Abstract: | Little is known about the relationship between mother and infant within multiproblem, so-called “hard to reach” families. In an effort to understand factors contributing to problems in caring for the young children of these parents, a group of 47 families was recruited for study by the Clinical Infant Development Program of the National Institute of Mental Health. Serious social pathology was found within 75 percent of families. The lives of mothers in these families was marked by long term disruptions: 64 percent were from families characterized by recurring poverty and psychiatric illness, and 69 percent reported disruptions in parental care prior to age twelve, while more than two-thirds reported a history of being physically and/or sexually abused as children. More than 75 percent of this group of women presently showed psychiatric distress. Many of these women have difficulty in providing adequately for their young children and require innovative intervention programs in order to facilitate parenting. |