Contemporary Impingements on Mothering

Mothering in contemporary Western society needs to be understood in the context of a rapidly changing social context. Increased geographic mobility, improved access to child-related information through the media, and scientific and technological progress have contributed to significant shifts in cultural views on mothering. Several contextual impingements on mothering, including changing family structure, economic pressures, decreased social support, cultural ideals of the perfect mother, and increased awareness of interpersonal and global trauma impact mothers’ internal worlds. These societal changes often reinforce mothers’ fear of losing their children and an idealization of intensive mothering, and evoke challenges in reorganizing their sense of personal identity. Implications for psychoanalytic theory and practice, and specifically the need to integrate individual and contextual forces related to experiences of mothers will be explored.     

Insight into the Parenthood Paradox: Mental Health Outcomes of Intensive Mothering

Though people often report wanting to have children because they think it will make them happier, much research suggests that parenting is associated with decreased well-being. Other studies have found that parenting is related to increased life satisfaction. The goal of this study was to provide insight into this paradox by investigating the relationship between a specific way of parenting, intensive parenting, and maternal mental health. An online survey was completed by 181 mothers with children ages 5 and under. Intensive mothering beliefs correlated with several negative mental health outcomes. Controlling for perceived family social support, the belief that women are the essential parent was related to lower life satisfaction and believing that parenting is challenging was related to greater depression and stress. The results of this study suggest that aspects of intensive mothering beliefs are detrimental to women’s mental health. It may not be parenting per se, but specific and particularly intensive ways of parenting, that relate to negative mental health outcomes.     

Character and behavior in the mentally ill and well mother

The purpose of this study was to examine character and behavior in a group of mentally ill and well mothers. Mentally ill mothers differed from well mothers in mother-child interaction in their positive involvement in the feeding context and in overall optimal mothering during feeding. On measures of intrapsychic conflict and concern, mentally ill mothers demonstrated significantly more conflict in areas of trust, anger, self-esteem, mutuality and nurturance and more concern with issues of self-esteem, and giving and caring than well mothers. For the mentally ill mothers postpartum onset of illness and number of separations from her child were related to some aspects of character and behavior.     

Doing Gender Online: New Mothers’ Psychological Characteristics,Facebook Use,and Depressive Symptoms

Online social networking sites, such as Facebook, have provided a new platform for individuals to produce and reproduce gender through social interactions. New mothers, in particular, may use Facebook to practice behaviors that align with their mothering identity and meet broader societal expectations, or in other words, to “do motherhood.” Given that Facebook use may undermine well-being, it is important to understand the individual differences underlying new mothers’ experiences with Facebook during the stressful first months of parenthood. Using survey data from a sample of 127 new mothers with Facebook accounts residing in the U.S. Midwest, we addressed two key questions: (a) Are individual differences in new mothers’ psychological characteristics associated with their use and experiences of Facebook? and (b) Are new mothers’ psychological characteristics associated with greater risk for depressive symptoms via their use and experiences of Facebook? Regression analyses revealed that mothers who were more concerned with external validation of their identities as mothers and those who believed that society holds them to excessively high standards for parenting engaged in more frequent Facebook activity and also reported stronger emotional reactions to Facebook commentary. Moreover, mothers who were more concerned with external validation were more likely to have featured their child in their Facebook profile picture. Mediation analyses indicated that mothers who were more prone to seeking external validation for their mothering identity and perfectionistic about parenting experienced increases in depressive symptoms indirectly via greater Facebook activity.     

Cultural differences in mothers' developmental goals and ethnotheories

The influence of ecocultural context on parents' image of the adaptive adult is explored via a comparison between the child‐rearing goals and ethnotheories of 20 immigrant mothers from the former Soviet Union and 20 Israeli‐born mothers. It is assumed that parents' socializing practices are premised on developmental ethnotheories reflecting societal child rearing models and expectations for children's development. The image of the “adaptive adult” in parents' country of origin is so fundamentally ingrained in their beliefs about child rearing that it is retained after immigration, and is integrated with aspects of the image of adaptive adulthood which prevails in the host culture. The current study explored (through semistructured interviews) mothers' developmental ethnotheories concerning the nature of development, how it can be influenced, and why it should be influenced, with regard to cognitive competence, autonomy, emotional regulation, and social understanding and behaviour of their 3–4‐year‐old children. It also explored their goals and expectations for their children as adults. Analysis of the interviews with Israeli‐born and immigrant mothers lends support to the main thesis of this study. Mothers of both groups would like their children to grow into intelligent, joyful, and independent adults, to be well educated and to hold prestigious occupations. All of the mothers assume, moreover, that much of child development should be promoted through the active involvement of parents. Israeli‐born mothers, however, place a greater emphasis on social competence, autonomy, and leadership, whereas the emphasis of the Soviet‐born mothers is on achievement, emotional control, efficiency, and organization. The differences and similarities between the two groups of mothers are discussed in the context of their respective ecocultural backgrounds. It is proposed that each group's ethnotheories, developmental goals, and aspirations for their children reflect their respective values, perceptions, and understanding of the reality in which they raise their children. These values and perceptions seem, in turn, related to the respective ecocultures in which they were raised, as well as the one in which they rear their own children.     

Young Women’s Accounts of Caregiving,Family Relationships,and Personal Growth When Mother Has Mental Illness

Family members often serve as the primary source of care and support for loved ones living with mental illness. Although existing research has examined the role of parents and well siblings in providing care to adult children with mental illness, relatively little is known about the caregiving experiences of adult children with a parent with a psychiatric disability. Guided by a life course perspective, the present qualitative study examined first-person accounts of 10 young women attending college (ages 18–22) who were raised by a mother living with mental illness (depression, bipolar, or schizophrenia). Participants completed individual semi-structured interviews in which they described their experiences of caregiving, role reversal, and felt obligation towards mother, their ties to father and siblings, and their views of the impact of maternal mental illness on their lives. Overall, young adults’ accounts of their relationship with mother could be characterized as either predominately positive or predominately negative. In general, participants’ accounts of their caregiving experiences, views of felt obligation, and supportiveness of family ties differed depending on their reports of the overall quality of the mother–daughter relationship. Adult daughters described positive impacts of maternal mental illness on their own lives, regardless of their accounts of relationship quality with their mothers.     

Mother-Child Relationship in Youths with Attention-Deficit Hyperactivity Disorder and their Siblings

Despite impaired mother-child interactions noted in youth with attention-deficit/hyperactivity disorder (ADHD), there is no such information for their siblings. This study aimed to test whether the affected and unaffected siblings, like youth with ADHD, also encountered impaired mothering and mother-child relationships as compared to typically developing youth (TD). The sample consisted of 122 probands (107 males, 87.7 %), aged 10–16, with DSM-IV ADHD, 44 affected (26 males, 59.1 %) and 78 unaffected (28 males, 35.9 %) siblings, and 122 TD youth. Both participants and their mothers received psychiatric interviews (K-SADS-E) about the participants and reported maternal parenting style, mother-child interactions and child behavioral problems at home. Based on both reports, probands with ADHD and affected siblings (only youth report) had more impaired relationships, more behavioral problems at home, and less perceived family support than unaffected siblings and TD youth. Probands with ADHD had higher maternal authoritarian control than unaffected siblings. The findings suggest that impaired mothering, mother-child interactions, and family support are related to the presence of ADHD diagnosis in both probands and their affected siblings.     

Impact of Social Determinants on Parent Sense of Competence in Mothers Who are Homeless or Poor Housed

Unfavorable social determinants can impact mothering of young children who are homeless or poor housed and parent sense of competence. Social determinants influence on mothers’ parent sense of competence parent self-efficacy and satisfaction was investigated. Homeless mothers reported worse scores than poor housed mothers on 5 of 10 social determinants including: mother moves, abuse, un/underemployment, less stable partner relationships and student roles. Homeless mothers scored lower than poor housed mothers on parent sense of competence satisfaction and parent sense of competence total, but not on parent sense of competence efficacy. No one social determinant predicted parent sense of competence. Results underscore the need to address social determinants of health in occupational therapy community-based practice.     

Mother-child discourse in two contexts: links with child temperament, attachment security, and socioemotional competence

The goal of this study was to examine whether attachment security and child temperament predicted differences in the elaboration and emotional content of mother-child discourse in 2 contexts and whether those differences were related to a child's socioemotional development. Fifty-one preschool children and their mothers were videotaped reading a storybook and discussing the child's previous behavior. These conversations were coded for maternal elaboration and emotional content. Mothers also completed reports of child temperament, attachment security, and social behavior. Children completed measures of emotional understanding, behavioral internalization, and representations of relationships. The findings suggested that both aspects of mother-child discourse were related to attachment, temperament, and socioemotional competence, although the findings varied depending on the context of the discourse.     

The Relation Between Mothers’ Attitudes Toward Maternal Employment and Social Competence of 36-Month-Olds: The Roles of Maternal Psychological Well-Being and Sensitivity

The relation of mothers’ attitudes on the effects of maternal employment on children, psychological well-being, sensitivity of the mother, and children’s socioemotional development were examined in mothers who worked full time (consistently) and mothers who were unemployed during their children’s early years of growth from 6 months of age. Longitudinal observations of 1,213 mothers and children from age 1 to 36 months from the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care were analyzed using structural equation models. Mothers and children benefited when maternal attitudes were consistent with the mothers’ actual employment status. Among consistently employed mothers, those with positive attitudes about employment had better psychological well-being. When mothers who were unemployed, they believed that maternal employment would have positive consequences for their children’s development, they preferred working outside home and they were more likely to show a low level of psychological well-being and poor quality of mother-child relation. Additionally, maternal well-being mediated the relation between a mother’s attitudes and a child’s social competence. For both groups, better psychological well-being of mothers was positively related to better child’s socioemotional outcome. Maternal sensitivity, however, did not mediate the relation between maternal attitudes and child’s social outcomes. The findings shed light on the need for a sensitive measure of characterizing mothers who work versus those who stay at home in order to better understand the effects on a child’s development.     

HIV Disease Impact on Mothers: What They Miss During Their Children’s Developmental Years

Adjusting to chronic illness is very complicated for families with children, as they are already faced with the challenge of development and childrearing. In this study, qualitative interviews were conducted with HIV positive mothers on a number of issues related to being an HIV positive mother raising young children. One topic of the interview was whether or not they felt that HIV had caused them to miss activities with their children while the children were growing up, what types of activities they had missed, the age of the child for each example, and how HIV had led to missing these activities. Interviews were conducted in 2008 with a random sample of 57 mothers being followed in a longitudinal assessment study. All study participants were English or Spanish speaking. Mean age was 44.1 (SD = 5.6) years; 47% were Latina; 35% African American; 11% White; and 7% other race. About 60% of the mothers disclosed that their HIV status had caused them to miss out on activities with their children while their children were growing up, ranging from daily care activities to major school and extra-curricular activities. Some mothers missed significant amounts of time with their children due to hospitalizations. In some cases mothers felt forced into a choice between mothering ability and their own health, including adherence to medications. Implications for the mothers and the children are discussed.     

祖辈共同养育背景下多重依恋关系及对幼儿社会-情绪性发展的影响

采用依恋Q-Set分类程序考察72名幼儿(M=17.51个月)的母子依恋和祖孙依恋的安全性,用《婴幼儿社会-情绪性评价量表》(ITSEA)同时评估了幼儿的社会-情绪性(包括外显行为域、内隐行为域、失调域和能力域)的发展状况。结果发现:(1)在祖辈参与共同养育的背景下,大多数幼儿可以形成安全型的母子依恋和祖孙依恋,母子依恋的安全性高于祖孙依恋;(2)母子依恋和祖孙依恋存在着中等强度的相关,36%幼儿的母子依恋和祖孙依恋的安全性水平不一致;(3)回归分析表明,与祖孙依恋的安全性相比,母子依恋的安全性对幼儿的社会-情绪性发展的各领域具有更大的相对预测力,支持主导性假说;(4)拥有高安全性母子依恋和祖孙依恋的幼儿,其外显行为域和内隐行为域的得分显著低于其他3组,高安全性母子依恋或祖孙依恋不能补偿对方的低安全性依恋的消极影响。在失调域上,母子依恋和祖孙依恋的安全性存在着交互效应。     

Provider,Caretaker, Nurturer,Hero: Perceptions of Parenting Changes among Women Who Experienced Intimate Partner Violence

In this study, we examined changes in mothers’ reports of discipline, nurturing, and parenting satisfaction, along with their perceptions of how intimate partner violence (IPV) affected their role as a mother. Data were gathered from 85 women (86% identified as non-Hispanic White; mean age?=?31.7 years; average number of children?=?2.5) across three data waves. We used a convergent parallel mixed method design to examine women’s parenting experiences. Two standardized scales assessed parenting discipline, nurturance, and satisfaction. Five additional items assessed perceptions of how IPV influenced parenting. Women responded to open-ended questions about perceptions of their mothering role and how IPV influenced this role over time. We found significant changes in discipline scores and women’s ability to have their desired relationship with their children. Nurturing and parenting satisfaction scores did not significantly change over time. Four themes emerged for women’s role as mothers: provider and nurturer, teacher and discipliner, challenges, and importance of the mother role. Seven themes emerged on how IPV influenced mothering: ability to be present, trouble with discipline, overcompensation and overprotective, learned behavior, no impact, finding strength, and self-doubt. These findings contribute to the growing scholarship assessing women’s perceptions of their mothering roles and parenting in the context of IPV. Future research should examine the impact and nuances of parental interference in various contexts and over time.

     

Dark Side of the Mothering Role: Abuse of Mothers by Adolescent and Adult Children

Mothering is generally considered women’s major source of identity and satisfaction. But mothering can also bring misery when children develop anti-social behaviors. The rather limited literature on this topic refers to by the term “parent abuse,” with mothers reportedly the usual victims. The present study analyzed the types of abuse by adolescent and adult children reported by women in a community sample. The data come from in-depth life review interviews with 60 women aged between 40 and 65 when initially interviewed, and re-interviewed 5 years later. All women lived in the lower-income western suburbs of Sydney, Australia. Two major categories of abuse were identified: acting-out (including physical attacks and threats) and psychological. Seventy percent of perpetrators were male. Mothers’ explanations for the behavior included family dysfunction, child’s personality, child’s mental illness, social and cultural influences, and gender power imbalance. Strategies used to handle the behaviors were related to these explanations. Compared to older mothers, those aged in their 40s were likely to see the problem as belonging to the child rather than themselves, and were more proficient in accessing community services.     

“The Label Mental Illness” or “It's Showing Its Ugly Head…”: Mothers’ Conceptualizations of Mental Illness in Their Children

This grounded theory study examined the metaphors mothers used for mental illness when they had children who were. Two metaphor types were found: static and dynamic. Static metaphors for mental illness emphasized their unchanging qualities and problem-solving or learning strategies were highlighted as ways to approach them. Dynamic metaphors for mental illness highlighted how they were changeable. Positioning the diseases in a storyline, in which one could “try again tomorrow,” was one of the primary ways participants described approaching them. Clinical implications of this research may increase family engagement with treatment.     

The Client Cultural Competence Inventory: An Instrument for Assessing Cultural Competence in Behavioral Managed Care Organizations

The rapid growth in Behavioral Managed Care Organizations has led to increasing concern about the future availability of culturally competent mental health services for ethnic minorities. Prior efforts to assess cultural competence of mental health services have focused exclusively on agency providers and individual mental health professionals rather than on clients' perceptions of care. We introduce the Client Cultural Competence Inventory, which has several advantages over other cultural competence measures including its (a) lower susceptibility to social desirability bias, (b) ability to assess attitudes concerning a broader range of therapists, providers and plans, and (c) focus on clients rather than the psychiatric community as the central force in determining cultural competence. Preliminary psychometric analyses of the inventory are presented from data gathered in a group of parents with children who are severely emotionally disturbed.     

母子关系、师幼关系与学前流动儿童的社会适应行为

母子关系和师幼关系是儿童早期发展中最重要的人际关系, 在儿童社会适应中扮演着重要的角色。研究以北京市271名学前流动儿童和552名学前城市儿童为被试, 采用问卷法考察母子关系、师幼关系与学前流动儿童的社会技能、外显和内隐问题行为之间的关系。结果发现:(1)流动儿童母子关系亲密程度低于城市儿童, 母子关系冲突性、师幼关系亲密性和冲突性与城市儿童没有差异;(2)母子关系对儿童社会适应行为的预测作用在流动儿童和城市儿童上没有显著差异, 母子关系亲密性正向预测社会技能, 负向预测内隐问题行为;母子关系冲突性负向预测社会技能, 正向预测外显和内隐问题行为;师幼关系亲密性正向预测城市和流动儿童的社会技能, 并且显著负向预测流动儿童的内隐问题行为;(3)师幼关系对母子关系的调节作用主要表现在流动儿童而非城市儿童上, 师幼关系低冲突能够减少母子关系冲突性对流动儿童社会技能的负向预测作用, 师幼关系高亲密能够减少母子关系冲突性对流动儿童内隐问题行为的正向预测作用。     

Virtual voices: social support and stigma in postnatal mental illness Internet forums

Many women with postnatal mental illness do not get the treatment they need and this is often because stigma prevents disclosure. The purpose of this study was to explore online social support for postnatal mental illness, how women experience stigma and potential disadvantages of using Internet forums. Interviews were conducted with fifteen participants who had suffered postnatal mental illness and had used forums. Systematic thematic analysis identified common themes in relation to social support, stigma and disadvantages of using forums. Most women felt they benefited from visiting forums by developing a shared understanding and discourse about their illness. Findings suggest future research should investigate if women benefit from using online social support provided by forums, if use challenges stigma and further explore potential concerns about using forums.