The Conjoint Session as a Tool for the Resolution of Separation-Individuation in the Adult Mother-Daughter Relationship

In the present article, two case reports are used to examine the adult mother-daughter relationship from the point of view of the mother. The two mothers, in midlife, looked to their adult daughters to perform selfobject functions. The daughters of these patients felt threatened by their mother's desire for emotional dependence and had emotionally distanced themselves from their mothers. Emotional estrangement from their daughters had caused these patients to experience feelings of depression severe enough to seek treatment. The article describes the use of a conjoint mother-daughter session within the context of the mother's individual treatment to help these mothers to recognize the unresolved separation-individuation in their relationships with their daughters and to promote a healthier connection in the mother-daughter relationship.     

God as Selfobject and the Therapeutic Potential of Divine Failure

Although early psychoanalytic theorists took a disapproving stance towards religious belief, later theorists recognized the critical support that a relationship with God provides the believer. This shift has allowed social workers to continue utilizing psychodynamic theory without taking a condescending attitude towards their clients’ religious beliefs. Kohut’s articulation of selfobject needs that persist throughout adulthood provided a prism through which to understand the support for the underlying structures of the self that a connection with the divine offers. However, Kohut’s identification of God as a selfobject limits itself to only its supportive element. This article explores the potential for psychological growth inherent in a relationship with God. The ability to acknowledge and mentally process divine failure—those moments where for the believer God does not offer sought after support—seem to be the primary catalyst for exercising this potential growth. Clinical examples are provided to demonstrate how a relationship with God can be addressed in a therapeutic context.     

Female Adoptees’ Experiences Balancing Relationships With Biological and Adoptive Mothers Post‐Reunification

Using a feminist postmodern perspective and the sensitizing concept of split loyalties from Contextual Theory, the primary purpose of this qualitative study was to develop a better understanding of how adult female adoptees from closed adoptions negotiate relationships with their adoptive and biological mothers post‐reunion. We conducted semi‐structured individual interviews with nine adult female adoptees, ages 28–52, who were adopted prior to the age of two. Six were Caucasian, three were African American, and the average age at reunion was 29. Grounded theory techniques were used to code the qualitative data, in particular the constant comparative method of analysis. Four main categories emerged: (a) Negotiating Mother–Daughter Relationships, (b) Relating to Mothers Equitably, (c) Loyalty, and (d) Adoptees’ Emotional Needs. Our findings suggest the adoptive mother–daughter relationship has a salient effect on adoptees’ relationships with biological mothers post‐reunion. Loyalty to the adoptive mother seems to influence the evolving relationship and closeness displayed toward the birth mother. Adult female adoptees from closed adoptions described struggling with managing their two mother–daughter relationships and need clinical help addressing their own emotional needs.     

Staying Alive: Matricide and the Ethical-Political Aspect of Mother-Daughter Relations

In this article I argue that an account of nonmatricidal relations between mothers and daughters should include an account of the transformative process through which mothers and daughters can overcome the damage of phallocentrism. I further argue that as a lived experience, mother-daughter relations are always actualized in relations with a normative background, authoritative discursive practices, and social institutions, all of which constitute motherhood in different contexts. Transforming this space means challenging these contents and practices. Thus, it follows that creating nonmatricidal relations includes an aspect of witnessing in which the mother addresses to the daughter her refusal of phallocentric practices and values. By becoming the addressee of the mother’s subjectivity, as expressed in her ethico-political refusal, the daughter constitutes relations of difference. Reading the biblical story of Lot’s wife and her daughters, I suggest that the act of witnessing the violence of divine law has constituted a space between Lot’s wife and her daughters wherein they could create a lineage based on resistance to phallocentric law and affirmation of an alternative ethics.     

Illegitimate pregnancies,abortion, and the relationship with the pre-oedipal mother

There exists a correlation between disturbances in the early mother-daughter relationship and the adolescent's gravitating toward illegitimate pregnancy and abortion. Out-of-wedlock pregnancies may be an expression of opposing urges to separate from the mother while longing to remain very close. Abortion, the ultimate rejection of the fetus, may express hatred of the mother as well as its corollary hatred for a self that has remained merged with a hated or ambivalently regarded mother. In the clinical material it became clear that the most meaningful steps within the treatment were catalyzed by reenactments of the mother-daughter relationship and that interpretation of transference and countertransference tended to be the crucial element in the work. Movement toward more self-acceptance was paralleled by a more benign stance toward the therapist, the mother, and the daughter.This article was completed in partial fulfillment of the requirements for a certificate in the Post-Master's Program in Advanced Clinical Social Work at Hunter College School of Social Work. The author thanks Dr. Lucille Spira for her help in writing this article. Ms. Grill is a psychiatric social worker New York Psychiatric Institute in private practice.     

Reclaiming the Mother-daughter Relationship after Sexual Abuse

This paper seeks to provide direction to therapists working with mothers and daughters after a disclosure of father-daughter sexual abuse. The importance of the mother's belief in and support for the child's recovery is highlighted, as are some of the cultural assumptions about mothers and daughters which negatively impact on the relationship. Despite paying lip service to offender responsibility, there continues to be a culture of mother blaming in the child sexual abuse and family therapy literature on incest. Current research findings challenge some of the prevalent myths about mothers’ responses to their children's disclosures. Few clinical sources have addressed this issue, and therapists who reject the mother blaming literature are therefore left with little guidance as to how to work more effectively with mothers and daughters. Consequently they may unwittingly further undermine the relationship. Work with mothers and daughters as they recover from intrafamilial sexual abuse is discussed, and key therapeutic themes and guidelines for practice presented. We explore the significant theme of the rebuilding of trust between mothers and daughters and facilitate a process whereby the woman is able to bear witness to and acknowledge the trauma experienced by her daughter.     

Self psychology and the psychotherapy of psychotic patients: A case study

Self psychology has previously been employed in describing the treatment of narcissistic personality disorders. This article discusses the clinical application of concepts of self psychology to the psychotherapy of a psychotic patient. Empathy and the concept of empathic failure were very helpful in conceptualizing the therapeutic process. The two selfobject transferences of mirroring and idealization were both present in this case, and the recognition and interpretation of these transferences were critical in understanding the therapeutic process. The patient's delusional experiences receded and began to be less disruptive as the selfobject transferences emerged and remained in place. The resurgence of delusional material was usually indicative of a failure of empathy and a disruption of the selfobject transference. This patient's ability to regulate his anxiety and calm himself was considerably enhanced during the course of treatment. Self psychology and the understanding it provides proved to be of great value in the treatment of this patient and has wide applicability to the psychotherapy of psychosis.     

Mother and Daughter Reports About Upward Transfers

Using 619 mother‐daughter dyads interviewed in the 1997 National Longitudinal Surveys of Mature Women and Young Women, this study examines the assistance that adult daughters provide to their mothers and its covariates. Mothers and daughters have low levels of agreement on transfers. Using mothers’ reports identifies different covariates of transfers than using daughters’ reports. After discrepancies between mother and daughter reports are controlled for, only 3 out of 17 covariates examined are related to transfers, including mothers’ widowhood status, the number of mothers’ difficulties with activities of daily living, and the distance between mother and daughter residences. These findings suggest that without controlling for discrepancies between mother and daughter reports, the covariates of upward transfers may be inaccurately identified.     

Efforts to create meaning in the relationship between aging mothers and their caregiving daughters: A qualitative study of caregiving

Using grounded theory methodology, this research identifies the major themes or meaning systems that caregiving daughters and their aging mothers apply to their caregiving. In depth interviews with 11 mother-daughter pairs explore attitudes toward filial responsibility and actual caregiving experiences. Five themes emerge describing the cognitive, affective, motivational, and interpersonal components of the meaning systems of filial caregiving: increased relational tolerance or acceptance, redefinition of the mother-daughter relationship, aging awareness, relationship priority, and sacrifice. Four themes are evident in both mothers' and daughters' narratives, whereas the final theme, sacrifice, is linked to daughters' accounts. These themes reflect efforts to create meaning at the interpersonal, familial, symbolic, and psychological levels. The significance of the findings for understanding the dynamic nature of the mother-daughter relationship is discussed.     

Constructing and Deconstructing the Body Malleable through Mother–Daughter Interactions

This interpretive study explores how mothers and their adolescent daughters respond to and interact about the body malleable ideology, or cultural discourses that normalize thinness and promote the body as changeable. In-depth interviews were conducted with 20 mothers and their daughters. Grounded theory analysis revealed two responses to the body malleable ideology—the acceptance or rejection of the body as a malleable object. Participants expressed ambivalence about this ideology and related cultural discourses. Further, through their interactions, mothers and daughters both constructed and deconstructed the ideology of a malleable body. Three patterns of dyadic experience were identified: Pattern A, in which both the mother and daughter accepted the body malleable ideology, Pattern B, in which both the mother and daughter rejected the body malleable ideology, and Pattern C, in which the mother rejected and the daughter accepted the body malleable ideology. In taking an in-depth look at the cases of three dyads, we explore defining characteristics of these patterns. We also present a grounded theory model developed to illustrate relationships discovered in this study.     

Family Structure,Mother–Daughter Relationship Quality,Race and Ethnicity,and Adolescent Girls' Health Risks

Using a sample of 7,114 adolescent girls (4,269 White, 1,707 African American, and 1,138 Hispanic) and biological mothers from Wave 1 of the National Longitudinal Study of Adolescent Health, we examined how family structure, girls' perceptions of mother–daughter relationship quality, and race and ethnicity related to girls' health risks. In general, results indicate heightened risk for both precocious events and depressive symptoms for girls in mother–stepfather, single-mother, and nonresident mother families compared to mother–father families. However, significant two- and three-way interactions suggest that adolescent girls' health risks vary considerably based on the combination of family structure, mother–daughter relationship quality, and race and ethnicity.     

MATERNAL GRANDMOTHERS AS CHILD CARE PROVIDERS FOR RURAL,LOW-INCOME MOTHERS

This qualitative study investigated the experiences of forty-two rural, low-income mothers who utilized their own mothers for routine child care. A life course perspective was used to explore mothers’ perceptions of their child care arrangement and the influence of the adult daughter–older mother relational context. Results focus on the benefits and weaknesses of child care provided by grandmothers and the influence of the relationship between participants and their mothers on this care arrangement. The analysis has implications for research, support programming, and public policy.     

Incarcerated Mothers Reports of Their Daughters' Antisocial Behavior,Maternal Supervision and Mother-Daughter Relationship

ABSTRACT

This study examines the extent of delinquency and antisocial behavior among adolescent daughters of incarcerated mothers and the influence of the mother-daughter relationship and maternal supervision on daughters' participation in delinquency and antisocial behavior. One hundred and one incarcerated mothers completed survey questionnaires that asked about their daughters' participation and involvement in antisocial and delinquent behavior and the nature of both mother-daughter relationship and maternal supervision. Overall, mothers reported low levels of involvement in antisocial or delinquent behavior for their daughters. Participation in antisocial behavior was inversely related to positive mother-daughter relationship. Maternal supervision was not related to level of participation in antisocial or delinquent behavior.     

But it’s not all about the sex: mothering,normalisation and young learning disabled people

This paper is about mothering, young learning disabled people, their sexualised and relationship lives and normalisation – not through the lens of the disabled person, but via a mothers perspective and theoretical discussion. As a mother who has a learning disabled daughter, a feminist and an academic my own mothering experience, my Ph.D. research and social theory are woven throughout this paper with the intention of opening up debate about sex, intimacy and normalisation, and how these impact upon young learning disabled people. I suggest that the relationship between sex, reproduction, intimacy and intellectual impairment and a project to decipher what it means to be human in all its dirty glory are also part of the discourse that needs to be discussed experientially and theoretically. So much so that the messy world within which we all live can be variously and differently constructed.     

Religiosity as a Moderator of Family Conflict and Depressive Symptoms among African American and White Young Grandmothers

ABSTRACT

This study examined the association between religiosity, conflict in the mother-daughter relationship, and depressive symptoms among 83 African American and white grandmothers. Interviews were conducted during the early stages of adaptation to grandparenthood due to the birth of a baby to a teenage daughter. The results of this study suggest that religiosity is associated with less depressive symptoms. In addition, religiosity moderates the relationship between conflict and depressive symptoms for African American grandmothers. Specifically, highly religious African American grandmothers experiencing low conflict with their daughters reported lower depressive symptoms than those who were less religious. These findings were not evident for white grandmothers. The implications of these findings for grandmothers in families with teenage mothers are discussed within the context of race, religiosity, family relationships, and psychological well-being.     

The Desomatizing Selfobject Transference: Analysis of an Eating Disorder

This article documents the manner in which psychological treatment, with its attentiveness to the vicissitudes of the unfolding selfobject transference, gradually enabled a patient to contain and articulate painful affect states. The patient's passionate relationship with food, strikingly illustrated in the clinical material, including her dreams, endowed eating with the functions of an idealized selfobject. Over the course of treatment, she seemed to traverse a psychic bridge that took her from an isolated reliance on food through a more focal awareness of her body and her feelings, to an investment in, and capacity for, deepened relationships with other people.     

Linkages between mothers’ job stressors and adolescents’ perceptions of the mother–child relationship in the context of weak versus strong support networks

This study tested the hypothesis that mothers’ exposure to psychosocial job stressors would be indirectly associated with less favorable ratings of the mother–adolescent relationship, as perceived by youth, by way of mothers feeling depleted of cognitive and emotional energies after work. We also examined whether mothers’ perceptions of being socially supported with regard to work and family responsibilities moderate associations between greater psychosocial job stressors and lesser quality in the mother–adolescent relationship. The sample consisted of 169 diverse mother–early adolescent dyads. Mothers and adolescents completed surveys independently. Hypotheses were tested through structural equation modeling and multi-group comparisons. Psychosocial job stressors were indirectly related to qualities of the mother–adolescent relationship via their association with mothers’ experiences of psychological energy depletion from work to family. The most consistent evidence for these associations was found among women who felt less social support in regard to their work–family responsibilities.     

Integration and alternatives: Some current issues in psychoanalytic theory

The first great bridge between psychoanalysis and social work came with the concepts of ego psychology which provided a synthesis between the worlds of the social order and the psychological depths. Current psychoanalytic theorists now question whether any one psychological theory is sufficient to describe the complexity of human experience, and suggest that each theory has a piece of the truth because it states something that is correct about the patient at a particular time in the treatment. Adherence to multiple theories makes a complex problem for the clinical practitioner, who must decide from which perspective to respond to the clinical material of the moment. Psychoanalytic theorists are also questioning the degree to which it is actually the content of the therapist's interpretations which brings about change in the patient. This article suggests that these developments in psychoanalysis, with their emphasis on therapeutic flexibility and the importance of the relationship will renew and reinvigorate the bridge between psychoanalysis and clinical social work.An earlier version of this paper was presented at the First Clinical Conference of the National Federation of Societies for Clinical Social work.     

Adolescent Daughters of Mothers with Breast Cancer: Impact and Implications

While the literature supports the view that a parent's illness will have an impact on a child, less specific attention has been given to the impact of a mother's breast cancer on her adolescent daughter. In this paper, clinical vignettes derived from interviews with adolescent daughters (ages 12–19) living with mothers who have breast cancer are presented to illustrate some of the concerns daughters have about themselves and their mother's illness. The daughters express anxiety about changes in family roles, but seem more concerned about the potential loss of the mother/daughter relationship. They describe their fears of recurrence of the disease as well as getting the disease themselves. The girls also demonstrate great strength; resilience and hope in the face of the challenges presented by the changes in their lives. Girls who had mothers die of the disease are not included in this article. Implications for treatment are discussed.