners of adolescent mothers. It appears that these fathers form a heterogeneous group. Although some young fathers may be well adjusted, others have significant psychologic problems.

Separation and reunion behaviors as criteria of attachment to mothers and fathers.

Twenty infants were observed 4 times between 7 and 13 months of age in a short-term longitudinal study. Responses to separations from and reunions with mothers and fathers are reported. None of the measures showed a preference for either parent at any age. Other studies confirm that even young infants are attached to both parents. It is argued that greater attention must be paid to the family's role in social and personality development.

Birth management and perinatal care : Biosocial perspectives.

In the past four decades, obstetric and neonatal care practices have changed dramatically throughout the western world. As a result, humans now confront unprecedented situations for which they have no biological preparation or cultural experience. In these special issues, an integrated view of the evolving practices of birthing and infant care are discussed from a variety of perspectives. Contributors attempt to show how understanding of the biomedical and psychosocial issues can be informed by cross-cultural and cross-species evidence concerning birth management, neonatal care, and early development. The individual contributions are summarized in this introductory article.

Shared caregiving: comparisons between home and child-care settings.

The experiences of 84 German toddlers (12-24 months old) who were either enrolled or not enrolled in child care were described with observational checklists from the time they woke up until they went to bed. The total amount of care experienced over the course of a weekday by 35 pairs of toddlers (1 member of each pair in child care, 1 member not) did not differ according to whether the toddlers spent time in child care. Although the child-care toddlers received lower levels of care from care providers in the centers, their mothers engaged them in more social interactions during nonworking hours than did the mothers of home-only toddlers, which suggests that families using child care provided different patterns of care than families not using child care. Child-care toddlers experienced high levels of emotional support at home, although they experienced less prompt responses to their distress signals. Mothers' ages were unrelated to the amounts of time toddlers spent with them, but older mothers initiated more proximity.

Effects of day care on the development of cognitive abilities in 8-year-olds: a longitudinal study.

In Göteborg, Sweden, 146 children (72 girls) were enrolled in a longitudinal study when they averaged 16 months of age. None of the children had experienced regular out-of-home care yet, but within 3 months, 54 entered center care and 33 entered family day care. Quality of home and out-of-home care environments, child temperament, and the development of verbal abilities were assessed regularly during preschool years. When they were 8 years old (2nd grade), cognitive ability tests were administered to the 123 children (65 girls) still in the study. Tested ability was related to the number of months children had spent in center-based day care before 3.5 years of age. Child care quality predicted cognitive abilities among children who had spent at least 36 months in out-of-home care during their preschool years. Both tested and rated cognitive abilities in 2nd grade were related to earlier measures of verbal ability and to paternal involvement during preschool years.

Weaning and the nature of early childhood interactions among bofi foragers in central Africa.

Western scholarly literature suggests that (1) weaning is initiated by mothers; (2) weaning takes place within a few days once mothers decide to stop nursing; (3) mothers employ specific techniques to terminate nursing; (4) semi-solid foods (gruels and mashed foods) are essential when weaning; (5) weaning is traumatic for children (it leads to temper tantrums, aggression, etc.); (6) developmental stages in relationships with mothers and others can be demarcated by weaning; and (7) weaning is a process that involves mothers and children exclusively, with weaned children moving from close relationships with their mothers to strengthened relationships with other children. In many respects, these presumptions are consistent with contemporary Euroamerican practices: nursing stops early (usually before six months) relative to other cultures and takes place over a few days or weeks with the help of bottles and baby foods. Because bottles are available, weaning seldom appears traumatic, but it is seen as an important step in the establishment of independence between mothers and infants. By contrast, weaning from the bottle is often perceived as traumatic. Despite considerable academic and popular interest, weaning has seldom been studied systematically, especially in small-scale cultures. Qualitative and quantitative data from a study of Bofi foragers in Central Africa are used here to evaluate the cross-cultural applicability of the assumptions summarized above.

Culture and early infancy among central African foragers and farmers.

Everyday infant experiences among the Aka hunter-gatherers and the neighboring Ngandu farmers were observed and compared. Twenty Aka and 21 Ngandu 3- to 4-month-olds and 20 Aka and 20 Ngandu 9- to 10-month-olds were observed for 3 hr on each of 4 days so that all 12 daylight hr were covered. The Aka infants were more likely to be held, fed, and asleep or drowsy, whereas Ngandu infants were more likely to be alone and to fuss or cry, smile, vocalize, or play. The amount of crying, soothing, feeding, and sleeping declined over time in both groups. Distal social interaction increased over time among the Ngandu but not among the Aka. Despite striking cultural differences on many variables, however, functional context systematically affected the relative prominence of the infants' behavior in both cultural groups.

Assessing parent-infant interaction during the perinatal period. Some cautions.

Pediatricians have recently been urged by professional groups to pay increased attention to parental behavior when serving and discharging newborns. These exhortations are well intended, but they may reflect a misunderstanding of developmental processes and foster a mistaken belief in the ease with which parenting problems can be identified and remedied. This article describes how early experiences affect children's development and then contrasts this view with a popular perspective based on misapplication of the medical model to the conceptualization of behavioral development.

Use of a structured investigative protocol enhances young children's responses to free-recall prompts in the course of forensic interviews.

One hundred alleged victims of child sexual abuse (ages 4-12 years; M = 8.1 years) were interviewed by police investigators about their alleged experiences. Half of the children were interviewed using the National Institute of Child Health and Human Development's structured interview protocol, whereas the other children--matched with respect to their age, relationship with the alleged perpetrator, and seriousness of the alleged offenses--were interviewed using standard interview practices. Protocol-guided interviews elicited more information using open-ended prompts and less information using option-posing and suggestive questions than did standard interviews; there were no age differences in the amount of information provided in response to open-ended invitations. In 89% of the protocol interviews, children made their preliminary allegations in response to open-ended prompts, compared with 36% in the standard interviews.

Assessing the accuracy of a child's account of sexual abuse: a case study.

OBJECTIVE: The objective of the case study reported in this paper was to examine the accuracy of one child's account of a sexually abusive incident. The availability of an audio recording of the last in a series of abusive incidents enabled us to assess accuracy in greater detail than has hitherto been possible in forensic contexts. METHODS: Information given by the victim during an investigative interview was compared with an audio-taped record of the incident. Content analyses of the interview involved quantitative and qualitative analyses of the victim's account, and a qualitative analysis of the eliciting utterances. A CBCA analysis was performed on the victim's account to assess its purported credibility. RESULTS: Over 50% of the informative details reported by the victim were corroborated by the audio-recorded account (of which 98% were central, i.e., allegation related and 64% were confirmed by more than one source (audio-recording, suspect, witness). A total of 10 CBCA criteria were present in the victim's free-narrative account of the last abusive incident. CONCLUSIONS: Our findings confirm that children can indeed provide remarkably detailed and accurate accounts of their experiences.

The relationship between within-interview contradictions and eliciting interviewer utterances.

OBJECTIVE: To determine whether interview practices associated with inaccurate reporting in laboratory analog contexts were also associated with inaccurate information in actual forensic contexts. METHOD: The forensic interview of a 5-year-old girl, an alleged victim of sexual abuse, was analyzed to explore interview practices associated with the retrieval of contradictory information. Content analyses of the child's responses focused on: (1) new informative details about the reported incidents; (2) contradictory details; (3) "central" and "peripheral" details; and (4) the types of utterances used to elicit each detail. RESULTS: The results illustrate how risky option-posing and suggestive utterances can be, as most (90%) contradicting details were elicited using option-posing and suggestive utterances and almost all (98%) of the contradicted and contradicting details were central, containing crucial information concerning the investigated allegation. No contradictory details were elicited in response to open-ended invitations. CONCLUSION: The findings demonstrate that poor interviewing practices can be associated with high levels of internal contradiction and should be avoided by forensic interviewers. To avoid contaminating children's reports and increase the likely accuracy of the information retrieved, moreover, interviewers should elicit as much information as possible using open-ended utterances, which tap free-recall memory.

Enhancing children's narratives in investigative interviews.

OBJECTIVE: To illustrate the amount of detail that can be elicited from alleged abuse victims using open-ended prompts by closely examining forensic interviews of a 5-year-old and a 15-year-old. METHOD: Interview prompts in the substantive sections of two forensic interviews were characterized as invitations, cued invitations. directive or option-posing, and the number of details they each elicited was tabulated. RESULTS: In both interviews, open-ended prompts predominated and were distributed throughout the substantive phases of the interviews. Most of the information obtained was elicited using open-ended prompts, which remained equivalently effective throughout the interviews. Reconstruction of the children's accounts illustrated how successive prompts continued to elicit information. CONCLUSION: Well-framed open-ended prompts, including those that use details provided by the child as cues, elicit narrative accounts from children of all ages. Because such information is more likely to be accurate, investigators are urged to rely more extensively on open-ended prompts.

Conducting investigative interviews of alleged sexual abuse victims.

OBJECTIVES: There were two aims: First, to describe the factors that influence children's competence and second, to discuss ways in which investigative interviewers can maximize the quality and quantity of information they obtain from alleged witnesses and victims. METHOD: No new research is described in this paper. Rather, the authors provide a focused review of the relevant literature designed to be maximally useful for practitioners. CONCLUSIONS: Children are often the only available sources of information about possible abusive experiences Research has shown that children can, in fact, be remarkably competent informants, although the quality and quantity of the information they provide is greatly influenced by the ways in which they are interviewed. This article describes ways in which investigative interviewers can maximize the amount and quality of information they elicit from alleged victims.