“…These include: (a) The Novelty Shock Crisis, the shock of the initial diagnosis; (b) The Crisis of Personal Values, characterized by a reaction of anguish and chronic sorrow stemming from the destruction of their overdetermined expectations of the child; and (c) The Reality Crisis stemming from external forces related to difficulties of raising the child such as physical demands and social pressures. Other sources of stress often reported include time demands, prolonged burden of care, stigma, long-term uncertainty, reduction in social relationships, lack of social support, financial constraints, reductions in professional opportunities, adjustment problems of siblings, and lack of information and services (Friedrich & Friedrich, 1981;Kazak & Marvin, 1984;Schilling, Gilchrist, & Schinke, 1984;Slater & Wilder, 1986;Wilder, 1981). However, some researchers provide a more optimistic outlook, reporting no apparent negative effects resulting from raising a disabled child and describing many of these parents as coping and adjusting successfully as individuals or family units (e.g., Abbott & Meredith, 1986;Dunlap & Hollinsworth, 1977;Hymovich & Baker, 1985;Longo & Bond, 1984;Salisbury, 1987;Wikler, Wasow, & Hatfield, 1983).…”