Parent and Child Therapy: An Attachment‐Based Intervention for Children With Challenging Problems

Parent and Child Therapy (PACT) is an attachment‐based intervention for children aged between 4 and 12 years old experiencing emotional and behavioural problems. It is appropriate for distressed parent—child relationships which have not responded to systemic family therapy. PACT seeks to reframe parent—child relationship distress using narrative techniques and experiential tasks based on the concept of supported looking. Therapy occurs in parallel for parent and child using a one‐way screen. PACT improves parents' reflective capacity and sensitivity, and for the child's sense of security in her primary attachment relationship. An outline of the four stages of PACT is presented along with a case study to illustrate the course of PACT. Finally, we discuss the dissemination of PACT within a busy child and adolescent mental health service and outline our plans for future outcome evaluation.     

Father Doesn’t Know Best? Parents’ Control of Money and Children’s Food Insecurity

Although developing‐country research has found that spending on children varies depending on which parent controls income, developed‐country research tends to ignore intrahousehold allocation. This study uses Fragile Families and Child Wellbeing Study data (N= 1,073 couples) to analyze how mothers versus fathers controlling money affects U.S. children’s food insecurity. Results show children are far less likely to experience food insecurity when parents’ pooled income is controlled by their mother than when it is controlled by their father or even when it is jointly controlled. By examining this association between resource control and child well‐being, this study suggests that child outcomes may be improved by altering control over household money, responsibility for feeding work, or both.     

Transactional and Cascading Relations Between Early Spanking and Children's Social‐Emotional Development

The authors tested a series of models linking spanking and child social‐emotional outcomes using a sample of 3,870 families from the Fragile Families and Child Wellbeing study. Spanking was measured by the number of times the focal child was spanked by the mother at ages 1, 3, and 5. Internalizing and externalizing symptoms were assessed using the Child Behavior Checklist at ages 3 and 5. Child emotionality was used to index child behavior at age 1. A series of nested transactional and cascade models was tested through structural equation modeling. The final model supported transactional effects between spanking and child externalizing behaviors over child ages 1, 3, and 5. In addition, one cascade effect was found: Spanking at age 1 was related to greater externalizing behavior at age 3, which was related to greater internalizing behavior at age 5. Implications for family theory and future research are discussed.     

Child‐Care Instability and Behavior Problems: Does Parenting Stress Mediate the Relationship?

Child‐care instability is associated with more behavior problems in young children, but the mechanisms of this relationship are not well understood. Theoretically, this relationship is likely to emerge, at least in part, because care instability leads to increased parenting stress. Moreover, low socioeconomic status and single‐mother families may be more vulnerable to the effects of instability. This study tested these hypotheses using data from the Fragile Families and Child Wellbeing study (N = 1,675) and structural equation modeling. Three types of child‐care instability were examined: long‐term instability, multiplicity, and needing to use back‐up arrangements. Overall, findings showed little evidence that parenting stress mediated the associations between care instability and child behavior problems among the full sample. Among single‐mother and low‐income families, however, needing to use back‐up arrangements had small positive associations with parenting stress, which partially mediated the relationship between that type of care instability and child externalizing behavior problems.     

The practical utility of the Welch Emotional Connection Screen for rating parent–infant relational health

Emotional Connection (EC) measured by the Welch Emotional Connection Screen (WECS) was related to the Parent–Infant Interaction Rating System (PIIRS), a 5‐point adaptation of the rating system developed for the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (e.g., NICHD Early Child Care Research Network, 1999, Developmental Psychology, 35, 1399). Parent–infant dyads (n = 49 mothers; 43 fathers) were videotaped during face‐to‐face interaction at infant age 6 months; interactions were coded with both the WECS and PIIRS. At age 3, mothers completed the Child Behavior Checklist. WECS ratings of EC were associated with PIIRS rating items for both mother–infant and father–infant dyads. Mother–infant EC related positively to maternal sensitivity and positive regard for child, child positive mood and sustained attention, and dyadic mutuality, and negatively with maternal intrusiveness. Father–infant EC related positively to fathers' positive regard for child, child positive mood and sustained attention, and dyadic mutuality. Mother–infant EC predicted child behavior problems at age 3 better than mother–infant PIIRS ratings of dyadic mutuality. With fathers, neither EC nor dyadic mutuality ratings predicted mother‐reported child behavior problems. Findings highlight the practical utility of the WECS for identifying potentially at‐risk dyads and supporting early relational health.     

Mitigating Intergenerational Trauma Within the Parent‐Child Attachment

Nine‐year‐old Ben was said to hate women. His mother was terrified he'd ‘grow up a woman basher’. This paper describes the work done with Ben and his family at the Hobart Child and Adolescent Mental Health Service. We drew predominantly on three therapeutic modalities: Theraplay, Family Attachment Narrative Therapy and Dyadic Developmental Psychotherapy. Our work enabled Ben's mother to navigate the aftermath of her own trauma history in order to heal Ben's attachment trauma.     

Preconception Motivation and Pregnancy Wantedness: Pathways to Toddler Attachment Security

This research was designed to increase our understanding of how the motivational antecedents to childbearing and emotional responses to pregnancy affect the subsequent attachment bond of a toddler to his or her mother. Using a sample of 1,364 mothers and their newborns from the Study of Early Child Care, we tested a mother‐child influence framework hypothesized to mediate between the mother's preconception motivation and pregnancy wantedness and her child's security of attachment at 24 months. Almost all elements of the mediational sequence were confirmed in a structural equation model. We observed 2 unmediated pathways to attachment security, 1 from preconception motivation and 1 from parenting stress during infancy, and suggest interpretations of these unexpected pathways.     

Early Manifestations of Children’s Theory of Mind: The Roles of Maternal Mind‐Mindedness and Infant Security of Attachment

This study investigated two aspects of mother–child relationships—mothers’ mind‐mindedness and infant attachment security—in relation to two early aspects of children’s theory of mind development (ToM). Sixty‐one mother–child dyads (36 girls) participated in testing phases at 12 (T1), 15 (T2), and 26 months of age (T3), allowing for assessment of maternal mind‐mindedness (T1), infant attachment (T2), and child ToM understanding (T3). Results indicated that children’s understanding of discrepant desires and visual perspectives was positively related to their mothers’ earlier use of appropriate mind‐related comments in certain contexts. Furthermore, more securely attached boys, but not girls, performed better on a task requiring comprehension of their mothers’ visual perspective. Hence, the links previously found between competent parenting and older children’s ToM performance appear to extend, to a certain degree, to toddlers’ first manifestations of ToM understanding.     

Effects of Parental Divorce on God Image Among Young Adults at a Christian University

We used path analysis to investigate the impact of parental divorce on God image, mediated by father–child and mother–child attachments, among 178 college students at a Christian university. Findings revealed that parental divorce negatively impacts father–child attachment; however, father–child attachment does not impact God image. Instead, the quality of mother–child attachment, which does not seem to be influenced by parental divorce, best predicts the development of a healthy God image. Thus, preliminary findings elucidated that parental divorce undermines the quality of attachment between father and child but not mother and child, and mother–child attachment ultimately influences God image. Further research is needed to replicate and generalize these preliminary findings.     

Mother‐ Versus Infant‐Centered Correlates of Maternal Mind‐Mindedness in the First Year of Life

We investigated whether maternal mind‐mindedness in infant–mother interaction related to aspects of obstetric history and infant temperament. Study 1, conducted with a socially diverse sample of 206 eight‐month‐old infants and their mothers, focused on links between maternal mind‐mindedness and (i) planned conception, (ii) perception of pregnancy, and (iii) recollections of first contact with the child. The two indices of mind‐mindedness (appropriate and nonattuned mind‐related comments) related to different aspects of obstetric history, but no strong associations were seen with socioeconomic status, maternal depression, or perceived social support. In Study 2, we found good temporal stability in both indices of mind‐mindedness in a sample of 41 infant–mother dyads between 3 and 7 months. Neither index of mind‐mindedness related to infant temperament. We conclude that mind‐mindedness is best characterized as a facet of the specific caregiver–child relationship, while also being influenced by stable cognitive–behavioral traits in the mother.     

Attachment and the Repetition of Trauma: A Case Study of Attachment‐Based Crisis Intervention

This article explores the difficult case of a 16‐year‐old who was causing a great deal of anxiety by presenting with dramatic behaviour, such as leaping off buildings, swallowing needles and poisons, and jumping in front of cars. The case study explores a six‐month period of crisis intervention, which focused on the unique kind of attachment relationship that existed between the teenager and his mother. The mother had experienced recurrent traumatisation prior to his birth, and it was found that the aftereffects of this traumatisation must have influenced the teenager's early attachment experiences and subsequent development. The attachment‐based therapy treated the crises as primarily ‘relational crises’. The therapy involved investigating and sharing formulations about their attachment history, cultivating an insight into the relational or dynamic determinants of the teenager's crises. Broader suggestions are made concerning the application of attachment theory to different approaches in family therapy, as well as to our understanding of phenomena such as transgenerational traumatisation.     

Employer‐Supported Child Care: Who Participates?

Child‐care vouchers are becoming more common and can provide child‐care assistance to a wide spectrum of the population. There is little empirical research, however, on which workers participate in their employer's child‐care programs. In this exploratory study, employees with children at 1 large university completed questionnaires to gather information on their child‐care arrangements and their experience with the employer's child‐care voucher program (N = 949). Results indicate that the employees who were most in need of child‐care assistance in terms of family structure, job type, and child‐care expenses were more likely to receive vouchers. Federal policy limiting the structure of employer‐sponsored voucher programs appeared to present barriers to participation for certain groups of employees.     

Psychometrics of a Child Report Measure of Maternal Support following Disclosure of Sexual Abuse

ABSTRACT

The study examined a new child report measure of maternal support following child sexual abuse. One hundred and forty-six mother–child dyads presenting for a forensic evaluation completed assessments including standardized measures of adjustment. Child participants also responded to 32 items considered for inclusion in a new measure, the Maternal Support Questionnaire–Child Report (MSQ-CR). Exploratory factor analysis of the Maternal Support Questionnaire–Child Report resulted in a three factor, 20-item solution: Emotional Support (9 items), Skeptical Preoccupation (5 items), and Protection/Retaliation (6 items). Each factor demonstrated adequate internal consistency. Construct and concurrent validity of the new measure were supported in comparison to other trauma-specific measures. The Maternal Support Questionnaire–Child Report demonstrated sound psychometric properties. Future research is needed to determine whether the Maternal Support Questionnaire–Child Report provides a more sensitive approximation of maternal support following disclosure of sexual abuse, relative to measures of global parent–child relations and to contextualize discrepancies between mother and child ratings of maternal support.     

Parent gender and child removal in physical abuse and neglect cases

Criminal justice research frequently investigates relationships between punishment decisions and demographic characteristics of the accused, such as gender, race, and age. While there are many similarities between criminal justice and child welfare cases, research on child maltreatment has yet to examine potential demographic influences on case outcomes. The current study examines relationships between parent gender, type of maltreatment, and child removal among agency responses to child maltreatment cases. Using data collected by the National Data Archive on Child Abuse and Neglect Data System (NCANDS), we identify differences in the likelihood of child removal from the parental home across type of maltreatment and perpetrator gender. Our results indicate that mother perpetrators of physical abuse not only face significantly higher likelihood of removal than mother perpetrators of neglect, but are more at risk for losing their children than father perpetrators of both physical abuse and neglect. Findings suggest that gendered attributions and stereotypes regarding parenting can shape assessments of parents' blameworthiness, dangerousness, and rehabilitative potential. We propose that future research on child maltreatment cases adapt and apply justice concepts and frameworks to uncover potential unwarranted demographic disparities in agency decision-making.     

Moving “Up and Out” Together: Exploring the Mother–Child Bond in Low‐Income,Single‐Mother‐Headed Families

Bearing children is often viewed as negatively impacting the social mobility of low‐income single mothers. This analysis draws on 66 in‐depth interviews with low‐income, single‐mother participants in an antipoverty program in Boston. The author argues that the mother–child relationship is at the center of efforts by these single mothers to move out of poverty. Interviewees repeatedly expressed the primacy of their children's needs being met in order for them to move forward. Mothers tried to include their children in efforts to move out of poverty, thus fulfilling the role of a “good mother” while exhibiting proper behavior for a poor person trying to achieve economic independence. The data here highlight the limitations of policy initiatives that fail to acknowledge the centrality of children's well‐being to the lives of single mothers and suggest that the mother–child bond may be an untapped resource for policies and programs serving this community.     

Social Fathers and Child Well‐Being

Many young children born to unwed parents currently live with their biological mothers and their mothers’ new partners (social fathers). This study uses data from the Fragile Families and Child Well‐Being Study (N = 1,350) to assess whether involvement by resident social fathers is as beneficial for child well‐being as involvement by resident biological fathers and whether the involvement of the child’s nonresident biological father alters the relationship between resident social father engagement and child outcomes. Results indicate that involvement by resident social fathers is as beneficial for child well‐being as involvement by resident biological fathers and that frequent contact with the child’s nonresident biological father does not diminish the positive association between residential social father involvement and child well‐being.     

Making Sense of After‐School Care Dilemmas in Mothers' Stories of After‐School Care in Finland and Sweden

The study focuses on dilemmas in storied experiences of everyday after‐school care arrangements among Swedish and Finnish mothers. Finland and Sweden, which share a history of strong labour market attachment among women, arrange institutional after‐school care in similar ways. The data consist of interviews with three Swedish and six Finnish mothers. A positioning analysis of four stories shows how decisions related to children's after‐school hours were allocated among different actors. Two reoccurring dilemmas, Competent‐dependent child stories and Unburdened‐deficient mother stories, emerged from the data analysis as related to prevailing moral discourses on childhood and motherhood.     

Four‐Month Attentional Regulation and Its Prediction of Three‐Year Compliance

The extent to which 4‐month attentional regulation during an infant‐mother still‐face situation and 12‐month attachment security during the Strange Situation predicted rates of compliance and noncompliance during a cleanup task at 36 months was examined longitudinally in 70 infant‐mother dyads. Hierarchical multiple regression analyses indicated that infants who showed more attentional regulation during the still‐face situation with mothers later showed a higher rate of committed compliance and a lower rate of situational compliance during cleanup with mothers. Furthermore, lower levels of attentional regulation were later associated with higher rates of assertive behavior, but only for infants in an insecure attachment relationship.     

Psychosocial Adjustment of African American Children in Single‐Mother Families: A Test of Three Risk Models

Three models of risk were examined for 277 African American children from single‐mother‐headed homes: cumulative, additive, and indirect models. Risk factors were mother‐reported community risks, inadequate income, maternal depressive symptoms, and inadequate parenting. Child‐reported internalizing and externalizing difficulties served as dependent measures of adjustment. Whereas the cumulative risk model identified a subset of children within this group as at‐risk for adjustment difficulties, only more proximal family variables (maternal depressive symptoms and inadequate parenting) accounted for unique variance in child outcomes (additive risk model). However, the more distal risk factors—community risk and inadequate income—were linked to both internalizing and externalizing difficulties through the proximal family variables (indirect effects model).