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

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

THE RELATIONSHIP BETWEEN MOTHERING IN INFANCY, CHILDHOOD EXPERIENCE AND ADULT MENTAL HEALTH

This longitudinal study has followed seventy-six individuals from birth to age 30 using films of the mother-child interaction, psychoanalytically informed interviews of parents and children, and psycho diagnostic testing to assess how the quality of mothering a child receives in the first year of life contributes to his/her subsequent emotional well-being. The thirty-year follow-up of the now adult participants found that those who had received more effective care in infancy in terms of maternal empathy, consistency, control, thoughtfulness, affection and management of aggression had higher-level psychological defence mechanisms as adults than children receiving less effective nurturing-suggesting a process in which the children internalised their mothers' own defence mechanisms. Other measures at 30 years (Global Functioning, Erikson psychosocial attainment, mental representation of security of attachment to parents and presence or absence of a psychiatric diagnosis) did not achieve statistical significance. On the other hand, trauma after infancy and before age 18 provided the strongest correlation with adult outcome: consistent with the theory of the effect of cumulative trauma on psychic functioning, children experiencing two or more adverse circumstances had significantly lower levels of global functioning as adults than those spared multiple traumas. With case examples, the findings illustrate how the effect of pre-verbal experience attenuates over time, and how later influences overlie early life in the course of psychological structuralisation.     

Constructing the “Good Mother”: The Experience of Mothering Ideologies by Work Status

The purpose of this study was to explore how mothers construct their worker–parent identity within a cultural context of competing mothering ideologies. We used narrative data from interviews with 95 married mothers with at least 1 child under the age of 5 to compare the construction of intensive mothering expectations by middle-class full-time employed mothers, part-time employed mothers, and at-home mothers. Although previous research has shown that mothers alter work status to live up to intensive mothering expectations, our results show that mothers also alter their construction of intensive mothering expectations to reconcile these demands with their work status choices. The results also suggest that mothers with different employment decisions differ in their construction of Y. Elvin-Nowak and H. Thomsson's (2001) 3 discursive positions—accessibility, happy mother/happy child, and separation of work and home.     

Nonmaternal care hours and temperament predict infants’ proximity-seeking behavior and attachment subgroups

Using the NICHD Early Childcare dataset (N = 1281), this study examined whether infant temperament and the amount of time infants spend in nonmaternal care independently predict (1) the likelihood that they seek comfort from their mother when needed and (2) placement in a particular subgroup of infant-mother attachment patterns. Mothers reported the number of hours their infant spent in nonmaternal care each month and their infant's difficulty adapting to novel stimuli at 6 months. The degree to which 15-month-old infants seek comfort from their mother during reunion episodes in the Strange Situation was observed using two behavioral scales (“proximity seeking” and “contact maintaining”). Their average score forms the outcome variable of “proximity-seeking behavior.” The other outcome variables were the subgroups of infant-mother attachment patterns: two subgroups for insecure babies (resistant and avoidant) and four subgroups for secure babies (B1, B2, B3, and B4). Easy adaptability to novel stimuli and long hours of nonmaternal care independently predicted a low level of proximity-seeking behavior. These predictors also increased the likelihood of an insecure infant being classified as avoidant (vs. resistant). A secure infant with these same predictors was most likely to be classified as B1, followed by B2, and then B3, with B4 being the least likely classification. Although previous studies using the NICHD dataset found that hours of nonmaternal care had no main effect on infants’ attachment security (vs. insecurity), this study demonstrates that hours of nonmaternal care predict the subcategories of infant-mother attachment.     

Personality and Parenting: Exploring the Mediating Role of Transient Mood and Daily Hassles

ABSTRACT In order to explore the role that transient mood and daily hassles might play in mediating the impact of enduring personality on parenting, naturalistic home observations of mothering and fathering were conducted when firstborn sons were 15 and 21 months of age. Observationally based, behavioral ratings of mothering and fathering were related to three self-report personality scales (Agreeableness, Neuroticism, Extraversion), administered to parents when their children were 10 months of age, and to self-reports of transient mood (positive and negative) and daily hassles obtained prior to each observation of family interaction. Results indicated that (a) mothering was more consistently predicted by personality and mood/hassles than fathering; (b) Extraversion played a larger role in predicting fathering than mothering, with the reverse being true of Agreeableness; (c) Neuroticism was the most consistent predictor of men's and women's parenting; and (d) there was little support for affect-specific linkages between personality, mood/hassles, and parenting. Finally, some evidence of mediation by transient mood and daily hassles emerged, more consistently for mothers than fathers, though more strongly for fathers than mothers. These results are discussed in terms of the primacy of the role of parenting for men and women.     

The dangers and deprivations of too-good mothering

The paper explores Winnicott's ideas on the detrimental effects of mothering which is too well adapted to infant needs. Winnicott claimed that such too-good mothering, when pursued beyond the baby's earliest months, led to two possible outcomes: the child would either reject the mother or would remain in a state of arrested development, merged with her. The paper follows the development of a baby girl, observed by the Bick method, and illustrates how her mother's devoted and sensitive care effectively deprived her of the development of some aspects of the sense of self and of possibilities for negotiation, concern and reparation. The baby developed a paranoid orientation and later rejected her mother after the birth of her sister. The paper also mentions the alternative outcome of a persisting state of passive merger with the mother and ends by hoping for further exploration of the means by which some sensitive, responsive parents may inadvertently ‘worse than castrate’ their children by depriving them of an autonomous sense of agency.     

Child care in rural areas: Needs,attitudes, and preferences

The purpose of this research was to assess the needs and preferences for child care services in rural areas. We examined data from interviews with 525 mothers of children up to 12 years of age in two southeastern states. Results indicated that, while rural mothers expressed a desire for more child care services, many were ambivalent about other-than-mother care. On the one hand, they had limited knowledge about and experience with a variety of child care arrangements; on the other hand, they could identify their preferences for types and specific features of day care they desired. These preferences were summarized to form a hypothetical "ideal type" of child care for rural mothers.     

Exposure to child care,parenting style and attachment security

The present study addressed whether security of attachment is differentiated by quality of parenting and quantity of exposure to child care. Sixty mothers participated with their 14‐month‐old infants, who by the age of 12‐months had received either exclusive maternal care, or varying degrees of exposure to child care. Levels of attachment security were assessed through maternal completion of the Attachment Q‐Set(AQS); parenting quality was assessed through observations of mother–infant interactions during structured tasks. The scores that less sensitive mothers assign their toddlers is higher when their children are in child care for more hours per week; whereas the scores that more sensitive mothers assign their toddlers is lower when their children are in child care for more hours per week. These contrasting patterns suggest that the effects of parenting style on attachment security are moderated by quantity of exposure to child care. Copyright © 2003 John Wiley & Sons, Ltd.     

Female degus (Octodon degus) monitor their environment while foraging socially

Vigilance or scanning involves interruptions in foraging behavior when individuals lift their heads and conduct visual monitoring of the environment. Theoretical considerations assume that foraging with the "head down", and scanning ("head up") are mutually exclusive activities, such that foraging precludes vigilance. We tested this generalization in a socially foraging, small mammal model, the diurnal Chilean degu (Octodon degus). We studied spontaneous bouts of scanning of captive degus when foraging in pairs of female sibs and non-sibs. We examined the extent to which foraging (head down postures) and scanning (head up postures) were mutually exclusive in subjects exposed to none, partial, and complete lateral visual obstruction of their partners. In addition, we monitored the orientation of their bodies to examine the target of attention while foraging and scanning. Lastly, we examined the temporal occurrence of scanning events to assess the extent of scanning coordination, and whether this coordination is kin-biased. Visual obstruction had a significant influence on degu vigilance. Focal degus increased their quadrupedal and semi-erect scanning when foraging under a partially obstructed view of their partners. Degus oriented their bodies toward partners when foraging and scanning. Despite this, degus did not coordinate scanning bouts; instead, they scanned independently from one another. Relatedness among cage mates did not influence any aspect of degu behavior. Contrary to theoretical expectations, these results indicate that foraging and vigilance are not mutually exclusive, and that kinship per se does not influence scanning behavior and coordination.     

Dimensions of naturally occurring mother-infant separations during the first year of life

The goals of this paper are (1) to introduce a methodology developed to study mother-infant separations that occur in the context of normal family life, including but going beyond separations associated with maternal employment; (2) to present illustrative data that describe the range of separations experienced by one sample of infants; and (3) to demonstrate how a focus on specific underlying dimensions results in a more precise characterization of the separation experience. It is necessary to identify the specific dimensions on which mother-infant separations vary in order to clarify which aspects of separation are relevant to child outcome. Detailed histories of mother-infant separations and concomitant substitute care during the first year of life were obtained by interview from 144 middle-class mothers of first-born infants. Far from being an unusual event, separation from mother was a normal experience during infancy for this sample. Six types of separation were identified, the majority of which have not been studied previously. Analyses indicated that naturally occurring mother-infant separations can be differentiated statistically and compared in terms of amount of separation, stability of care, characteristics of caregivers, and characteristics of the substitute care setting.     

Mothers' representations of caregiving and their adult children's representations of attachment: intergenerational concordance and relations to beliefs about mothering

Mothers (N= 35) and their adult children completed questionnaires and were interviewed in order to examine relationships between mothers' caregiving representations and their adult children's attachment representations, and relationships between attachment/caregiving representations and beliefs about mothering. Mothers' and their children's accounts of and present thinking about their past relationship were highly similar, indicating that the two parts develop concordant states of mind regarding their relationship. In contrast, there was no relationship between mothers' and their adult children's beliefs about mothering, suggesting that such beliefs are not simply passed on from generation to generation within families. Attachment/caregiving classification interacted with generation in influencing a belief that biological facts determine maternal behavior, young adults with preoccupied attachment being particularly prone to reject this idea. Attachment/caregiving classification also had a significant effect on participants' tendency to adhere to an idealized conception of mothering, this tendency being associated with a dismissive attachment/caregiving representation.     

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

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

     

The earliest memory in individuals raised in either traditional and reformed kibbutz or outside the kibbutz

In two studies we compared the age of traditional kibbutz members' first memories with the first memories of people raised in Israeli cities (Study 1) and of people who were raised in reformed kibbutzim (Study 2). Building on the socio-cultural model of autobiographical memory, we predicted and found that children raised in the traditional kibbutz, not by their parents, but by a metapelet, had a significantly later onset of autobiographical memory than children raised in reformed kibbutzim or outside the kibbutz, who were under the primary care of their parents. We also examined gender differences in reporting the earliest memory. No gender differences were observed within each setting in the age of the earliest memory, but consistent with past research, memories reported by females were more elaborate than those reported by males.     

Effect of an observer's presence on facial behavior during dyadic communication

In everyday life, people communicate not only with another person but also in front of other people. How do people behave during communication when observed by others? Effects of an observer (presence vs absence) and interpersonal relationship (friends vs strangers vs alone) on facial behavior were examined. Participants viewed film clips that elicited positive affect (film presentation) and discussed their impressions about the clips (conversation). Participants rated their subjective emotions and social motives. Durations of smiles, gazes, and utterances of each participant were coded. The presence of an observer did not affect facial behavior during the film presentation, but did affect gazes during conversation. Whereas the presence of an observer seemed to facilitate affiliation in pairs of strangers, communication between friends was exclusive and not affected by an observer.     

Mental representations of attachment in day care providers

Mental representations of attachment of 31 day‐care providers were assessed using the Adult Attachment Interview (AAI), and compared with established observational measures of their behavior with the children under their care. Contrary to expectation, there was no significant association between the caregivers’ mental representations of attachment and their observed behavior. Teacher‐report ratings of aggressive behavior were obtained for 135 children who had been under the care of these providers. Ten of the 13 children who scored in the clinical range for aggressive behavior were known to have been under the care of a provider with a secure mental representation of attachment for an extended period of time (average 14 months), but the average age of first exposure to such a provider in this study was 16 months. For center‐based day‐care providers, standardized observational assessments of caregiving behavior appear to be unrelated to mental representations of attachment. Children who, during the second year of life, were cared for by providers with secure mental representations of attachment were not necessarily protected from abnormally aggressive behavioral outcome.     

“Empty nest” or relationship restructuring? A rational-emotive approach to a mid-life transition

One of the problems which women face at mid-life, is the transition from active mothering to continuing motherhood. Mothering is a role which starts with the birth of a woman's first child, and ends with the independence of the last. Motherhood is a lifetime relationship. The transition from active mothering to continued motherhood is fraught with maladaptive potential for many women. RET provides the tools for helping women restructure the relationship to their adult children when the mothering role ends.Rose Oliver is a psychotherapist in private practice in New York City.Earlier versions of this paper were presented at the 25th Anniversary Conference on Rational-Emotive Therapy, New York, NY, June, 1980, and the Eighth Annual Conference on Feminist Psychology, Boston, MA, March, 1981.This paper originally appeared inWomen & Therapy, Volume 1(2), Summer, 1982.     

The long‐term effects of institutional rearing,foster care intervention and disruptions in care on brain electrical activity in adolescence

Exposure to early psychosocial deprivation as a result of institutional care disrupts typical brain development. The Bucharest Early Intervention Project (BEIP) is the first longitudinal study to investigate the neurodevelopment of institutionalized infants randomized to a foster care (FCG) intervention versus care as usual (CAUG). Here, we present findings from a follow‐up assessment of brain electrical activity as indexed by resting EEG at age 16 years. In addition, we examined the effects of disruption of foster care placement (e.g. the number of moves among foster care placements) on brain electrical activity. Resting‐state EEG was collected from 48 CAUG, 46 FCG and 48 never institutionalized (NIG) control participants. Absolute (µV²) and relative (proportion) power were computed from eyes closed, resting EEG data for theta, alpha and beta frequency bands. The CAUG displayed higher relative theta and lower relative alpha power compared to the FCG at 16 years of age. The FCG showed brain activity comparable to the NIG. The results further showed that disruptions following the original foster care placement had an adverse effect on brain electrical activity. Within the foster care group, there were no effects of age of placement on EEG power. Placement of children who have experienced early institutional rearing into stable foster care settings ensure long‐term improvement in brain functioning.     

Development and Validation of a Quantitative Measure of Intensive Parenting Attitudes

Intensive mothering (IM) attitudes have been considered the dominant discourse of motherhood, but have only been assessed qualitatively The goal of this study was to develop a quantitative scale to assess these ideologies, their construct validity, and their relationship to relevant constructs (i.e., work status and division of household labor). An on-line questionnaire was given to 595 mothers asking 56 questions assessing different aspects of IM attitudes as well as several validation measures. An Exploratory Factor Analysis on 315 randomly selected mothers yielded a 5 factor solution. A Confirmatory Factor Analysis on the remaining 280 mothers demonstrated good fit. The five factors expressed the ideas that (1) women are inherently better at parenting than men (Essentialism), (2) parenting should be fulfilling (Fulfillment), (3) children should be cognitively stimulated by parents (Stimulation), (4) mothering is difficult (Challenging), and (5) parents should prioritize the needs of the child (Child-Centered). Scales had adequate reliability and construct validity compared to the Parental Investment in the Child questionnaire, the Parenting Sense of Competence Scale, and Beliefs about Maternal Employment. The Essentialism, Fulfillment, and Challenging scales were positively related to having more responsibility for child care and household chores. Stay-at-home mothers had higher scores on Essentialism and lower scores on Stimulation than both part-time and full-time working mothers supporting the notion that both working and non-working mothers have intensive parenting ideologies that are manifested in different ways.     

Cohesion and outcome in short-term psychodynamic groups for complicated grief

This study used two measures of cohesion for the process analysis of 12 short-term, time-limited groups for complicated grief. The measures had similar theoretical definitions but differed in terms of rater source (member vs. observer), measurement score (mean of items vs. global rating), and rating unit (individual vs. group). We examined the relationship between the measures, assessed the development of cohesion over the life of the group, and evaluated each measure's relationship to outcome. A principal components analysis with each measure yielded one cohesion component, which supported a unidimensional model; however, the two cohesion components were independent of each other, which supported a multidimensional model. Repeated measures analyses indicated that observer-rated cohesion developed in a quadratic manner (v pattern) across sessions, while member-rated cohesion developed in a linear manner. The object focus (the group, other members, the therapist) of the members' ratings determined whether cohesion increased or decreased across sessions. No significant relationships between cohesion and outcome were identified. Implications of the findings for the understanding of group cohesion are considered.