‘And when you were a child?’: how therapists working with parents alongside individual child psychotherapy bring the past into their work

When a child is offered psychotherapy, it is common that regular meetings will be offered to the parents. However, there are debates in the literature about the degree to which such parent work should include a focus on the parents’ own childhood experiences. This study aimed to examine the way that those offering parent work as part of a study evaluating the treatment of adolescent depression dealt with this issue in their work with parents, both in the study and in routine clinical practice. Design: five therapists were interviewed on the subject of working with parents’ childhood experiences within parent work parallel to child psychotherapy. Data were analysed qualitatively, using Interpretative Phenomenological Analysis. Findings: participants described the need to consider the different parameters of this work to individual adult therapy; in addition, participants felt that it was necessary to negotiate permission to work on the parents’ childhood experiences. They also spoke of making use of insight into the repetition of the parents’ history, the analysis of parental projections and offering containment within the relationship; this varies from the ‘transference work’ of individual therapy and a different style of interpretation was described. Conclusions: there is a need to give more attention to the neglected field of working with parents alongside individual child psychotherapy, especially at a time when such work is under threat within many public services. There are particular technical issues related to work with parents’ own childhood histories that are different to how one might work in individual therapy with a parent.     

The Effects of Parent Training and Ritalin on the Parent-Child Interactions of Hyperactive Boys

Using a multiple baseline across subjects design, the present study assessed the effects of parent training alone and combined with methylphenidate on the social interactions of three mothers with their hyperactive boys. Two mothers received instruction in child behavior management while their sons remained off medication. Subsequently, these boys returned to medication to evaluate whether the drug further enhanced the effects of parent training. The third child received the drug treatment first and then remained on medication while his mother underwent the same parent training program. Results indicated that both treatments alone decreased the amount of commands given by the mother as well as parent ratings of deviant child behavior in the home, but produced variable improvements in child compliance to commands. More reliable improvements in child compliance to commands. More reliable improvements from each treatment occurred in the duration of compliance per command. the combination of treatments failed to produce any further improvements in mother-child interactions than that achieved by either treatment alone. Contrary to earlier research, only parent training resulted in increases in the mothers' use of positive attention following child compliance.     

The distressed (Type D) personality mediates the relationship between remembered parenting and psychological distress in cardiac patients

Objective: Both the distressed (Type D) personality (i.e. the combination of negative affectivity and social inhibition traits) and dysfunctional parenting styles are associated with anxiety and depression. As parenting styles have been related to personality development, dysfunctional parenting styles may also be associated with Type D personality. We examined whether remembered parenting was associated with anxiety and depression in cardiac patients and whether Type D personality mediated this relationship.

Methods: Our sample comprised 435 patients treated with percutaneous coronary intervention (PCI) and 123 patients with congestive heart failure (CHF). Patients completed the Hospital Anxiety and Depression Scale, Type D Scale (DS14), and Remembered Relationship with Parents (RRP¹⁰) scale.

Results: Remembered parenting was significantly associated with higher anxiety and depression levels and Type D personality. In multivariable linear regression analyses, Type D personality accounted for 25–29% of the variance in anxiety and 23–46% of the variance in depression, while remembered parenting was no longer significantly associated with these domains. Sobel tests and bootstrapping indicated that Type D personality mediated the relationship between remembered parenting and anxiety and depression.

Conclusion: Type D personality mediated the relationship between remembered parenting and anxiety and depression in both PCI and CHF patients.     

Single parenting effects: resource access and coping of children in Swaziland

This study investigated single parenting influences on the psychosocial development of children in Swaziland. Participants were a convenience sample of 24 students attending eight urban and rural schools (females?=?54%; males =46%; age range 13–21). Data on experiences of single parenthood and their sense of well-being were collected using focus group interviews. The data were thematically analysed. The findings suggest that children experience physical, material, emotional and social resource depletions. The children reported acceptance, search for meaning and purpose, and hope in the future as positive coping strategies they used to live with resource scarcity. Psychosocial resourcing of children with single parenthood is concomitant with positive self-perception, self-identity and self-esteem.     

Heterogeneity in Maltreated and Non‐maltreated Preschool Children's Inhibitory Control: The Interplay Between Parenting Quality and Child Temperament

This study examined the contribution of child temperament, parenting, and their interaction on inhibitory control development in a sample of maltreated and non‐maltreated preschool children. One hundred and eighteen mother–child dyads were drawn from predominantly low‐income, rural communities. Dyads participated in a laboratory session in which maternal warm autonomy support, warm guidance, and strict/hostile control were observationally coded during a joint teaching task. Independent assessments of children's inhibitory control were obtained, and observers rated children's temperament. After relevant covariates, including income, maternal education, and child age and IQ were controlled for, there were no differences between the maltreatment and non‐maltreatment groups in either children's inhibitory control or mothers' behaviours in the laboratory session. Even after much of the variance in children's inhibitory control was accounted for from the covariates, children's temperamental negativity moderated the effects of warm autonomy support on inhibitory control in both maltreatment and non‐maltreatment groups. Temperamentally negative children whose mothers displayed more warm autonomy support showed greater inhibitory control, at levels on par with low‐negative children. Findings suggest that heterogeneity in children's self‐regulation may be due in part to individual differences in sensitivity to caregiver support for children's independence, even among those exposed to maltreatment. Copyright © 2013 John Wiley & Sons, Ltd.     

Goal disturbance,coping, and psychological distress in partners of myocardial infarction patients: Taking account of the dyad

Abstract

This study aims to explore the relationship between goal disturbance and levels of psychological distress in partners of myocardial infarction (MI) patients. Furthermore, the role of partner and patient coping behaviour in the context of goal disturbance is explored. Forty dyads were interviewed and completed questionnaires 1 month (T1) and 4 months (T2) post MI. All patients were men. Patients and partners do not differ on anxiety or depression scores, however, patients experience significantly more higher order goal disturbance at T1. Partners reporting more goal disturbance also show increased distress at T1. More use of approach coping by partners contributes to explained variance in their goal disturbance. Partner avoidant coping is moderated by patient avoidant coping. Approaches to reduce distress in partners should thus take account of goal disturbance and coping behaviours within the dyad.     

Ethnic Differences in Parents' Attitudes toward Girls' Use of Aggression

Few studies have attempted to explain ethnic differences in female aggression. The degree to which ethnic differences exist in the influence of parents' approval of aggression on their preadolescent daughters' use of physical, verbal, and relational aggression was explored in a sample of 97 parent-child dyads. Results indicate that European American parents were more disapproving of their daughters' aggressive behavior than were African American parents. Parents' attitude toward aggression was predictive of European American girls' use of physical and verbal aggression and African American girls' use of relational aggression. Implications for aggression prevention and intervention for girls are discussed.     

Child Abuse and Adolescent Parenting

Abstract

Adolescent parents are commonly identified as an at-risk group in the child abuse literature. However, theoretical models specific to the area of child abuse and adolescent parenting are not well developed. This essay reviews established theories on child abuse, abusive parenting, and adolescent parenting to synthesize a proposed child abuse and adolescent parenting model. An ecological perspective is used to organize the theoretical model. The components of this model are supported by existing research on child abuse and adolescent parenting. The new synthesized model on child abuse and adolescent parenting should be viewed as an informed way to organize and conduct future research in this area. Further theory development on child abuse and adolescent parenting should be encouraged.     

The Role of Parenting in Relational Aggression and Prosocial Behavior among Emerging Adults

This study investigated the role of remembered parenting styles and parental psychological control in the prediction of relational aggression and prosocial behavior in a college student sample (N = 323). Participants’ retrospective ratings of how they were parented were related to relational aggression and prosocial behavior; however, somewhat different relationships emerged for African American and White participants. Permissive parenting, authoritative parenting, and parental psychological control predicted relational aggression. Participant race and all 3 parenting styles (authoritarian, authoritative, and permissive) predicted prosocial behavior. Participant race moderated the relationship between psychological control and prosocial behavior. Specifically, parental psychological control was inversely related to prosocial behavior for African American, but not White, participants.     

Maternal Dysphoria,Maternal Attitudes Toward Parenting,and Childhood Externalizing Behavior as Predictors of Physical Aggression

The purpose of this study was to test for reciprocity and chaining in 4,897 children (2,568 boys, 2,329 girls) from the Fragile Families and Child Wellbeing Study (FFCWS). Cross-lagged correlations between maternal dysphoria and attitude at Waves 2 and 3 of the FFCWS revealed that maternal dysphoria and negative maternal attitudes toward parenting were reciprocally related. Regarding chaining, the direct effects of Wave 2 maternal dysphoria and attitudes on Wave 5 offspring physical aggression were nonsignificant, although both variables predicted Wave 5 physical aggression via their cross-lagged correlations with each other at Wave 3 and offspring externalizing behavior at Wave 4. These results indicate that dysphoria and negative maternal attitudes toward parenting are equally important in predicting offspring physical aggression.