"We also communicate through a book in the diaper bag"-Separated parents´ ways to coparent and promote adaptation of their 1-4 year olds in equal joint physical custody.

Joint physical custody (JPC) refers to a practice where children with separated parents share their time between the parents' respective homes. Studies on parents' views of JPC for young children are scarce. The aim of this interview study was to explore parents' perceptions on how they experience and practice equally shared JPC for their 1-4 year-olds in Sweden. Forty-six parents (18 fathers and 28 mothers) of 50 children (31 boys and 19 girls) under 5 years of age were interviewed. Parents were recruited through information in the media and represented a broad range of socioeconomic backgrounds, as well as both voluntary and court-ordered custody arrangements. The interviews were semi-structured and analyzed using systematic text condensation. Two themes emerged regarding the research question. In the first theme, Always free, never free, parents described their striving to coparent without a love relationship. While they appreciated the freedom of being a "half-time parent", doing things one's own way, they felt constrained by the long-term commitment to live close to and keep discussing child rearing issues with the ex-partner. Good communication was key and lessened parent's feelings of being cut-off from half of the child's life. When JPC was ordered by court or conflicts were intense, parents tried to have less contact and worried when the children were in the other home. The second theme, Is it right, is it good?, included descriptions of how the parents monitored the child's responses to the living arrangement and made changes to optimize their adjustment. Adaptations included visits for the child with the other parent mid-week, shared meals or adapting schedules. In conclusion, these parents worked hard to make JPC work and cause minimal damage to their children. Most parents were pleased with the arrangements with the notable exception of couples experiencing ongoing conflict.

Maternal schizophrenia and out-of-home placements of offspring: A national follow-up study among Finnish women born 1965-1980 and their children.

Schizophrenia may affect a mother's ability to parent. We investigated out-of-home placements among children with a biological mother having schizophrenia, and their relation to maternal characteristics and adverse perinatal health outcomes of the offspring. For each Finnish woman born between 1 JAN 1965 - 31 DEC 1980 and diagnosed with schizophrenia before 31 DEC 2013 (n = 5214), five matched controls were randomly selected from the Finnish Central Population Register. Children born to these women were identified and followed till 31 DEC 2013. The Child Welfare Register, the Medical Birth Register and the Register of Congenital Malformations were used to gather information. Altogether 35.1% of children with an affected mother and 3.2% of control children were placed out of home during the follow-up. The incidence rate ratio (IRR) of out-of-home placement among children with an affected mother was 12.6 (95% confidence interval (CI) 10.80-13.46) when children with a non-affected mother served as a reference. Single motherhood (IRR 2.2, 95% Cl 1.88-2.60) and maternal smoking (IRR 1.9, 95% Cl 1.68-2.16), but not an adverse perinatal outcome of the offspring, increased the risk of out-of-home placement. To conclude, maternal schizophrenia is a strong risk factor for placement of children in out-of-home care.

Una revisión meta-analítica de las respuestas en escalas clínicas y reestructuradas del MMPI-2/MMPI-2-RF de padres en disputa por la custodia / A meta-analytical review of the responses in the MMPI-2/MMPI-2-RF clinical and restructured scales of parents in child custody dispute

La evaluación de las capacidades parentales para el ejercicio de la guarda y custodia de los hijos incluye el ajuste psicológico y la psicopatología. En esta evaluación, además, se ha de sospechar disimulación. El instrumento psicométrico de referencia para dicha evaluación es el MMPI. Para conocer de lo informado por los progenitores en disputa por la custodia nos planteamos una revisión meta-analítica de las escalas clínica y las escalas clínicas reestructuradas. Encontramos 21 estudios primarios con progenitores (se descartaron los diseños de simulación de progenitores en disputa) de los que obtuvieron 291 tamaños del efecto para las escalas clínicas y 1 para las reestructuradas. Los resultados mostraron un tamaño del efecto promedio positivo, significativo, y generalizable en las escalas Hy, Pd y Pa; negativo, significativo y generalizable en las escalas Ma y Si y no generalizable en las escalas Pt y Sc; y un tamaño del efecto promedio insignificante en las escalas Hs y D. Se estudió el género como moderador, no hallándose diferencias entre padres y madres. Se discuten las implicaciones de los resultados para la práctica forense

Parental attribute evaluation in relation to child custody comprises psychological and psychopathology. Additionally, defensiveness must be suspected on this setting. The worldwide reference psychometric measurement instrument for this purpose is the MMPI. With the aim of knowing the responses of parents litigating by child custody, a meta-analytic review of the responses to clinical and restructured scales was performed. A total of 21 primary studies (studies with a simulation design i.e., participants were instructed to answer as parents litigating by child custody were found were disregarded) were found, obtaining 291 effect sizes for clinical scales and 1 for restructured scales. The results showed positive, significant and generalizable mean true effect size in the Hy, Pd and Pa scales; a negative, significant and generalizable in the Ma and Si scales, and non-generalizable in the Pt y Sc scales; and a trivial mean true effect size in the Hs and D scales. Parent gender was studied as a moderator having no found differences between the responses of mothers and fathers. The implications of the results for forensic evaluation practices are discussed

Children's and Parents' Well-Being in Joint Physical Custody: A Literature Review.

Joint physical custody (JPC), a parental care arrangement in which a child lives with each parent for at least 25-50% of the time after separation or divorce, is increasingly common in many Western societies. This is a major shift from the standard of sole physical custody, with mostly mothers providing primary childcare after a parental separation or divorce. The increasing share of separated or divorced parents who practice JPC, which in some countries, US states, and regions reaches 30% and more, results from increasing gender equality due to mothers participating considerably in the labor force and fathers being actively involved in their children's daily lives. This review focuses on the effects of JPC on children's and parents' well-being, based on 40 studies from North America, Australia, and Europe published between 2007 and 2018. In sum, there is empirical evidence from different countries that suggests that JPC arrangements can have positive effects on the well-being of children and of parents. However, the existing studies are conceptually, methodologically, and contextually very heterogeneous. In addition, self-selected highly educated parents with a high socio-economic status, a low conflict level, and children between the ages of 6-15 practicing JPC dominate the samples. Thus, the risks and benefits of JPC are not clear yet and are heavily debated by advocates and academics. The review concludes with suggestions for future research.

La tenencia compartida, un acuerdo entre los padres respecto del cuidado de los hijos por el cual un niño vive con cada padre al menos entre el 25 % y el 50 % del tiempo después de la separación o el divorcio, es cada vez más común en varias sociedades occidentales. Este es un cambio trascendental con respecto a la tradicional tenencia individual, donde principalmente las madres se encargan del cuidado primordial de los niños después del divorcio o la separación. La proporción cada vez mayor de padres separados o divorciados que ejercen la tenencia compartida, que en algunos países y en estados y regiones de Estados Unidos alcanza el 30 % o más, resulta de la creciente igualdad de género debido a que las madres participan considerablemente en el mercado laboral y a que los padres participan activamente en las vidas diarias de sus hijos. Este análisis se centra en los efectos que produce la tenencia compartida en el bienestar de los padres y de los niños basándose en 40 estudios de Norteamérica, Australia y Europa publicados entre 2007 y 2018. En resumen, existen datos empíricos de diferentes países que sugieren que los acuerdos de tenencia compartida pueden tener efectos positivos en el bienestar de los niños y de los padres. Sin embargo, los estudios existentes son muy heterogéneos conceptualmente, metodológicamente y contextualmente. Además, entre las muestras de padres que ejercen la tenencia compartida predominan los autoseleccionados, con un alto nivel de educación, un alto nivel socioeconómico, un bajo nivel de conflicto e hijos de entre seis y quince años. Por lo tanto, los riesgos y los beneficios de la tenencia compartida no son claros todavía y los abogados y académicos los debaten intensamente. El análisis concluye con sugerencias para futuras investigaciones.

Secondary Victimization: Domestic Violence Survivors Navigating the Family Law System.

This qualitative study explored the experiences of 22 domestic violence survivors attempting to negotiate safe post-separation parenting arrangements through the Australian family law system. Their allegations of violence put them at odds with a system that values mediated settlements and shared parenting. Skeptical responses, accusations of parental alienation, and pressure to agree to unsafe arrangements exacerbated the effects of post-separation violence. Core themes in the women's narratives of engagement with the family law system-silencing, control, and undermining the mother-child relationship-mirrored domestic violence dynamics, suggesting the concept of secondary victimization as a useful lens for understanding their experiences.

Beliefs and Recommendations Regarding Child Custody and Visitation in Cases Involving Domestic Violence: A Comparison of Professionals in Different Roles.

Research is lacking on differing perspectives regarding custody cases involving domestic violence (DV). In a survey of judges, legal aid attorneys, private attorneys, DV program workers, and child custody evaluators (n = 1,187), judges, private attorneys, and evaluators were more likely to believe that mothers make false DV allegations and alienate their children. In response to a vignette, evaluators and private attorneys were most likely to recommend joint custody and least likely to recommend sole custody to the survivor. Legal aid attorneys and DV workers were similar on many variables. Gender, DV knowledge, and knowing victims explained many group differences.

Joint physical custody and adolescents' subjective well-being: a personality × environment interaction.

Shared residence after divorce is rising in most Western countries and legally recommended by law in Belgium since 2006. Living with both parents after divorce is assumed to increase children's well-being, through a better parent-child relationship, but may also be stressful, as children live in 2 different family settings. In this study, we investigate whether the association between the residential arrangement of adolescents and 3 measures of subjective well-being (depressive feelings, life satisfaction, and self-esteem) is moderated by the Big Five personality factors. The sample is selected from the national representative Divorce in Flanders study and contains information about 506 children from divorced parents between 14- and 21-years-old. Our findings indicated a consistent pattern of interactions between conscientiousness and joint physical custody for 2 of the 3 subjective well-being indicators. The specific demands of this residential arrangement (making frequent transitions, living at 2 places, adjustment to 2 different lifestyles, etc.) may interfere with the nature of conscientious adolescents: being organized, ordered, and planful. Our results showed support for a Person × Environment interaction, and demonstrate the need for considering the individual characteristics of the child when settling postdivorce residential arrangements.

Struggling for motherhood with an intellectual disability--a qualitative study of women's experiences in Sweden.

OBJECTIVE: to gain a deeper understanding of the experiences of childbearing in women with intellectual disabililty (ID). DESIGN/SETTING: ten women with ID, who had given birth within seven years, were interviewed twice and data were analysed with content analysis. FINDINGS: the overarching theme was: Struggling for motherhood with an ID. The significance of having an intellectual disability became evident when the women encountered mixed reactions from partners and relatives, who sometimes suggested an induced abortion. The women disclosed their diagnosis if they believed it was beneficial for them. Throughout the process the women also felt anxious and distressed about the custody of the child. Women experienced the pregnancy as a physical and psychological transition. It was mostly a happy and responsible life event, and the women were aware of physical signs in their bodies and contact with the unborn child. Parent education was considered important but not adequately adapted to their needs. The women described the delivery as hard and painful work, sometimes difficult to understand and they had different strategies to handle the pain and strain of labour. The child was welcomed with warmth and curiosity by the women, who cared for and breast fed the child even if the hospital environment could be confusing and continued custody not taken for granted. CONCLUSIONS: women with ID struggle for motherhood and fear losing custody of the child. Professionals need to identify and support these women, who may not always disclose their diagnosis. Since pregnancy, delivery and the transition into motherhood can be difficult to understand, information and support should be better tailored to their needs.

Reducing interparental conflict among parents in contentious child custody disputes: an initial investigation of the Working Together Program.

Interparental conflict is one of the primary risk factors for negative outcomes for children whose parents separate, and it is likely to be high while parents are separating. Results are mixed regarding the effectiveness of interventions aimed at reducing interparental conflict. This study examined co-parents who were court-ordered to attend a 12-hr co-parenting intervention and completed pre-postassessments (n = 20) and 2-month follow-up assessments (n = 17). The results demonstrated increases in co-parents' relationship functioning and confidence in co-parenting. Both men and women reported decreased amounts of conflict in the presence of their children; however, only women reported decreases in general negative communication with the co-parent. These changes were generally maintained at a 2-month follow-up assessment. These findings suggest that interventions for high-conflict co-parents may increase their ability to work cooperatively.

The DSM-IV Outline for Cultural Formulation: a critical demonstration with American Indian children.

OBJECTIVE: The publication of DSM-IV is notable for the improved coverage of cultural issues in the diagnosis of mental disorders. In particular, Appendix I of DSM-IV includes an "Outline for Cultural Formulation" (Outline) which assists the clinician in evaluating the impact of an individual's cultural context on diagnosis and treatment. However, the capacity of the Outline to facilitate the development of comprehensive cultural formulations for children and adolescents has not been established. In this article the use of the Outline with American Indian children is reviewed critically. METHOD: Based on the Outline, cultural case formulations for four American Indian children were developed and their comprehensiveness was assessed. RESULTS: Applied to the case material, the Outline provided a clear template for the development of cultural formulations. Nonetheless, several gaps in the material required by the Outline were identified, particularly in the areas concerning cultural identity and cultural elements of the therapeutic relationship. CONCLUSIONS: Clinicians working with children should recognize the strengths as well as the limitations of the Outline and expand their cultural descriptions accordingly. Several additions to the text of the Outline that will facilitate the development of comprehensive cultural formulations specific to children and adolescents are proposed.

Custody of cocaine-exposed newborns: determinants of discharge decisions.

OBJECTIVES: Maternal cocaine use is a leading grounds for newborn foster placement. This study was initiated to investigate the factors that predict custody status of infants born to substance-abusing women. METHODS: A retrospective cohort design was used to study the correlates of discharge custody decisions for 99 consecutive infants testing positive for cocaine in a public hospital. RESULTS: The population was 49% Black, 40% Hispanic, and 11% other or unknown. Custody at discharge was to mothers (38%), other family members (25%), or agency foster care (36%). Placement outside the family was greater when mothers had prior child welfare records, in Blacks vs others, with no prenatal care, and when mothers were younger at their first delivery or older at the index birth. Denial of custody to the mother was higher with prior child welfare involvement, in Blacks, and when the mother did not live in her own home. Both models also controlled for parity, child sex, and birthweight. CONCLUSIONS: Earlier involvement with child welfare authorities, race, and other factors predict continued separation of mothers and children at newborn discharge, suggesting the need to reexamine current policies and practices.