Toward an understanding of the etiology and treatment of psychological dysfunction among single teenage mothers: Part 1, a review of the literature

Abstract

This paper, the first of a two‐part series to be published in sequential issues of the journal, reviews the recent intervention literature about single teenage mothers who are psychologically dysfunctional. It emphasizes the interplay of social, economic and developmental factors as stressors in the lives of these young women and explores some of the issues that need to be addressed in constructing effective therapeutic programs. The second paper describes an intervention program consisting of long‐term developmentally‐oriented groups for single teenage mothers and their children.     

A prospective study of adolescent mothers’ social competence,children's effortful control and compliance and children's subsequent developmental outcomes

Previous work has established that caregiver and child temperamental characteristics are associated with child compliance. Given the critical role that parents play in this process, and that children of teen mothers are at risk for poorer developmental outcomes, it is important to understand the development of compliance in the context of at‐risk parenting such as adolescent motherhood. The current study examined child compliance (Wave 5; W5) as a mediator of the association between adolescent mothers’ social competence (Wave 4; W4) and children's behavioral and academic outcomes (Wave 6; W6), and whether this mediation varied depending on children's effortful control (W4) in a sample of 204 Mexican‐origin adolescent mothers (M_age at W4 = 19.94, SD = .99) and their children (M_age at W4 = 36.21 months, SD = .45). Adolescent mothers reported on their own social competence and their children's effortful control and externalizing problems; compliance was assessed using observational methods; and academic readiness was assessed using standardized developmental assessments. Findings based on structural equation modeling revealed that adolescent mothers’ social competence was positively related to children's compliance among children with high effortful control, but not among those with low effortful control. Moreover, child compliance mediated the longitudinal association between adolescent mothers’ social competence and child externalizing problems and academic readiness. Discussion focuses on the importance of considering the role of child temperament in understanding how adolescent mothers’ social competence is subsequently associated with children's social and academic adjustment.     

Predictors of Stability and Change in Private Safety Nets of Unmarried Mothers

ABSTRACT

Although the importance of social supports for single mothers in times of crisis is widely recognized, little is known about the stability of such “private safety nets” over time, as children age and maternal and household characteristics change. This study uses multilevel models and four waves of data from the Fragile Families and Child Well-Being Study to describe trajectories of social support perceptions for 3,065 unmarried mothers. Results suggest that following a birth, most unmarried mothers perceived the availability of support, but these support perceptions disintegrated somewhat in subsequent years. Mothers who appeared to have the greatest need for support—those without stable employment or a stable partner—experienced more rapid deterioration of their perceived safety nets than did more advantaged mothers. Future research should examine network composition and conditions for support provision among the most vulnerable single mothers and should consider how safety-net stability influences maternal and child health and well-being.     

Changing tides: Mothers’ supportive emotion socialization relates negatively to third‐grade children's social adjustment in school

Parents’ supportive reactions to children's negative emotions are thought to promote children's social adjustment. Research heretofore has implicitly assumed that such reactions are equally supportive of children's adjustment across ages. Recent findings challenge this assumption, suggesting that during middle childhood, socialization practices previously understood as supportive may in fact impede children's social adjustment. We explored this possibility in a sample of 203 third‐grade children and their mothers. Using structural equation modeling, we tested associations between mothers’ supportive (i.e., problem‐ and emotion‐focused) reactions to children's negative emotions and children's social skills and problems as reported by mothers and teachers. Mothers’ supportive reactions predicted greater social adjustment in children as reported by mothers. Inverse associations, however, were found with teachers’ reports of children's social adjustment: mothers’ supportive reactions predicted fewer socioemotional skills and more problem behaviors. These contrasting patterns suggest potential unperceived costs associated with mothers’ supportiveness of children's negative emotions for third‐grade children's social adjustment in school and highlight the importance of considering associations between socialization practices and children's various social contexts. The findings also highlight a need for greater consideration of what supportiveness means across different developmental periods.     

Bridging the gap between clinical practice and research: An integrated practice‐oriented model

Abstract

This paper addresses the gap between clinical practice and clinical research. Adopting a postmodern neopragmatic position, a practice‐oriented research model is proposed. This model cuts across the division between paradigmatic and narrative approaches to clinical practice research and integrates quantitative and qualitative research methodologies. Four guiding principles are operationalized: (1) clinical research should focus on practice‐oriented questions, with the practitioner involved in agenda setting and research question formulation; (2) the division between empiricist and constructivist positions and that between quantitative and qualitative methods can be resolved through epistemological and methodological pluralism; (3) clinical research should be guided by a developmental perspective; and (4) collaboration between practitioners and researchers has to take place both on the program and the institutional levels.     

Parenting stress and behavior among single mothers of preschoolers: The mediating role of self‐efficacy

Abstract

This study examines the role of perceived self‐efficacy in mediating relations between mothers’ parenting behavior and variables such as maternal employment status, depressive symptoms, parenting stress, and child behavior problems. Subjects were 93 employed and 95 nonemployed, single, black mothers of a 3–5‐year‐old child who were current and former welfare recipients. Using linear structural relations modeling (LISREL), the findings support a model whereby (a) the more behavior problems the child is perceived to have, the more depressive symptoms the mother feels; (b) the more depressive symptoms the mother feels, the more likely she is to rate herself high in parenting stress; (c) the more depressive symptoms and parenting stress the mother experiences, the lower is the mother's estimate of her self‐efficacy; and (d) the lower the mother's self‐efficacy, the less competent is her parenting. The findings for employment status are similar; i.e., maternal employment predicted a trajectory leading to somewhat better parenting. In addition, child behavior problems were associated with less competent parenting both directly and indirectly through their effect on parenting stress and self‐efficacy. These results suggest that self‐efficacy has import as a mediator of the relations between maternal parenting and other psychosocial variables. There is no evidence, based on these findings, that employment in the low‐wage market is harmful either for single black mothers or their preschool children. However, job availability and an increase in the minimum wage are important policy considerations.     

Emotion Socialization by Mothers and Fathers: Coherence among Behaviors and Associations with Parent Attitudes and Children's Social Competence

This study examined inter‐relations among different types of parental emotion socialization behaviors in 88 mothers and 76 fathers (co‐residing with participating mothers) of eight‐year‐old children. Parents completed questionnaires assessing emotion socialization behaviors, emotion‐related attitudes, and their children's social functioning. An observed parent–child emotion discourse task and a child social problem‐solving interview were also performed. Parent gender differences and concordance within couples in emotion socialization behaviors were identified for some but not all behaviors. Fathers' reactions to child emotion, family expressiveness, and fathers' emotion coaching during discussion cohered, and a model was supported in which the commonality among these behaviors was predicted by fathers' emotion‐coaching attitudes, and was associated with children's social competence. A cohesive structure for the emotion socialization construct was less clear for mothers, although attitudes predicted all three types of emotion socialization behavior (reactions, expressiveness, and coaching). Implications for developmental theory and for parent‐focused interventions are discussed.     

Developmental impact of combat exposure: Comparison of adolescent and adult Vietnam veterans∗

Abstract

This study was undertaken to find whether differences existed between two age groups of Vietnam veterans with PTSD, in terms of their social readjustment. A group of 57 men were divided by two age ranges to reflect two distinct periods of identity formation‐adolescence and early adulthood. The social readjustment measures which were examined included: (1) Substance abuse history; (2) history of legal infractions; (3) work history; (4) interpersonal relationships; and (5) peer relationships.

It was found that the younger soldiers have had a more difficult post‐Vietnam readjustment than their older cohorts. The results lend support to the idea that unsuccessful completion of Erikson's developmental phase of identity vs. role confusion may create problems with one's capacity for love, work and relationships. Specifically, when developmental tasks of late adolescence are not completed because of events such as war, one may suffer difficulties in handling adult responsibilities later in life.     

Racial and Ethnic Variation in the Predictors of Maternal Parenting Stress

ABSTRACT

Little is known about racial and ethnic disparities in maternal parenting stress. Using Belsky's (1984) conceptual model, which characterizes parenting stress as a function of maternal and child characteristics and social context, we examine determinants of parenting stress among Mexican American mothers in comparison to non-Hispanic White and non-Hispanic Black mothers. Using data from the Fragile Families and Child Well-Being (FFCWB) Study, we analyze a sample of 2,898 mothers. According to our findings, patterns of parenting stress for non-Hispanic White and non-Hispanic Black mothers are fairly consistent with Belsky's model. However, for Mexican American mothers, social support, but not partner support, ameliorates parenting stress, and depression is not associated with parenting stress. Importantly, despite significant social disadvantage, parenting stress levels in Mexican American mothers do not significantly differ from those of non-Hispanic Whites. Specific recommendations are made to practitioners for culturally competent responses to parenting stress with Mexican American families.     

Paternal Risk Factors for Child Maltreatment and Father's Participation in a Primary Prevention Program in Germany

ABSTRACT

Across the globe, the research into the influence of paternal risk and protective factors on the family, as well as on the involvement of fathers in family-related interventions, is lacking. This study utilized 506 families and examined the characteristics of fathers in psychosocially stressed families and associations between paternal risk factors (PRFs: mental health disorder, physical health disorder, young paternity, unemployment, absence of father) and family risk factors (FRFs: problematic financial situation, problematic housing situation, social isolation) for child maltreatment. The identification of PRFs and FRFs was carried out using information from consultations with social education workers and from a risk inventory completed by the mothers. The data analysis revealed an increased incidence of economic problems found in families with fathers having mental health issues, fathers under the age of 22, and unemployed fathers or single mothers. Other factors such as social isolation occurred more often in families with a single mother. The present study underlines the importance of a father's involvement for young families. Future research and program recommendations should always systematically include the father's role in family-related interventions.     

Building state capacity for welfare governance: The pathway and development of child welfare system and social work in China

ABSTRACT

China’s dramatic socioeconomic transformation after the reform and opening up, coincided with changes in state-family relationship, has resulted in a large number of children at risk of care. In the past three decades, child welfare has been highly concerned by the government and society, and the child welfare system has substantially developed in the direction of establishing a moderately universal system. In this process, the development of child welfare and social work has shown a mutually reinforcing trend. This includes the professionalisation of child welfare services, the professional training of child welfare workers and the advancement of child welfare policies. The governance of child welfare is an essential component of national social governance. Its future development should be oriented towards a developmental and holistic approach of governance, and social work as an important institutional actor plays a critical role in promoting good governance of child welfare and beyond.     

Social development quartet: When is parental supportiveness a good thing? The dynamic value of parents' supportive emotion socialization across childhood

This introduction to the Social Development Quartet summarizes four articles that examine age‐related and contextual shifts in the utility of parents' emotion socialization responses for children's social‐emotional development. The first two articles present evidence for age‐related changes in the benefits of parents' supportive responses and consequences of parents' nonsupportive responses to children's negative emotions between early and middle childhood. The next two articles consider contextual variations in this developmental shift by examining teacher reports of children's competence and family patterns of response among mothers and fathers. Together, these studies question the unilateral assumption that parental support of children's negative emotions is always a good thing, and provide a more nuanced understanding of when and in what contexts parents' responses are adaptive for children.     

Social Support for Mothers of Children With Disabilities in China

ABSTRACT.

This article analyzes the gendered parenting experiences of mothers of children with disabilities in China. These mothers struggle to meet their children's needs, including daily care, financial security, and child development. In the context of China's social welfare development, are social services responding to their needs, so that mothers can share responsibility for the needs of their children with disabilities? The research analyzed qualitative data about 6 case-study children in rural and urban China. The data were derived from observation and interviews with their parents and other family and community members. The analysis revealed that the capacity of the mother, community, and local social services had an impact on the rights of the children and mothers. They experienced social discrimination, insufficient social support, and local failure to implement central policy social services and income support. These findings are consistent with international research about disability rights. They reinforce the importance of economic redistribution to enable local implementation of the national disability rights policies, rather than merely relying on ephemeral concepts of cultural change. Further research about the comparative impact of economic and social change in China on mothers and children with disabilities would extend these findings.     

Mothers' Socialization of Children's Emotion in India and the USA: A Cross‐ and Within‐culture Comparison

Parent responses to children's emotions vary within and across cultures. The present study compared mothers' reports of their emotional and behavioral responses in hypothetical situations depicting their children experiencing anger, sadness, or physical pain in two communities in India (traditional old city, N = 60; suburban middle class, N = 60), with a suburban middle‐class group in the USA (N = 60). Results showed that mothers in both groups in India reported more explanation‐oriented problem‐focused responses to their children's emotions than US mothers. US mothers reported the most solution‐oriented problem‐focused responses, followed by suburban Indian mothers, followed by old‐city mothers. US mothers reported behaviorally‐oriented punitive responses (i.e., time out, removal of privileges) towards child anger more than the other groups. Suburban Indian mothers reported briefly not talking to the child in response to child anger more than the other groups whereas old‐city Indian mothers reported scolding/spanking more than the other groups.     

Types of boys amenable to treatment in a junior republic 1

Abstract

Educators currently are giving considerable attention to the diagnosis and remediation of children with learning disabilities. The integration into clinical social work of this body of knowledge and experience presents a major challenge. The task of understanding the impact on development of neurocognitive delays, distortions, and deficits has just begun. In this paper I review the major paradigms of learning disabilities, and discuss those psychoanalytic developmental theories that have attempted to integrate the concept of neurocognitive differences in endowment into their frameworks. I then offer a developmental perspective based on selfpsychology and the narrative metaphor to assess the impact on children's development of differences in their endowment. A case illustrates a theme in the self‐narrative of a child with a learning disability.     

Single Mothers,Nonresident Fathers,and Preschoolers’ Socioemotional Development: Social Support,Psychological Well-Being,and Parenting Quality

ABSTRACT

Using data from two waves of a short-term longitudinal study, the influences of mothers’ social support with respect to parenting from nonresident fathers and significant others on behavioral outcomes among poor and near-poor preschool-aged Black children were examined. The sample consisted of 99 single Black mothers—each with a preschool-aged child (ages 3 and 5 years old, respectively, at Time 1 and Time 2)—who were current and former welfare recipients. Results revealed protective effects of nonresident fathers’ presence in the context of mothers’ parenting stress and depressive symptoms at Time 1 that appeared to operate through decreases in the negative influences of these variables on the children's development of behavior problems 1.5 to 2 years later. Greater availability of instrumental support from significant others, including nonresident fathers, was associated with more adequate parenting at Time 1, and through the latter, with fewer child behavior problems at Time 2. Implications of these findings for program and policy interventions are discussed. Nonresident fathers are described in the Appendix.     

Economic well‐being of low‐income single‐mother families following welfare reform in the USA

This study explored changes in net disposable income for low‐income single‐mother families before and after the 1996 welfare reform in the USA. Although many studies on welfare reform have focused on employment or total family income as a way to measure low‐income single‐mother families’ economic well‐being, little is known about their net income after expenses related to entering the workforce. This study analyzed net disposable income after tax deductions and childcare costs to provide a more accurate understanding of income changes using data from the Survey of Income and Program Participation conducted by the US Census Bureau. The results revealed that while low‐income single mothers were working more after welfare reform, their net disposable income decreased during this time because their earnings were low and offset by an increase in childcare costs and a decline in means‐tested benefits, including Temporary Assistance for Needy Families benefits. Key Practitioner Message: ● To understand effects of the 1996 welfare reform on low‐income families’ economic well‐being; ● To understand comprehensive income sources and work related expenses of low‐income families; ● To provide policy suggestions for comprehensive childcare subsidies to support low‐income single mothers’ employment.     

Service Utilization Patterns Among Adolescent Mothers Residing in Three-Generational Households

ABSTRACT

This qualitative study used in-depth interviews to better understand the social service experiences and identified needs of 26 demographically diverse adolescent mothers and their mothers, who resided together in three-generational households. Most dyads accessed community services, particularly parenting and emotional supports, financial and material assistance, and medical care, and desired short-term assistance related to their circumstances and newly expanded families, rather than long-term support. The most commonly identified barrier to service utilization involved income eligibility guidelines. In light of welfare reform policies and the current economic climate, this research underscores the need for transitional supports for families, including assistance with basic needs. In terms of implications for social work practice and future research, adolescent mothers may need formal supports as they pursue independence after they leave their mothers’ care. Future research could further explore, within other communities and longitudinally, whether these preliminary trends hold true.     

Eight years after – a follow‐up study of mothers and children at psychosocial risk who received early treatment: does early intervention leave its mark?

One‐hundred forty‐five mothers at psychosocial risk who, with their babies, had been given treatment at a parent–baby clinic during a 2‐year period starting in 1999, treatment designed to strengthen the mother–child relationship, were followed up 8 years later. Both the mothers who had agreed to take part in the treatment programme (n= 73) and those who had declined (n= 72) were searched for in the records of the Social Welfare office to determine if the treated mothers had been focused on to a lesser degree in the following 8 years than those who had declined treatment, a hypothesis that was initially put forward. The behaviour of the children whose mothers had undergone treatment (n= 46) was studied. The initial hypothesis had to be rejected; support and intervention from the social authorities had been equally common in both groups. However, the children of treated mothers had fewer externalizing behaviour than children of untreated mothers at psychosocial risk.