Breast cancer is the second most common cancer diagnosed among women in the United States. Although advances in detection and medical treatment have improved survival rates, breast cancer survivors experience physical symptoms and psychological distress that can adversely impact their quality of life. Examining the quality of life in breast cancer survivors is important as it may inform supportive services, patient-centered care, and well-being after treatment. Theoretical perspectives such as ambiguous loss theory can assist in understanding the factors that shape quality of life. Ambiguous loss theory, developed by Pauline Boss, refers to a loss that remains unclear, unresolved, and lacks closure. Grief theorists have acknowledged grief associated with symbolic losses, such as the loss of health status. The current article integrates empirical research and established constructs derived from ambiguous loss theory to develop a middle-range theory focused on explaining quality of life among breast cancer survivors.

Parents of children with disabilities are distinctly involved with their children inside and outside of school as they partake in special education procedures and support individualized child needs. Yet standards for parent involvement are largely designed for parents of children without disabilities, making them potentially less meaningful for parents whose children are enrolled in special education. Conceptual parent involvement frameworks are the foundation for existing involvement standards and practices; thus, they may benefit from expansions that support the use of these models for families with children in special education. We explore the alignment of existing parent involvement frameworks within the context of special education and parenting a child with a disability. To advance inclusivity for families of children receiving special education services, we offer considerations for future conceptual work on parent involvement and discuss possible implications of such expansions for research, practice, and policy.

This special collection aims to extend understanding of LGBTQ+ couples and families from multiple theoretical and international perspectives, in the context of remarkable sociohistorical change. Five articles address changes in LGBTQ+ family patterns - and within LGBTQ+ families, attending to differences across generations, and considering contextual and cultural differences. Together these articles offer a range of theoretical integration, adaptation, or application, each with the goal of deepening understanding of LGBTQ+ relationships in families in times of social change.

This conceptual review paper takes an interdisciplinary approach to the study of self-injury in families. The overall goal is to begin integrating siloed bodies of knowledge from empirical work based on findings from individuals with and without intellectual and developmental disabilities and self-injury. The research literature on self-injury and family-level variables is reviewed, including dyadic and individual-level variables with potential bidirectional impact on the family. Then, opportunities for knowledge translation are explored with respect to the pragmatic goal of developing family-level interventions for self-injurious behavior in individuals with intellectual and developmental disabilities. Four opportunities for knowledge translation are highlighted: family patterns, parenting behavior, attachment relationships, and emotional experience.

Nearly three decades since the passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, federal cash assistance to families in poverty in the United States has entered political discourse once more with the Biden Administration's introduction of the American Families Plan. At the heart of this discussion are theories of change that derive from the family and developmental sciences. As a result, scientists in these fields have a duty to understand the history of the last reform and the consequences it has since had for children in poverty. In this paper, I review the history of perspectives toward government social assistance programs, as well as extant research demonstrating the mechanisms through which maternal employment and federal cash assistance impact child wellbeing. Lastly, I propose a conceptual framework for understanding the influence of family-based social assistance programs and parenting on child wellbeing to guide future research.

In this paper, the authors introduce the Triadic Model of Pediatric Care, an innovative conceptual framework for pediatric practice with transgender and gender diverse children. The Triadic Model of Pediatric Care consists of three experts-pediatricians, primary caregiver(s), and children-who each possess unique insights, knowledge, and decision-making power. This model guides pediatricians to provide gender-affirming care that acknowledges children as experts of their own experience and worthy of bodily autonomy, while also working to ensure primary caregiver(s) have the information and support necessary to provide a safe and nurturing developmental environment for their child. The authors provide a recommendation for how the Triadic Model of Pediatric Care might be applied in a pediatric healthcare setting and conclude with a summary of the model's implications, limitations, and future directions.

Despite increasing research, the links between racial discrimination and Black Americans' romantic relationship dynamics remain unclear. Guided by models of mundane extreme environmental stress (Peters & Massey, 1983), sociocultural family stress (McNeil Smith & Landor, 2018), and Black marital outcomes (Bryant et al., 2010), we conducted a systematic review of the literature examining racial discrimination and relationship dynamics among Black Americans in same-race and interracial romantic relationships. Synthesizing findings from 32 published empirical articles, we find support for manifestations of each component of MEES in Black intimate life. We uncover evidence that racial discrimination is associated with compromised relationship functioning for Black Americans. Several psychosocial resources were also identified as either buffering these associations or posing drawbacks/limitations for Black Americans. We discuss notable gaps in the literature and directions for future research including intersectional investigations, broader examination of the MEES context, and de-centering whiteness among studies of interracial relationship dynamics.

Over the past two decades, scholars have investigated a multitude of different aspects of motherhood. This article provides a scoping review of research published from 2001 to 2021, covering 115 Social Science Citation Index-referenced papers from WEIRD countries, with the aim of reconstructing social norms around motherhood and mothers' responses to them. The analysis is theoretically based on normological and praxeological concepts. The findings reveal five contemporary norms of motherhood that reflect both stability and increasing differentiation, and are related to five types of mothers: the norms of being attentive to the child (present mother), of securing the child's successful development (future-oriented mother), of integrating employment into mothering (working mother), of being in control (public mother), and of being contented (happy mother). Relying on an intersectional lens, we analyze mothers' heterogeneous responses to these norms of motherhood, and examine how neoliberal demands build on and perpetuate inequalities.

In the field of family science and in the broader family policy discourse, debate is ongoing about the importance of family structure for child outcomes. Missing from this debate is a full integration of how the foundational pillars of White supremacy, namely structural racism and heteropatriarchy, impact both family formation and child outcomes, especially among diversely configured Black families. From a critical intersectional lens, we argue that conceptual models used to explain racialized child outcomes based on family structure effects are problematic because they compare family structure statuses without accounting for structural racism and interlinked heteropatriarchal conditions. We present a new conceptual model that integrates structural racism and heteropatriarchy to examine the salience of family structure statuses for child outcomes and discuss approaches to research design, empirical measurement, and interpretation in order to bring this new model into practice.

attributes differences in human populations to biology and genetics that reflect a hierarchy of human races with whiteness at its pinnacle. This article examining the history of race science and current family scholarship and practice contends that race science matters for family science. We discuss 1) white supremacy, the development of race science, and the eugenics movement in the U.S.; 2) racism, racialized experiences, and oppression of Black families in the U.S.; 3) the construction of whiteness in family science and re-envisioning theories to make racism's impact visible; 4) racial reckonings for professional organizations; and 5) why race science matters for family science and a call to action. Clarity about the meaning of race can ensure that family science addresses white supremacy and racism embedded in scholarship, training, and practice, and promotes work that supports the well-being of families that are most vulnerable and marginalized.

Research documents high levels of instrumental, financial, and expressive support exchanges within multigenerational families in the 21st century. The COVID-19 pandemic poses unique challenges to support exchanges between the generations; however, the pandemic may provide opportunities for greater solidarity within families. In this review, we draw from theoretical perspectives that have been used to study family relationships to understand the implications of the pandemic for multigenerational families: the life course perspective, the intergenerational solidarity model, and rational choice/social exchange theory. We review literature on multigenerational relationships in the United States and discuss how established social support patterns and processes may be altered by the COVID-19 pandemic. We reflect on how the impact of the COVID-19 pandemic on multigenerational relationships may vary by gender, race, ethnicity, and socioeconomic status. Finally, we provide directions for future researchers to pursue in order to understand the lasting impacts of the COVID-19 pandemic on multigenerational ties.

We theorize that social conditions surrounding the COVID-19 pandemic have the potential to increase the importance of families for health and widen existing inequalities. We suggest three primary tenets important for understanding families and health during COVID-19. First, risks of specific COVID-19 outcomes and other health problems are unevenly distributed across families. Second, how families impact health during the COVID-19 pandemic is conditional on public policies, organizational decisions, and concurrent events. Third, many health inequalities driven by racism, sexism, classism, and other oppressive societal force are amplified during COVID-19, but the extent to which this is occurring is shaped by families and by the public policies, organizational decisions, and concurrent events that also impact families and health. As health disparities continue to emerge from this pandemic, we call on researchers and policy-makers to pay attention to the multiple ways that families matter.

Self-compassion is an adaptive way of self-relating that entails tending to one's emotional pain with understanding and care. In this paper, we propose an intergenerational model explaining how self-compassion develops within the context of the parent-child relationship. Specifically, we posit that parents who have had supportive experiences with their own childhood caregivers develop a secure attachment and a high level of self-compassion. In turn, we propose that high self-compassion in parents promotes the parents' capacity to support their when he or she experiences difficult emotions (e.g., anger, sadness). These responses promote the child's secure attachment, high self-compassion development and positive behavioral outcomes. A key area for future research is examining the potential link between parent self-compassion and responses to difficult emotions in the child. Given self-compassion can be enhanced through intervention, support for this model will have broad implications for interrupting intergenerational cycles of dysfunction caused by insecure attachment.

This article introduces and demonstrates the use of an integrated life course systems perspective to advance the study of the aging processes of couples in enduring relationships. This objective is accomplished by bridging the life course and systems perspectives to conceptualize the couple as a functioning system and to locate couple dynamics within a longitudinal life course context in order to identify multilevel relational mechanisms that explain partners' aging outcomes in their broader socioeconomic and longitudinal context. Informed by this integrated theoretical perspective, testable hypotheses related to aging processes are derived, and analytical methodologies that can advance the research on couple aging processes are demonstrated. Identifying these relationship-health processes and contextual considerations provides insight into leverage points for the development and implementation of prevention and intervention efforts to facilitate positive aging outcomes. Directions for further theoretical and analytical advances in the area of couple aging are discussed.

Later-life marital dissolution increasingly occurs through divorce, not widowhood, and this is reflected in the rising rate of divorce among older adults and gains in life expectancy. Yet the consequences of later-life divorce for individual well-being are poorly understood. Prior work on later-life marital dissolution focuses on bereavement, positing either a short-term, acute grief period or chronic, unrelenting grief. The divorce literature offers an analogous bifurcated explanation in the stress-adjustment perspective on divorce. Adjustment either occurs during a brief crisis period or is elusive as divorce creates chronic strain. After describing these entrenched conceptual models of postdissolution adjustment, we introduce a third trajectory that is emergent in recent, longitudinal studies: the convalescence model. Drawing on Pearlin's stress process perspective, we theorize why spousal loss and divorce alike may result in a protracted period of recovery. We conclude with directions for future research to encourage conceptual and methodological advancements in the field.

The convoy model of social relations was developed to provide a heuristic framework for conceptualizing and understanding social relationships. In this Original Voices article, we begin with an overview of the theoretical tenets of the convoy model, including its value in addressing situational and contextual influences, especially variability in family forms and cultural diversity across the life span, but particularly in older adulthood. We also consider the contributions of the convoy model to the field of family gerontology by illustrating concepts, methods, and measures used to test the model, as well as its usefulness and limitations in addressing contemporary issues facing older adults. Finally, we discuss opportunities for innovation and application of the convoy model to the study of later-life family relationships. In summary, we emphasize the benefits and inclusiveness of the convoy model for guiding current and future research to address challenges facing family gerontology now and in the future.

We deploy the "gender-as-relational" (GAR) approach to enhance the study of the long-term romantic relationships of sexual and gender minority mid- to later-life adults. The GAR approach states that gender within relationships is shaped by three key factors: own gender, partner's gender, and the gendered relational context. This approach highlights that the relationship dynamics of men, women, and gender nonconforming people are highly diverse, reflecting that gender is a social construct formed within interactions and institutions. We explicate how GAR can reorganize the study of sexual and gender diversity in three research areas related to aging and relationships-caregiving, marital health benefits, and intimacy-and discuss theory-driven methods appropriate for a GAR research agenda. A GAR framework reorients research by complicating taken-for-granted assumptions about how gender operates within mid- to later-life romantic relationships and queering understandings of aging and romantic relationships to include experiences outside of heteronormative and cisnormative categories.

The intersection of a family's heritage culture and new mainstream cultural norms results in person-to-person differences in values, beliefs, and behaviors, particularly among immigrant families. These differences often lead to divergent cultural views and patterns of behavior both within and between family members. According to the acculturation gap distress hypothesis, these cultural orientation gaps between family members have consequences for family functioning, and, in particular, adolescents' adjustment. Studies supporting this notion have primarily focused on processes in parent-adolescent dyads. Although scholarship on family cultural gaps emerged from a systems perspective, application of key systems tenets are notably limited in existing work. In this paper, we review the background and current state of research on family cultural gaps, provide an overview of key principles of systems perspectives, and then, integrate the cultural gap literature with key systems principles to identify future directions in research and theory.

U.S. children are more likely to live apart from a biological parent than at any time in history. Although the Child Support Enforcement system has tremendous reach, its policies have not kept pace with significant economic, demographic, and cultural changes. Narrative analysis of in-depth interviews with 429 low-income noncustodial fathers suggests that the system faces a crisis of legitimacy. Visualization of language used to describe all forms child support show that the formal system is considered punitive and to lead to a loss of power and autonomy. Further, it is not associated with coparenting or the father-child bond-themes closely associated with informal and in-kind support. Rather than stoking men's identities as providers, the system becomes "just another bill to pay." Orders must be sustainable, all fathers should have coparenting agreements, and alternative forms of support should count toward fathers' obligations. Recovery of government welfare costs should be eliminated.

Families have clearly benefited from increased availability of evidence-based intervention, including home-visiting models and increased federal funding for programs benefiting parents and children. The goal of population-level impact on the health and well-being of infants and young children across entire communities, however, remains elusive. New approaches are needed to move beyond scaling of individual programs toward an integrated system of care in early childhood. To advance this goal, the current article provides a framework for developing an early childhood system of care that pairs a top-down goal for the alignment of services with a bottom-up goal of identifying and addressing needs of all families throughout early childhood. Further, we describe how universal newborn home visiting can be utilized to both support alignment of and family entry into an early childhood system of care with broad reach, high quality, and evidence of population impact for families and children.

Although multiple evidence-based family interventions exist, less than a handful have been developed or rigorously tested specifically for military families. Indeed, few interventions available to military families are theory based or empirically validated; most have good face validity but little data on efficacy or effectiveness. This article argues for an emphasis on the rigorous evaluation, via pragmatic randomized controlled trials, of theory-based family interventions to strengthen and support military families. Data are provided from a theory-based, empirically validated parenting program for families (After Deployment, Adaptive Parenting Tools, or ADAPT) to demonstrate the potential for randomized controlled trials to yield rich data about family functioning beyond program outcomes. Opportunities to generate theoretically informed, evidence-based family interventions for military families will contribute not only to testing theories about military families but also to advancing well-being for the next generation of service members and their families.