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Adolescent disclosure and information management with parents have been significantly examined within the last two decades for good reason, as it allows researchers to understand how adolescents are balancing both autonomy and relatedness within this important relationship and developmental period. However, parents are not the only close relationship partners that adolescents must learn to navigate this balance with; siblings and friends are also important confidants throughout adolescence and disclosure to these more egalitarian relationships is both similar to and different from disclosure to parents. In this chapter, we compare and contrast the frequency and content of adolescent disclosure to parents, siblings, and friends, as well as the ways in which disclosure affects each of these relationships and adolescent well-being. Finally, we examine the limitations of the current information management literature across these relationships and offer future directions toward integrating these literatures.
Difficulties in empathy are frequent among children with autism spectrum disorder (ASD), and often considered a core feature of autism. Reduced empathy during the second year of life has been shown to predict subsequent ASD diagnosis. However, links between empathy in the first year and ASD have not yet been investigated. Moreover, prior work focused on empathy for others’ distress but not for others’ joy. To address these gaps, this prospective longitudinal study followed 60 infants (33% girls), 39 at high genetic risk of ASD (siblings of children with ASD) and a matching control group. Infants’ empathic responses to others’ distress and happiness were assessed at ages 6, 9, and 12 months, using simulations by the mother/experimenter and videos of crying and laughing infants. Diagnosis was determined between 18 and 36 months. Infants later diagnosed with ASD showed a reduced empathic response toward a person simulating distress, but not toward a video of a crying peer, and not in response to others’ joy (either in simulation or video). Overall, reduced empathic concern during the first year of life appears to be an early prodromal marker of subsequent ASD. Implications for theory, research, and practice are discussed.
There is limited evidence as to whether the immune protein profile is associated with a particular symptomatology pattern across the psychosis continuum.
Methods
We estimated two bifactor models of general and specific dimensions of psychotic experiences in unaffected siblings of patients (n = 52) and community controls (n = 200), and of psychotic symptoms in first-episode psychosis (FEP) patients (n = 110). We evaluated associations between these transdiagnostic dimensions and trait (TNF-α, IFN-γ), state (IL-6, IL-1β), and regulatory (TGF-β, IL-10, IL-4) cytokines. We explored whether schizophrenia genetic liability (schizophrenia polygenic risk score; SZ-PRS) modified the associations.
Results
High levels of trait marker IFN-γ were associated with the severity of general psychosis dimension in the unaffected siblings and community controls, expanding to the depressive dimension in siblings and to the manic dimension in FEP. High TNF-α levels were associated with more positive psychotic experiences in unaffected siblings and manic symptoms in FEP. Low levels of state markers IL-6 and IL-1β were observed in unaffected siblings presenting more depressive experiences. Still, high levels of IL-6 and IL-1β were associated with the severity of the depressive and negative symptom dimensions at FEP. The severity of transdiagnostic dimension scores across the three groups was associated with lower regulatory cytokines. Exploratory analysis suggested that a high SZ-PRS contributed mostly to associations with psychotic dimensions.
Conclusions
IFN-γ mapped onto the multidimensional expression of psychosis, reinforcing the trait concept. State markers IL-6 and IL-1β may fluctuate along the spectrum. Dysfunction in the regulatory arm may disinhibit the inflammatory system. Associations with psychotic dimensions may be more prone to SZ-PRS susceptibility.
Although common, little is known about the potential impacts of sibling victimization, and how best to ameliorate these. We explored longitudinal associations between sibling victimization and mental health and wellbeing outcomes, and promotive and risk factors that predicted better or worse outcomes following victimization. Data were from >12,000 participants in the Millennium Cohort Study, a longitudinal UK birth cohort, who reported on sibling victimization at age 11 and/or 14 years. We identified potential risk and promotive factors at family, peer, school, and neighborhood levels from age 14 data. Mental health and wellbeing outcomes (internalizing and externalizing problems, mental wellbeing, self-harm) were collected at age 17. Results suggested that over and above pre-existing individual and family level vulnerabilities, experiencing sibling victimization was associated with significantly worse mental health and wellbeing. Having no close friends was a risk factor for worse-than-expected outcomes following victimization. Higher levels of school motivation and engagement was a promotive factor for better-than-expected outcomes. This indicates that aspects of the school environment may offer both risk and promotive factors for children experiencing sibling victimization at home. We argue that effective sibling victimization interventions should be extended to include a focus on factors at the school level.
Edited by
Fiona Kelly, La Trobe University, Victoria,Deborah Dempsey, Swinburne University of Technology, Victoria,Adrienne Byrt, Swinburne University of Technology, Victoria
Children of the same donor and their families, with the help of the Internet, can now locate each other and have contact. This chapter explores the new forms of relatedness that have emerged with the growing availability and use of donor gametes. Specifically, I ask: how do donor-conceived youth situate their donor siblings in relation to other important relationships in their lives, such as friends and siblings who also live in their nuclear families? How do they actively construct these new relationships with newfound donor siblings and where do they fit within their families? Based upon in-depth interviews with teens and young adults who live in the United States, the varied understanding of these relationships is explored, including filling voids around identity, resemblances and the wish for “siblings”, the difficulties of forming new relationships and how heteronormative understandings of the bounded-nuclear family have sometimes become more fluid.
Siblings are often overlooked as a source of social influence. Addressing this gap, we review findings from studies spanning the transition to siblinghood through adolescence. We have identified four features of sibling relationships that help explain siblings’ powerful influence on children’s prosocial behavior: sibling relationships are (1) emotionally unfettered; (2) diagonal, especially in the early years; (3) familiar; and (4) long-lasting. Research is framed by several distinct theoretical perspectives, including attachment theory, ethology, family systems theory, and cognitive accounts of theory of mind development. Sibling influences also take many forms that vary in salience across the different aspects of prosocial behavior and distinct developmental periods. Over time, sibling influences show both stability and change, but appear independent from parental influences – although evidence is scarce for some groups. Finally, we discuss future directions, as well as conclusions regarding the nature, motivation, and impact of sibling influences on prosocial behavior.
This chapter traces the history of the Tolstoy family, dating Lev Nikolayevich Tolstoy’s ancestry back to the fourteenth century. It begins with a brief explanation of the Tolstoy family’s complicated genealogy, distinguishing between the titled branch and the untitled Tver and Kutuzov branches. Next there is a brief overview of the Tolstoy family’s most famous scions, ranging from prominent statesmen to flamboyant individuals whose colorful lives consolidated the family reputation for eccentricity. There is also a brief discussion of the distinguished and troubled history of the Volkonsky family, Tolstoy’s maternal ancestors. The chapter then focuses on Tolstoy’s immediate family – his parents, brothers, sister, aunts and, of course, his wife Sofia Andreevna and their children. There is commentary on what they meant to him, both personally and creatively, and on how he drew on them, as well as his more distant forebears, to breathe flesh and blood into the iconic characters of his two great novels.
As Russia went through an age of great reforms during Tolstoy’s adult years, relations between spouses, parents and children, siblings, and extended kin all evolved to match their changing society and its ideals. While Tolstoy was well aware of the debates about the state of the Russian family that raged at mid-century, his critique of the family talked past that of many of his contemporaries to focus on the moral issues closest to his heart. By mid-century many people considered the Russian family to be a backward institution based on patriarchal tyranny. Jurists struggled to rewrite imperial family law, while figures across the political spectrum debated the “Woman Question.” Tolstoy’s views evolved along different lines. He went from idealizing the traditional patriarchal family (through the 1860s), to acknowledging its flaws (1870s), to rejecting the family as an ultimate life goal (1880s onward). His ultimate ideal left no place for sexual love and was based on impersonal service to a higher cause. Ignoring all the quotidian realities of actually belonging to a real family made of real people, Tolstoy infuriated his wife with his abstract talk of living for the soul, while she managed the household and oversaw their large family.
For many years, donor conception treatment was seen as a “solution” to involuntary childlessness, marked by pregnancy. Through awareness-raising by mental health professionals and especially donor-conceived people themselves, it is now increasingly recognized as the start of a family-building process with an ongoing story that unfolds over the family life-span and beyond. This chapter shows how parents’ abilities to adjust their prior beliefs about the meaning of “family” and “genetic relationships” become critical in the shift from “building a family” to “being a family” and onwards. Moreover, they are not alone anymore: various story-tellers in the new family system, including children, grandparents and others, each have their own unfolding understandings to voice and manage, separately and together. Throughout this creative and challenging process, the donor(s) has a presence, regardless of whether all are aware of their involvement. The complexity of disclosure is considered alongside the need for openness itself to be ongoing and interactive if it is to healthily accommodate shifts in understanding and power balances as children grow. Families do not exist in a vacuum, so wider networks and societal developments can also influence the permeability of their boundaries. Finally, the role of professional and peer support is considered.
This study examines receptive-expressive language, gross-fine motor skills, and IQ abilities in 78 children, 43 children with an older sibling with autism spectrum disorder (Sibs-ASD) and 35 children with an older sibling with typical development, ranging from 4 to 11 years of age. Depending on age, both groups were divided in preschool and school groups. The results show that more than 76% of Sibs-ASD performed at least one language and/or motor skill under 25th percentile. Significant differences were described at preschool stage in three aspects: grammatical comprehension, ball skills, and global motor skills. At school age, significant differences were found in two aspects: expressive language, and ball skills. Some differences seem to decrease over time; meanwhile others seem to increase; and others remain stable. Thus, it seems that vulnerability continues in unaffected Sibs-ASD and suggest that this population may benefit from continued screening and monitoring into the preschool and school-age stages.
Despite the huge effect eating disorders (Eds) have on the lives of sufferers and their families there has been little research on the effect an ED has on siblings even though their lives are repeatedly significantly affected by the situation. It is important to gain more insight into the experiences and needs of siblings as the nature and magnitude of the effect of patients EDs on non-affected siblings is mixed in the current research.
Objectives
To conduct a systematic review allowing an extensive search of the current literature to identify where the current research is lacking. Also, to highlight the need for a greater focus on the effect of EDs on siblings both in research and clinical practice.
Methods
A systematic review is being conducted to gain an understanding of the gaps in the literature.
Results
It is expected that the systematic review will reveal a lack of literature regarding siblings’ experiences of having a brother or sister with an ED. As well as showing the conflicting emotions felt by the siblings, both positive due to the love they feel for their sibling and negative due to the burden they feel.
Conclusions
By raising awareness of the needs of non-affected siblings this research should have a notable impact on their experiences by highlighting the need for specific interventions and support services as well as education about their siblings’ ED.
This chapter explores the integral role that siblings’ multilingual discourse plays across diverse family lives and sites of learning. In discussing key concepts in the field of family studies, young children are viewed as spending as much if not more time with siblings than their parents. This chapter looks at siblings as agentive in shaping the language environment in multilingual families and reflects on research in the area of siblings’ language choices, humour and intimacy as well as sibling rivalry in multilingual discourse. A distinctive feature of sibling relationships is their seriality, and research on the ‘niche’ of each child is looked at in relation to a child’s emerging multilingualism. Siblings’ multilingual discourse is viewed as dynamic and their language practices as in flux as the family grows, moves, or separates. Research on siblings as literacy mediators and studies on their creative multilingualism are examined. This chapter recognises the key role of digital technology in children’s lives and examines siblings’ multilingual discourse in these new digital spaces. New research is shared that investigates how multilingual siblings worked together on an international digital storytelling project.
This study aimed to evaluate the effect of the cryopreservation duration (up to 160 months) on the clinical and neonatal outcomes of slow-frozen early-cleavage human embryos. Clinical data collected between February 2013 and August 2017 were included in this retrospective study. Cases were classified into five groups by the duration of cryopreservation: Group 1, 6–12 months; Group 2, 13–36 months; Group 3, 37–60 months; Group 4, 61–84 months; and Group 5, >84 months. The embryo survival rate, implantation rate, clinical pregnancy rate, live-birth rate, newborn sex ratio, singleton gestational age, singleton birth weight and malformation rate were compared between the groups. The cryopreservation duration did not significantly affect the rates of clinical pregnancy (P = 0.119) and live birth (P = 0.354), the newborn sex ratio (P = 0.614) or the singleton gestational age (P = 0.212) and birthweight (P = 0.212). Although decreases in the embryo survival and implantation rates were observed in groups 4 and 5 compared with those in groups 1–3, these differences were not statistically significant (P = 0.329, P = 0.279, respectively). Long-term cryopreservation does not appear to adversely affect the clinical and neonatal outcomes of slow-frozen early-cleavage human embryos.
This chapter chronicles one parent’s journey through discovering that her son had PWS and what that would mean for her family. This chapter describes the patient’s initial diagnosis and the health complications that followed. The writer allows readers a view into her own personal struggles – her fear, her pain, her unwavering devotion to and advocacy for her son’s well-being. The writer gives voice to what it means to be a mother to a child with PWS. She also discusses the impact the medical and behavioral manifestations of the diagnosis has had on her family as a whole. She refers to a “new normal” that defines how they live their lives through the context of the therapies, medical interventions, and behavioral struggles that come with PWS. The chapter helps establish the perspective of those caregivers this book hopes to serve.
There is some evidence that autism spectrum disorder (ASD) frequently co-occurs with immune-mediated conditions including asthma. We aimed to explore the familial co-aggregation of ASD and asthma using different genetically informed designs.
Methods
We first examined familial co-aggregation of asthma and ASD in individuals born in Sweden from 1992 to 2007 (n = 1 569 944), including their full- and half-siblings (n = 1 704 388 and 356 544 pairs) and full cousins (n = 3 921 890 pairs), identified using Swedish register data. We then applied quantitative genetic modeling to siblings (n = 620 994 pairs) and twins who participated in the Child and Adolescent Twin Study in Sweden (n = 15 963 pairs) to estimate the contribution of genetic and environmental factors to the co-aggregation. Finally, we estimated genetic correlations between traits using linkage disequilibrium score regression (LDSC).
Results
We observed a within-individual association [adjusted odds ratio (OR) 1.33, 95% confidence interval (CI) 1.28–1.37] and familial co-aggregation between asthma and ASD, and the magnitude of the associations decreased as the degree of relatedness decreased (full-siblings: OR 1.44, 95% CI 1.38–1.50, maternal half-siblings: OR 1.28, 95% CI 1.18–1.39, paternal half-siblings: OR 1.05, 95% CI 0.96–1.15, full cousins: OR 1.06, 95% CI 1.03–1.09), suggesting shared familial liability. Quantitative genetic models estimated statistically significant genetic correlations between ASD traits and asthma. Using the LDSC approach, we did not find statistically significant genetic correlations between asthma and ASD (coefficients between −0.09 and 0.12).
Conclusions
Using different genetically informed designs, we found some evidence of familial co-aggregation between asthma and ASD, suggesting the weak association between these disorders was influenced by shared genetics.
Adult children with siblings can share caring for older parents but adult only children face this responsibility alone. Given increased longevity and reliance on informal care-giving, as well as an increase in one-child families, there is a need to investigate only children's care-giving further. Using data from three large-scale British birth cohorts, this paper investigates patterns of parent-care, care intensity and wellbeing at ages 38 and 42 (N = 17,255, N = 16,703; born 1970), 50 and 55 (N = 12,775, N = 11,339; born 1958) and 63 (N = 2,364; born 1946), how sibling composition intersects with gender in relation to care-giving and whether different care-giving patterns are associated with wellbeing. Only children are more likely to provide parent-care and the pattern is consistent with an interpretation that differences by sibling status might increase with age. Provision is gendered, and the sibling group composition matters for involvement. Although care-giving is related to wellbeing, we found no evidence that this differs between only children and those with siblings. The literature on only children has hitherto focused largely on childhood, suggesting that on some outcomes they benefit from a concentration of parental resources. Our results suggest that in middle adulthood parental care needs may instead be concentrated for the only child without the ‘resource’ of siblings. This indicates a need to develop further our understanding of this growing demographic subgroup.
We examine the socioeconomic consequences of discrimination against people of Southern origins during the US Great Migration of the first half of the twentieth century. We ask whether people living in the American North and Midwest in 1940 fared worse with respect to education, occupation, and income if they were perceived to be of Southern origins. We also assess variation in these effects across racial groups and across actual region of origin groups. Using linked data from the 1920 and 1940 US censuses, we compare the life outcomes of about half a million pairs of brothers who differed with respect to the regional origin implied by their first names. For both Whites and Blacks, we find statistically significant associations between outcomes and the regional origin implied by names; regardless of where they were born, men living in the North or Midwest in 1940 did worse if their names implied Southern origins. However, these associations are entirely confounded by family-specific cultural, socioeconomic, and other factors that shaped both family naming practices and life outcomes. This finding—that regional discrimination in the early-twentieth-century United States did not happen based on names—contrasts sharply with findings from research in more recent years that uses names as proxies for people’s risk of exposure to various forms of discrimination. Whereas names are a basis for discrimination in modern times, they were not a basis for regional discrimination in an era in which people had more immediate and direct evidence about regional origins.
Caring for a loved one with an eating disorder typically comes with a multitude of challenges, yet siblings and partners are often overlooked. It is important to understand if current clinical guidance for supporting carers are effective and being utilised for these groups, to help meet their needs.
Aims
To identify the experiential perspectives of siblings and partners of a loved one with an eating disorder compared with guidance for improving the adequacy of support provided to carers published by Beat and Academy for Eating Disorders.
Method
Three online focus groups were held for ten siblings and five partners from across the UK (12 females and three males). Carers had experience of caring for a loved one with anorexia nervosa (13 carers) or bulimia nervosa (two carers), across a range of therapeutic settings. Focus group transcriptions were analysed with thematic analysis.
Results
Four key themes were identified: (a) role-specific needs, (b) challenges encountered by siblings and partners, (c) generic needs and helpful strategies or approaches, and (d) accounts of service provision and family support.
Conclusions
Overall, the majority of experiences reported by siblings and partners did not meet the published guidance. Consequently, clinical practice recommendations were identified for services, alongside the charity sector, to take a proactive approach in detecting difficulties, providing skills training and emotional/practical support, adapting/tailoring peer support groups and supporting online facilitation. Our findings part-informed the design of our national online survey on loved ones’ experiences of care in eating disorders.
In Chapter 5, the author examines the role of intimacy between filhas de criação and their biological family members in criação. Challenging misconceptions about criação, she discusses evidence that some filhas de criação run away from their biological homes and to their informally adoptive homes. While, in some cases, filhas de criação are blocked from seeing their biological family members, in many cases, ongoing relationships with their biological families provide the opportunity for siblings to serve as co-conspirators and co-collaborators in each other’s search for freedom and independence. An unexpected finding is also that contact with biological family members may sometimes compel filhas de criação to extend the time that they provide unpaid and exploitative labor to an adoptive family. This chapter reveals the transgressive role that biological siblings can have in the lives of filhas de criação, while also highlighting the capacity for systems of domination to co-opt these same family ties and bonds to secure its proliferation.
We show that if a countable structure M in a finite relational language is not cellular, then there is an age-preserving
$N \supseteq M$
such that
$2^{\aleph _0}$
many structures are bi-embeddable with N. The proof proceeds by a case division based on mutual algebraicity.