ABSTRACT

Social scientists long have recognized that familial determinants play a decisive role in a

child’s behavioral, affective, and cognitive functioning. For example, the probability of a

diagnosis of schizophrenia, a mood disorder, a pervasive developmental disorder, or

alcoholism increases with a family history of these disorders (Carson, Butcher, &

Mineka, 1996). Such demographic knowledge may suggest that the role of family

influence on child psychopathology can be well defined. However, as Reitman and Gross

(1995) noted in the first edition of this volume, social scientists have been able to identify

many of the familial determinants, but they have yet to describe the relations among them

and the limits to their influence on child functioning in a way that satisfies the demands

of a single unified theory. Therefore, the purpose of this chapter remains essentially the

same as that of Reitman and Gross, briefly to review historical antecedents and empirical

observations concerning familial determinants, to define obstacles to understanding

familial determinants, and to describe essential elements of familial influence on

childhood mental health.