Assuming a Position: Women and Men as Moral Critics in Their Own War Zone

In their search for an authentic moral self, women and men may at some time in their lives assume a position of resistance. Men are most likely to assume this position in the sphere of war. It is not clear, however, where or when women would be expected to assume such a position or what the nature of that position might be, and how far it could be likened to that of the resisting man. This paper explores the idea that choosing to be a single mother can be a position by and from which women can voice their moral criticism. Such position is comparable to the (known and well-studied) position taken by men who show their moral criticism by refusing to participate in a specific battle during a morally controversial war. The paper begins with an examination of the philosophical and psychological concepts of separate and connected moral positions available to resisting men and women in the spheres of war and family. The conclusions are based on data from two samples of resisters in the spheres of war and the family: 36 soldiers (30 years old on average) who decided to take a stand as selective conscientious objectors (SCOs) during a morally controversial war and 50 (biologically) mature single women (over age 30) who chose to become pregnant and to remain unwed mothers. The conceptual and methodological questions regarding this comparison are discussed.     

The Challenge of Cultural Blindness: Implications for Family-Focused Service Delivery

When dealing with culturally diverse families, special education professionals need to be aware of the challenge of cultural blindness and acknowledge the cultural assumptions imbedded in the services they offer. Using data from qualitative interviews with Native American mothers and participant observations of a parent support group on their reservation, I analyze the implications of cultural blindness for the empowerment of minority families.     

The parental support networks of mothers and fathers: A multidimensional approach

This paper argues for a multidimensional approach to the study of the social support networks of mothers and fathers of young children. Network structure (e. g. size, density, member characteristics), support content (e. g. emotional, informational, economic and child care) and support quality (e. g. helpfulness, satisfaction with support, conflict associated with support and willingness to access support in future need) are distinguished. The goals of the study were: (1) to empirically test the multidimensionality of parental support networks; (2) to assess the relations among these three dimensions for mothers and for fathers; and (3) to examine how couples' support networks are interrelated. Individual at-home interviews were conducted with 100 parents to derive measures of parental support structure, content and quality. Fathers (N = 31) were compared to their spouses (N = 31) and to a comparison group of demographically similar married mothers (N = 38). For all three groups, the same three predicted dimensions emerged in the factor structure of their networks; in general, few gender differences were found. However, relations among structure, content and quality differed by gender, with network structure predicting support content and quality only for mothers. The network structure of couples was positively correlated, and overlap in network members was related to own and spouse's network helpfulness, satisfaction and child care support.     

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.     

Postpartum depression: Proposal for prevention through an integrated care and support network

Social science research and clinical literature concur with our experience as providers of psychoeducational and clinical services: Postpartum depression results from the interplay of a multitude of individual and contextual factors. In light of the extensive literature on postpartum depression, it is surprising that models for prevention have not been established. We propose a model for prevention through integrated care and support, in which a wide range of existing services are used. This model is similar to comprehensive prevention models proposed by advocates of integrated service systems, such as community mental health and family support. The article includes illustrative case material.     

Touch by Intrusive and Withdrawn Mothers with Depressive Symptoms

Interaction behaviours of 88 adolescent mothers with depressive symptoms and their 3-month-old infants were videotaped and coded for different types of touch. The ‘depressed’ mothers were classified as intrusive, withdrawm or good by one observer and another observer coded rough tickling, poking, tugging and pulling as negative touch behaviours and gentle stroking and rubbing as positive touch behaviours. The mothers with depressive symptoms were more likely to touch their infants in a negative way and more likely to be classified as intrusive.     

Does Postpartum Depression Affect Parental Embodied Mentalizing in Mothers With 4-Months old Infants?

Parental Embodied Mentalizing (PEM) regards parents’ nonverbal capacity to understand the infant’s bodily manifested mental states and adjust his or her own movements accordingly. Little is known about how mothers suffering from postpartum depression (PPD) mentalize the infant on an embodied level. The aims of the present study were to investigate whether mothers meeting criteria for a PPD diagnosis differ from non-clinical mothers in regard to their PEM capacities and whether the severity of depressive symptoms was associated with PEM in mothers meeting criteria for a PPD diagnosis compared to non-clinical mothers.10-minute long lab-based face-to-face interactions were coded with the PEM coding scheme at 4-months postpartum in mother-infant dyads with mothers meeting criteria for a PPD diagnosis (n = 29) and non-clinical mothers (n = 51).Results showed that mothers with and without a PPD diagnosis differ in their capacity to mentalize on an embodied level, but only when controlling for scores on the Edinburgh Postnatal Depression Scale (EPDS). However, more depressive symptoms as measured with the EPDS was not in itself associated with lower PEM in either group. This finding may indicate the presence of a threshold effect, i.e. that maternal PEM may be affected only when a certain degree of severity and duration in depressive symptoms is beyond a certain threshold. The importance of the findings in regard to the assessment of depression as well as more clinical perspectives are discussed.     

Postpartum mood disorders: Results of an online survey

Purpose: Postpartum mood disorders (PMDs), the distressing mental and emotional symptoms experienced by women after childbirth, are just now receiving the attention they warrant. Given the serious and sometimes life‐threatening nature of PMDs, we used a qualitative research design to examine more closely the nature of symptoms experienced and the effective strategies women used to cope with PMD. Participants: The respondents were 252 members of PMD and breast‐feeding (La Leche League) support groups throughout the United States. Method: Participants responded anonymously to open‐ended questions in an online survey. The data were reviewed by the research team to determine common themes and prevailing issues. Results: Participants reported myriad different symptoms and used a host of various strategies to alleviate problematic thoughts, feelings, and behaviours following childbirth. Postpartum symptoms affected participants’ plans to have future children. For some women, symptoms became more intense during subsequent births. Despite the problematic nature of PMD, more than half of the participants reported receiving little or no information from healthcare providers about PMDs. Implications for counsellors and other healthcare providers are discussed in detail.     

Assessing postpartum depression: Evidences for the need of multiple methods

IntroductionDifferent methods and instruments are frequently used to measure postpartum depression (PPD) in research, e.g. PPD-specific scales, DSM-based diagnostic interviews and rating scales assessing general depression. However, it is unsure whether these measures would lead to the same results, e.g. in the identification of “depressed” women or in their relations to third variables.Objective(s)We compared different measures of PPD and their relations with a third variable, namely the mothers’ marital satisfaction.MethodWe recruited 65 mothers to take part in a study about the impact of PPD on the development of early family relations. Maternal PPD was assessed with multiple methods (i) a PPD-specific scale, (ii) a DSM-based diagnostic interviews and (iii) a rating scale designed to assess the severity of depressive symptoms. We assessed mothers’ marital satisfaction with the Marital Adjustment Test (MAT).ResultsResults showed weak overlap between PPD-specific scale and DSM-based diagnosis of PPD, and modest correlations between the PPD-specific scale and the general depression rating scale. Only the score on the PPD-specific scale could predict marital satisfaction.ConclusionAs we found discrepancies between different measures of PPD, we suggest being cautious in the choice of measures and using multiple methods to measure PPD in a comprehensive way.     

Profiles of perceived resources among low-income,rural mothers: Prospective associations with maternal and child outcomes

Low-income, rural families face significant mental health risks. However, the understanding of resources associated with mental health risks is limited. The present study investigated the associations between perceived resources of low-income, rural mothers, and longitudinal maternal and child outcomes. This study utilized longitudinal data from the Family Life Project (N = 1203), from US rural areas with high poverty rates. Mothers reported their resources at 6-month postpartum, and their levels of depression, anxiety, and role overload were assessed at 2-year postpartum. Mothers reported their children's behavioral problems at 3 years old. Using a person-centered approach, we identified four maternal profiles: lower resources (7.1%); higher intra-family support (11.1%); higher inter-family support (20.8%); and higher resources (60.9%). In general, the higher resource profile was associated with lower mental health concerns of mothers and lower levels of behavior problems of children. Mothers in the higher intra-family support profile had disproportionately higher role overload. Children of mothers in the higher inter-family support profile showed disproportionately higher behavioral problems. Maternal partner status and education were significant predictors of resource profiles. Findings support the heterogeneity in perceived resources among low-income, rural families and different risk levels. Identifying these subgroups has significant implications for policy and interventions aimed toward this vulnerable population.