Bittersweet: a qualitative exploration of mothers’ experiences of raising a single surviving twin

Loss of a child from a multiple birth pregnancy is not uncommon yet the idiographic experience of parents who have lost a single twin from a multiple birth pregnancy is underexplored. This novel study sought to explore the experiences of mothers bereaved after loss of a twin from a multiple birth pregnancy, focusing on the dual challenges of parenting and grieving. Eighteen mothers at least 12 months post loss were recruited from a private UK based Facebook page dedicated to supporting parents after loss from a multiple birth. Eligible mothers completed an independent qualitative open-ended survey to explore maternal experiences of loss. Data were analysed using Thematic Analysis. Findings represented a sense of duality for participants, with mothers experiencing conflict between roles and identities as well as the nature of their loss. Key themes identified include ‘Narrating a story of family and loss’, ‘Finding a place for the twins within the family’ and ‘A changing sense of self’. Findings fit with theoretical conceptualisations of bereavement that acknowledge retaining relationships with the deceased. Practically, suggestions for supporting mothers to identify stock answers to often asked questions about family make up were suggested.     

Mental health and mediumship: an interpretative phenomenological analysis

There is a lack of research examining the mental health of practicing mediums, yet the nature of mediumship work inherently presents a number of challenges to the mental health of practitioners. In this study, we aimed to gain an understanding of how mediums experience their mental health in relation to their mediumistic practice and how they recognise and respond to psychological difficulties experienced by their clients. Fourteen mediums from the North West of England took part in one-to-one interviews, which were transcribed and subject to interpretative phenomenological analysis. Four themes were identified: from past traumas to mediumistic identity; spirit makes sense, mental illness is chaos; being resilient but vulnerable; and ethical mediumistic practice. The research highlights the value of not dismissing or attempting to change appraisals of valued aspects of mediums’ anomalous experiences. However, the findings do indicate that support for exposure to clients’ difficulties might be helpful.     

Parents’ Experiences of Their Child’s Disclosure of Child Sexual Abuse

A child’s disclosure of sexual victimization is a difficult experience for parents and has been associated with traumatization, disbelief, denial, self-blame, and clinical difficulties. To date, most studies on parents’ responses have been quantitative assessments of the psychological impact of disclosure on parents. A paucity of research has qualitatively explored mothers’ experiences of their child’s disclosure of child sexual abuse (CSA) and fathers’ experiences have been even further neglected. The current study seeks to characterize parents’ experiences of their child’s disclosure of CSA and to uncover the process-oriented nature of parental responses. This qualitative study, using a grounded theory approach to analysis, involved interviews with 10 mothers and four fathers whose children (3–18 years) had experienced sexual abuse. Three themes emerged from the analysis. The first theme—making sense of the abuse in retrospect—captured the process through which parents sought to make sense of their child’s disclosure, focusing on why their child had not disclosed the abuse to them earlier, and how they had noticed something was wrong but misattributed their child’s behavior to other factors. The second theme—negotiating parental identity as protector—reflected how parents’ identity as a protector was challenged, their perception of their world had been forever altered, and they now experienced themselves as hypervigilant and overprotective. The final theme—navigating the services—pertained to parents’ struggle in navigating child protection and police services, and feelings of being isolated and alone. These findings highlight the need for empathy and parental support following child disclosure of sexual victimization.     

When Daughter Becomes Mother: Inferences from Multiple Dyadic Parent–Child Groups

In this paper, I describe how new mothers can be preoccupied with their mothers and can replay their relationship with them transferentially with professionals and nannies, who become surrogates for their mothers. New mothers need affirmation from their mothers and from mother surrogates because, in their new role, they experience a sense of helplessness and anxiety and have difficulty tolerating aggression, ambivalence, and conflict. Stern's “motherhood constellation” and “good grandmother transference” are useful constructs for understanding how to best approach and help new mothers and their babies. From observations in multiple dyadic parent–child groups at the Pacella Parent Child Center, I have distilled two factors that help new mothers address their anxieties—the bonds these mothers make with one another and their transferential bond with the group leader and other professionals at the center. I critically discuss and compare theoretical inferences derived from individual psychoanalytic or psychotherapeutic work (as exemplified by Balsam's work) with the inferences derived from Stern's dyadic model and with inferences derived from psychoanalytically informed group situations. I consider the implications of the ubiquity of ambivalence conflicts, especially around aggression.     

Stress in Mothers with Intellectual Disabilities

Both low parental IQ and stress have been shown to be associated with parenting difficulties and adverse child outcomes. We examined stress in parents with low IQ as a potential contributor to their documented parenting problems. Eighty-two mothers with intellectual disabilities (IQ < 80; labelled as having mental retardation) were given the Parenting Stress Index and they were found to be enduring very high levels of overall stress (95th percentile), stress related to child characteristics (95th percentile), and stress related to other life experiences (90th percentile) as compared to the normative test group. We divided the 82 mothers with intellectual disabilities into three groups depending on the age of their children. The mothers with school-age children reported significantly higher stress than parents of infant/toddler and preschool children. A hierarchical regression analysis revealed that child age and living in a crowded environment were significant predictors of parenting stress. The results confirm that mothers with intellectual disabilities experience extreme stress that, together with other factors, may hinder adequate parenting.     

Sexualization in U.S. Latina and White Girls’ Preferred Children’s Television Programs

Master narratives, or prevailing cultural storylines, of motherhood provide a framework for new mothers to make sense of their experiences and to develop a coherent maternal identity. The present mixed methods study developed a theory-driven methodology to systematically identify a master narrative and examined whether one is present in 32 U.S. first-time mothers’ accounts of developing feelings for, and connection to, their newborns. In coding these mothers’ 95 episodes, we found that just over half of the mothers exclusively described positive feelings/connection toward their babies that were present in pregnancy or at birth (“At First Sight”; AFS), whereas 31 % exclusively described feelings/connection that took time to develop, or were negative, questioned, and/or tentative (“It Took Time”; ITT). To identify the presence of a master narrative, we compared these groups’ accounts on several theoretical indicators; the episodes of mothers who exclusively described ITT experiences were longer, more often contained talk of expectations, and were more likely to have a mismatch between expectation and experience than those of mothers who exclusively described AFS experiences. This suggests that ITT experience accounts countered a master narrative that mothers should have overwhelming, positive, and immediate feelings for/connection to their babies (AFS). Using discursive analysis, we then examined how the master narrative was actually invoked in the accounts of two mothers, one who positioned her experiences as aligned with, and one who positioned her experiences as counter to, the master narrative. Implications for supporting mothers in making meaning of their experiences, whether by aligning with the master narrative or co-constructing an empowering counter-narrative, are discussed.     

抚养困难与教养行为的关系及其调节因素

本研究考察了567名2-5岁幼儿母亲的抚养困难与教养行为的关系,并进一步探讨了在高抚养困难情景下母亲教养行为的可能调节因素.结果发现(1)幼儿母亲的抚养困难感受总分与其教养行为的各个侧面均有非常显著的相关,母亲抚养困难程度越高,则其敏感性、参与性、积极情感及对儿童发展的指导性均较低,而其对儿童的消极情感较多;(2)回归分析表明,来自儿童侧面的"积极强化缺乏"、"多动/注意分散"、"不良心境"与"过度要求"以及来自母亲侧面的"缺乏依恋"、"缺乏能力感"等方面的抚养困难是预测母亲教养行为的重要因素;(3)在母亲抚养困难较高的情况下,夫妻双方的受教育水平分别对母亲教养行为的一些侧面具有调节作用.     

Infant massage improves attitudes toward childbearing,maternal satisfaction and pleasure in parenting

The first year of motherhood is a period of growth and adaptation in women's lives with several challenges such as identifying the baby’s needs and giving appropriate answers, so that mother and baby get to know each other and form a strong bond. Infant massage is one of the approaches that make an important contribution to the psychological and physiological wellbeing of both baby and mother, helping to form a harmonious relationship. This longitudinal study assessed the benefits of infant massage in the relationship between mother and baby, from birth to 12 months old. Comprising 194 dyads of mothers and their babies the subjects were divided into two groups of 97 dyads each. The Experimental group (EG) comprised mothers who undertook infant massage in a postnatal program with a physical therapist once a week. The Control group (CG) comprised mothers who did not attend any postnatal program and did not perform infant massage. Self-reported measures of attitudes concerning motherhood (CAQ-P), experience associated to motherhood (WBPB), parental satisfaction (PSS) and maternal separation anxiety (MSAS) were evaluated. Results showed that mothers in the experimental group were better adapted to motherhood, had greater confidence in their abilities and received more support from their mothers and husbands than mothers in the control group and were therefore more confident in their abilities. The EG group experienced a stronger relationship with their babies and described it as more positive than mothers in the control group. This longitudinal study suggests that mothers who learned how to perform infant massage had more positive attitudes towards the experience of motherhood in helping to increase the level of knowledge, regulation and proximity in the dyad. These findings can in turn help mothers to develop strategies that enable them to better cope with motherhood.     

Lived experiences of school-going early mothers in Swaziland

This study explored the lived family and community experiences of Swazi school-going early mothers (N = 15; age range 13–22 years). Participants responded to family and community relationship experiences focus group discussions. The data were content thematically analysed. The findings suggest that early mothers experience strained relationships with their fathers, and receive emotional and material support from their mothers. The young mothers perceived themselves to be discriminated against by teachers in educational support. Early motherhood appeared to cause feelings of happiness, regret and anxiety in many, and a personal sense of satisfaction and accomplishment in some.     

Mothers' ambivalence with their babies and toddlers: manifestations of conflicts with aggression

In this paper the author continues his study of conflicts over aggression in women, discussing the implications for contemporary theories of feminine psychology of observations of mothers in parent/child groups with their infants and toddlers. Many mothers experience conflicts over aggression (both in themselves and in their children) and become intolerant of their ambivalence toward their children. The author suggests that this observation provides an avenue that allows an integration of psychoanalytic ideas about maternity and childrearing with psychoanalytic understandings of women's conflicts about achievement in the social realm outside the home. In both roles, difficulties mastering conflicts with aggression may cause women to struggle profoundly, and to experience problems, in successfully negotiating their important life goals, whether the goals refer to their roles as effective mothers or their roles as effective individuals in the social sphere outside the home. Some women may demonstrate these difficulties in one sphere or the other, some in both, and others in neither. The author suggests on the one hand that we need to eliminate the concept of normality when considering the activities of women, and on the other hand that we need to normalize the omnipresence of ambivalence in the psychology of women.     

The Relation Between Maternal Symptoms of Attention-Deficit/Hyperactivity Disorder and Mother–Infant Interaction

The relationship between maternal symptoms of attention-deficit/hyperactivity disorder (ADHD) and specific maternal behaviors was examined in a community sample of 40 mothers of infants aged 3–8 months. It was hypothesized that maternal ADHD symptoms would be related to lower levels of maternal sensitivity, and higher levels of maternal intrusiveness and negative regard. Mothers and their infants were observed and video-recorded in their homes while interacting in a feeding, play, and task situation. A series of hierarchical regressions partially supported the hypothesized relations: Of the specific maternal ADHD symptoms, maternal inattentive symptoms significantly predicted maternal insensitivity, intrusiveness, and negative regard above and beyond maternal symptoms of anxiety and maternal ratings of infant activity. These findings suggest that mothers reporting ADHD symptoms, particularly the inattentive cluster of symptoms, may experience difficulties in interactions with their infants. Early interventions that address these difficulties may be warranted to facilitate development and reduce the likelihood of adverse outcomes in children of mothers with symptoms of ADHD.     

Women Living with Traumatic Brain Injury

Abstract

Women living with Traumatic Brain Injury (TBI) typically experience social and emotional sequelae that can be effectively addressed in the context of a psychotherapeutic relationship. Traumatic Brain Injuries can affect the full range of human functioning, from activities of daily living to experiencing a coherent sense of self. In this article, we focus on two issues, social isolation and emotional functioning, that encompass a number of key challenges facing women with TBI and are common and fruitful foci of psychotherapy. Social isolation includes marginalization in multiple communities, the invisibility of cognitive disabilities, difficulties in interpersonal relationships, and difficulties in employment and access to transportation. Emotional functioning includes posttraumatic stress symptoms, loss of self-esteem, anxiety, depression, anger, and shame. Two exemplary cases are used to illustrate the themes and underscore the complexities and realities of adjusting to TBI. Recommendations for therapists and consumers are woven throughout the paper.     

Maternal Emotion Regulation and Children’s Behavior Problems: The Mediating Role of Child Emotion Regulation

Children’s difficulties managing emotions are contributors to their behavior problems, and parents’ emotion regulation difficulties are also likely contributors to their children’s regulatory challenges and behavioral difficulties. This study examined the associations among mothers’ emotion regulation, children’s emotion regulation, and children’s behavior problems. Children’s emotion regulation difficulties were hypothesized to mediate the association between maternal difficulties with emotion regulation and children’s internalizing and externalizing problems. A sample of 454 mothers completed the Difficulties in Emotion Regulation Scale, the Emotion Regulation Checklist, and the Child Behavior Checklist for their children aged 3–7. Children’s emotion regulation difficulties accounted for the indirect association between mothers’ lower emotion awareness and both internalizing and externalizing problems. On the other hand, children’s emotional negativity accounted for the indirect association between mothers’ difficulties with emotion regulation and behavior problems. Future directions for research and clinical intervention focused on promoting parental and child emotion regulation are discussed.     

Race and Girls’ Self-Evaluations: How Mothering Matters

Research conducted in the United States shows that Black adolescent girls have higher self-esteem and, to a lesser extent, a higher sense of control than White girls. However, few studies conducted with representative samples of Black and White girls systematically examine why Black girls may have higher self-esteem and sense of control. Drawing on Black feminist thought, we posit that Black mothers’ socialization of their daughters may explain Black girls’ higher self-esteem and sense of control. Using survey data collected in 1994 from a nationally representative sample of U.S. Black (N?=?1,330) and White (N?=?3,797) girls and their mothers, we examine racial differences across two key components of the self-concept: self-esteem and sense of control. We ask: 1) Do Black girls have higher self-esteem and sense of control than White girls? 2) Do Black girls have more positive relationships with their mothers and receive more encouragement of academic achievement and independence from their mothers than White girls? and 3) Do more positive mother-daughter relationships and mothers’ encouragement help to explain Black girls’ higher self-esteem and sense of control in comparison to White girls? Findings indicate that Black girls have higher self-esteem and sense of control than White girls, and Black mothers’ relationship with their daughters and stronger encouragement of daughters’ independence in part explain race differences in self-evaluations.     

Developing a family-based depression prevention program in urban community mental health clinics: a qualitative investigation

Extensive research documents that children of depressed mothers are at a significantly higher risk for developing a variety of socioemotional difficulties than children of nondepressed mothers. Yet, little prevention research has been conducted for this population, and low-income, minority, and urban families are rarely included. To address this deficit, we are developing the Protecting Families Program (PFP), a family-based multicomponent depression prevention program for mothers in treatment at urban community mental health agencies and their school-aged children. To inform intervention development and begin relationship building with the agencies, patient and staff focus groups were conducted in the participating agencies. Eighteen mothers with depression participated, and eight major themes were identified: (1) depression symptoms, (2) generational legacy, (3) parenting difficulties, (4) child problems, (5) social support, (6) stressful life events, (7) therapy and other helpful activities, and (8) desired treatment. In the focus groups with 10 mental health providers, the five major themes identified were parenting difficulties, lack of social support, life stress, current mental health practices, and intervention development. The findings support the multicomponent design of PFP, which focuses on increasing knowledge of depression, enhancing social support, and improving parenting skills. The study helped clarify many of the challenges of conducting research in a community mental health system.     

Chinese immigrant mothers of adolescents: self-perceptions of acculturation effects on parenting

Immigrant families in the United States experience many adjustments, including the challenge of parenting in a new context. The relationship between self-perceptions of parenting behavior and mothers' perceived acculturation levels for themselves and their children was examined in 95 Chinese immigrant mothers. Data showed that mothers perceived their children as more acculturated than themselves, mothers reported a great need to learn more about how their children are growing up today, a larger perceived acculturation gap was associated with more parenting difficulties, and several factors contributed to perceptions of a more favorable parenting experience. Culturally responsive methodologies used in the translation and administration of measures, and specific modifications made to develop the Chinese version of the Parent Success Indicator, are discussed.     

Parenting among mothers exposed to ongoing military conflict in childhood: An exploratory study

Mothers living in areas exposed to ongoing military conflict are at higher risk for psychological difficulties, such as posttraumatic stress disorder, than those not living in such areas. The aim of this two-part exploratory study was twofold. The first aim was to examine differences between mothers who grew up under ongoing military conflict in childhood and mothers who did not grow up in affected areas in terms of their levels of differentiation of self and parental self-efficacy (PSE). The second aim was to identify and describe the parenting experiences of mothers who were exposed to military conflict in childhood. In Part 1 of the study, the sample included 120 mothers (half of whom reported on being exposed to ongoing military conflict in childhood). Findings showed that mothers exposed to ongoing military conflict in childhood reported lower levels of differentiation of self and PSE than their counterparts. In Part 2, 10 mothers who were exposed to ongoing military conflict as children were interviewed about their experience as parents and their PSE. Results indicated that the mothers felt their childhood experiences affected their parenting and PSE negatively, resulting in anxiety, difficulty dealing with stress and sometimes posttraumatic symptoms as well as parental patterns of overprotectiveness, separation anxiety and intergenerational transmission of anxiety. The results highlight the consequences of exposure to ongoing military conflict during childhood on levels of differentiation of self and parenting practices.     

Mothers' and fathers' coping with chronic childhood disease

Abstract

Mothers and fathers with a child with diabetes, asthma, cardiac conditions, epilepsy or leukaemia completed questionnaires to investigate their appraisal of disease-related difficulties and patterns of coping. There were differences both in appraised difficulties and coping patterns as a function of diagnostic group. In general, mothers who perceived more difficulties reported that it was helpful to cope by gaining disease-related knowledge. Fathers who perceived more difficulties reported it was more helpful to adopt strategies to enhance their own personal autonomy. Fathers who perceived more difficulties also reported that contact with medical staff was less helpful. Implications are discussed in terms of the differential implications of coping with chronic childhood diseases for mothers and fathers. Theoretical models need to take into account the differential demands of specific diseases in accounting for parents' stress appraisal and coping patterns.     

Predictors and outcomes of early motherhood in the Australian Longitudinal Study on Women's Health

Early motherhood is identified as a social problem, and having children at an early age is assumed to lead to psychological distress, welfare dependence and socioeconomic disadvantage. Analysis of responses from 9,689 young participants in the Australian Longitudinal Study on Women's Health was used to examine predictors and outcomes of early motherhood in Australia. Survey 1 (1996, aged 18 - 23) and Survey 2 (2000, aged 22 - 27), were used to categorize women as Childless, Existing Mothers (before Survey 1) and New Mothers (became mothers before Survey 2). Multivariate logistic regressions provided comparisons on sociodemographics, gynaecological variables, psychological wellbeing and health behaviours. Survey 1 data show that Existing Mothers experience socioeconomic disadvantages and unhealthy lifestyles. However, those who will go on to become mothers earlier than their peers already experience similar disadvantages. Further, the Survey 2 data show that, when these pre-existing disadvantages are controlled for, the additional deficits experienced by early mothers are relatively minor. Social disadvantage predisposes women to become mothers early, and to adopt unhealthy behaviours. However, young Australian women cope well with the challenges of early motherhood. In the longer term, unhealthy lifestyles and low education may lead to ill health and disadvantage, but early motherhood is not the initiator of this trajectory.     

INTIMATE PARTNER VIOLENCE AND INFANT SOCIOEMOTIONAL DEVELOPMENT: THE MODERATING EFFECTS OF MATERNAL TRAUMA SYMPTOMS

The aim of the present study was to investigate the impact of intimate partner violence (IPV) on infant regulatory difficulties at 3 months of age and infant socioemotional problems at 12 months of age. Maternal trauma symptoms were explored as potential moderators of these associations. Participants included 120 primarily low‐income, ethnically diverse women and their infants. Results revealed that infants whose mothers experienced IPV during pregnancy did not have significantly more regulatory difficulties at 3 months than did infants whose mothers did not experience prenatal IPV. However, infants whose mothers experienced IPV during the first year after birth displayed significantly more socioemotional problems at 12 months, as evidenced by both maternal report and observational data. Furthermore, maternal posttraumatic stress avoidance symptoms served as a moderator of the association between prenatal IPV and infant regulatory difficulties at 3 months whereas maternal posttraumatic stress hyperarousal and reexperiencing symptoms served as moderators of the association between IPV during the first year after birth and infant socioemotional problems at 12 months. The findings highlight the detrimental impact that IPV can have on very young children and the importance of maternal trauma symptoms as a context for understanding the effect of IPV on young children's functioning.