Impact of Social Determinants on Parent Sense of Competence in Mothers Who are Homeless or Poor Housed

Unfavorable social determinants can impact mothering of young children who are homeless or poor housed and parent sense of competence. Social determinants influence on mothers’ parent sense of competence parent self-efficacy and satisfaction was investigated. Homeless mothers reported worse scores than poor housed mothers on 5 of 10 social determinants including: mother moves, abuse, un/underemployment, less stable partner relationships and student roles. Homeless mothers scored lower than poor housed mothers on parent sense of competence satisfaction and parent sense of competence total, but not on parent sense of competence efficacy. No one social determinant predicted parent sense of competence. Results underscore the need to address social determinants of health in occupational therapy community-based practice.     

Eating disorders from parent to child: Mothers’ perceptions of transgenerational effect

Primary prevention focuses on the reduction of risk factors. Children of mothers with an eating disorder are a proven “at risk” group, because children internalise their experiences. Prevention in the field of eating disorders has as yet only addressed children of seven or eight upwards and only in school‐based programs which did not incorporate mothers. This project targeted mothers with an eating disorder who had children under the age of thirteen. The hypothesis is that if these mothers can be encouraged to change damaging behaviour that their children are likely to model, we can attempt to break the cycle of dysfunction. This is a qualitative and quantitive research project, carried out with standardised measures and semi‐structured interviews before and after a nineteen week therapy group, with six and twelve month follow ups. The group consisted of eight mothers. This paper describes the group and provides a case study of one participant. The initial analysis suggests that the support of a therapeutic group allowed this mother enough space for reflection. She became aware of her dysfunctional behaviour and was able to begin to understand the underlying reasons behind it. This led to an improvement in her own Eating Disorder (ED) and she was subsequently able to make change in her responses to her children's needs.     

Incarcerated Mothers: Mutual Support Groups Aimed at Reducing Substance Abuse Relapse and Recidivism

Interventions to reduce relapse and recidivism for the increasing number of mothers incarcerated for illicit drug use are needed to prevent maternal/child separation and high public expenditures. This paper describes mutual support groups for women inmates aimed at strengthening family coping skills, especially communication, anger management, and parenting skills. Qualitative data collected during the group sessions indicated that the healing support of shared experiences, stories, poetry, and staying in the present were identified as spiritually uplifting. Problem solving and improved family interactions constituted additional themes extracted from the qualitative data. Future plans include including quantitative outcome measures of success.     

Filial Responsibility and Transitions Involved: A Qualitative Exploration of Caregiving Daughters and Frail Mothers

One of the consequences of an aging society is the growing need for caregivers to the increasing number of frail older persons. This study is a qualitative examination of filial responsibility between caregiving daughters and frail mothers. It explores filial expectations and motivations and how incongruencies are met and negotiated. Twenty-two women (eleven caregiving dyads) were interviewed using a semi-structured interview format. Employing the grounded theory methodology, interviews were analyzed both individually and dyadically for content and themes. What emerged from the analysis was a grounded theory framework of four intrapsychic caregiving and care-receiving transitions: (1) Realizing I am a Caregiver/Care-receiver; (2) Defining the Caregiver/Care-receiver Roles; (3) Redefining the Caregiving Relationship; and (4) Relationship Acceptance. The transitions identified here comprise a loose framework influenced by different levels of filial responsibility—personal, parental, family, and religious. In addition to the four transitions, one overarching theme called “Emotional Responses to Informal Caregiving and Care-receiving” was evident throughout the findings. Findings from this research provide a framework for understanding the often unclear transitions that daughters and mothers believe they go through. Research implications are discussed for researchers, therapists, caregiving support group leaders, and women who are contemplating or confronted with filial responsibility.     

Social networking site use: Linked to adolescents' social self‐concept,self‐esteem,and depressed mood

Adolescents spend a substantial amount of time using social networking sites (SNSs); however, little is known regarding whether such use is associated with indicators of adjustment. The present study employed a multidimensional measure of SNS use to investigate the link between Australian adolescent SNS use and indicators of adjustment. Youth (N = 1,819, 55% female) from 34 diverse high schools across Western Australia were surveyed. The results showed that frequency of SNS use was linked to higher social self‐concept while investment in SNSs was associated with lower self‐esteem and higher depressed mood. Furthermore, having an SNS was linked to more negative indicators for female adolescents compared with male adolescents, although the link between frequency of use and investment in SNSs to indicators of adjustment was not moderated by gender. The present study highlights the complexity of the relationship between adolescent SNS use and indicators of adjustment, and offers insight into the diverse types of adolescent use of SNSs.     

'Talk to me baby, tell me what's the matter now': Semiotic and developmental perspectives on communication in psychoanalytic infant treatment

Infants suffer to a considerable degree from disturbances in nursing, sleep, mood, and attachment. Psychotherapeutic methods are increasingly used to help them. According to case reports, psychoanalytic work with infants and mothers has shown deep‐reaching and often surprisingly rapid results, both in symptom reduction and in improved relations between mother and child. The clinical urgency of the method makes it important to study its results and theoretical underpinnings. Among the theoretical issues often raised in discussions on this modifi ed form of psychoanalysis, those addressing the nature of communication between analyst, baby, and the mother are the most frequent. For example, how and what does an infant understand when the analyst interprets to her? What does the analyst understand of the infant's communication? These issues are addressed by investigating the infant's tools for understanding linguistic and emotional communication, and by providing a semiotic framework for describing the communication between the three participants in the analytic setting. The paper also investigates problems with the traditional ways of using the concept of symbolization within psychoanalytic theory. The theoretical investigation is illustrated by two brief vignettes from psychoanalytic work with an 8 month‐old girl and her mother. demand for the breast. Like the two lovers in the blues, they seemed to be slaves to     

Sex differences in anger expression,depressed mood,and aggression in children and adolescents

The current study examined anger expression styles and their relationship to levels of depressed mood and aggressive behavior in male and female children and adolescents. Measures of anger, anger expression, and depressed mood were collected from both children and their parents. Hierarchical multiple regressions revealed that anger expression significantly predicted sadness but not aggression for females, after accounting for age and anger level. Among males, anger expression was important in predicting aggression but not sadness, whereas age and anger level best predicted sadness. These results suggest that age, anger level, and anger expression may be risk factors for depression and aggression among children and adolescents. Sex appears to be an important factor in anger expression styles and related depression and aggressive behavior.     

The Experience of Caregiving Among Mothers of Adults Suffering from Psychotic Disorders: Factors Associated with Their Psychological Distress

To identify correlates of psychological distress among multiple indicators, 99 women with adult children suffering from a psychotic disorder were interviewed. The women, who were recruited through hospitals and self-help groups, represented different socioeconomic levels. A face-to-face standardized interview was conducted, mainly in the participants' homes. Multiple hierarchical regression analysis showed that dimensions of burden and social support were strongly associated with distress reported by the participants. The negative interactions that participants had with their main confidant or spouse constituted a more powerful correlate than their perception of the quality of this relationship. Furthermore, a perception of their own health as poorer is a strong correlate of their distress. Since no control group was studied simultaneously, these results suggest, but do not prove, the presence of differences between mothers of adults with psychotic disorders and other mothers.