‘Not a big deal’? exploring the accounts of adult children of lesbian, gay and trans parents

© 2016 Taylor & Francis. Most literature on lesbian, gay, bisexual and trans families has focused on the psychological and social well-being of school aged children with lesbian, gay and trans (LGT) parents. The aim of the present study was to explore how the adult children of LGT parents make sense of their families. The study focused both on recollections of childhood and on current feelings and experiences. Thirteen women and 1 man completed either an email interview or an online qualitative survey; the data were analysed using thematic analysis. The participants’ accounts were protective of their parents and often drew on the normalizing discourses evident in pro-gay rhetoric about LGT parenting to minimize the significance of their parents’ sexuality/gender identity and the ‘taint of difference’ associated with LGT families. At the same time, the participants strongly challenged heterosexist and homophobic/transphobic assumptions about LGT families and viewed the source of any difficulties they and their parents experienced as resulting from a hetero/cisnormative social context that prevented LGT people and their families from living openly and authentically without fear of discrimination. The results highlight the continuing micro impacts of hetero/cisnormativity in the lives of LGT people and their families

Caregiver stress in traumatic brain injury

Aims Many patients experience physical, behavioural, cognitive and emotional problems following traumatic brain injury (TBI). They may require continuing care for many years, most of which is provided by informal caregivers, such as spouses, parents, or other family members. The caregiving role is associated with a range of adverse effects including anxiety, depression, poor physical health and lowered quality of life. This article explores issues around caregiver stress; highlighting interventions for this group and areas for further research. Methods Literature exploring the impact of caregiving, its influencing and alleviating factors and interventions for caregivers of people with TBI is discussed, with brief critical analysis of key studies. Findings Research suggests that caregiver characteristics, coping strategies, their appraisal of the situation and social networks may be associated with the amount of distress experienced. Many caregivers have unmet needs such as respite care and information provision on TBI. Providing information may help to alleviate strain. Community-based family therapies providing education, support and counselling can help to decrease distress and improve aspects of family functioning, although evidence for these is lacking. Conclusions There is a need for more well-designed, controlled studies evaluating the impact of interventions to alleviate caregiver strain

Dysexecutive symptoms and carer strain following acquired brain injury: changes measured before and after holistic neuropsychological rehabilitation

BACKGROUND: Following acquired brain injury (ABI), deficits in executive functioning (EF) are common. As a result many brain-injured patients encounter problems in every-day functioning, and their families experience significant strain. Previous research has documented the benefits of cognitive rehabilitation for executive dysfunction, and rehabilitation programmes designed to ameliorate functional problems associated with ABI. OBJECTIVES: This study primarily aims to evaluate whether a neuropsychological rehabilitation programme reduces reported symptoms of everyday dysexecutive behaviour and carer strain. METHODS: In this study 66 ABI outpatients attended comprehensive holistic neuropsychological rehabilitation programme. A repeated-measures design was employed to determine the effect of rehabilitation on EF and carer strain, as part of a service evaluation. Outcome measures comprised the dysexecutive questionnaire (DEX/DEX-I) and carer strain index (CSI), applied pre- and post-rehabilitation. RESULTS: Results indicate rehabilitation benefited clients and carers in 5 of 6 DEX/DEX-I subscales, and 2 of 3 CSI subscales, (p<.05). An effect of aetiology on rehabilitation was found on the metacognitive scale of the DEX-I. CONCLUSIONS: Therefore, this study supports a comprehensive holistic neuropsychological rehabilitation programme as effective in reducing reported symptoms of dysexecutive behaviour and carer strain following ABI

Families, health and reproduction: an exploratory study of lesbian parents in Victoria

This study was conducted in 2001 and 2002 in Victoria, New South Wales and South Australia. The research team was Ruth McNair, Deborah Dempsey (Department of General Practice, University of Melbourne), Sarah Wise (Australian Institute of Family Studies) and Amaryll Perlesz (The Bouverie Centre, La Trobe University). It was funded by Department of Human Services Victoria and the Lesbian Health Fund, USA. A total of 267 lesbian and bisexual women who were currently parenting or intending to parent within 2 years completed the questionnaire. Two thirds of respondents were parents and one third were prospective parents. Issues explored included: - decision-making for conception methods and related health issues - parenting roles and responsibilities - social networks and support - strengths and challenges

Building healthcare workers\u27 confidence to work with same-sex parented families.

This article reports on a qualitative study of barriers and access to healthcare for same-sex attracted parents and their children. Focus groups were held with same-sex attracted parents to explore their experiences with healthcare providers and identify barriers and facilitators to access. Parents reported experiencing uncomfortable or anxiety-provoking encounters with healthcare workers who struggled to adopt inclusive or appropriate language to engage their family. Parents valued healthcare workers who were able to be open and honest and comfortably ask questions about their relationships and family. A separate set of focus groups were held with mainstream healthcare workers to identity their experiences and concerns about delivering equitable and quality care for same-sex parented families. Healthcare workers reported lacking confidence to actively engage with same-sex attracted parents and their children. This lack of confidence related to workers\u27 unfamiliarity with same-sex parents, or lesbian, gay and bisexual culture, and limited opportunities to gain information or training in this area. Workers were seeking training and resources that offered information about appropriate language and terminology as well as concrete strategies for engaging with same-sex parented families. For instance, workers suggested they would find it useful to have a set of \u27door opening\u27 questions they could utilize to ask clients about their sexuality, relationship status or family make-up. This article outlines a set of guidelines for healthcare providers for working with same-sex parented families which was a key outcome of this study