A mother's heart is weighed down with stones: a phenomenological approach to the experience of transnational motherhood

Mental Health Implications of Family Separation Associated with Migration Policies in the United States: A Systematic Review

The practice of family separation as a mechanism of oppression has a deep-rooted history in the U.S., manifesting in diverse contexts, including punitive migration policies. This systematic review aimed to provide a rigorous and updated synthesis of the research on family separation as a result of migration policies and its impacts on immigrants' mental health while making a distinction between forced family separation, family separation by constrained choices, and living with the fear of family separation. We systematically searched four bibliographic databases using keywords related to family separation, migration, transnational families, and mental health for peer-reviewed studies published in English on or before January 1st, 2022. Results of the review indicate that family separation or fear of it may result in depression, anxiety, behavioral and emotional issues, sleep disturbances, and stress or distress in affected children. Similarly, impacted parents or caregivers might experience stress or distress, depression, anxiety, and sleep disturbances. Findings call for migration policy changes prioritizing family unity and comprehensive mental health interventions to respond to the pervasive consequences of family separation or fear thereof among immigrants in the U.S.

Parenting in place: Young children's living arrangement and migrants' sleep health in South Africa

Migration research tends to treat childrearing as a secondary role for migrants. By prioritising the economic objectives of migration, most models present migrants as either delaying childbearing or, if they have young children, not living with them. However, migration has become increasingly feminised, the types of mobility more varied, while the returns to migration remain uncertain at best. At the same time, norms around childrearing are shifting, and the capacity of kin to take care of children may be weakening. In such contexts, migrants may not want to or be able to be separated from their children. Confronting such difficult decisions and their consequences may be reflected in poor sleep health for the migrant parent. We draw on data from the Migration and Health Follow-Up Study (MHFUS) in South Africa to examine the following questions: (i) To what extent is children's coresidence associated with sleep health for migrant parents? (ii) Do effects vary by sex of migrant? and (iii) Do effects vary by location of migrant? Results from propensity score matching confirm that migrants who coreside with all their young children are more likely to experience healthy sleep compared to those who have nonresident or no young children. However, stratified analysis shows that these effects are only significant for women and those not living in Gauteng province. The value of these findings is underscored by the need for research on the well-being of migrant parents who are negotiating multiple agendas in economically precarious and physically insecure destinations.

"Mi Corazón se Partió en Dos": Transnational Motherhood at the Intersection of Migration and Violence

In the recent Central American migrations spurred by violence, political instability, and economic insecurity, women grapple with whether and when to bring their children with them in pursuit of safety in another country, and with fulfilling their roles as mothers from afar. Drawing from the transnational motherhood literature and critical feminist theories, this interpretive qualitative study examined transnational motherhood grounded in the lived experiences of Central American women (n = 19) over the course of their migrations to the US. Informed by the principles of grounded theory, the inductive analysis identified five processes in which migration and violence shaped meanings of motherhood: risking everything, embodying separation, braving reunification, mothering others, and experiencing motherhood due to sexual violence. The findings contribute knowledge of how violence shapes and informs women's migrations and decision-making, and the consequences women endure in taking action to mitigate threats of violence in their own and their children's lives. The analysis furthermore highlights the specific and profound effects of family separation on mothers. The voices, perspectives, and experiences of migrating mothers and the ways in which migration and violence shapes notions and lived experiences of motherhood are imperative to research, practice, and advocacy to change oppressive immigration policies.

Praying for More Time: Mexican Immigrants' Pandemic Eldercare Dilemmas

Based on longitudinal research conducted with 21 Mexican immigrants between 2018 and 2021, this article examines the challenges the COVID-19 pandemic posed to undocumented immigrants in the United States attempting to provide care for aging parents in Mexico. As the United States excluded undocumented immigrants from pandemic support, the pandemic undermined their ability to provide health care for their parents even as the Mexican public health care system crumbled. Meanwhile, as the pandemic hastened their parents' demise, it thwarted immigrants' ability to time returns to see their parents before they died. While scholars have amply documented how spatial disparities exacerbated the impact of the pandemic among marginalized groups, few have examined the temporal disruptions caused by the pandemic. This article suggests that the pandemic provoked particular distress by desynchronizing the temporalities of family life across borders and preventing immigrants' abilities to coordinate care for their parents in time. [COVID-19, transnational families, eldercare, death, time].

‘Life Is Tight Here’

Since the civil war began in 2011, 5.5 million Syrians have fled their home country and are now living as refugees. Building upon anthropological studies of precarity, the article draws upon 14 months of person-centered ethnographic fieldwork to examine the contextual specificities of Syrian women’s protracted displacement in Jordan. By foregrounding bodily experience as described by three interlocutors during person-centered interviews, the article considers how subjectivities are reshaped under such conditions. The narratives analysed here illustrate how the precarity of displacement fosters an embodied sense of tightness, constriction and stagnation while reconfiguring temporal horizons and rendering visions of imagined futures increasingly myopic.

Familial Vulnerability: Legal Status and Mental Health within Mixed-Status Families

Mental and emotional well-being are intimately entangled with immigration status, personal relationships, and the broader political environment. Drawing on ethnographic fieldwork in South Texas including interviews with mixed-status families, this article illustrates the spillover impacts affecting mental and emotional health of family members with different legal statuses. Building on the notion of "structural vulnerability," we propose the concept of familial vulnerability, a lens which highlights how racialization, legal status, and discrimination affect the family unit. Our analysis of the mental health impacts on family members within mixed-status families may inform necessary changes to programs and policies to improve the needs of this population.

Depressive Symptoms and Emotional Distress of Transnational Mothers: A Scoping Review

Background: Female led migration is a recent trend that has been gaining momentum, particularly in Latin America. However, little attention has been given to the psychological consequences of mothers who leave their children in their country of origin and migrate to a host country to work. Therefore, it is important to investigate the mental health status of transnational mothers and to further identify issues for intervention and supportive services. Methods: PubMed, PsycINFO, ERIC, CENTRAL, Scopus, and ScienceDirect databases were searched systematically for peer-reviewed articles published from inception through July 2019. The search included the following terms: migrant, immigrant, transnational, transnational mother, AND mood disorders, depressive symptoms, and depression. Initially, 8,375 studies were identified. After exclusionary criteria were applied, 17 studies were identified and included in the review. Results: We found six quantitative studies that investigated depressive symptoms among transnational mothers. Of these studies, three found a positive association between transnational motherhood and depressive symptoms; three of these articles found a null correlation. A total of eight qualitative studies and three mixed-methods studies were found that addressed depressive symptoms and emotional distress among transnational mothers. The eight qualitative studies identified highlighted the significant emotional distress transnational mothers experience. Lastly, the three mixed-methods studies similarly discussed the emotional hardships faced by transnational mothers. Implications: The studies identified suggest that depressive symptoms and emotional distress are prevalent among transnational mothers. Therefore, public health social workers and other mental health providers need to focus on developing strategies to identify and screen transnational mothers for depressive symptoms.

Untold stories: Jamaican transnational mothers in New York City

Globalization and contemporary international labour migration continue to transform women’s lives. Moreover, gender stereotypes, biased cultural norms, biological responsibilities and economic marginalization serve to constrain women disproportionately, particularly mothers. Indeed, globalization and migration increases existing pressures associated with motherhood. They intensify societal expectations of women, and often result in extreme distress. Many transnational mothers suffer in silence with little or no chance to share their stories and be heard. This study explores the experiences of Jamaican transnational mothers in New York City and documents their stories in light of current research which investigates how transnational motherhood transgresses gender stereotypes and pushes the boundaries of gender roles and expectations. The stories shared in this paper vividly capture the women’s narratives of loss, longing, empowerment and shared responsibilities across borders.

Parent Education for Migrant Mothers of Left-Behind Children in China: A Pilot Randomized Controlled Trial

Although numerous studies have indicated the significance of parental support and parent-child communication in alleviating the adverse effects of parental departure on left-behind children, researchers have rarely addressed the impact of parent education on migrant parents. On the basis of the results of a pilot randomized controlled trial, the study reported here involved examining the possible outcomes and feasibility of a parent education program for rural-to-urban migrant mothers of left-behind children in China. Informed by an existential-narrative approach to parent education, the program was composed of six 2.5-hour sessions. The sample included 56 migrant mothers recruited from a social service center in Shenzhen, China, who were randomly assigned to either the immediate group (n = 28, M = 34.82 years, SD = 4.12, aged 23-43) or the waitlist control group (n = 28, M = 34.68 years, SD = 4.53, aged 28-43). The hypotheses of the trial were twofold: that the program would positively affect participants' parental identity and that it would improve mother-child relationships and parenting practices. The results revealed no significant difference in parental identity between the intervention group and the waitlist control group at the post-test assessment after ruling out the effects of pretest survey scores. However, significant differences did emerge in parent-child relationships and parenting practices. Overall, the results corroborate the feasibility of examining the current program for migrant mothers in China in a full trial. The findings also offer insights into developing empirically supported parent education programs for migrant parents.

Negotiating the Interpretation of Depression Shared Among Kin

Kinship processes contribute to the experience and interpretation of depression-generating empathy as well as silencing. We explore intersubjective experiences of depression among kin with the aim of understanding how depression can reveal kinship expectations and evolving concepts of distress. In interviews with 28 low-income rural Appalachian women about their depression, participants articulated depression as a social process that neither starts nor ends in themselves. Yet kinship obligations to recognize family members' depression limited women's ability to admit distress, let alone request care. The intersubjective experience of depression among kin can challenge the individual expression of distress.

Do Transnational Child-Raising Arrangements Affect Job Outcomes of Migrant Parents? Comparing Angolan Parents in Transnational and NonTransnational Families in the Netherlands

Transnational family literature has established that parent-child separations affect negatively on the emotional well-being of migrant parents. Less attention has been paid to other effects separation can have on these parents' lives. Building on insights from transnational family studies and organizational psychology, this article explores the potential link between transnational family life and job outcomes. In particular, two potential negative outcomes are analyzed-job instability and job absenteeism-by comparing Angolan parents whose children live in Angola with Angolans who live with all their children in the Netherlands. Based on mechanisms identified by organizational psychology literature, mediation analysis is conducted. Results indicate that transnational family life increases the times migrant parents change jobs, which is partly mediated by low levels of happiness. Further analyses indicate that especially transnational parents who have limited contact with their children change jobs more often. No significant differences are found with regard to job absenteeism.

Marriage and Migration

Despite immigration policies that are often built around family reunification, contemporary research on migration often prioritizes labor mobility over mobility associated with marriage and family formation. Drawing on scholarship across a range of disciplines and across the globe, this article focuses attention on the substantive dimensions and theoretical debates located at the intersections of research on marriage and migration. Among the topics covered are rural bride shortages and mail-order marriages, arranged marriages, marriages of convenience and the state policies introduced to regulate them, and crimes of honor. The article also addresses the impact of migration on spousal relationships and on parenting in a transnational context. Of particular consideration are dimensions of insecurity that arise in mixed-status families, which may result in domestic violence.

Cross-border Ties as Sources of Risk and Resilience: Do Cross-border Ties Moderate the Relationship between Migration-related Stress and Psychological Distress for Latino Migrants in the United States?

Few studies have examined the associations between health and the cross-border ties that migrants maintain with their family members in communities of origin. We draw on theory related to social ties, ethnic identity, and mental health to examine cross-border ties as potential moderators of the association between migration-related stress and psychological distress among Latino migrants. Using data from the National Latino and Asian American Survey, we find that remittance sending is associated with significantly lower levels of psychological distress for Cuban migrants, and difficulty visiting home is associated with significantly greater psychological distress for Puerto Rican migrants. There were significant associations between migration-related stressors and psychological distress, although these associations fell to nonsignificance after accounting for multiple testing. We found little evidence that cross-border ties either buffer or exacerbate the association between migration-related stressors and psychological distress. We consider the findings within the current political and historical context of cross-border ties and separation.

Pathogenic Policy: Immigrant Policing, Fear, and Parallel Medical Systems in the US South

Medical anthropology has a vital role in identifying health-related impacts of policy. In the United States, increasingly harsh immigration policies have formed a multilayered immigrant policing regime comprising state and federal laws and local police practices, the effects of which demand ethnographic attention. In this article, I draw from ethnographic fieldwork in Atlanta, Georgia, to examine the biopolitics of immigrant policing. I underscore how immigrant policing directly impacts undocumented immigrants' health by producing a type of fear based governance that alters immigrants' health behaviors and sites for seeking health services. Ethnographic data further point to how immigrant policing sustains a need for an unequal, parallel medical system, reflecting broader social inequalities impacting vulnerable populations. Moreover, by focusing on immigrant policing, I demonstrate the analytical utility in examining the biopolitics of fear, which can reveal individual experiences and structural influents of health-related vulnerability.

¿A quién le importa? Las familias transnacionales en los debates sobre la migración y el desarrollo

La migración internacional pone en marcha una serie de procesos transnacionales significativos que conectan países y personas. Desde el inicio del nuevo milenio, el modo en como la migración interactúa con el desarrollo, y cómo las políticas públicas pueden promover y enriquecer tales interacciones, han captado la atención de la agenda internacional. Forma parte de este debate reconocer que las prácticas transnacionales conectan a los migrantes y a sus familias a través de sociedades que envían y reciben personas. Sin embargo, siguen sin explorarse las maneras por medio de las cuales el debate político utiliza y comprende esos lazos familiares transnacionales. Este artículo pretende aproximarse a la comprensión de estas familias situándolas en dos debates, frecuentemente entremezclados, relacionados con las interacciones transnacionales. El primero remite al discurso estatal y político sobre los beneficios potenciales de la migración en el desarrollo económico. El segundo se refiere a las familias transnacionales, y se centra en los cuidados y en las micro-políticas de género y generacionales, cuestiones estas a las que se ha dedicado una gran literatura académica. Focalizando la atención en la relación entre las diversas dinámicas de desarrollo migratorio y las posiciones familiares específicas, nos preguntamos, más concretamente, si la elección de un punto de partida analítico con respecto a la maternidad, la paternidad o la niñez transnacionales puede vincularse con el énfasis en un determinado tipo de resultados. Concluimos, haciendo una descripción de distintas inclusiones o exclusiones de los asuntos familiares en el discurso político, y sugerimos formas para integrar de una manera más adecuada la perspectiva de la familia transnacional en las políticas públicas de migración y desarrollo a nivel global.

"Pensando mucho" ("thinking too much"): embodied distress among grandmothers in Nicaraguan transnational families

In this paper, I describe an embodied form of emotional distress expressed by Nicaraguan grandmothers caring for children of migrant mothers, "pensando mucho" ("thinking too much"). I draw on ethnographic fieldwork and semi-structured exploratory interviews about pensando mucho conducted with grandmother heads-of-household to show the cultural significance of this complaint within the context of women's social roles as caregivers in transnational families. Adopting an interpretive and meaning-centered approach, I analyze the cultural significance of pensando mucho as expressed through women's narratives about the impacts of mother outmigration on their personal and family lives. I show how women use pensando mucho to express the moral ambivalence of economic remittances and the uncertainty surrounding migration, particularly given cultural values for "unity" and "solidarity" in Nicaraguan family life. I also discuss the relationship between pensando mucho and dolor de cerebro ("brainache") as a way of documenting the relationship between body/mind, emotional distress, and somatic suffering. The findings presented here suggest that further research on "thinking too much" is needed to assess whether this idiom is used by women of the grandmother generation in other cultural contexts to express embodied distress in relation to broader social transformations.

Parental incarceration, transnational migration, and military deployment: family process mechanisms of youth adjustment to temporary parent absence

The temporary absence of a parent (e.g., due to incarceration, migration, or military deployment) is experienced by many youth and can have profound effects. Available research within these disparate literatures primarily has catalogued contextual and individual variables that influence youth adaptation, which are integrated and summarized here. In addition, we present a systematic review of proximal family process mechanisms by which youth and their family members adapt to periods of temporary parent absence. This systematic review across the different types of parent absence produced four themes: communication among family members, parenting characteristics during absence, negotiation of decision-making power and authority, and shifts in family roles. By juxtaposing the three types of temporary parent absence, we aim to bridge the separate research silos of parent absence due to incarceration, deployment, and migration, and to bring wide-ranging characteristics and processes of temporary parent-absent families into sharper focus. The review highlights possibilities for fuller integration of these literatures, and emphasizes the clinical value of considering these types of experiences from a family and relational perspective, rather than an individual coping perspective.

Transnational Disorders: Returned Migrants at Oaxaca's Psychiatric Hospital

This article examines experiences of returned migrants seeking mental health care at the public psychiatric hospital in Oaxaca, Mexico. Approximately one-third of the hospital's patients have migration experience, and many return to Oaxaca due to mental health crises precipitated by conditions of structural vulnerability and "illegality" in the United States. Once home, migrants, their families, and their doctors struggle to interpret and allay these "transnational disorders"-disorders structurally produced and personally experienced within the borders of more than one country. Considering how space and time shape illness and treatment among transnational migrants, I contend that a critical phenomenology of illegality must incorporate migrant experience and political economy on both sides of the border before, during, and after migration.

In their own voices: Latinas' experiences with a randomized controlled trial

We conducted exit interviews with a random sample of 39 predominantly Central American immigrant mothers who had completed a longitudinal randomized controlled trial to prevent perinatal depression. We found that rates and levels of perinatal depression in the intervention and control groups were lower than expected and did not differ between groups at 1 year postpartum. Therefore, we conducted extensive semistructured interviews to (a) understand why these high-risk women had such low rates of major depressive episodes and depressive symptoms, and (b) determine if the mechanisms responsible for reductions in depression differed between the intervention and usual care groups. We discovered that the intervention group learned specific mood-management skills from their participation in the intervention, and that the control group experienced their participation in the study as a "low-dose" intervention. Our experience highlights the importance of conducting qualitative studies to understand quantitative outcomes of intervention studies.

Transnational mothering and forced migration: Understanding the experiences of Zimbabwean mothers in the UK

A growing body of scholarship has documented the experiences of different groups of migrants involved in the maintenance and development of transnational families worldwide showing that proximity is not a prerequisite of family life and that families can successfully be done from a distance. While most work deals with the experiences of labour migrants less attention has been paid to forced migrants. Still little is known about families that fail to operate transnationally and are broken by the migration experience. For instance, when can we say that this type of family cannot be sustained? This article, drawing on the transnational motherhood literature and on Zontini (2010) previous study on Filipino labour migrants in Southern Europe, highlights the factors that shape transnational parenting. The authors then use this framework to explore the experiences of a group of Zimbabwean asylum seeking mothers in the UK. In doing so, the authors point out some of the specificities of this particular group; highlighting the differentiated impact of transnationalism and contributing to refining the literature on transnational parenthood.

Those easily forgotten: the impact of emigration on those left behind

Much has been written about the experiences and stresses of those who emigrate. By contrast, little attention has been paid to the experiences of those who stay behind-family members and friends who for various reasons do not to join their loved ones in the destination country. In this article, I describe the experiences of some South Africans whose families and friends have emigrated. This study forms part of a larger research project focusing on the impact of emigration on South African family life. Twenty-one participants were interviewed by means of a semistructured interview at least 6 months after one or more family member(s) and/or friend(s) left South Africa, to explore participants' experiences around their loved ones' emigration. A thematic analysis of the data reveals that those left behind experience various emotions, ranging from emotional ambivalence to anger and distress. Emigration is mostly experienced as a vast loss, almost akin to a "death," bringing about significant changes in social networks and relationships. The therapeutic significance of the findings for those working with emigrant families is also explored.

Virtualizing intimacy: information communication technologies and transnational families in therapy

Information communication technologies (ICTs) are a ubiquitous feature of immigrant family life. Affordable, widely accessible, and highly adaptable ICTs have transformed the immigrant experience into a transnational process with family networks redesigned but not lost. Being a transnational family is not a new phenomenon. Transnationalism, however, has historically been reserved for the wealthier professional and political immigrant class who were able to freely travel and use expensive forms of communication before the emergence of accessible technologies. This paper systematically reviews the research literature to investigate the potential impact of ICTs on the lives of transnational families and how these families utilize them. The wide penetration of ICTs also puts into question some of the ways in which scholars have conceptualized the immigrant experience. The appropriate use of technology in family therapy should strengthen culturally competent and equity-based approaches to address the needs of these families. A family therapy with a transnational family illuminates some of the potential that these technologies introduce in the practice of relational clinicians.

Strategies of Resistance among Filipina and Indonesian Domestic Workers in Singapore

This paper presents the analysis of interviews with Filipina and Indonesian domestic workers in Singapore regarding their strategies of resistance in response to exploitation and coercion by employment agencies, employers, the Singaporean public, and kin and family members in their home countries. Many strategies identified in previous studies about domestic workers' resistance/negotiation elsewhere might not be applicable in Singapore because of greater surveillance and stricter regulations there. Various strategies noted in this study are likely to be more subtle and inconspicuous. Although these women are rendered victims by the global economic system, they have developed various strategies to protect themselves. This study also discusses the relative and fluid position of vulnerability among domestic workers of different nationalities.