Simultaneous Semipermeable Groups for Mothers and Their Early Latency-Age Boys

Abstract

Bonding is an ongoing aspect of intersubjective experience, a type of mental relationship to oneself and others. As a behavioral mode, bonding utilizes verbal and nonverbal communication primarily to establish a basic feeling of connection between individuals. Bonding is the floor, a cognitive-affective state that precedes and prepares the way for the complex processes underlying identification. The concept relates to Bion’s early theory of basic assumptions, and takes on new and different meanings according to his later ideas regarding social communication. Bonding is also a therapeutic posture or technique, an element in the establishment of group cohesion, the positive transference, and therapeutic and group alliance. Case examples illustrate how the therapist and other group members bring a complex of bonding needs and anxieties that must be negotiated to establish and maintain bonding, which is a necessary condition for successful therapeutic work.     

An Anatomy of Bonding in the Dyadic System

Bonding is an essential factor in the establishment and maintenance of an intimate committed relationship. Dissecting elements of bonding leads to an understanding of the internal structure of the marriage. Attraction and bonding are different and equally vital in turning initial romance into enduring intimacy. The process of attraction based on projections developing into an enduring bond between peers merges relationship purpose and a rationale for emotional involvement. This occurs when attention is accorded to each of the factors of bonding; ego-equality, respect, interdependence and reality grounding. In therapy, a couple's bonding can be assessed through the isomorphic qualities actualized in the therapeutic joining process. Discussions includes over bonded and under bonded couples, their presenting problems, and a treatment focus for each condition.     

Early infant temperament shapes the nature of mother-infant bonding in the first postpartum year

ObjectiveThis study examined longitudinal relations between maternal bonding and infant temperament in the first nine months after birth.DesignOur sample consisted of 281 women, enrolled at five maternity hospitals, who completed questionnaires during the first week (T1), at six weeks (T2) and nine months postpartum (T3). Maternal bonding was assessed using the Mother-to-Infant Bonding Scale at T1 and T2 and the Postpartum Bonding Questionnaire at T3. Infant temperament was measured using the Infant Characteristics Questionnaire, completed by the mothers at T2 and T3.ResultsThe results of a path model showed a long-term effect flowing from the child to the mother, with infant temperament at T2 predicting maternal bonding at T3 over and above stability in bonding. At T3, bonding was linked more strongly to child temperament at T2 than to child temperament assessed concurrently at T3. Maternal bonding did predict infant temperament, but this was true only of bonding reported at T1 and infant temperament at T2, that is, not of bonding assessed at T2 and infant temperament at T3.ConclusionOur results indicate that maternal bonding in the first week postpartum may temporarily affect child temperament, but infant’s temperament several weeks after birth – rather than several months postpartum – plays a pervasive role in shaping the long-lasting nature of the mother-child relationship. Our findings thus seem to support the suggestion that the early postpartum weeks represent an important period in the development of maternal bonding.     

Gastroesophageal reflux disease: attachment style and parental bonding

The attachment styles and parental bonding of 72 patients (M age= 45.3 yr., SD=13.5) suffering from Gastroesophageal Reflux Disease were compared with those of 105 healthy subjects (M age =44.9 yr., SD = 5.8). A clinical interview and two questionnaires, the Attachment Style Questionnaire and the Parental Bonding Instrument, showed that the scores on the ASQ Confidence subscale were significantly lower in the clinical group. Similar results were obtained for the Discomfort with Closeness subscale in the subsample with Pure Gastroesophageal Reflux Disease. The results indicate Insecure Attachment in the clinical sample. The results obtained from the Parental Bonding Instrument indicate that scores on the Protection Mother scale were significantly higher in the clinical subjects, suggesting a Low Care-High Protection combination (Affectiveless Control), at least for patients with pure Gastroesophageal Reflux Disease. These characteristics can be considered important factors in the tendency to somatization. The symptoms may have a paradoxically normalising function while the patient shows an emotional detachment towards intimate relationships. The illness appears to act as a bond through which the relationship with the caregivers is maintained.     

Maternal-infant bonding and partner support during pregnancy and postpartum: Associations with early child social-emotional development

The first 1000 days after conception are considered critical for healthy development and well-being throughout life. Fundamental to health practices during pregnancy and positive parenting after birth is the development of maternal-infant bonding. Previous research has demonstrated the importance of having an involved partner during pregnancy and in parenting for optimal maternal-infant bonding. The current study examined maternal-infant bonding and partner support during pregnancy and the postpartum period, and their associations with early child social-emotional development. A total of 227 women completed the Pre- and Postnatal Bonding Scale (PPBS) and Tilburg Pregnancy Distress Scale (TPDS) during pregnancy (32 weeks of gestation) and at 8 months postpartum, assessing maternal-infant bonding and partner support. Additionally, a questionnaire on social-emotional behavior of the Bayley Scales of Infant and Toddler Development was administered to mothers to measure child development at 2 years of age. Path analyses revealed an indirect positive effect of prenatal maternal-infant bonding on child social-emotional development through postnatal maternal-infant bonding, as well as mediating effects of pre- and postnatal maternal-infant bonding on the association between pre- and postnatal partner support and child social-emotional development. Our findings support the notion that an emotional connection from mother to child originates in pregnancy and that experiencing positive feelings towards the fetus promotes positive maternal-infant bonding after birth and social-emotional capacities of the child. Additionally, having a supportive partner during pregnancy and postpartum, might be essential for the development of optimal maternal-infant bonding.     

An experimental method for inquiring into communication

An experimental method for inquiring into the organization of an act of communication is presented, the basic idea being to create an interactional setting where one of the basic prerequisites for successful communication is not satisfied. In this particular design, the subjects interact under the false belief that they are sharing the same ?here'. (In mean the subjects interacted more than a quarter of an hour before any doubt or suspicion about the situation was expressed, indicating that our manipulation had been successful.) During the subjects trying (1) to ?diagnose' their communicative difficulties, and (2) to apply different ?therapeutic tools' in order to improve their communication, one is in a very good position to study the impact from a variety of basic phenomena upon communication. It is argued that this situation may well be applied as a ?standard experimental method'. And an experiment where this method revealed interesting differences in the communication between couples having and couples not having a schizophrenic offspring is discussed.     

The impact of premature childbirth on parental bonding

The development of an affectionate parent-infant bond is essential for a newborn infant's survival and development. However, from evolutionary theory it can be derived that parental bonding is not an automatic process, but dependent on infants' cues to reproductive potential and parents' access to resources. The purpose of the present study was to examine the process of bonding in a sample of Dutch mothers (n = 200) and fathers (n = 193) of full-term (n = 69), moderately premature (n = 68), and very premature infants (n = 63). During the first month postpartum parents completed the Pictorial Representation of Attachment Measure (PRAM) and Postpartum Bonding Questionnaire (PBQ). Longitudinal analyses revealed that mothers' PRAM scores decreased after moderately preterm delivery, whereas decreases in PRAM scores occurred in both parents after very preterm delivery. As lower PRAM scores represent stronger feelings of parent-infant connectedness, our findings suggest a higher degree of bonding after premature childbirth. Results of the PBQ analysis were in line with PRAM outcomes, as parents of preterm infants reported less bonding problems compared to parents of full-terms. These findings support the hypothesis that in affluent countries with adequate resources, bonding in parents of preterm infants on average may be higher than in parents of full-term infants.     

Risk and protective factors for pre- and postnatal bonding

Since disturbances in the mother–child bond increase the risk of negative consequences for child development, it is important to identify risk and protective factors for bonding as well as longitudinal associations. Previous research has used different bonding instruments during pregnancy and the postnatal phase, leading to inconsistent results. In the current study, the same instrument was used during the various phases. In a large, community-based sample (N = 793), general information, feelings of pre- and postnatal bonding (Pre- and Postnatal Bonding Scale), depressive symptoms (Edinburgh Postnatal Depression Scale), and partner support (subscale Tilburg Pregnancy/Postnatal Distress Scale) were measured at both 32 weeks of pregnancy and 8 months postnatally. Partner support was found to be a protective factor for suboptimal pre- and postnatal bonding, as was the engagement with fetal movements for prenatal bonding. High maternal educational level was a risk factor for suboptimal prenatal bonding, as were depressive symptoms for suboptimal postnatal bonding. The associations between most prenatal determinants and postnatal bonding were mediated by prenatal bonding, which underlines the importance of promoting prenatal bonding. Professionals in clinical practice should be aware of partner support, engagement with fetal movements, and postnatal depressive symptoms: All these factors offer opportunities for improving the bonding processes.     

How to Assimilate the Elderly Into Your Parish:

This research is a scientific study of retired persons, to attempt to determine why they drop out of the church upon reaching retirement age. The hypothesis is that a person drops out of active church life because helshe feels alienated within the social system known as the church. Groups were tested in Michigan, Indiana, and Florida. Each group was tested for church attendance, religiosity, alienation and religious experience. Using alienation as the independent variable, it was determined that there was a correlation between alienation and church attendance. These two variables were found to be correlated at the 0.001 level of confidence. Upon further examination it was found that the computed T-Statistic indicated that the correlation was inverse in nature. As alienation increases, church attendance measurably decreases. Due to the fmdings of this research the hypothesis was accepted. Having determined that alienation is a primary cause of decline in church attendance among the elderly, ways in which to decrease alienation and therefore increase church attendance are presented. A primary agent in the process of reducing alienation is psycho-social bonding and ways to increase the bonding process are discussed. Bonding is that process by which a person attaches to, and makes a social connection with another person. The bond that is formed is often difficult to eradicate. Alienation could be described as a state of being bondless within a social system.     

Gastroesophageal reflux disease (GERD) and inflammatory bowel disease (IBD): attachment styles and parental bonding

The attachment styles and parental bonding by 64 patients (M age = 43.2 yr., SD = 13.3) with Gastroesophageal Reflux Disease (GERD) were compared with those of 64 patients (M age = 42.2 yr., SD = 13.5) with Inflammatory Bowel Disease (IBD) and 126 Healthy participants (M age = 42.2 yr., SD = 12.1). Analysis of scores on the Attachment Style Questionnaire indicated insecure attachment in both the patient and control groups. The Parental Bonding scores indicated perceptions of Affectionless Control by parents in both patient groups. In particular, the mean Father-Protection subscale scores were significantly higher for in the GERD group than in the Healthy and IBD groups.     

Staff and Resident Involvement in a Therapeutic Community: For Better or Worse?

Therapeutic communities are a commonly used context for counseling persons with drug problems or emotional problems and for other populations of clients. The group dynamics of therapeutic communities are very complex. When the staff members of a therapeutic community develop communication problems with one another or when these staff members become overly involved with residents, staff problems almost always have a negative impact on the program of the therapeutic community. This article describes how staff problems can negatively affect the program of a therapeutic community and also relates the kinds of problems encountered in a therapeutic community to the problems encountered in rehabilitation programs in other settings.     

Do postpartum anxiety and breastfeeding self-efficacy and bonding at early postpartum predict postpartum depression and the breastfeeding method?

We investigated whether postpartum anxiety (PPA) and breastfeeding self-efficacy and bonding at the early postpartum period can be used to predict postpartum depression and the breastfeeding method, and we sought to identify factors related to postpartum depression. Of the 510 eligible women, 185 (36%) returned the questionnaire on all three occasions (1 day, 3 days, and 1 month after childbirth). The mothers' progress on the State-Trait Anxiety Inventory (STAI), Breastfeeding Self-Efficacy Scale Short Form (BFSES-SF), and Postnatal Bonding Questionnaire (PBQ) was observed over three periods. A repeated-measures ANOVA revealed that the mothers at high risk of developing postpartum depression (PPD) were those who did not show an increase in BFSES-SF score at early postpartum, and mothers whose bonding disorders have deteriorated rapidly. The results of the logistic regression analysis revealed a significant difference in employment as a factor related to postpartum depression. Compared to Regular, Part-time status was 4.4 times more likely and Unemployed status was 2.3 times more likely to cause postpartum depression. For the early detection of PPD, it is necessary to identify (1) mothers who do not show an increase in the BFSES-SF score, (2) mothers whose bonding disorders have deteriorated rapidly, and (3) part-time or unemployed mothers as characteristic of postpartum depression.     

The establishment of individual and collective competency in children's groups as a prelude to entry into intimacy, disclosure, and bonding.

This article offers a theory about the evolution of small group systems through a series of stages. It discusses the relationship of these stages to and their effect on the self-other and therapeutic interventive spheres in the long-term group treatment of children. The developmental unfolding is seen as universal to small groups and as operating on an interpersonal and collective level, distinguishable from individual psyches and close dyadic bonds but influenced by them. On an isomorphic level the group stages contain emotive, cognitive, and interactive themes and processes that parallel and evoke those of the bonding and work processes. As such, the group dynamic provides an enabling matrix and a mirror for the other goings on in the member-therapist encounter. Its pacing and its progressions and regressions appear to correspond with those of the development of the transitional space and therapeutic culture of the group. Like the other articles in the symposium, this one offers specific examples in which the three spheres intersect and are integrated.     

A neural network approach to identifying adolescent adjustment.

This study examined the relationship between the quality of adjustment in adolescents and a set of psychiatric diagnoses, personality traits, parental bonding, and social support variables. One hundred fifty adolescents were administered the Millon Adolescent Personality Inventory, the Parental Bonding Questionnaire, the Social Support Questionnaire, and the Diagnostic Interview for Children and Adolescents. A neural network approach was then utilized, and it was found that several of the variables (e.g., Major Depressive Disorder, Conduct Disorder, and Societal Conformity) had a significant role in classifying adolescents into three groups: maladjusted, nominally adjusted, and well-adjusted.     

What an Understanding of the Dynamics of Gossip Has to Teach About Group Dynamics and Group Leadership

Abstract

Although what transpires in group therapy is not gossip per se–except perhaps when absent or former members are discussed–listening to group interaction through an understanding of the dynamics of gossip can contribute to a greater appreciation of group dynamics and group leadership as well as enlarge therapeutic space. After examining the interpersonal dynamics of gossip, this paper discusses six ways in which an understanding of these dynamics can inform group leadership and shed light on group psychotherapy. Central features of gossip that appear in group interactions are explored: These include projection, displacement, self-esteem regulation, clarification of motivation, unself-consciousness, social comparison and bonding, avoidance of psychic pain, and making the ego-syntonic dystonic. The lively use of imagination in the mature phase of group therapy is conceived of as the time when the darker side of human nature–imagined gossip harnessed for therapeutic purposes–can be welcomed in and processed in a kind, playful, and compassionate manner.     

Chinese College Students’ Experiences in the Encounter Group

In theory, the encounter group is well suited to addressing the problems of Chinese college students, but in practice, significant conflicts exist between the nature of the encounter group and the internalized beliefs of this group of students. This brief report identifies six areas of notable conflict in the therapeutic process: freedom of expression, belongingness, learning from diversity, impacts of an exam-oriented education, social inequalities, and indirect communication. The advantages for the encounter group members were the opportunities to enjoy self-expression, gain acceptance regardless of social status, learn about differences between themselves and other members, provide nonstandardized answers, increase the level of self-advocacy, and feel safe directly expressing themselves. On the negative side, group members may have felt distressed due to the conflicts between the basic character of the encounter group and their own cultural beliefs. The limitations of this study are found in the sample types, my multiple roles and biases as the author and group leader, and the features of the encounter groups conducted. Nevertheless, this brief report may increase both therapeutic applicability of the encounter group to Chinese college students and the level of cultural competence in group psychotherapists who may use the encounter group or work with this population.     

Studying Personality Cross-Culturally Edited by Bert Kaplan

This article offers a theory about the evolution of small group systems through a seriesof stages It discusses the relationship of these stages to and their effect on the self-other and therapeutic mteruentive spheres m the long-term group treatment of children. The developmental unfolding is seen as universal to small groups and as operating on an interpersonal and collective level, distinguishable from individual psyches and close dyadic bonds but influenced by them. On an isomorphic level the group stages contain emotive, cognitive, and interactive themes and pr cesses that parallel and evoke those of the bonding and work processes. As such, the group dynamic provides an enabling matrix and a mirror for the other goings on in the member–therapist encounter. Its pacing and its progressions and regressions appear to correspond with those of the development of the transitional space and therapeutic culture of the group. Like the other articles in the symposium, this one offers specific examples in which the three spheres intersect and are integrated.     

The Mediatory Role of Maladaptive Schema Modes Between Parental Care and Non-Suicidal Self-Injury

Non-suicidal self-injury (NSSI) is being increasingly recognised as a behaviour of significant clinical importance. Yet, there remains uncertainty regarding the underlying mechanisms of NSSI. This study aimed to explore the relationship between maladaptive schema modes, parental bonding, and NSSI. Seventy psychiatric outpatients with a history of NSSI completed the Deliberate Self-Harm Inventory, Schema Mode Inventory, and Parental Bonding Inventory. Results revealed that maladaptive schema modes were significantly associated with low parental care and with an earlier age of onset, longer duration, and higher number of methods of NSSI. Maladaptive schema modes also significantly mediated the relationship between parental care and age of onset of NSSI and between parental care and duration of NSSI. Two maladaptive schema modes (namely, Punitive Parent and Angry Child) were also found to be significant mediators in this relationship. The clinical implications of this research are discussed.