First-time mothers’ experiences of meaningfulness during their third trimester of pregnancy: A focus on spirituality

This study sought to gain in-depth understanding of the lived experiences of first-time mothers during their third trimester of pregnancy. The non-probability, purposive sample were Afrikaans speaking first-time mothers aged between 22 and 40 years. Data on their experiences of meaningfulness during their pregnancy were collected using the Mmogo-Method® and reflective journals. The data were thematically analyzed combining textual data and visual depictions. This group of first-time mothers expressed a very personal relationship with a Divine reality that they rely on and derive meaningfulness from their pregnancy and birthing experiences. They perceived a Divine reality as the giver of life and that they were given a responsibility to carry new life. Sense of meaningfulness during pregnancy was strongly associated with spirituality.     

Parental influences on self-regulation and achievement in children with adolescent mothers

The predictors of academic achievement and self-regulation in 95 high-risk children studied from birth were investigated during the second grade. Parenting, early maternal adjustment, child adjustment and temperament were hypothesized to predict the emergence of self-regulation. Although parenting, maternal adjustment, and child adjustment were related to achievement and classroom adjustment, they were not related to children's self-regulation, which was the strongest predictor of teacher ratings of academic performance, standardized achievement in math and reading, and classroom adjustment.     

New Beginnings–an experience-based programme addressing the attachment relationship between mothers and their babies in prisons

Data about the quality of attachment between infants and parents in high-risk populations suggests that early intervention may be advantageous for positive developmental outcomes for the child. Mothers in prison represent a high-risk parenting population in terms of both attachment histories and economic and social risk factors. New Beginnings was constructed as a short term, experience-based programme for mothers and infants in the Mother and Baby Units of two UK women's prisons. It is based on the early intervention model developed at the Anna Freud Centre. The programme was piloted in 2004–5, with 27 participating dyads. This paper presents an overview of the pilot stage. Our aim is to introduce the thinking that went into the programme and to present initial observations concerning the effect of the programme. We describe the development of a framework for the programme and its preliminary evaluation using pre- and post-interview protocols concerning the mothers' thoughts and feelings about their babies. We used the Parent Development Interview, for both a qualitative analysis of the major themes in connection to child rearing and quantitative measures of reflective capacity in relation to the child on the part of mother-participants.     

Precipitation anxiety

Therapy with autistic and psychotic children led the author to introduce the concept of precipitation anxiety. Freud's first theory of the instincts was expressed in the dynamics of conflict, but his subsequent development of life and death instincts is better understood in terms of a gradient of energy between two extremities of the same axis. Object relations result from a caesura (Bion) which creates a gradient of psychic energy experienced initially as a precipice which, if left unregulated, generates intolerable anxiety. Satisfactory emotional encounters with the mind of the object bring about the necessary adjustments to the slope of the gradient. Autistic mechanisms may block off precipitation anxiety, but they also prevent mental growth. Both the dynamics of conflict and the dynamics of the gradient are vital for psychic development, but the very existence of the former is contingent on successful negotiation of the energy gradient (working through). After illustrating his thesis with clinical material drawn from a group therapeutic setting, the author discusses points of convergence and divergence with two other fundamental notions: the aesthetic conflict (Meltzer) and premature psychic birth (Tustin). The proposed model furthers our understanding of the therapeutic process and stresses the importance of the containing object in the transference situation.     

Resonance and Ambiguity—about Metaphorical Thinking

This presentation is based on the theory, presented by the author, of the development of the mind and its psychoanalytic treatment as a stage-specific continuum, applicable in principle to all levels of disturbed and arrested mental development. This paper focuses on the nature of attainment and mediation of understanding with psychotic, borderline and neurotic patients, and the significance of successful conveyance of understanding as related to the general goal of psychoanalysis, to achievement of a structural change in the analysand's representational world and, finally, to the question of the main curative factor in psychoanalytic treatment. After discussing all these questions, the author ends up giving the conveyance of stage-specific and individual understanding a central place in all of them. The goals of understanding and psychoanalysis in general seem to be more-or-less identical. Starting and continuing new structuring internalizations in the patient's world of experience is primarily motivated by conveyance of the analyst's stage-specific and individual understanding, and thereby leading to alleviation or elimination of consequences of the developmental arrest. It seems thus warranted to conclude that conveyance of the stage-specific and individual understanding seems to be the central curative element in the psychoanalytic interaction.     

Motherhood and Counselor Education: Experiences With Work–Life Balance

Female professors with children continue to experience institutional and cultural barriers in academia. This article situates the experiences of counselor educator mothers in the context of current trends in academia and research related to mothers in the workforce.     

Treatment of Maternal Depression With In-Home Cognitive Behavioral Therapy Augmented by a Parenting Enhancement: A Case Report

Depression is prevalent among mothers who participate in home visitation programs. This case study describes In-Home Cognitive Behavioral Therapy (IH-CBT), an empirically based treatment for depressed mothers that is strongly integrated with ongoing home visitation. The use of a Parenting Enhancement for Maternal Depression (PEMD) module was added to address parenting difficulties in a depressed mother. This case describes issues and challenges encountered in delivering treatment in the home with low-income, depressed mothers. Issues involving engagement, adaptation to the setting, responding to the unique needs of low-income mothers, and partnership with concurrent home visiting to optimize outcomes are considered. Long-term follow-up (18 months after the end of treatment) permits examination of sustainability of gains. Implications for treating this high-risk population are discussed.     

COGNITIVE AND SOCIOEMOTIONAL FUNCTIONING AT 4½ YEARS IN CHILDREN BORN TO MOTHERS WHO HAVE RECEIVED TREATMENT FOR SUBSTANCE‐ABUSE PROBLEMS WHILE PREGNANT

Cognitive and socioemotional functioning at 4½ years of age were examined in children born to mothers with substance‐abuse problems (n = 22) recruited from residential treatment institutions while pregnant, and then compared to children born to mothers with mental health problems (n = 18) and children from a low‐risk group (n = 26). No significant group differences in cognitive functioning were found, but the children born to mothers with substance‐abuse problems showed more caregiver‐reported socioemotional problems than did the low‐risk children, like the children born to mothers with mental health problems. Birth weight had an effect on internalizing problems at 4½ years and mediated the relation between group and socioemotional problems, although not when controlling for caregiver education, single parenthood, and anxiety and depression. At 4½ years, 7 children born to mothers with substance‐abuse problems were placed in foster care. These children had lower birth weight and higher caregiver‐rated internalizing problems. In addition to emphasizing the importance of the quality of the prenatal environment, this study suggests that families with previous substance abuse are in need of long‐term follow‐up to address socioemotional problems and enhance further positive child cognitive development. The foster‐placed children may be in particular need of long‐term follow‐up.     

Type a behavior pattern in mothers of infants: An exploration of associations with attachment,sensitive caregiving,and life-events

Abstract

In the present study. 83 lower- to upper-middle class mothers of first-born, 12-month-old infants were interviewed with the Adult Attachment Interview (George, Kaplan, and Main, 1985), and completed the Groninger Intelligence Test (Luteijn and Van der Ploeg, 1982). Eighteen months after the beginning of the study, 67 mothers (81% of the original sample) were interviewed with the Structured Interview (Rosenman, 1978), and were observed during a brief, semi-structured play session at home with their child - at that time a 2.5-years-old toddler. They also completed a checklist about major life-events that had occurred during the past 18 months. A large majority of these mothers of young children (81%) showed Type A behavior patterns. The job of parenting, indeed, appears to be stressful. Attachment and Type A behaviors, however, did not seem to be related, probably because the influence of attachment is restricted to the regulation of emotions in intimate relationships. Yet, Type A behavior predicted a more sensitive parenting style than Type B did. All mothers who experienced negative life-events or Serious health problems in the recent past showed Type A behavior patterns. Our findings show that the Structured Interview can be applied in a valid manner to mothers of young children passing trough a demanding phase in their lives. Further research is needed to uncover the causes of the high prevalence of Type A behaviors in young mothers.