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. Author manuscript; available in PMC: 2009 Sep 18.
Published in final edited form as: Subst Use Misuse. 1998 Jun;33(7):1511–1546. doi: 10.3109/10826089809069811

Table 1. Content of Conduct Norms Regarding Adult–Child Relationships in Conventional Society and in Severely Distressed Households.

Domain of behavior “Ideal” in conventional society Severely distressed households
Child conception Child conceived intentionally Children “happen,” most not wanted
Child anticipated as an “expense” Child sometimes planned to obtain transfer payments
Unplanned child will be loved/nurtured Children may be called “mistakes” during childhood
Birth father's role Father acknowledges paternity legally and socially Father's identity sometimes unknown by mother/family
Father gives child his last name Birth father's last name rarely given to child
Father financially supports children Father provides no money to support his children
Father emotionally supports children Father will rarely see children, gives no emotional support
Father will live with his children Father will not live with his children
Father will never harm children If present, father may treat children as he pleases
Birth mother's role Mother will keep and raise children born to her Drug-using mother will often not keep child
Child is a primary possession and responsibility Drug-using mother seeks to “give” child to someone else
Mother uses income to support children Drug-using mother will often spend $s on drugs, not children
Mother is primary psychological parent of child Drug-using mother will rarely relate emotionally to children
Mother spends hours daily interacting with child Drug-using mother spends little or no time with children
Mother regularly cuddles and express love to child Drug-using mother rarely holds child, seldom expresses love
Mother always retains parental/guardian role Drug-using mother encourages oldest child to assume parent role
Adult female and male sexual relationships Man and women marry and stay married Drug users rarely marry; if married, they often separate or divorce
Man and women live common-law for years Drug users may have common law partners, but often several
Man and women have some affairs Drug users usually have sexual affairs; man leaves household rapidly
Unrelated male give money/other goods to family Drug using male provide no $s, uses family's food and shelter
Adult caregiver role
(other than birth mother)
(sometimes birth mother)
Caregiver treats children like a mother Caregiver “removes” child from caregiving by drug-using mother
Grandparent(s) occasionally care for child Grandparents/relatives often expected to assume parental role
Caregiver loves/supports child Caregiver resents having to care for another child
Caregiver provides good food, shelter, health care Caregiver provides marginal food, shelter, medical care to child
Caregiver routinely expresses love in many ways Caregiver rarely loves, cuddles, expresses affection to the child
Caregiver constructs safe environment in home Caregiver does not systematically protect child from harm
Caregiver ensures that school work is done Caregiver does not help child with school work or education
Caregiver carefully screens temporary helpers Caregiver temporarily allows unrelated persons to care for child
Caregiver has enough income to support child Caregiver often wants welfare/foster care payments for child
Caregiver provides direct instructions to child Caregiver expects child to learn tasks by “paying attention”
Caregiver has child trust authorities/agency staff Caregiver warns child not to trust/speak to staff of agencies
Child's roles Child learns age-appropriate tasks/behaviors Child given little or no training in age-appropriate tasks
Oldest child supervised by parent Oldest child becomes “most responsible” person in household
Parent always responsible for child's care Oldest child takes care of parent and household by default
Oldest child helps, not responsible for siblings Oldest child often care for younger children
Child often interrupts adult talk/activities Child learns to be “seen” but not “heard” by adults
Emotional relationships between guardian and child Child trained to plan a long, productive life Child does not expect to live long, and to die young
Child learns that current life affects future Child does not learn that current activity will affect their future
Child uses/trusts adult(s) as resources Child learns not to trust adults and that adults have no resources
Child learns to express love to guardian Child does not express love/affection to parent/guardian
Child and family contacts with outsiders and agency staff Child honest/open with agency staff Child conceals and enables illegal behaviors of guardian/adults
Child is loyal to family and its history Child taught to keep many family behaviors secret from outsiders
Child helped to plan how to access good jobs Child does not plan for future in conventional society
Child gains access to legal support systems Child cannot learn to use “conventional means” to get legal jobs
Child can seek help from service providers Child learns never to seek help for problems from service providers