The relationship of mother–child interaction and the child's development of symbolic play

The extent to which the mother–child interactive relationship either promotes or limits a child's ability to see options or choices in the environment was investigated. It was predicted that this quality of interaction provided primarily by the mother would relate to the child's cognitive development as reflected in his or her level of symbolic play. The level and frequency of symbolic and nonsymbolic play in 30 children, ages 12 to 47 months, were coded and mothers' options‐promoting and options‐limiting behaviors were identified. Children, across this range of ages, whose mothers created an options‐promoting social context were observed engaging in more symbolic play. Nonsymbolic play, however, was not found to be significantly influenced by the mother's interactive style. A child's symbolic play marks a dynamic developmental achievement for the child, and appears to be related to the social context created by the mother's interactive style. ©2003 Michigan Association for Infant Mental Health.     

Shared minds: Effects of a mother's imitation of her child on the mother–child interaction

Children with Autistic Spectrum Disorders (ASD) have impaired social interaction right from early development. Previous studies (Dawson & Adams, 1984; Tiegerman & Primavera, 1981, 1984) have suggested that imitating children with ASD is effective in facilitating their social behaviors. The present case report, through a 6‐month intervention, investigated how a home‐based intervention of helping a mother imitate her 21‐month‐old child with ASD impacted the child's development of social communication outside the experimental settings. Our results show that the mother's imitation of her child might be associated with the development of nonverbal joint attention skills. Positive changes in the mother's emotion towards her child and the mother–child interaction also were noted and represent other important effects of parental involvement in therapeutic interventions for children with ASD.     

Relationship‐based intervention with at‐risk mothers: Factors affecting variations in outcome

A previous group comparison had shown that in families experiencing the UCLA Family Development Project intervention as opposed to a group that did not, mothers became more responsive to the needs of their infants, and the infants were more secure in their attachment to their mothers. The present study asks whether variations in these outcomes following participation in a relationally based intervention are anticipated by maternal involvement in the intervention, partner support, personality dimensions, and mother–infant interactions that were assessed early in the intervention process. The sample consists of 46 mothers at risk for inadequate parenting who also were poor and generally lacked support. It was found that variations at 12 months of age in the child's secure response to separation, his or her expectation of being cared for (felt security), and the mother's responsiveness to need are anticipated by variations in the mother's 6‐ to 12‐month involvement in the home‐visiting intervention, the quality of her partner's support as measured at six months, and her own trust, ability to form stable relationships, and lack of self doubt. Parents who, at one month, were responsive to the needs of their more soothable babies were more likely to have secure children at 12 months, but these associations were not as robust as those summarized above. © 2000 Michigan Association for Infant Mental Health.     

Clinical interventions in parent-infant groups around issues related to separation-individuation

Parent-child groups as an educational method in a general hospital setting provide support for parents and an environment in which they can discuss their questions about their child's development. This paper illustrates the clinical use of parent-child groups as a means of early intervention in problems that become apparent during the Separation-Individuation stages of development. We present two case studies of mother-child pairs, who have been members of the group for 2 years. The first case is a bi-racial child whose mother is struggling to deal with the child's rapprochement stage behavior. Through the oral and anal stages, conflict has grown in their relationship due to the mother's way of viewing her child, as well as her own unresolved adolescent separation difficulties. The second case is an overprotective mother whose own pathology prevented her daughter from resolving her rapprochement crisis. Interventions by the leaders as well as the group's educational method help both mother-child pairs to resolve interpersonal conflict and to continue their essentially normal development.     

A psychotherapeutic technique for mother-child intervention: A case study of a japanese down syndrome child

The purpose of this paper is to demonstrate our approach to the activation of mother-child interaction, by presenting a case study. We describe a Japanese mother's adaptation process (consisting of five stages) to her child's handicap through 6 years of continuous therapeutic support for both the mother and her child. In this particular case, the mother suffers from a mild form of cerebral palsy; therefore, the problem involves two generations, because both the mother and her child are handicapped. By analyzing the processes of this case, we also describe our method of intervention for problems in the development of multidimensional relationships. We discuss the mother's psychological maturation and the role of the therapist within the Japanese social and cultural context, under the following headings: (1) Sharing in the Mother's Ambivalence; (2) Natural Melting of the Mother's Frozen Emotional Availability; (3) Sharing in the Mother's Illusion and Disillusion; (4) Transformation of Relationships Between Family Members and Their Relationship to Society.     

Attributional style of the mother as a predictor of aggressive behavior of the child

The association between the life orientation and attributional styles of a mother and the aggressiveness of her child were studied in 61 mothers and their children, 23 boys and 38 girls, mean age 6.6 years (range 4–13 years). The mother's life orientation and attributional styles were established during interviews using the life-style questionnaire, and a child's aggressiveness was evaluated by the mother using the Health Examination Survey. The factors assessing life orientation were lack of personal control, causal unstability, internal locus of causality, personal responsibility, and democratic educational attitudes. The mother's personal responsibility and internal causal attributions were related to nonaggressiveness in the child, whereas mothers with a lack of personal control were likely to have aggressive children. Educational attitudes were of no importance. The results showed no sex- or age-related variance.     

Video interaction guidance inviting transcendence of postpartum depressed mothers' self‐centered state and holding behavior

By sometimes evoking self‐absorbed and avoidance behaviors in new mothers, postnatal depression affects the quality of mother–infant interaction, which in turn may invoke distress and avoidance in the infant and cause even more lasting impairment in the child's development. Three depressed mothers, A, B, and C, are reported upon after having been offered counseling in accordance with the Marte Meo approach through jointly watching with the therapist video replays of themselves interacting with their newborns. Clinical vignettes are offered which indicate how empathic and positive support of a sensitive therapist can be helpful in inviting the mother's recognition of her importance to her infant and facilitating mutually gratifying interaction between mother and child. Protocol analyses of select sessions of video‐related therapy reveal that two of the mothers sometimes complete the therapist's unfinished statements in an other‐centered manner, thereby transcending their initial self‐centered state. This is most dramatic in the case of Mother A, who starts out in the first session almost incapable of speech, merely nodding or shaking her head. In addition to other indications of improved mother–infant interaction, comparison of pre‐ and postguidance windows regarding the three mothers' holding behaviors reveals a shift from an avoidance or anxious stance to closer and more secure holding.     

On Phallicism; Developmental Aspects,Neutralization, Sublimation and Defensive Phallicism

Many children in need of psychotherapy are latency-age boys who have little or no contact with their fathers. Their problems typically include low self-esteem, identity problems, depression, difficulties in peer relationships, and aggression. Clinical material illustrates that the consequences for the child of fatherlessness depend on many factors, among them the mother's attitude to the father and other mature males. If the mother devalues all men, her son has little space to grow into a healthy adult. The male therapist may be experienced as a threat to the mother-son union, which may render his efforts to help the boy fruitless. If, in contrast, the mother's experiences of her own father and other men are more positive, her pride in her son's masculinity may strengthen his need to find support for his male development. These observations are discussed as affecting the capacity for triadic object representations in mothers and sons.     

Affective interactions of depressed and nondepressed mothers and their children

The expressed affect of clinically depressed and nondepressed mothers as measured by the Schedule for Affective Disorders and Schizophrenia: Lifetime Version (SADSL) and their children (1 1/2 to 3 1/2 years) was observed in seminatural situations. The objectives were to investigate how maternal depression enters into affective interactions between mother and child and how the affect patterns of mother and child are related. Fortynine unipolar and 24 bipolar depressed mothers and 45 nondepressed mothers were observed on 2 days, 2 weeks apart, for a total of 5 h. Each minute was coded for the predominant affect of mother and child. Affects relevant to depression (anxioussad, irritableangry, downcast, pleasant, tenderaffectionate) were coded. Depressed mothers expressed significantly more negative affect than did control mothers. Mothers' expressed affect and their selfreports of affect on days of observation were unrelated. Mother's and child's affects, measured on different days, were significantly correlated. Unipolar mothers and mothers severely depressed spent significantly more time in prolonged bouts of negative affect. There was significant synchrony between their bouts and the negative bouts of their daughters. Gender of child was related to mother's and child's affect, and to relations between mother's and child's affect.     

Parental interest in children's education,children's self‐esteem and locus of control,and later educational attainment: Twenty‐six year follow‐up of the 1970 British Birth Cohort

Background. Few studies have investigated if mother's interest and father's interest in child's education are linked to educational attainment via their impact on child's self‐esteem and locus of control. Aims. (1) To investigate (after controlling for known confounding factors) the long‐term effect of mother's and father's interest in child's education at age 10 and child's locus of control and self‐esteem at age 10 in educational attainment at age 26; and (2) to explore if mother's interest and father's interest in child's education are linked to child's educational attainment via their effect in increasing child's self‐esteem and internal locus of control. Sample. The study used longitudinal data from sweeps of the 1970 British Cohort Study (BCS70). The initial sample was those 1,737 men and 2,033 women with valid data on age 10 self‐esteem, locus of control, father's interest, mother's interest, and age 26 educational attainment. Of these, 1,326 men and 1,578 women were included in the final analysis. Method. The birth to age 10 factors that were controlled for were birth weight, parental social class, socio‐economic disadvantage, emotional/behavioural problems, cognitive ability, and mother's educational attainment. Results. At the multivariate level, internal locus of control and mother's interest (but not self‐esteem) were significantly related to educational attainment in both men and women. Father's interest was a significant predictor of educational attainment only in women. Parent's interest was not linked to educational attainment via its impact on child's self‐esteem or locus of control. Self‐esteem predicted educational attainment in both genders by increasing internal locus of control, and fathers' interest predicted educational attainment in men by increasing mother's involvement. Conclusion. Although mothers' and fathers' interest in their children's education were not linked to educational attainment via their impact on children's self‐esteem or locus of control, they were significant predictors of educational attainment especially in daughters.     

AN ANALYSIS OF MULTIPLE MISPLACED PARENTAL SOCIAL CONTINGENCIES1

This study analyzed the training of a mother to modify five subclasses of her attention to her young child's noncompliance with instructions, and also displayed the changes in her child's behavior correlated with these events. Training in four subclasses consisted of teaching the mother to withhold various forms of social attention to her daughter's undesired behavior; training in the fifth subclass involved introduction of a brief room-timeout procedure for noncompliance. The effectiveness of the parent-training procedure, consisting of initial instructions and daily feedback, was demonstrated through a multiple-baseline design across the five subclasses of parent behavior. Sequential decreases in the first three subclasses of the mother's social attention to undesired child behavior resulted in incomplete improvements in some child responses; however, a decrease in the fourth subclass resulted in a significant increase in undesired child behavior. Complete remediation of all child behaviors was achieved following the training of a timeout procedure for noncompliance. Postchecks conducted up to 16 weeks later showed that these effects were durable.     

Successful intervention with multi-problem mothers: Effects on the mother-infant relationship

A two-step model of intervention for multi-problem mothers was proposed. In order to improve mother-child interaction and later developmental outcomes, the first step is for the practitioner to help the mother change her external competencies (adult social skills) and internal perceptions (support, depression). These changes make the second step possible—the mother then can learn to foster her own child's development. The model was tested in a study of 95 multi-problem women who participated in a nursing intervention program from mid-pregnancy through the child's first birthday. The results supported the two-step model. Improvements in the mothers' external competencies were related to completion of intervention goals. These external improvements also were related to more optimal patterns of mother-child interaction during teaching and feeding episodes at 1 year. Furthermore, an especially insecure type of attachment relationship was found more frequently among the infants of mothers in the group that did not improve. Changes in internal perceptions were unrelated to intervention or interaction measures. These unexpected results suggest that the mother's internal improvements may have a more delayed or a less direct effect upon the child.     

Predictors of representational aggression in preschool children of low‐income urban African American adolescent mothers

Responses to five doll‐story stems thematically related to attachment experiences with the mother were videotaped in the home and used to evaluate child, maternal, and environmental predictors of representational aggression in 93 preschool children of African American women receiving public assistance who had become pregnant as teenagers. Significant correlations were found between representational aggression and child's gender (male), birth weight, maternal depressive affect, maternal educational attainment, recent employment, mother's historical residence with her own mother, and felt social support, accounting for 40% of the variance in representational aggression. A significant Felt Social Support × Gender interaction effect suggested that girls of mothers who perceive higher levels of felt social support are more likely to represent less aggression in their stories; felt social support was not associated with boys' representational aggression. A significant Felt Social Support × Employment interaction effect suggested that representational aggression is associated with lower levels of felt social support only among employed mothers. Findings suggest that different pathways exist for representational aggression in children of low‐income adolescent mothers, which nevertheless share predictors associated with poverty.     

Profiling key purchase influencers: Those perceived as consumer savvy

The concept of consumer intelligence or consumer savvy is defined and the way in which this can be measured is examined with a view to determining if and how being perceived to be savvy affects decision‐making influence in a family setting in the UK. A sample of 524 matched pairs (mother and her child) drawn from the TNS postal panel responded to a questionnaire that determined the mother's perception of how savvy her child is with regard to shopping in general and with regard to two product categories (casual clothes for the child and a summer holiday). The child's reported influence on decision making in these categories as well as their money management is also explored. The children perceived to be more savvy were female and older. Mothers in lower socio‐economic groups were also more likely to perceive their children as ‘savvy’. The more savvy children were more involved in the purchase decision process. Implications and future research avenues are presented. Copyright © 2011 John Wiley & Sons, Ltd.     

Promoting infant well‐being in the context of maternal depression by supporting the father

Maternal depression is recognized as posing a significant risk to the healthy development of infants. Guided by attachment theory, interventions have focused on the distressed mother's relationship with her infant. While interventions which include fathers are reported in the literature, the processes involved in the fathers' support of a distressed mother and in his interactions with his infant in the context of maternal depression remain unexplored. In the case study described here, home‐visiting support was directed to the father in a couple in which the mother had been treated for depression after the birth. The observed effects of the intervention on father–infant interaction and the “knock‐on” effects on the mothers' parenting suggest that targeting support to fathers in distressed families should be considered. Points for a service protocol are provided to incorporate fathers into the identification and treatment of maternal distress.     

TEACHING A PARENT TO TRAIN A SPOUSE IN CHILD MANAGEMENT TECHNIQUES

This study analyzed several aspects of the training of a mother and father in child management techniques for use with their 6-year-old severely developmentally delayed son. The mother received clinic training in procedures for increasing her son's independent dressing skills; subsequently, she was asked to teach the same procedures to her husband with no assistance from the trainer. For both parents, procedures were introduced sequentially across two components of parent behavior in a multiple baseline design. Examinations were made of (a) the effectiveness of initial child management training on the mother's behaviors, (b) her ability to teach the same techniques to her husband independently, (c) the generalization of both parents' skills from the training setting (a dressing task) to two untrained activities (eating and toy use), and (d) the impact of training on the child's behavior. Results showed that the mother learned to implement the trained procedures and successfully communicated them to her husband, as evidenced by substantial positive changes in both parents' behaviors after being introduced to the child management skills. Both parents showed some generalization to the untrained activities, and their written comments following training indicated they understood the procedures. Clear-cut improvements were observed in the child's attending and independent performance of dressing and toy use skills concurrent with parent training. A 2-year follow-up report indicated that both parents retained their knowledge of skills taught, continued to use the procedures, and rated the training as very helpful in teaching the child self-help skills.     

The subjectivity of the mother in the mother–son relationship. Attachment,separation, and autonomy

Abstract

Margaret Mahler and John Bowlby's positions are crucial in understanding the tensions that can arise in mother–son relationships. A more recent development of a systems view illuminates the co-construction of this relationship that occurs mainly out of awareness. A systems model of development that describes the co-construction and bi-directional influence between mothers and sons will be used in this paper. The often-neglected subjectivity of the mother is the focus, and the relationship between the mother and her adult son is viewed as a process whereby all participants strive to achieve a balance among attachment, separation, and autonomy. In addition, the contributions of the mother and the impact on her of the son's difficulties in attachment, separation, and autonomy are highlighted. In a case illustration, the subjectivity of the mother in relation to her son is explicated, showing how the son distances himself from his mother and why themother is at a loss to understand how and why this has occurred. The mother's perspective was dominated by anger and disappointment toward her son as well as by self-blame and self-justification. As a result of psychotherapy, the mother was enabled to come to terms with the estrangement of her son.     

Pathways from infant exposure to marital conflict to parent–toddler role reversal

We know that exposure to marital conflict places infants at risk, but we know less about processes. One process may be role reversal, when a distressed parent looks to the child to meet unmet needs for comfort, intimacy, or companionship. A parent in marital conflict may be particularly prone to role reversal, which in turn adversely affects child development. The current study examined pathways from infants' exposure to marital conflict at 12 months to role reversal at 24 months. We sampled low–middle socioeconomic status (SES) families with their first child (N = 128). Independent observers assessed marital conflict (in a problem‐solving task) and role reversal (in a story‐telling task). We found that each parent's conflict behavior predicted the other parent's role reversal. In a direct pathway, mother's conflict behavior towards father led directly to father's role reversal with the child. In an indirect pathway, father's conflict behavior towards mother led to his withdrawal from her, which in turn led to mother's role reversal with the child. Clinical implications are discussed within a developmental psychopathology framework in terms of preventive interventions to offset the deleterious effect of marital conflict and role reversal on child development.     

Mens sana in corpore sano: Psychotherapy with a cerebral palsy child aged nine months

This paper is the acount of the psychoanalytic understanding and treatment of a nine-month-old cerebral-palsy infant and her mother. When first seen, Abigail hung over her mother's arm, and would scream unceasingly if moved from this position. The mother-child relationship seemed to involve their sticking to each other without looking or losing contact. The mother's hidden hate, anger and resentment were communicated non-verbally and Abigail showed signs of finding it difficult or impossible to integrate experiences, given the amount of trauma she had suffered from an attempted abortion and the lack of enough experience of being loved to enable her to grow internally.

The process of assessing the internal world of the infant and her mother, and the thinking and planning of the psychotherapy that followed, are described. In order to promote the secure attachment of the mother-child dyad, and the emotional growth of both, the helping process focused on understanding both the baby's and mother's states in order to make sense of the child's inner world to the mother. Because of the acute pain this process involved for the mother, she was treated individually too, by a different therapist.