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Parent-Child and Sibling Relational Problems

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Handbook of DSM-5 Disorders in Children and Adolescents

Abstract

There is an extensive body of literature describing the crucial role of parenting practices and other familial processes on children’s mental health and related developmental outcomes, including behavioral, cognitive, and affective functioning. According to the DSM-5, relational problems reflect significant clinical distress or disturbance of key relationships such as the parent-child or sibling relationship. The cornerstone of the DSM-5’s definition of parent-child relational problems is that the quality of the parent-child relationship is affecting the course, prognosis, or treatment of a mental or other medical disorders; similarly, the definition of sibling relational problems emphasizes significant impairments in individual or family functioning. This chapter presents a description of parent-child and sibling relational problems, reviews their history in the DSM, and summarizes the relevant research with a focus on etiology, symptom presentation, associated impairments and comorbidities, course and developmental challenges, and treatment and outcomes. The role of family dysfunction as a broad risk factor in the development of parent-child and sibling relational problems is discussed, and preventive and other intervention programs that target family relational processes are reviewed. A strong base of research demonstrates that with early and appropriate assessment and intervention, parent-child and sibling relational problems can see marked improvement over time.

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Linscott, J.G., Leve, L.D. (2017). Parent-Child and Sibling Relational Problems. In: Goldstein, S., DeVries, M. (eds) Handbook of DSM-5 Disorders in Children and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-319-57196-6_29

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