The purpose of this article is to describe Fortalezas Familiares (FF; Family Strengths), a community-based prevention program designed to address relational family processes and promote wellbeing among Latino families when a mother has depression. Although depression in Latina women is becoming increasingly recognized, risk and protective mechanisms associated with children’s outcomes when a mother has depression are not well understood for Latino families. We begin by reviewing the literature on risk and protective psychosocial mechanisms by which maternal depression may affect Latino youth, using family systems theory and a developmental psychopathology framework with an emphasis on sociocultural factors shaping family processes. Next, we describe the theoretical basis and development of the FF program, a community-based 12-week intervention for Latina immigrant women with depression, other caregivers, and their children. Throughout this article, we use a case study to illustrate a Latina mother’s vulnerability to depression and the family’s response to the FF program. Recommendations for future research and practice include consideration of sociocultural processes in shaping both outcomes of Latino families and their response to interventions.
The purpose of this study was to examine the bidirectional relationshipsnetres behavioral functioning of children with fragile X syndrome (FXS), the leading cause of inherited intellectual disability. Children with FXS commonly demonstrate challenging behavior related to anxiety, attention, and aggression, whereas mothers of children with FXS have been identified as susceptible to mental health disorders due to their status as genetic carriers of the FXS premutation, as well as the environmental stressors of raising children with special needs. The longitudinal design of this study builds upon prior work that established a concurrent relationship among these factors in families of children with other intellectual disorders. Findings indicated that maternal mental health status was not significantly related to changes in levels of child challenging behavior, child challenging behavior was related to changes in maternal depression over time, and heightened levels of child challenging behavior was related to increased feelings of maternal closeness toward the child over time. The unexpected nature of the result regarding maternal closeness provides new and more complex hypotheses about how mothers of special needs children demonstrate adaptation and resilience. The findings have implications for maternal and familial mental health treatment as well as future research.
This reaction includes an appraisal of contributions, limitations, and questions raised in Wendt, Gone, & Nagata's major contribution regarding potentially harmful therapy (PHT) and multicultural counseling. The authors are commended for initiating a convergent dialogue between the PHT and multicultural counseling literatures, creating a strong argument for their integration, and contextualizing the prior division. Commentary is provided in response to the narrow emphasis on an ethnoracial domain of culture, and suggestions for broadening the PHT/multicultural counseling dialogue through inclusion of multiple identities and intersectionality are provided. Greater integration of specific ethics codes and guidelines is also encouraged. Finally, future directions for consideration and study are posited, including the practicalities of researching harm within an integrated PHT/multicultural counseling framework, the necessity of working toward a refined definition of harm, and the manner through which the multicultural counseling perspective on addressing culturally based injury could augment existing PHT efforts to mitigate harm.
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