Distributive Justice in Family Relations

The role expectations of young women as wives after breast cancer treatment: A qualitative study

Objectives

Through the reflection of young breast cancer women on their selves and identities, we explored expectations of the wife role that they need to fulfill to return to their families, aimed to provide a reference basis for medical professionals to develop interventions related to cancer family rehabilitation.

Methods

Descriptive phenomenological methods and purposive sampling were used. Young breast cancer patients and their spouses were selected for semi-structured face-to-face interviews in the study from March to April 2023 at the department of breast surgery and oncology center of a Class A tertiary hospital in Xuzhou City, China. The interviews were transcribed verbatim and analyzed using Colaizzi's phenomenological approach.

Results

Twenty patients and six spouses were interviewed. The mean patient age was (35.95 ± 3.36) years, and the mean spouse was (37.67 ± 5.28) years. Young breast cancer patients were concerned about three main wife expectations during their treatment and rehabilitation: preserving self-love and self-esteem (paying attention to physical health, embracing the disease, and regaining confidence in female characters); adjustment of conjugal relationships (harmonious and effective couple communication, providing support for marriage and love, and creating a beautiful married life together); assisting in family recovery (relieving stress on spouses from caregiving and finances, and management of daily household chores).

Conclusions

The wife role expectations of young breast cancer women and their spouses encompass three core aspects: self, couple, and family. Self-esteem and self-love are the most fundamental expectations of the wife role, while adjusting the couple's relationship and assistance in family rehabilitation represent higher expectations. This study can help healthcare professionals and cancer families gain a more comprehensive understanding of the wife role expectations for young cancer women, thereby enabling the development of couple-centered interventions to promote patient recovery and enhance the resilience of marriages and families.

Prodigal Children: Why Older Mothers Favor Their Once-Deviant Adult Children

OBJECTIVES

Past research suggests that adult children who reform their deviant behaviors (i.e., problems with drugs/alcohol or the law) are more likely to become favored by their mothers, yet the reasons underlying this phenomenon are unclear. This study employs a longitudinal, qualitative approach to explore why adult children's behavioral reforms shape changes in maternal favoritism.

METHOD

Analyses are based on qualitative interview data collected at 2 points 7 years apart from older mothers regarding their adult children in 20 families. Each of these families had a "prodigal child"-a child for whom desistance from deviant behaviors between the 2 waves was accompanied by newfound maternal favoritism.

RESULTS

Findings revealed 2 conditions under which mothers came to favor reformed deviants over their siblings. First, this occurred when adult children's behavioral reformations were accompanied by mothers' perceptions of these children as having grown more family-oriented. Second, this occurred when mothers came to see reformed deviants as exhibiting a stronger need and appreciation for maternal support, relative to their siblings.

DISCUSSION

Mothers' perceptions of children's behavioral reformations as being accompanied by greater dedication to family or reflecting a need for their mothers' support offer 2 explanations for why previously deviant adult children may become mothers' favored offspring. These findings contribute to a growing body of scholarship on the complexity of intergenerational relations by shedding new light on changing patterns of favoritism in families with a history of parental disappointment, conflict, and strain.