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Does welfare alleviate or make poverty worse as a social problem?

Yes. Medicaid does.Medicaid/Medicare are public health insurance. Medicaid is a needs-based program unlike Medicare which is only for older adults and individuals with disabilities.Medicaid provides medical and mental health coverage for very low-income and working families, children and children with special needs, pregnant women, older adults, and adults with mental and physical disabilities. Over 40% of all Medicaid enrollees are children.In 2017, children recipients of Medicaid had more well-child visits and oral preventative care than children with employer or private insurance. The parents of children with Medicaid increased their own preventative health care, an additional benefit.The Center on Budget and Policy Priorities reports children on Medicaid for at least 5 years have improved educational and employment outcomes. Children on Medicaid are more likely to graduate high school and go on to earn a bachelor’s degree.As adults, children on Medicaid over five years make higher incomes than Medicaid eligible children not covered by Medicaid and comparable to children carried by other insurances. It’s estimated the federal government recoups 56 cents for every dollar spent on Medicaid for children.In 2016, Medicaid Expansion extended health insurance access to 12 million previously uninsured childless adults. Of those adults, 9 million have a mental illness and were untreated before the expansion.Some mental illnesses like bipolar disorder and depression are 80% successfully treatable. When given access to full mental health treatment many people with psychiatric disabilities are able to maintain gainful employment.Unfortunately some jobs, contractual work for example, don’t include health insurance. And with the exception of BCBS, employer and private insurance don’t cover mental health on par with medical care.Less than adequate mental health treatment guarantees an employee with a mental illness will have an psychiatric episode that will negatively impact their work performance and threaten their livelihood.However, even without a job, Medicaid keeps people with mental illness from falling further into poverty or being incarcerated.Does Medicaid alleviate poverty? Absolutely.Healthy citizens make a healthy workforce and create a healthy economy.Sources:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4236908/Access and Cost Barriers to Mental Health Care by Insurance Status, 1999 to 2010The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature ReviewPoor children benefit when parents have access to healthcareMedicaid Works for Children

How does divorce affect children?

There is no question that divorce dramatically affects children according to the most current and accurate research.Dr. Girard’s answer below is worth reading carefully on this question, as he quotes such research. I understand his answer less optimistically, however, than perhaps he does.Absolutely the damaging impacts of divorce can be attributed to the parents, themselves.So can the decision to divorce.But parents are so key in a child’s life, we have to first understand how divorce impacts parents before we understand its impact on children.Divorce impacts children because it dramatically impacts the husband and wife. A marriage, generally, has a positive, buffering effect on adults. In contrast, the stress of divorce on parents is rivaled only by the death of one’s spouse.It causes great emotional distress for both adultsIt intensifies financial strain on all but the wealthiest among us.It multiplies roles and responsibilities for both parents, but particularly for the mother. Those who have not been employed outside the home, must seek employment. Those working part-time, now must seek full-time work. This may also require increased job training or education.It often removes children from their homes, friends and school, as they are moved to more affordable homes and communities. This is a huge disruption to the child.It reduces the actual amount of time and attention parents can pay to their children, and invites a greater self-focus. A huge percentage of divorce spouses remarry within a few years after the divorce itself. That means they’ve spent this time dating, falling in love, and remarrying, as well as finding (better) employment, managing visitation and finances, and a new home.Children go through predictable responses to their parent’s divorce, according to research. Knowing these differences can help you to anticipate the impact of your marital decisions on your children.Let’s look at the impact of divorce by age of the child:Pre-Schoolers and Younger Children…It’s All My Fault! 1 - 8 yearsAttachment science tells us that pre-schoolers see their parents as the center of gravity in their emotional universe. For young children to develop into healthy adults, they require focused attention, love, and security from their parents.As a result of their sense of guilt and responsibility, preschool children tend to become clingy and more anxious. Divorced parents often notice that after the divorce, their pre-school children regress into bed-wetting, and seem to be incapable of completing simple tasks that once were easy for them.Family therapists tell us that this is often a strategy that little children employ to attract their parents to come together around the set of symptoms that the child is presenting.Young Adolescents and Teens… It’s all Your Fault! Ages of 9 and 18Children of divorce between the ages of 9 and 18 years put the responsibility where it more appropriately belongs, but they tend to have strong resentments about it. These children of divorce have a greater capacity to think for themselves and are more independent.They often feel betrayed and let down by their divorcing parents. They feel that they can’t trust their parents to put the parent’s needs ahead of their own and a sense of growing mistrust enters the relationship.These are the children who come to believe that their best way of coping is to focus on taking care of themselves because that’s what the parents are modeling.Gender Difference in Teens after DivorceTypically, young boys show increased levels of aggression and disobedience, while girls will become more withdrawn and prone to anxiety.Girls of divorcing parents also tend to become sexually active earlier than their peers.“You want a problem? I’ll show you a problem!” seems to be their defiant stance.Children of divorce between 9 and 18 report feeling increased levels of stress, anxiety, and feeling alone and abandoned. Some also complain that they feel bitter, embarrassed, tormented and feel a significant loss of self-esteem. Their feelings might lessen as they eagerly anticipate fleeing the nest, which is often a premature launch into early adulthood.Other known effects of divorce on teens are chronic school issues stemming from behavioral problems. Bitter and angry children of divorce can become incredibly difficult to manage as they careen through their teen years.But if you really want to see disruption, and you prioritize on your own emotional reactions over the emotional wellbeing of your children, have a bitter and rancorous relationship with your ex.The greater the ongoing conflict between you and your ex, the more you compound the misery and pain of your children.Long Term Consequences for All Children of DivorceJudith Wallerstein was one of the finest researcher in the field of children of divorce research. She conducted a large and well-designed longitudinal study. In the only close-up study of its kind, Wallerstein carefully followed 131 children whose parents were divorcing over a 25 year period. The study of the children of divorce was her life’s work.Judith had her detractors. She made many people uncomfortable. She was constantly having to defend her work by saying “I’m not saying don’t get divorced, I’m saying don’t ignore the long-term consequences.”People harped on the fact that her subjects tended to be more economically well off and better educated. (As if data from more economically disadvantaged and less educated families would somehow improve the research conclusions…)What was most compelling about Wallerstein’s study was that she also studied a comparison group of children from the same communities whose parents did not divorce.This study showed how divorce impacts the thinking and emotional life of children of divorce, creating more tentative interior models of relationship compared with similar children who grew up with the benefit of intact families.Her careful work tells us that greatest negative impact from divorce echoes through time.John Gottman’s work has also demonstrated that those who consider divorce and have the greatest marital difficulties are those who have come from divorced homes.To be blunt, unnecessary divorce sets your kids up to anticipate a future failure when they eventually cross the developmental threshold into their own serious romantic attachments. They become conflicted, tormented and gun-shy, and many tend to flee commitment at the first sign of trouble. If they have kids, the same maladaptive pattern can repeat, echoing into future generations, long after your unhappy marriage is long forgotten.“Hard” vs “Soft” Reasons to DivorceDoes this mean you should never divorce if you care for your children? Of course not.There is no question that “hard” reasons for divorce, such as domestic violence, chronic philandering, drug and alcohol addiction or a refusal to treat mental illness, makes divorce a viable option. In these cases, you can minimize the impact of divorce on children.However, most divorces happen for “soft” reasons, like chronic fighting, sexual issues, coldness and distance, or a single affair. If you can get science-based couples therapy when your marriage is in trouble, it’s the best course of action.Good marriages, just like bad marriages, reverberate through time. The best course of action, if you have “soft” reasons that are causing you to consider divorce, make the extra effort. Seek out a skilled science-base couples therapist, and work hard to change that around, for your sake, as well as the sake of your children.

What type of mental disorder(s) does the partner of a narcissist usually end up with, and at what stage of the relationship do these become apparent?

Thank you for asking.I am not aware of any mental disorders the partner “usually” ends up with, aside from PTSD and depression.Mental Disorders: MedlinePlusSome people report mild to severe mental health issues after prolonged psychological and, in some cases, physical abuse. There were numerous stories here attesting to that. I do not dismiss these stories, but they don’t reflect the pattern of all pwNPD’s partners universally becoming mentally ill during or post-relationship.I couldn’t say it was “usually” the case to develop a full-blown mental disorder, although it did result in that, for some people.I don’t AT ALL subscribe to the view that partners of a Narcissist are necessarily “with mental issues, weak, codependent, BPD, coming from abusive backgrounds, unstable, histrionic, masochist, have low self-esteem, etc.) Absolutely ANYONE could get involved with one. Narcissists don’t advertise their mental state, incidentally. No one at all is a “professional” victim with a sticker “ABUSE ME” on his or her forehead — craving it, asking for it, accepting it just because they are so used to this dynamic.Most people are driven by seeking a loving connection— be it with a disordered parent or a romantic partner.“The abuser vs the abused” is the erroneous view of a relationship between a regular, or “neurotypical” person and a person who suffers from a mental disorder. Circumstances and mutual attraction was what brought these two people together, certainly NOT the desire to abuse and be abused!Personally, I was (and continue to be) in sound mental health. My experience was unfortunate, and I felt used and betrayed. I experienced mild PTSD and some depression, and not in its clinical sense (didn’t require medication, although was considering it). I just felt disillusioned and hollow for a while, and that’s true for most ex-partners of people who betrayed them — narcissistic or not. Heartbreak cannot be viewed in terms of a mental disorder, I’m afraid. It crushes you. And it crushes you tenfold with a Narcissist, because of the peculiarities of this particular mental illness. However, you heal and move on. It may take months or years, depending on the severity and duration of the abuse endured.As far as psychological response coming from a significant other (I’m trying to address the part of your question dealing with stages of purported mental disorder), the PTSD symptoms first manifest themselves when the NPD person starts with “push and pull” routine, i.e. intermittent reinforcement games. You start experiencing all sort of interesting emotions and find yourself responding in unusual, atypical ways.It is very interesting indeed how people change under pressure and start doing things that were unimaginable to them before. It isn’t anything new; books were written on it — examining people’s behavior in prisons, labor camps, while kidnapped, physically tortured, raped, etc.The relationship with someone afflicted by NPD is not as drastic, but yes, for many accepting abuse becomes habitual, especially in marriage where leaving is difficult due to financial circumstances, or where children are involved. Do abused spouses all end up with mental issues? Many do, many don’t.To summarize, the evidence points to PTSD and Depression (anxiety and mood disorders), rather than other kind of mental illness.

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