Investigation of the Impacts of Parental Chronic Illness on Youth Caregiving Experiences and Psychosocial Adjustment.

Objective: Parental chronic illness has an impact on several aspects of offspring’s life. Three major impediments to research progress in this field are undeveloped and untested theoretical frameworks, no clear conceptualization of youth caregiving, and no available instrument to assess such construct in Italian. To address these weaknesses, the aims of this PhD dissertation were: (1) to investigate the psychometric properties of the Italian version of the Young Caregiver of Parents Inventory-Revised (YCOPI-R); (2) to empirically examine a model of the effects of parental illness on youth and family functioning innovatively analyzing the role of psychological flexibility; (3) to test a refined conceptualization of youth caregiving. Methods: A total of 501 adolescents aged 11 to 24 (295 young caregivers and 206 young noncaregivers) completed a questionnaire regarding youth caregiving, parental illness, and youth adjustment. In the first study, young caregivers were compared to noncaregivers, while the other studies used only the young carers subgroup. Results: The first study indicated that the Italian version of the YCOPI-R demonstrated sound psychometric and was able to discriminate between young caregivers and noncaregivers. The second study underlined the key protective role of psychological flexibility in shaping youth adjustment and family functioning in the context of parental illness. The third study innovatively clarified the nature of youth caregiving, indicating that it is a tripartite construct related to both positive and negative youth adjustment outcomes. Conclusions. This PhD project drew attention towards youth of chronically ill parents, a segment of the young population which is presently almost completely neglected in Italy by health policies and healthcare providers. This PhD project ultimately shed light into the processes through which parental illness results in detrimental youth outcomes and highlighted avenues for interventions that target empirically supported mechanisms which ameliorate the detrimental effects of parental illness on youth.

Lavorare il tempo. I diritti del prestatore tra tecnica e società

La dimensione giuridica del tempo, cioè il ruolo del tempo nel diritto, ha contribuito a far emergere il lavoro quale concetto legale astratto dal prestatore, funzionale alla sua alienazione. Rompere l’unitarietà del tempo della persona, per consacrarne una parte al lavoro, ha dato ai rapporti di potere tra gli individui una forma giuridica in grado di legittimarli. Il primo capitolo si sofferma sulla costruzione legale del lavoro subordinato attraverso la definizione del suo tempo. Tra gli elementi essenziali del contratto tipizzato dall’art. 2094 c.c., il tempo nella causa, oltre a mostrare la non istantaneità dello scambio e la indeterminatezza del regolamento contrattuale, non assurge a criterio discretivo dalle collaborazioni o dal lavoro autonomo. Se dalla causa si passa ad indagare l’oggetto, l’interprete si imbatte nel pudore di svelare quale sia il vero elemento su cui incide il contratto, la persona del lavoratore, che induce a prediligere la finzione di allontanare l’attività dal corpo di chi la produce: l’orario è la tecnica giuridica che rende possibile la partecipazione del lavoro ad una logica di scambio. Il secondo e il terzo capitolo si concentrano sulla regolazione e interpretazione del tempo di lavoro in chiave diacronica. La legislazione lavoristica ha trovato i propri albori nella disciplina eteronoma dell’orario, come strumento per tutelare i prestatori dagli eccessi mercantilistici. L’attuale quadro normativo è molto attento alle ragioni creditorie ma la giurisprudenza della Corte di giustizia testimonia l’irrequietudine di una materia viva e in movimento. Non è un caso che il legislatore europeo, nei piccoli passi compiuti per rafforzare il diritto sociale comune agli Stati membri, abbia assegnato al tempo un ruolo centrale, come prevedibilità delle condizioni di lavoro (direttiva n. 1152 del 2019), come equilibrio tra attività professionale e vita familiare (direttiva n. 1158 del 2019) e un domani, forse, come diritto alla disconnessione.

Youth psychosocial adjustment in the context of parental illness: risk and protective factors

Young carers might experience both psychological distress and positive changes from living with their chronically ill parent. However, little is known about why some young carers do well with their situation and experience positive outcomes, whereas others do not. In this regard, this dissertation aims to investigate how parental chronic illness affects young carers’ psychosocial adjustment through risk (i.e., unmet needs) and protective factors (i.e., benefit finding, emotion regulation). This main goal has been addressed by conducting three studies presented in Chapters 2–4. Chapter 2 has examined the mediating role of unmet needs on the relationship between illness unpredictability and youth psychosocial adjustment (i.e., quality of life and internalizing problems). In this regard, it has been found that levels of unmet needs significantly mediated the relationship between illness unpredictability and offspring health-related quality of life. In the systematic review with meta-analysis presented within Chapter 3, it has been sought to investigate the mediating role of the protective factors (i.e., benefit finding and emotion regulation) in the relationship between caregiving components and youth psychosocial adjustment in young carers. This study has shown the significant associations between caregiving components and psychosocial adjustment in young carers not only directly, but also indirectly through protective factors. Finally, to expand on previous findings, a qualitative study in Chapter 4 has examined the unique experiences of young carers, as well as the effects of the COVID-19 global pandemic. This study has yielded a deeper understanding of how protective factors may be operated during young carers’ lived experiences before and during the COVID-19 global pandemic. Overall, this dissertation has shed light on the pivotal role played by risk and protective factors in caregiving components that serve as key determinants that can enhance positive psychosocial outcomes as well as concurrently mitigate adverse psychosocial consequences among young carers.