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Relationships between mothers and their children are expected to be lifelong and rewarding for both members of the dyad. Because of the salience of these ties, they are likely to be disrupted only under conditions of extreme relational tension and dissatisfaction. In this work, the authors drew on theoretical arguments regarding societal norm violations and value similarity to examine the processes that lead to estrangement between mothers and adult children. To address this issue, they used quantitative and qualitative data on 2,013 mother–adult child dyads nested within 561 later life families, including 64 in which mothers reported being estranged from at least 1 of their children. Value dissimilarity was found to be a strong predictor of estrangement, whereas violation of serious societal norms was not. Qualitative data revealed that value dissimilarity created severe relational tension between mothers and adult children leading to estrangement.

Although research shows that most parents and adult children report generally positive and supportive ties, there is also evidence that negative interactions and emotions are common in intergenerational relationships. To investigate this complexity, researchers have moved beyond simple models to orientations and approaches that recognise contradictory emotions and attitudes regarding family relationships in later life. These efforts have given rise to what has come to be termed the 'intergenerational ambivalence' perspective. In this article, we explore the applicability of this perspective to the issue of family caring. We begin by reviewing recent developments in the intergenerational ambivalence perspective. We then discuss a paradox: although caring appears to be a situation particularly prone to conflicting emotions, little research has focused specifically on ambivalence among carers. We present results from our work that shed light on the measurement of carer ambivalence, as well as substantive findings regarding sources of ambivalence for carers.

Abstract:We used data from 769 mother‐child dyads nested within 300 later life families to explore the accuracy of adult children's perceptions of mothers' patterns of favoritism in terms of closeness and confiding. Adult children were generally accurate regarding whether their mothers preferred a specific child, but often had difficulty identifying whom mothers favored. Multivariate analyses indicated that overall accuracy of children's reports was positively related to similarity of religious participation and negatively related to parental status of the adult child and family size. Because parental favoritism may affect adult children psychologically and have implications for later life care for parents, family practitioners should be aware of mothers' patterns of favoritism and the sometimes inaccurate perceptions adult children have concerning this favoritism.

This article describes barriers to nursing home discharge encountered in an intervention designed to transition nursing home residents to the community. Staff in the intervention ("Project Home") provided intensive case management and discharge planning services to nursing home residents who expressed a desire to return to community-based living arrangements. Sixty program participants took part in the program evaluation that informs this article. With the exception of Medicaid status, no differences were found between the social, demographic, and health characteristics of individuals who remained in the nursing home and those who were discharged. A qualitative analysis was conducted to describe barriers to discharge and strategies intervention staff used to leverage each client's strengths and work around obstacles. Three main barriers to discharge were found: having an unstable or complex medical condition, lacking family or social support, and being unable to obtain suitable housing. Intervention staff advocated on the behalf of clients, encouraged clients to build skills toward independent living, and contributed extensive knowledge of local resources to advance client goals. Cases of successful transition suggest that a person-centered approach from intervention staff combined with a flexible organizational structure is a promising model for future interventions.