Parental Separation and Childrens Behavi
Parental Separation and Childrens Behavi
Parental Separation and Childrens Behavi
To read this article’s abstract in both Spanish and Mandarin Chinese, please visit the article’s
full-text page on Wiley InterScience (http://interscience.wiley.com/journal/famp).
n
Department of Child & Adolescent Psychiatry, University of Basel, Switzerland.
w
Jacobs Center for Productive Youth Development, University of Zurich, Switzerland
z
Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of
Leipzig, Germany
Correspondence concerning this article should be addressed to Stephanie Stadelmann, University
of Basel, Child & Adolescent Psychiatry, Scaffhauserrheinweg 55, CH-4058 Basel, Switzerland.
E-mail: stephanie.stadelmann@medizin.uni-leipzig.de
92
Family Process, Vol. 49, No. 1, 2010 r FPI, Inc.
STADELMANN, PERREN, GROEBEN, & VON KLITZING / 93
INTRODUCTION
P arental separation is rated as one of their most stressful life events by both parents
and children (Davies & Cummings, 1994) and was found to strongly influence the
quality of family relationships even two decades later (Ahrons, 2007). As family roles,
relationships, and circumstances change children often tend to be depressed, anxious,
angry, demanding and noncompliant, and experience a drop in school performance
(Amato, 2001; Hetherington & Stanley Hagan, 1999). In this study, we examine whether
parental separation, family conflict, and children’s parental representations are pre-
dictors of individual changes in children’s behavioral/emotional problems at kindergarten
age and whether the adjustment of children who experienced parental separation differs
according to the level of family conflict and to children’s representations of caregivers.
For kindergarten children, the family is a highly salient context for understanding
psychopathological development. A wealth of evidence from cross-sectional and long-
itudinal studies indicates that parental separation as an important life event is asso-
ciated with an increased rate of behavioral/emotional problems in children (Amato, 2001;
Kelly, 2000). The greatest effects of divorce on child adjustment relate to behavioral
problems. Effects on emotional symptoms (depression/anxiety) are far more inconsistent
(Amato & Keith, 1991; Hetherington & Stanley Hagan, 1999). Just as important as the
evidence of mean differences is the marked individual variation in children’s socio-
emotional development among those experiencing a parental separation. Some children
are severely affected by separation, while others seem to be relatively unaffected.
Moreover, the effects of separation are not necessarily adverse. Children who move from
a conflictual, abusive, or negligent family situation to a more harmonious one may show
diminished problems following separation (Amato, Loomis, & Booth, 1995). This sheds
light on new directions in research which seek to identify mediating and moderating risk
and protective factors in the association between separation and child outcome (Amato
et al., 1995; Cummings & Davies, 2002). As a potential moderator, marital conflict re-
ceives much empirical attention, and research has indicated that it is marital conflict
rather than the break-up of the family that is primarily responsible for many of the
problems seen in children whose parents separate (Kelly, 2000). However, current re-
search on marital conflict also proposes that the effects on children are a function of
children’s perceptions of conflict in relation to themselves and their families rather than
simply reflecting the frequency or characteristics of conflict (Cummings & Davies, 2002;
Fincham, 1998). Thus, to understand the effects of parental separation and of marital
conflict on children, exploring psychological response processes underlying children’s
development and adjustment over time is of great importance. Here, children’s
representations of family relationships play an important role.
Children’s representations have been conceptualized in terms of working models
in attachment theory, and schemas or scripts in social cognitive approaches
(e.g., Bretherton, 1990; Lemerise & Arsenio, 2000). Common to these theoretical
perspectives is the notion that children internalize important aspects of care-giving
experiences, and that these mental structures influence children’s emotional and
behavioral responses to new social encounters. The evaluation of children’s play
narratives, elicited by story stems that reflect socioemotional dilemmas, has proved
to be one way of gaining access to young children’s thoughts and feelings about
emotionally significant relationships (Bretherton & Oppenheim, 2003). Evidence has
emerged to suggest that children’s representations are affected by histories of
exposure to marital conflict (Cummings & Davies, 2002; Grych & Fincham, 1990).
Shamir, Du Rocher Schudlich, and Cummings (2001) found that negative marital
conflict strategies were predictive of more negative representations of family systems
in 5–8-year-old children’s story-stem narratives. Grych, Wachsmuth Schlaefer, and
Klockow (2002) showed that children who experienced extensive domestic violence
showed significantly more negative representations of self and mothers, within more
incoherent stories, than children without such negative experiences. Research also
documents an association between children’s representations and their psycho-
pathological development. Children who display a high level of negative representa-
tions and a low level of positive/coherent representations of caregivers in their play
narratives after socioemotional dilemmas were found to show higher levels of beha-
vioral/emotional problems and increased social impairment compared with other
children (e.g., Oppenheim, Nir, Warren, & Emde, 1997b; Shields, Ryan, & Cicchetti,
2001). In a recent study on kindergarten children, Stadelmann, Perren, von Wyl, and
von Klitzing (2007) showed that negative parental representations were associated
with the development of conduct problems, whereas positive parental representations
were associated with the development of prosocial behavior. Grych, Fincham, Jouriles,
and McDonald (2000) were able to show that children’s evaluations of self-blame and
threat mediated the association between interparental conflict and their own ad-
justment problems, specifically internalizing problems. Although studies have shown
significant associations between family background, children’s cognitive-emotional
processes and adjustment, and support the notion that children’s perceptions of the
family background shape the impact of family events on aspects of self-functioning,
much more research is needed on the interplay between these aspects if develop-
mental pathways in children are to be better understood. Specifically, there is a need
for studies to investigate young children’s cognitive-emotional processes as mediators
or moderators of the impact of parental separation on their adjustment.
In the present study, we examine whether parental separation, family conflict, and
children’s parental representations are predictors of individual changes in children’s
behavioral/emotional problems at kindergarten age. We hypothesized that children from
families where the parents had separated would show a greater increase in behavioral/
emotional problems at kindergarten age than children of nonseparated families. Fur-
thermore, we hypothesized that children from families with high levels of conflict and
children who display many negative parental representations in their play narratives
would show a greater increase in behavioral/emotional problems at kindergarten age.
Specifically, we were interested in whether family conflict and children’s negative par-
ental representations moderate the impact of parental separation on behavioral/emo-
tional problems in kindergarten age. In the main analyses, we control for gender as
various studies found gender differences in children’s representations (e.g., Clyman,
2003; von Klitzing, Kelsay, Emde, Robinson, & Schmitz, 2000) as well as in behavioral
and emotional problems (Zahn-Waxler, Klimes Dougan, & Slattery, 2000).
METHOD
Sample
One hundred and eighty-seven children (76 girls, 111 boys) participated in the
study and were assessed at the ages of 5 and 6 years (age at first assessment:
mean ¼ 5.27, SD ¼ 0.39; second assessment: mean ¼ 6.23, SD ¼ 0.35). Ninety-three
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STADELMANN, PERREN, GROEBEN, & VON KLITZING / 95
children were recruited through their kindergarten classes in the city of Basel. Kin-
dergarten classes were selected from different city districts representing various so-
cioeconomic and ethnic backgrounds in the city of Basel. After the kindergarten
teacher had agreed to participate, parents were informed at a parents’ meeting and
given written information on the study. Ninety-eight families agreed to participate
(participation rate 74.2%). Another 64 children were part of our longitudinal study on
family relationships that began when the mothers of these children were pregnant
(Perren et al., 2003; Perren, von Wyl, Stadelmann, Bürgin, & von Klitzing, 2006). To
increase the number of children with behavioral/emotional problems in the clinical
range, we included a group of 30 children who had been referred to our child psy-
chiatric outpatient unit for clinical evaluation and treatment. The referrals were
generally initiated by the children’s teachers and/or parents, and followed behavioral
problems (mostly dysregulated aggressive behavior and/or hyperactivity) or emotional
symptoms (anxiety and/or depressive symptoms). Parents and children were asked
whether they would be willing to participate in our study, and if they agreed they were
assessed at intake into the clinic. For bivariate analyses all available data were used
(N ¼ 155–187). For longitudinal analyses, we only used complete datasets (N ¼ 154).
The participating families were mainly Swiss-German, while 41 families (22%) had
an immigrant background. In 94 families (51%) both parents had a higher education,
in 43 families (24%) at least one of the parents had a higher education; in 46 families
(25%) both parents had only received a basic education (9 years or less of schooling) or
a professional qualification (vocational training). In 4 cases, we only had data on the
mother (N ¼ 2 had higher education and N ¼ 2 were low educated).
Parents reported on parental separation (yes/no) and children’s age at separation.
Thirty-three (18%) children (16 girls, 17 boys) experienced parental separation before
the age of 5. Nineteen of these children (58%) lived with their mother, nine children
(27%) lived with both parents (different households, shared custody), one child (3%)
lived with its father, and four children (12%) lived in alternative settings such as with
mother and stepfather, with the grandmother, or in a children’s home.
Families were only included into this group if parents remained separated from one
another during the study interval. Children’s age at separation ranged from 5 months
to 5 years of age. Behavioral/emotional problems, family conflict, and children’s
parental representations were not significantly associated with children’s age at
separation. Therefore, we did not control for this variable in our main analyses.
Comparing the community and clinical sample, we found that parents of children
from the clinical sample had a significantly lower educational level than those of the
‘‘community’’ children ( p .05). The two samples did not differ from each other in
terms of migration background or parental separation. However, children in the
clinical sample showed significantly higher levels of conduct problems, hyperactivity,
and emotional symptoms at both ages, and experienced significantly more conflict in
their families than children of the community sample ( p .05). No sample differences
were found in terms of children’s parental representations.
Measures
Parents, children, and teachers reported on children’s behavioral/emotional pro-
blems twice (age 5/6). Parents also reported on family conflict at the same ages.
Children’s parental representations were assessed using a story-stem task (age 5/6).
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STADELMANN, PERREN, GROEBEN, & VON KLITZING / 97
conflicto75th percentile of the mean of age 5/6Ffamily conflict (N ¼ 117); high level
of family conflict 75th percentile of the mean of age 5/6Ffamily conflict (N ¼ 38).
Children’s parental representations in play narratives (age 5/6)
The MacArthur Story-Stem Battery (MSSB, Bretherton & Oppenheim, 2003),
designed for children from 3 to 7 years of age, uses standardized story stems to elicit
children’s responses across a range of socioemotional dilemmas. All stems consist of a
brief narrative introduced by the experimenter, and end with a dilemma. In this
study, after the presentation of a warm-up story, each child was given eight story
stems. Bretherton and Oppenheim (2003) outline detailed procedures for adminis-
tering seven of the eight socio-emotional dilemmas (‘‘hot soup,’’ ‘‘lost Barney,’’
‘‘mother’s headache,’’ ‘‘three is a crowd,’’ ‘‘lost keys,’’ ‘‘bathroom shelf,’’ ‘‘exclu-
sion’’). The last stem was devised by the project group (‘‘sandcastle’’: a friend wants
the child to join in aggravating a younger child; parents standing aside). Children’s
responses to the story stems were videotaped.
Children’s narratives were coded for negative parental representations by an in-
dependent coder, using the MacArthur Narrative Coding Manual (Oppenheim, Emde, &
Warren, 1997a; Robinson & Mantz-Simmons, 2003). Negative representations en-
compass harsh, punitive, rejecting, and ineffectual behavior of parental figures toward
child figures. Parental representations were coded as present or absent in each story.
Means were taken of the individual scores for each theme across all eight stories for each
subject. Interrater reliability was established between the coder and the last author of
the present study, who has been trained by the authors of the instrument (k ¼ .86).
For bivariate analyses, we used the linear variables. For multivariate analyses we
combined longitudinal data on parental representations (age 5/6) and placed the children
into two categories: None ¼ child did not show negative parental representations in play
narratives (N ¼ 101). At least once ¼ child showed negative parental representations at
age 5 and/or at age 6 (N ¼ 53). We decided to use this procedure because of distribution
properties (highly skewed distribution of the variable at both ages).
RESULTS
First, we report descriptive results and bivariate associations between study vari-
ables. Second, we present results on multivariate analyses.
1 2 3 4 5 6 7 8 9 10
Symptoms age 5
1. Conduct p. F
2. Hyperactivity .674 n n F
3. Emotional s. .421 n n .491 n n F
Symptoms age 6
4. Conduct p. .642 n n .411 n n .227 n n F
5. Hyperactivity .489 n n .744 n n .328 n n .504 n n F
6. Emotional s. .283 n n .362 n n .622 n n .261 n n .332 n n F
Family conflict
7. Age 5 .277 n n .238 n n .270 n n .196 n n .173 n .189 n F
8. Age 6 .198 n .077 .250 n n .282 n n .118 .241 n n .643 n n F
Negative parental
representation
9. Age 5 .196 n .124 .017 .298 n n .050 .015 .078 .069 F
10. Age 6 .026 .058 .071 .153 n .153 n n .084 .055 .028 .353 n n F
FAMILY PROCESS
STADELMANN, PERREN, GROEBEN, & VON KLITZING / 99
Stability
To analyze stability of family conflict, parental representations, and behavioral/
emotional problems over 1 year, we computed Pearson correlations coefficients
(Table 1). Family conflict showed high stability between age 5 and 6. Negative
parental representations showed moderate stability between 5 and 6. Behavioral/
emotional problems were also highly stable between 5 and 6.
TABLE 2
Group Differences Nonseparation vs. Separation
Nonseparated Separated
M SD M SD F p
Symptoms age 5
Conduct problems 0.04 .69 .14 .80 1.829 .178
Hyperactivity 0.01 .72 .13 .95 0.889 .347
Emotional symptoms 0.01 .70 .16 .93 1.325 .251
Symptoms age 6
Conduct problems 0.04 .66 .23 .82 3.705 .056
Hyperactivity 0.04 .68 .14 .79 1.621 .205
Emotional symptoms 0.04 .68 .24 .78 4.128 .044
Family conflict
Age 5 2.15 .47 2.36 .55 5.337 .022
Age 6 2.14 .46 2.17 .45 0.112 .738
Negative parental representations
Age 5 0.03 .08 .07 .18 5.032 .026
Age 6 0.04 .08 .05 .11 0.463 .497
children were 5 years old. Again, no group differences were found concerning family
conflict at the age of 6.
Gender differences
To analyze gender differences, we calculated univariate variance analyses. At both
ages boys showed higher levels of conduct problems (age 5: girls: M ¼ .23, SD ¼ .59,
boys: M ¼ .14, SD ¼ .75; F ¼ 12.37, p ¼ .001; age 6: girls: M ¼ .24, SD ¼ .57, boys:
M ¼ .18, SD ¼ .75; F ¼ 16.58, p ¼ .000) and of hyperactivity than girls (age 5: girls:
M ¼ .16, SD ¼ .73, boys: M ¼ .14, SD ¼ .77; F ¼ 6.68, p ¼ .011; age 6: girls: M ¼ .23,
SD ¼ .58, boys: M ¼ .17, SD ¼ .74; F ¼ 15.14, p ¼ .000). Girls and boys did not differ
from each other in terms of emotional symptoms. In addition, boys presented
significantly more negative parental representations in their play narratives than
girls at the age of 6 (girls: M ¼ .02, SD ¼ .05, boys: M ¼ .06, SD ¼ .10; F ¼ 10.47,
p ¼ .001). At the age of 5 this difference only showed a trend toward significance (girls:
M ¼ .02, SD ¼ .06, boys: M ¼ .05, SD ¼ .12; F ¼ 3.03, p ¼ .083). No gender differences
were found regarding family conflict.
TABLE 3
Multivariate Associations with Interaction Effects (N ¼ 154)
Symptoms age 6
Conduct Emotional
problems Hyperactivity symptoms
Predictors F p F p F p
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STADELMANN, PERREN, GROEBEN, & VON KLITZING / 101
Concerning conduct problems, we found that the main effects of symptoms at age 5,
gender (girls: M ¼ .20, SD ¼ .58, boys: M ¼ .17, SD ¼ .75), parental separation
(nonseparated: M ¼ .04, SD ¼ .65, separated: M ¼ .24, SD ¼ .84), family conflict (low
level: M ¼ .12, SD ¼ .60, high level: M ¼ .39, SD ¼ .86), and negative parental re-
presentations (none: M ¼ .06, SD ¼ .66; at least once: M ¼ .14, SD ¼ .76), were sig-
nificant predictors of symptoms at the age of 6. In addition, we found a significant
interaction effect between separation and negative parental representations in pre-
dicting conduct problems. As can be seen in Figure 1, children from families where the
parents had separated who showed negative parental representations in their nar-
ratives also showed a significantly higher increase in conduct problems at the age of 6
compared with children of separated families without negative representations, and
compared with children of nonseparated families.
Concerning hyperactivity, corresponding symptoms at the age of 5 and gender were
significant predictors of symptoms at the age of 6. None of the other variables were
found to be significant predictors.
Concerning emotional symptoms at the age of 6, symptoms at the age of 5 was the
only predictor of symptoms 1 year later.
DISCUSSION
Our hypothesis that parental separation, family conflict, and children’s negative
parental representations would predict a greater increase in behavioral/emotional
problems at kindergarten age was partially supported. Our longitudinal study showed
that all three of these aspects were risk factors for an increase in conduct problems
during the kindergarten years. The effect of parental separation was particularly
strong if children also had negative parental representations.
Conduct Problems
In support of our hypothesis, multivariate analyses showed that parental separation
predicted higher levels of conduct problems of children at the age of 6, and explained an
increase in conduct problems between 5 and 6. We did not find that this effect varied
0.8
non-separated /
0.7 no negative represent.
(N=81)
z-scores: conduct problems
0.6
non-separated /
0.5 negative represent.
(N=43)
0.4 separated /
no negative represent.
0.3 (N= 20)
0.2 separated /
negative represent.
0.1 (N=10)
0
–0.1
–0.2
age 5 age 6
FIGURE 1. Conduct problems (age 5 and age 6) predicted by parental separation and negative
parental representations (age 5/6).
according to the level of family conflict. This is partly in line with Morrison and Coiro
(1999) and Cheng, Dunn, O’Connor, Golding, and Kingdom (2006), who showed that
parental separation predicted an increase in behavioral/emotional problems in 4–9-year-
old children over and above the effect of preseparation parental quarrels. Nonetheless,
like Morrison and Coiro (1999), we found that family conflict is an additional significant
predictor of an increase in conduct problems at kindergarten age.
In support of our hypothesis, negative representations (at age 5 and/or 6) turned out to
be a further additional predictor of an increase in conduct problems between 5 and 6.
Moreover, children’s representations also had an impact on the strength of the association
between separation and conduct problems. Those children of separated parents who de-
scribed the behavior of parental figures toward child figures in their play narratives as
harsh, punitive, rejecting, or ineffectual had a significantly higher increase in conduct
problems between the ages of 5 and 6 than did other children, while the absence of ne-
gative parental representations seems to be protective for children’s development after the
experience of their parents’ separation. This result suggests that the quality of internal
representations of relationships in the face of parental separation has a moderational
impact on the development of conduct problems at an early state of development. Ac-
cording to social-cognitive models, children internalize important aspects of care-giving
experiences, which guide their behavior in new social situations (Bretherton, 1990;
Lemerise & Arsenio, 2000). Thus, children’s accounts of parental behavior might be ex-
pected to correspond to their experiences within their own families (e.g., Grych et al., 2002;
Shamir et al., 2001). Generally, children need parents who are warm, supportive, and
responsive to their needs, who exert structured positive discipline (Eisenberg & Fabes,
1998), and who manage conflict well, with the ability to build an interparental consensus
to coparent their children effectively, not allowing children to get caught up in the par-
ental acrimony (Ahrons, 2007; Grych & Fincham, 1990; Hetherington & Stanley Hagan,
1999). Such positive parenting might also have a positive impact on children’s internal
representations of social conflict and on their behavioral adjustment following separation.
In our study, children’s parental representations were significantly associated with par-
ental separation but not with parents’ ratings of the amount or quality of family conflict.
This result is not consistent with the findings of the studies mentioned above. On the one
hand, family conflict, assessed by a questionnaire, may be a relatively imperfect measure
of actual family relationships and parents’ reports on family conflict are subject to a
possible ‘‘social desirability’’ effect and might not reflect actual family life. On the other
hand, however, the result suggests that children’s representations are not simply a mirror
of their actual family life. They also reflect the children’s own way of comprehending and
coping with social situations. As such, they represent the at least partially independent
emotional and cognitive processes of the child, and are markedly affected by the child’s
gender (Oppenheim et al., 1997b). Representations might also be an expression of chil-
dren’s competence in regulating their emotions when confronted with a stressful stimulus
(Clyman, 2003). Furthermore, it is important to keep in mind that the as-if nature of play
offers the child an opportunity to test behaviors and to act out aggressive impulses and
wishes in a safe space (Marans, Dahl, Marans, & Cohen, 1993).
Hyperactivity/Inattention
None of our analyses pointed to separation as a risk factor for hyperactivity, and only
in bivariate analyses did we find significant positive associations with family conflict and
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STADELMANN, PERREN, GROEBEN, & VON KLITZING / 103
negative parental representations. In multivariate analyses, gender and hyperactivity at
age 5 were the only predictors for hyperactivity 1 year later. This might indicate on the
importance of neurobiological explanations for hyperactivity disorder (Nigg & Casey,
2005). On the other hand, the results are not in line with studies of family context and
hyperactivity, which show that parents of children with attention deficit/hyperactivity
disorder experience higher levels of stress, are more likely to display negative behavior
toward their children (DuPaul, McGoey, Eckert, & VanBrakle, 2001), and more often
separate (Barkley, 1990) than parents of control children. Despite the different
associations of conduct problems and hyperactivity in our study, it is important to
recognize that there is a significant overlap between conduct problems and hyperactivity
symptoms. It might therefore be that the associations of separation, negative parental
representations, and family conflict with behavioral problems such as conduct problems
and hyperactivity are not symptom specific.
Emotional Symptoms
In bivariate analyses, we found that children of separated parents and with high
levels of conflict in their families showed more emotional symptoms than other chil-
dren. But again, in multivariate analyses emotional symptoms at the age of 5 were the
only predictor of symptoms 1 year later. Developmental research has indeed identified
that cognitive-emotional and family environment risk factors have an impact on the
origin and development of emotional symptoms in children (Zahn-Waxler et al., 2000;
Zalsman, Brent, & Weersing, 2006). Nevertheless, the results are far more incon-
sistent compared with those of behavioral problems (Amato & Keith, 1991; Hether-
ington & Stanley Hagan, 1999; Oppenheim et al., 1997b; von Klitzing et al., 2000). One
explanation for the observation that none of the family environment factors were
relevant for emotional symptoms in our study is that emotional symptoms were less
frequent and less variable compared with conduct problems. This might also reflect
the problem that emotional symptoms are harder to detect than behavioral problems
in young children. Moreover, despite ‘‘the hope that narrative methods will go beyond
the external manifestation of children’s problems and provide an entrée to the
internal experience of young children’’ (Oppenheim et al., 1997b, p. 291), it turned out
to be difficult to detect narrative characteristics of emotional symptoms. In our study,
children with emotional symptoms might have been less likely to use parental figures
in their play narratives. Instead, performance aspects in narratives could be of special
importance in research on emotional symptoms. In order to regulate negative feelings
when confronted with conflict themes in story stems, children with depressive or
anxiety symptoms might modify or avoid talking about certain things (Clyman, 2003;
Stadelmann, 2006).
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STADELMANN, PERREN, GROEBEN, & VON KLITZING / 105
boys (e.g., Oldehinkel, Ormel, Veenstra, De Winter, & Verhulst, 2008). It would have
been important to investigate gender as a moderator in this study. However, our
sample size was too small to include another interaction term.
Clinical Implications
Systematic insights into children’s ways of dealing with relevant themes and con-
flict in their play narratives, and the finding that the quality of caregiver re-
presentations contributed to a differential outcome in children of separated parents,
can inform our psychotherapeutic techniques. Most families who require assistance in
negotiating the divorce process respond to low-intensity interventions. The programs
generally offer psychoeducation for parents and focus on specific communication,
conflict-resolution, and parenting skills. Some of these programs have been shown to
be effective on children’s adjustment as well as on the quality of parent-child re-
lationships (e.g., Parent Management Training [PMT], Patterson, DeGarmo, & For-
gatch, 2004; New Beginnings Program [NBP], Wolchik et al., 2000). However,
evidence provided in this study underlines to practitioners the relevance of an early
therapeutic engagement based on the complete family system, and the need to con-
sider young children in their family therapeutic enactments, and to support the ca-
pacity of these young children to deal with family conflict in a constructive way. Grych
(2005) notes that even though parents bear primary responsibility for managing
postdivorce conflict, programs for children may be useful particularly if they help
children to develop skills for coping with situations where they may be caught up in
parental patterns of negative attribution and interparental conflict. Children’s pro-
grams are not as widespread as parent-focused programs, and focus mostly on school-
age children. Sometimes they form part of a program that includes a group for parents
(e.g., Wolchik et al., 2000), or may be school-based groups (e.g., Pedro-Carroll, 1997).
Surprisingly, the dual-component programs have demonstrated little positive effect
beyond that gained when only parents participate in the group (Wolchik et al., 2000).
In contrast, the school-based Children of Divorce Intervention Program demonstrated
both short- and long-term effects on children’s adjustment (Pedro-Carroll, 1997).
Thus, a definite conclusion about the efficacy of child-oriented prevention programs
cannot yet be drawn. Another example of a treatment which focuses on parents and
children is the Integrative Family Therapy for Disputes involving Child Custody and
Visitation (IFT-DCCV). This family-based approach provides intense therapy for high-
conflict families who do not respond to low-intensity treatments, incorporating mul-
tiple therapy session formats, with a solution-oriented focus and drawing upon a wide
range of intervention techniques such as psychoeducation, mediation, cognitive, and
narrative techniques (Lebow & Rekart, 2007). The specific intervention strategies for
children in this program are tailored to the children’s age. For young children the
authors recommend the use of stories that enable feelings to be processed in fantasy as
launching points for dialogue. Overall, our study underlines the relevance of ap-
proaches that integrate play and narration to promote mental health in young chil-
dren who have experienced a parental separation.
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