Dysfunction in the single-parent and only-child family

As the average size of the family decreases, controversy over the child at risk in relation to family structure has intensified. There is a great deal of literature on single-parent families, but little delineation of specific subgroups. In this pilot study, twelve adolescent inpatients who were an "only child" in single-parent families were compared to a control group of adolescent patients matched for sex, family income, and diagnosis. In some "minimal families" (single parent/only child), the interpersonal transactions were examined as the crucial parameter in formation of dysfunction. Statistical analysis of the data supported the hypothesis that in this clinical sample, the single-parent/only-child families and their adolescents would display a greater degree of disturbance than the control group. Some theoretical and clinical issues related to this group are discussed.