Maternal representations during pregnancy and early infant-mother interactions

This paper deals with the influence of maternal representations during pregnancy on the subsequent mother-infant relationship and the infant's style of attachment at 1 year of age. Psychoanalytic thinking, beginning with Freud to the most recent contributions, has considered the great importance of the mental dynamics between parents and children to which empirical research according to Bowlby's theoretical perspective has contributed. The current research project was planned in order to study the intergenerational processes. Starting during pregnancy, the woman was interviewed specifically to study maternal representations of herself as a mother and of the future baby. When the child was 1 year old, the style of attachment was studied during the Ainsworth Strange Situation paradigm and, at the same time, the mother was given the Adult Attachment Interview. Case studies are presented to illustrate, from the clinical point of view, the mental dynamics during pregnancy and the influence on the style of attachment of the baby. The clinical implications are discussed especially in terms of the fantasies in pregnancy and their relevance for the subsequent mother-infant relationship.     

Maternal depression and children's attachment representations during the preschool years

This longitudinal study aimed to investigate the impact of chronic and transient maternal depression on children's attachment representations at 4 years of age measured with the Attachment Story Completion Task ( Bretherton, Ridgeway, & Cassidy, 1990 ). The impact of concurrent maternal depressive symptoms was also considered. A secondary aim was to investigate the continuity of attachment classification at 15 months with child attachment representations at 4 years. Children of mothers who were concurrently depressed were more likely to have attachment representations characterized by uncontained physical aggression. In contrast, there were no significant relationships between exposure to prior chronic maternal depression and children's attachment representations at 4 years, nor were there any significant relationships between behavioural assessments of attachment during infancy and later representational assessments. Findings are discussed in the context of caregiving behaviours that may foster secure attachment relationships and influence a child's social‐emotional development, limitations of representational measures, as well as poor attachment stability.     

Consequences of teenage pregnancy and motherhood

In the past 15-20 years there has been a significant increase in sexual activity among teenagers as well as an increase in the rate of pregnancy. Teenage pregnancy has many social, psychological, economic and health consequences. Although there has been a significant increase in the use of abortion since the early 1970s among white teenagers, the majority of pregnant teenagers opt to carry their pregnancy to term and raise their child themselves. This review of the literature concerns itself with some of the variables associated with adolescent sexual behavior focusing on teenage pregnancy and the consequences of motherhood on child development. Suggestions are made for strategies that may be effective in ameliorating some of the problems as well as the research required for evaluating such strategies.     

Maternal attachment representations after very preterm birth and the effect of early intervention

Objective

For very preterm infants the mother-infant relationship may be compromised. Maternal attachment representations 18 (corrected) months after very preterm birth and the effect of the post-discharge Infant Behavioral Assessment and Intervention Program (IBAIP) were studied. The IBAIP is designed to assist parents to support and enhance their infant's regulatory competence and development. The intervention consisted of 6-8 home visits during the first 8 months after birth.

Method

Seventy-eight mothers of very preterm infants (<32 weeks and/or <1500 g) were interviewed, who participated in a randomized controlled trial: 41 from the intervention group and 37 from the control group. Maternal attachment representations were assessed with the Working Model of the Child Interview (WMCI). The interviews resulted in a classification of the attachment representations into balanced or non-balanced.

Results

30% of the mothers had non-balanced attachment representations. Qualitative content analysis of the answers showed that negative feelings when first seeing their baby and negative or ambivalent feelings in the first weeks at home with their baby are related to non-balanced attachment representations. The WMCI revealed no differences between the intervention and control group.

Conclusion

Early support for mothers of very preterm born infants to develop a healthy mother-infant relationship is recommended especially for mothers who report negative first experiences.     

Maternal adjustment during pregnancy and the infant''s first year

The study aimed at establishing the predictive validity of clinical observations and interview data collected during late pregnancy. 40 pregnant women from a Swedish non-risk population were interviewed about psychological and somatic well-being, significant relationships and delivery expectations. Pregnancy adjustment was also assessed by the maternal health clinic midwife. After the birth of the child, the mothers were interviewed in the delivery hospital and during home visits when the infants were 2 and 6 weeks, and 4, 8 and 12 months old. The results showed that pregnancy adjustment, as assessed by the mothers themselves, acted as a significant predictor of the early maternal adjustment and the adjustment towards the end of the infant's first year. The midwives' assessments significantly predicted maternal adjustment towards the end of the first year. Pregnancy data did not correlate with maternal delivery experiences.     

(De)Constructing Paula Radcliffe: Exploring media representations of elite running,pregnancy and motherhood through cultural sport psychology

ObjectivesLittle is known about elite athletes who are mothers within the context of sociocultural expectations concerning motherhood and sport. The aim of this study was to extend such understanding by examining how the media manages and constructs one elite athlete's (Paula Radcliffe) identities within the context of motherhood and sport.DesignA qualitative approach grounded in cultural sport psychology was used to explore motherhood and athletic identity as socio-cultural creations shaped by cultural narratives (i.e., media). The psychological and behavioural implications were of interest.MethodA textual analysis (see McKee, 2003) of two issues of Runner's World magazine (March 2008, October, 2010) surrounding elite British marathon runner Paula Radcliffe's pregnancies was conducted. Visual data analysis of 37 images (see Griffin, 2010) further contextualized textual meaning(s).ResultsRadcliffe's identities were constructed within a higher order narrative: pregnancy and motherhood as redemption. This narrative had fluid meanings depending on how it framed two contrasting identities: 1. athlete and mother as one and 2. primarily a mother; athlete as secondary. An athlete and mother as one identity reinforced an elite athlete identity and high performance narrative. A primarily mother, athlete as secondary identity was linked to athletic accomplishments being downplayed and/or sacrificed in favour of motherhood.ConclusionsThis study opens a new window of cultural understanding and possibility for research and application concerning motherhood and athletic identities. These findings add to the cultural sport psychology and qualitative literature exploring elite mothering athletes.     

Shifts in color discrimination during early pregnancy

The present study explores two hypotheses: a) women during early pregnancy should experience increased color discrimination ability, and b) women during early pregnancy should experience shifts in subjective preference away from images of foods that appear either unripe or spoiled. Both of these hypotheses derive from an adaptive view of pregnancy sickness that proposes the function of pregnancy sickness is to decrease the likelihood of ingestion of foods with toxins or teratogens. Changes to color discrimination could be part of a network of perceptual and physiological defenses (e.g., changes to olfaction, nausea, vomiting) that support such a function. Participants included 13 pregnant women and 18 non-pregnant women. Pregnant women scored significantly higher than non-pregnant controls on the Farnsworth-Munsell (FM) 100 Hue Test, an objective test of color discrimination, although no difference was found between groups in preferences for food images at different stages of ripeness or spoilage. These results are the first indication that changes to color discrimination may occur during early pregnancy, and is consistent with the view that pregnancy sickness may function as an adaptive defense mechanism.     

Maternal representations: A clinical and subjective phenomenological view

The relationship — as represented — is proving to be of growing value in our thinking about clinical problems such as “intergenerational transfer.” It is also an extremely positive influence in our thinking about how the interpersonal world is remembered, abstracted, and lived. Yet, the nature of a “represented relationship” remains unclear. This paper is an attempt to clarify some of the problems and areas for needed study regarding this concept. The mother's representation of her infant and of the people in her own life who have played “maternal roles” will be taken as the model. First, we will explore the richness and complexity of these representations and conclude that, for clinical purposes, different models are used to simplify this richness and render it therapeutically useful. Three models will be discussed. The first is the disfortion model which measures the distance between the mother's subjective experience of her interaction or relationship with another and some objective, observable “reality.” The model of overdeter-mining themes is a second model, largely the inspiration of psychoanalysis but inclusive of Bowlby's theory of attachment. Here psychobiological and/or psychodynamic themes organize the clinical material. Finally, a coherence model is discussed. Here the motive is goodness of the narrative construction rather than the historical “truth.” A second issue discussed is the capacity to represent dyads vs. triads and actual vs. second-hand narrated relationships. These issues are crucial for notions not only about the nature of such representations but also their limitations in understanding family interactions and relationships, i.e., where many members are concerned. A third issue concerns the nature of the subjective experience for a mother when a representation of her infant or herself in relation to the infant is “activated.” There exists here an unknown typology of experience. Finally, we will discuss what all of the above have to contribute to our further understanding of the nature of represented relationships.     

Maternal and paternal parenting during adolescence: forecasting early adult psychosocial adjustment

This study investigated the relationship of maternal and paternal parenting behavior (acceptance and firm control) during adolescence to four domains of early adult functioning (internalizing problems, externalizing problems, prosocial competence, and cognitive competence). Twenty-one females and 29 males from intact families, along with their mothers and fathers, participated. Assessments were conducted in adolescence and early adulthood, separated by approximately five and one-half years. Higher levels of maternal firm control during adolescence were associated with more secure early adult romantic attachment and lower levels of educational achievement. There were no main effects for fathers, but paternal parenting behavior interacted with maternal parenting behavior to predict both early adult romantic attachment and delinquency. Clinical implications and directions for future research are discussed.     

Perceptions of early relationships during the transition to motherhood: The mediating role of social support

Perceptions of the availability of social support were assumed to mediate the association between the future mother's perceptions of early relationships and positive postpartum outcomes. We explored the idea that pregnant women's perceptions of early caretaking relationships as optimal associate with the perceived availability of, and satisfaction with, social support, which in turn, were assumed to affect postpartum depressive symptomatology, the APGAR (i.e., rates of Appearance [color]; Pulse [heartbeat]; Grimace [reflex]; Activity [muscle tone]; and Respiration [breathing], Nelson, 1987) scores of the newborn, and the mother's perceptions of the infant. Using a longitudinal design, we enrolled 120 first‐time pregnant participants, who were assessed during the third trimester of pregnancy and eight weeks postpartum. Newborns were assessed immediately after birth. Findings confirmed the expected model, controlling for levels of depressive symptomatology during pregnancy. This model is discussed in the context of system and transactional models of mother–infant interactions. ©2002 Michigan Association for Infant Mental Health.     

Maternal attitudes during pregnancy predict mother-infant physical proximity six months after birth

The purpose of this study was to develop an instrument for assessing maternal attitudes. Three photographs representing infants or mother-infant dyads were presented to 26 mothers in the second half of pregnancy and six months after birth. Nine mothers were clinical cases, seventeen mothers were nonpathological controls. Thirty-three semantic categories were used to code the mothers' responses to the pictures. Mothers' responses were coded independently by two researchers. The factor analysis of the codes yielded an ‘attraction to, vs rejection of, children’ factor. Compared with the control group, the mean factor score of the clinical group was significantly lower, i. e. reflected less attraction (p < 0.01). To study the relation between the attraction factor and the physical proximity of mothers and infants, 21 of these mother-infant dyads were videotaped in a semi-structured play interaction six months after birth. Recordings were coded independently by two researchers for various indices of proximity (spatial proximity, kisses, embraces, touches). The factor analysis of the codes yielded a factor contrasting distant vs close and tender interaction. A significant correlation was found between the attraction scores of pregnant women and the proximity scores of mother-infant interaction (r = 0.46; p < 0.05). These results suggest that this instrument is useful in assessing maternal attitudes of psychiatrically disturbed pregnant women and that maternal attitudes of pregnant women are significant predictors of physical proximity in motherinfant interaction at the end of the first semester.     

From pregnancy to motherhood: The structure of representative and narrative change

The aim of this work was to identify ways of objectifying the course of mothers' represen tations of their babies and themselves as mothers during pregnancy and the postpartum period. A sample of 51 women attending a Family Guidance Clinic for psychoprophylaxis courses was studied using semistruc tured interviews that were administered in the 7th month of pregnancy and on the 5th day and in the 4th month postpartum. This paper describes a method for classifiying themes identified in the mothers' representations of the baby and of the self-as-mother as wish-organized, defense-organized, fear-organized, or disorganized. This classification derives from the presumed clinical function of the narrative themes in the mothers' representational world. Themes about the baby and about the self-as-mother were primarily fear-organized at the 7th month of pregnancy. On the 5th day postpartum, there was no prevailing thematic organization. At 4 months postpartum, representations of the baby were primarily fear-organized and almost never disorganized. We speculate that themes about the baby and the self-as-mother that are disorganized may have negative prognostic significance.     

Information-seeking and maternal self-definition during the transition to motherhood

The self-definitional processes accompanying the transition to motherhood were examined in this study. A cross-sectional sample of more than 600 women who were planning to get pregnant within 2 years, pregnant, or in the postpartum stage completed extensive questionnaires pertaining to their experiences of pregnancy and motherhood. On the basis of the assumption of the "self-socialization" perspective that individuals actively construct their identities in response to life transitions, our analyses focused on the role of information-seeking in the developing self-definitions of women becoming mothers. As predicted, (a) women actively sought information in anticipation of a first birth, (b) they used this information to construct identities incorporating motherhood, and (c) after the birth the determinants of their self-definitions shifted from indirect sources of information to direct experiences with child care. Hence, consistent with the self-socialization perspective, information-seeking did play an important role in the women's developing self-conceptions during this life transition. Mechanisms by which information gathered may alter self-conception are discussed.     

Maternal attachment representations in relation to emotional availability and discipline behaviour

Maternal attachment representations have been investigated in relation to sensitivity and emotional support, but rarely in relation to other important areas of daily parent–child interactions in early childhood, like limit setting and discipline strategies. This study investigates maternal attachment representations in relation to parenting sensitive and discipline behaviours. The sample consists of 37 Portuguese high-risk severely economically disadvantaged mothers and their 1- to 4-year-old children, that responded to the Adult Attachment Interview, and were observed in play and discipline interaction contexts. The results showed that a more preoccupied state of mind was related to less emotional availability in free play interaction with child. A more secure attachment representation was related to more psychologically controlling discipline tactics. These findings highlight the relevance of maternal attachment states of mind in understanding parenting practices in several domains, and are discussed in light of sociocultural factors.     

Maternal distress during pregnancy and language development in preschool age: A population-based cohort study

Recent studies have emphasized the importance of the prenatal period for children's cognitive development. Prenatal exposure to psychological distress has been identified as one potential agent affecting neurodevelopment, although research in this area has been marked by some contradictory findings and methodological limitations. This study aimed to investigate the effect of maternal distress during pregnancy on language development of preschool children. This study was based on the Norwegian Mother and Child Cohort Study conducted at the Norwegian Institute of Public Health. The sample was composed of 34,089 women and their children. We assessed the role of maternal prenatal distress on child language over and above that of premature low birth weight (PLBW) status and postnatal maternal distress. Fear of giving birth had a negative impact on language outcome at age three over and above the effect of PLBW status and postnatal maternal distress. However, this effect was of minimal magnitude. Moreover, when examining whether differences in language skills between siblings were associated with differences in experienced levels of prenatal stress across pregnancies (sibling fixed-effects models), no significant effects were found. Our study suggests that prenatal distress within moderate limits does not seem to have an independent impact on child language performance in the preschool years and emphasizes the importance of considering the contextual role played by more stable maternal and family characteristics.     

Negotiating motherhood and athletic identity: A qualitative analysis of Olympic athlete mother representations in media narratives

ObjectivesAlthough a growing presence within sport, elite athlete mothers have minimal presence within sport psychology research, particularly within the context of sociocultural expectations concerning motherhood and sport. The purpose of this study was to extend this understanding by examining how news media constructed elite athlete identities of prominent athlete mothers during the 2012 Olympic year.DesignA qualitative approach grounded in critical cultural sport psychology (Schinke & McGannon, 2014) was used to explore motherhood and athletic identity as socio-cultural creations shaped by media and the potential psychological implications.MethodAn ethnographic content analysis (Altheide, 1996) of 80 stories from North American news media collected from January 27, 2011 to December 31, 2012surrounding 10 prominent US athlete mothers was conducted. Visual data analysis of 99 images and 4 videos accompanying were also analyzed to contextualized the textual meaning(s) (Altheide & Schneider, 2013).ResultsA central narrative within which identities were constructed was identified: motherhood and athletics as a transformative journey. The meaning(s) and implication(s) of this narrative emerged differently depending on how two athlete mother identities were constructed: 1. athlete and mother in conflict and 2. athlete mother as superwoman.ConclusionsThis study extends critical cultural sport psychology and qualitative literature exploring elite mother athletes and the implications for athletic career (dis)engagement.