Pregnant and Postpartum Adolescents' Perceptions of the Consequences of Child Abuse

A study of 263 pregnant and postpartum indigent and minority teens was conducted in order to examine their perceptions of the consequences of child abuse and their own child abuse history. Teens identified drug and alcohol abuse and teen suicide as the most serious consequences of abuse. Interestingly, they did not identify pregnancy as a consequence. Twenty-seven percent reported a history of abuse. Identifying behavioral and emotional consequences of abuse is important because it affects both the well-being of the adolescent mother and her child. An experience of abuse and its behavioral consequences may interfere with a teen's ability to benefit from parenting intervention programs. Therefore, parenting programs may wish to consider the necessity of screening for a history of abuse as well as adding components on behavioral problems adolescent mothers are concerned about. Additionally, there is a need to reach out to pregnant, parenting and future parents in other settings such as prisons, psychiatric, and residential centers, since issues of abuse may coexist with other behaviors.     

Occupation as therapy for trauma recovery: a case study

In this case study, a young women who has chronic verbal, emotional, and physical abuse and was exposed to repetitive adult acts of abuse as a child initially presented with Posttraumatic Stress Disorder (PTSD) marked by constriction and disconnection, which resulted in her feeling passive and tortured. As part of her occupational therapy intervention, based on the occupational adaptation, psychoanalytic, and recovery frames of reference, she was able to use her skills as a musician and lyricist to work through her trauma by performing heavy metal music. She used work to express emotions and tell and retell her story to audiences eager to hear her. Work helped her develop an identity that allowed her to be active in the world and reach out to others through her music. This case study focuses on the intervention - how music and occupation functioned as a foundation for relieving her PTSD.     

The Dyadic Effects of Controlling Emotional Abuse on Subjective Emotional Experience in Iranian Older Married Couples

This randomised control trial study examines the impact of an emotional‐focused intervention on emotional abuse and subjective emotional experience in Iranian older married couples. In the study, 57 older couples were randomly assigned into control and experimental groups with the latter taking part in an intervention program over 4 weeks, twice a week, with sessions lasting 90 minutes. In the experimental group, significant improvements were found for reducing emotional abuse behaviours and increasing subjective emotional experience. Dyadic analysis revealed that a partner's ability to control their own emotional abuse significantly effects both his/her subjective emotional experience and that of their spouse.     

Decision-Making processes in the child protection system: A comparative study between students and professionals in Portugal

Abstract

This research aims to achieve a better understanding of factors that influence the assessments and decisions of professionals and students about the possibility to remove a child at risk from her birth family. The study also analyzes the influence of the attitudes of the child’s mother on that decision. It was used a questionnaire based on a case vignette of alleged child maltreatment. Compared with students, professionals were more pro-removal, more in favor of reunification and parents’ participation in the decisions, and had a higher assessment of emotional abuse, and emotional and physical neglect. Mother’s wish did not show to have any impact in the two samples regarding maltreatment, risk assessments, and intervention recommendations.     

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.     

A Trust-Based Intervention for Complex Developmental Trauma: A Case Study from a Residential Treatment Center

This case study, conducted in a Midwest residential treatment center, reports results from an attachment-based intervention that addressed the needs of a 16-year-old female, Rachel. Rachel had a long and documented history of severe abuse and neglect before her adoption from a Bulgarian orphanage at age 12 and numerous psychiatric hospitalizations in the years subsequent. Upon entering this residential treatment center, Rachel did not respond to traditional residential treatment modalities and was considered one of the most difficult children the facility had ever attempted to help. After the intensive attachment-based intervention for Rachel, her adoptive parents, and facility staff, dramatic increases in pro-social and attachment behaviors were noted, as well as a significant decrease in violent and self-injurious behaviors. The intervention consisted of three phases of differing levels of intensity and was designed to address the attachment system and related sub-systems in order to facilitate the development of healthy attachments.     

Staying With The Client

Abstract

Since the early seventies there have been widespread assumptions in social work that: (a) effective therapy is necessarily brief-lasting, at most, eight to ten sessions, and (b) that we should only deal with the problems that the client wants help with.

The author challenges the universality of these assumptions, and their basis in research and considerations about supposed cost-effectiveness. He illustrates through a single case study of a depressed adolescent girl and her unhappy mother that although contact could have been terminated after ten sessions, when the identified patient was better, in fact it would probably have achieved very little, since intervention up to that point had had the effect of making the mother only too painfully aware of her life predicament and reducing her almost to despair.

At the mother's request, social work contact continued for a further eleven sessions, spread over five months. She appeared to use this to achieve a considerable degree of acceptance of her painful and deprived childhood, and adopt a very much more positive attitude to her future. Her depression lifted, and her anxiety diminished. Follow-up eighteen months later strongly suggested that the gains made had been maintained for both mother and daughter.     

Impact of Perpetrator Type on Attributions of Mother Fault in Child Sexual Abuse

Blaming nonoffending mothers for child sexual abuse has substantial negative consequences for both the mother and child victim. Although perpetrator type has been shown to influence how much blame and responsibility is placed on nonoffending mothers in child sexual abuse cases, research to date has focused primarily on perpetrators who are strangers to the child or the child’s biological father, ignoring the effect of other father-figure perpetrators. The current study examined how differences in perpetrator’s relationship to the mother impacted blame, responsibility, cause, and prevention as separate constructs. One hundred and eight participants from an online community sample were randomly assigned to read a vignette describing a child sexual abuse situation with a female victim and one of two perpetrators: the victim’s biological father or the mother’s boyfriend. Participants assigned significantly higher levels of fault for CSA to the mother when the perpetrator was the mother’s boyfriend. Implications and future directions are discussed.     

Efficacy of a group therapy for sexually abused adolescent girls

The effects of a group therapy program for teenage girls reporting child sexual abuse were evaluated by means of a pretest/ post-test design with a control group. The psycho-educational intervention consisted of an average of 20 weekly two-hour meetings. Results of the repeated analyses of variance (ANOVA) revealed a significant improvement in youth participating in the therapy when compared with the control group on measures of post-traumatic stress, internalizing and externalizing behavior problems, coping strategies, relationship with the mother, and sense of empowerment. The findings suggest that the group therapy offered by the Centre d'Intervention en Abus Sexuels pour la Famille (CIASF) was effective in reducing symptoms for sexually abused teenagers.     

Infant‐Directed Speech Is Modulated by Infant Feedback

When mothers engage in infant‐directed (ID) speech, their voices change in a number of characteristic ways, including adopting a higher overall pitch. Studies have examined these acoustical cues and have tested infants' preferences for ID speech. However, little is known about how these cues change with maternal sensitivity to infant feedback in the context of interaction. In this study, each mother watched her infant (located in an adjacent sound booth) on a video screen and talked to him or her through a microphone. The mother believed that her infant could hear her voice and she attempted to make her infant happy through her vocalizations. In reality, the infant could not hear her voice. The mother's ID speech was analyzed in real time for changes in mean pitch. For half of the infant–mother dyads an experimenter surreptitiously positively engaged the infant when the voice analysis revealed a rise in pitch, thereby producing positive reinforcement to the mother for natural higher pitched ID speech. The other half were reinforced for lower pitched ID speech. Mothers raised their pitch significantly more in the former than the latter condition, illustrating that the pitch of ID speech is dynamically affected by feedback from the infant.     

Parent and Child Therapy (PACT) In Action: An Attachment‐Based Intervention for a Six‐Year‐Old With a Dual Diagnosis

This case study explores Parent and Child Therapy (PACT), an attachment‐based intervention for mothers and children experiencing intractable relationship distress originally developed by Heather Chambers (a Child Psychotherapist and Family Therapist working in New Zealand). We describe the use of PACT with a mother—child dyad presenting a history of severe abuse and neglect. The child had been diagnosed with Conduct Disorder and co‐morbid Attention Deficit Hyperactivity Disorder. We consider the themes arising in the therapy, the emotional process experienced by the mother and child, the initial outcome and 10‐month follow up. The case study indicates that PACT can be learned and used by practitioners outside of the team that conceptualised and developed it. The case highlights the links between externalising difficulties and attachment disorganisation and points to PACT as a promising treatment for the chronic sequelae of early interpersonal childhood trauma. The need for research and possible directions of this research are discussed.     

Efficacy of a Group Therapy for Sexually Abused Adolescent Girls

ABSTRACT

The effects of a group therapy program for teenage girls reporting child sexual abuse were evaluated by means of a pretest/post-test design with a control group. The psycho-educational intervention consisted of an average of 20 weekly two-hour meetings. Results of the repeated analyses of variance (ANOVA) revealed a sig-nificant improvement in youth participating in the therapy when compared with the control group on measures of post-traumatic stress, internalizing and externalizing behavior problems, coping strategies, relation- ship with the mother, and sense of empowerment. The findings suggest that the group therapy offered by the Centre d'Intervention en Abus Sexuels pour la Famille (CIASF) was effective in reducing symptoms for sexually abused teenagers.     

The Composite Biography as a Methodological Tool for the Study of Childhood in History

This article presents a composite biography of an orphaned girl and her mother in Medieval London. Though the mother was sound in mind and body, she had no control over her daughters inheritance and place of residence. In addition, her underage daughter was married without her consent. The composite biography can bring to life the otherwise dry renditions of families experiences that are present in court records and other historical documents.     

Together Forever? Romantic Relationship Characteristics and Prenatal Health Behaviors

Using Fragile Families and Child Wellbeing Data (N= 4,871), this paper examines why relationship status matters for prenatal health behaviors. The paper argues that a mother’s potential investments in her child’s health are conditioned by socioeconomic and interpersonal resources, including the quality of her relationship with the child’s father. Mothers in strained relationships may experience more stress, which is associated with poor prenatal health behaviors. Results show that married mothers exhibit the healthiest prenatal behaviors and that relationship characteristics and dynamics measures, including physical abuse and relationship conflict, predict poor prenatal health behaviors above and beyond confounding factors. In addition, these relationship characteristics explain some of the advantage in prenatal health behaviors married mothers have over unmarried mothers.     

Development and piloting of a mother and child intervention to promote resilience in young children of HIV-infected mothers in South Africa

This paper describes the process of developing a parallel intervention for HIV-positive mothers and their young children (6–10 years) with a view to strengthening the relationship between them. Strong mother–child relationships can contribute to enhanced psychological resilience in children. The intervention was developed through action research, involving a situation analysis based on focus group discussions; intervention planning, piloting the intervention and a formative evaluation of the intervention. Participants supplied feedback regarding the value of the intervention in mother–child relationships. The findings obtained from the formative evaluation were used to refine the intervention. Two parallel programmes for mothers and children (15 sessions each) were followed by 10 joint sessions. The intervention for mothers focused on maternal mental health and the strengthening of their capacity to protect and care for their young children. The intervention for children addressed the development of their self-esteem, interpersonal relationships and survival skills. The formative evaluation provided evidence of good participation, support and group cohesion. Qualitative feedback indicated that the activities stimulated mother–child interaction. A similar intervention can easily be applied elsewhere using the detailed manual. The insights gained and lessons learnt related to mother and child interaction within an HIV-context that emerged from this research, can be valuable in other settings, both in Sub-Saharan Africa and elsewhere.     

Longitudinal Effects of Adolescent Abuse on Relationship Quality and Posttraumatic Stress Symptoms in Mother–Adolescent Dyads

The current study examined dyadic reports of mother–adolescent relationship quality (RQ) as a mechanism by which emotional, physical, and sexual abuse affect posttraumatic stress symptoms (PTSS) over time from a family systems perspective. We used three waves of data from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), including 321 mother–adolescent dyads observed when adolescents were approximately 12, 14, and 16 years old. We used an extended version of the actor–partner interdependence mediation model to analyze the effect of emotional, physical, and sexual abuse on adolescents' PTSS through dyadic reports of mother–adolescent RQ. Results yielded significant indirect effects between sexual and emotional abuse, but not physical abuse, and PTSS 4 years later through adolescent perceptions of RQ. Maternal perceptions of RQ were not directly associated with adolescents' PTSS; however, maternal perceptions of RQ positively contributed to future adolescent perceptions of RQ. Clinical implications are discussed.     

Addressing the measurement challenge in elder abuse interventions: need for a severity framework

ABSTRACT

The field of elder abuse is evolving toward an emphasis on intervention research. However, researchers currently rely on binary approaches to measure elder abuse phenomena, which fail to capture changes in problem status over the course of intervention. This commentary develops a case for severity as a framework to operationalize and measure elder abuse in intervention research and practice. A severity framework provides enhanced elder abuse measurement responsiveness and aligns with the dominant client-centered, harm-reduction clinical approach to intervening with elder abuse cases.