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.     

Unwanted childbearing, health, and mother-child relationships.

This paper investigates the relationships among unwanted childbearing, health, and mother-child relationships. We hypothesize that unwanted childbearing affects mother-child relationships in part because of the physical and mental health consequences of unwanted childbearing. Impaired mental health hampers women's interaction with their infants, and these poor neonatal relationships translate into poor mother-adult child relationships. Using the Intergenerational Panel Study of Mothers and Children--a 31-year longitudinal survey of a probability sample of 1,113 mother-child pairs begun in 1961--we demonstrate that mothers with unwanted births have lower quality relationships with their children from late adolescence (age 18) throughout early adulthood (ages 23 and 31). Furthermore, these lower quality relationships are not limited to the child born as a result of the unwanted pregnancy; all the children in the family suffer. Using the 1987-88 wave of the National Survey of Families and Households, a survey of a national probability sample of U.S. households, we show that mothers with unwanted births suffer from higher levels of depression and lower levels of happiness. We also demonstrate that they spank their young children more and spend less leisure time with them. We conclude that experiencing unwanted childbearing reduces the time and attention that mothers give their young children and that these early mother-child interactions set the stage for long-term, lower quality relationships.     

A COMPARATIVE STUDY OF SOCIALIZATION BETWEEN JAPANESE AND ENGLISH PRE-SCHOOL CHILDREN

Abstract  This author conducted a comparative study among the following three sample groups: Japanese mother-child pairs in London, English mother-child pairs in London, Japanese mother-child pairs in Tokyo. By comparing the mother's developmental expectation, child rearing practices and the development of self-regulation in children, this author explored the extent to which mothers in different societies introduce cultural values of interpersonal relationships in raising their children.
Research method for this study were 1) the Picture Self-Regulation Test (PSRT) for preschool children, and 2) a questionnaire for the mothers indicating the mothers' acknowledgement of the development of self-regulation in their children, evaluation of their child's behaviour and patterns of feedback.
No significant difference was found among three sample groups on the PSRT. In the Mother's Questionnaire, English mothers acknowledged the early development of self-assertion in their children, unlike Japanese mothers in London and Tokyo. There was no significant difference in the mothers' acknowledgment of self-inhibition among the three sample groups.
Analysis of feedback of mothers in the three sample groups revealed that English mothers adopted 'positive and active' discipline for their children, while Japanese mothers in London and Tokyo adopted 'receptive' discipline.     

Enhancing parent-child interaction during foster care visits: experimental assessment of an intervention

Mothers of young children recently placed in foster care participated in an intervention to enhance parent-child interaction during visits. The mothers all reported substantial loss and trauma histories. Immediately prior to the visits, the mothers were coached on strategies for separating from their children at the visit's end. The mothers displayed more behavioral strategies for supporting their children when the visit was over, but were less engaged with their children during the leave-taking sequence and displayed fewer ways of maintaining the child's involvement in mother-child interaction during leave-taking than those in a comparison group. This article discusses consideration of parents' trauma history in designing interventions to enhance parent-child interaction.     

Mother-child relationships of mothers living apart from their children

Mothers' perceptions of mother-child relationships when mothers lived with or apart from their children were examined. Interviews and questionnaires were employed with 16 custody mothers and 17 noncustody mothers. Relationships of custody mothers with the children were more positive and less hostile and mothers felt they had gained in the parental role. Noncustody mothers reported more negative, hostile, and nonexistent relationships with their children. Noncustody mothers had less contact with sons than daughters and overall less contact with children than was reported for noncustody fathers. The results were discussed in terms of a complicated set of agendas on the parts of mothers, fathers, and children, all of which were thought to contribute to the more negative noncustody mother-child relationships. Further research is needed to assess the perceptions of all family members in these complex situations.This research was supported in part by a grant from the College of Home Economics Research Institutes, Texas Tech University.     

Regulation and Praise in American,Estonian, and Swedish Mother--Child Interaction

This article deals with cultural influences on linguistic regulation and praise in American, Estonian, and Swedish mother-child interaction. Two-year-old children and their mothers from these different countries were videotaped during mealtime and puzzle solving. The video recordings were transcribed and coded for various forms of linguistic behavior. The results reveal both quantitative and qualitative differences among the 3 groups. All children were regulated and praised more often during puzzle solving than during mealtimes. The American mothers praised their children more often than mothers in the other 2 groups, and the Estonian mothers used more regulation than the other mothers. The American mothers regulated verbal activity more than the Estonian and Swedish mothers, and the Estonian mothers regulated attention more often than the American and Swedish mothers.     

Social skills training and parent education programs for aggressive preschoolers and their parents in South Korea

The purpose of this study was to develop and evaluate social skills training and parent education programs for aggressive young children and their parents in South Korea. Participants consisted of intervention group I, which included six children and their mothers in the social skills training and parent education programs; intervention group II, which included seven children and their mothers in the social skills training; and control group, which consisted of six children and their mothers. Pre-test-post-test control group design was used. Participants in both intervention groups reported a significant decrease in aggression and on improvement in pro-social behavior, emotional regulation, and social skills, while the control group reported an increase in aggressive behavior. Mothers in the intervention group I also reported an increase in warmth/acceptance. The findings indicate that both programs are highly effective in reducing aggressive behavior among young children and in fostering positive parenting behaviors.     

Parent-child relationships between Korean American adolescents and their parents

This cross-sectional correlational study examined the association between Korean American adolescents' and their parents' reports of parent-child relationships. A total of 61 Korean American families completed a questionnaire assessing parental knowledge, parental/filial self-efficacy, parent-child communication, and parent-child conflicts. T tests, Pearson's correlations, a scatter diagram, and bivariate regression were used to analyze the data. Both Korean American adolescents and their parents reported that fathers were less knowledgeable about their child's school life and less likely to communicate with their children than were mothers. Fathers reported a significantly lower level of parental self-efficacy than mothers, and adolescents also reported a significantly higher level of filial self-efficacy in mother-child relationships than in father-child relationships. Positive correlations between parents' and adolescents' reports of parent-child relationships were observed. These findings indicated a need for parent education programs or counseling services for Korean American parents of adolescents, particularly fathers with inadequate parental skills and limited communication with their children.     

Temporal Responsiveness in Mother–Child Dialogue: A Longitudinal Analysis of Children with Normal Hearing and Hearing Loss

Dialogue between conversational partners, including mothers and their children, is precisely timed. The predictability of this timing is important for establishing and maintaining interaction, communication, and learning. This longitudinal study examines changes in the response latency of utterances in dialogue between mothers and their normal hearing and hearing‐impaired children between 4 and 60 months of age. Mothers and their children showed parallel developmental trends, responding to each other more quickly at older ages. Beyond these age‐related group effects, significant dyadic effects were found in which individual children's latencies were related to those of their mothers, and vice versa. Developmental patterns did not significantly differ across hearing status groups, which may reflect the role of early identification and intervention in promoting positive developmental outcomes.     

Mothers and deployment: Understanding the experiences and support needs of deploying mothers of children birth to five

ABSTRACT

Military deployments can demand long separations of service members and their families. The strain of separation is particularly acute for mothers of very young children. This study aimed to better understand the deployment and reintegration experiences of service members who are mothers of young children. Focus groups and interviews were conducted with 12 service member mothers who deployed to Iraq and/or Afghanistan when one or more of their children was younger than age 6. Discussions explored experiences before, during, and after deployment; needs and challenges at each stage; available support resources and gaps in support. Thematic data analysis was conducted, drawing on principles of grounded theory. Disruption and continuity were central themes as participants illuminated the challenges they faced and their profound dedication to sustaining strong family relationships across the deployment cycle. Relinquishing, reassuming, and balancing multiple roles and responsibilities are additional themes that were frequently evoked. Participants noted a lack of formal resources responsive to their needs and circumstances and highlighted a need for services tailored to mothers who are deploying. Military mothers, particularly mothers of young children, face distinct challenges surrounding deployment. Better understanding their experiences and support needs can inform tailored services to meet their needs.     

Mother-child communication about sexual abuse prevention

Two hundred and twelve Australian mothers completed an online survey examining features of mother-child communication about child sexual abuse prevention. Two-thirds (67.5%) of respondents had discussed child sexual abuse prevention with their children, with proportions varying according to age range (highest for mothers with children aged 5-12 years) and only-child status (lowest for mothers of only children). The number of topics discussed with their children differed according to child gender (greater number of topics discussed by mothers with both girls and boys) and age range (greater number of topics discussed by mothers with children aged 5-12 years). These findings provide new insights into mother-child communication about child sexual abuse prevention.     

Intervening with At-risk Mothers: Supporting Infant Language Development

At-risk young mothers and their infants (4–7 months of age) participated in an evaluation of a parenting intervention that focused largely on language stimulation. Participants assigned to the intervention group were matched with a volunteer mentor and were encouraged to attend eleven parenting sessions (five to seven participants per group) across approximately 8 months. Participants in the control group received referrals as needed and were followed across time. Results indicated that babies of the participants in the intervention group experienced more improvement in expressive language from pretest to posttest than did babies of the mothers in the control group.     

Young persons as epistemological agents in social work assessment and intervention

SummaryLiterature debates whether young persons' participation in social work decisions is tokenistic in nature or it empowers them to shape their world. By and large, young persons deemed at risk remain the targets of intervention. This paper aims to underscore the need to move beyond soliciting young persons' voice merely in order to corroborate information provided by adults and professionals in social work assessment and intervention. Instead, it explicates the philosophical foundation for social workers to treat young persons as knowledgeable agents capable of contributing to professional knowledge.FindingsThrough reinterpretation of a published case study on children of sex worker mothers in India, this paper highlights how young persons are active agents of their own lives even in extreme dire situations. These children of sex worker mothers were capable of advocating for their own rights as well as that of their mothers. Through the secondary analysis of data, we illustrated the dynamic process of knowledge construction by young persons.ApplicationBy paying attention to the young persons' capacity as knowledgeable agents we propose social workers to intentionally incorporate their knowledge in their practice.     

The Impact of Marital Quality,Divorce, and Remarriage on the Relationships Between Parents and Their Children

SUMMARY

This paper examines data from a panel study on the long-term effects of parental marital quality and divorce on relationships between parents and adult children. Attention is focused on whether these effects vary by age and gender of child as well as the theoretical explanations linking mother-father and parent-child relations. The relational quality between adult children (18-31 years old) and both mothers and fathers is examined from the perspective of both children and parents. Among intact families, parental marital quality has long-term effects on father-child relations, regardless of gender, whereas short-term effects are characteristic of mother-child relations and only perceived by mothers. Further, although divorce without remarriage hurts sons' relationships with both fathers and mothers, it hurts father-daughter relations even more. Mother-daughter bonds appear to be improved by divorce, with declines in income explaining a large portion of the tendency for divorce to affect father-child relations.     

Process and evaluation of a group intervention for mothers with parenting difficulties

Twenty-one mothers with severe parenting difficulties, including 12 children on the Child Protection Register, were involved in an intensive parenting intervention. The 4-month group-based package included psychotherapy to allow mothers to come to terms with past and present stressors, and direct and video work with mothers and children using a multi-dimensional model of parenting. Considerable positive change in interaction and child centredness was evident when before and after videotapes of the mothers and children were compared. Negative interaction dropped to one-quarter of the pre-group level and mothers were more effective in exercising appropriate control. Of the 12 children on the Child Protection Register, 10 subsequently had their names removed, with both remaining children returning to the mother's care from compulsory care. This compares favourably with area figures, suggesting that about one-third of children are removed annually from the register. The multi-dimensional model of parenting not only provided a basis for measuring mother's skills but a coherent focus for intervention.     

Cohabitation and Children's Externalizing Behavior in Low-Income Latino Families

We consider the association of cohabitation experience with externalizing behavior among children of Latina mothers whose ethnic origin is in Mexico, Puerto Rico, or the Dominican Republic. Data were drawn from three waves of the Three-City Study (N=656 mother-child pairs). Children of Mexican-origin mothers had higher externalizing problems in childhood and adolescence when their mothers were born in the United States or immigrated as minors. For children of Caribbean-origin mothers, being born to a cohabiting or married mother had a statistically equivalent association with externalizing behavior when mothers were born outside the mainland United States (Dominican and island-born Puerto Rican mothers). Children of mainland-born Puerto Rican mothers had more behavior problems when their mothers cohabited at birth.     

Noncustodial Mothers Following Divorce

Historically women have been responsible for pro- viding the primary care of their children. This notion of responsi- bility for the care and well-being of children is central to the definition of motherhood. When mothers relinquish custody of their children prior to their 18th birthday, they elicit suspicions of deviance and nonnormality. There are an estimated 500,000 to 1,200,000 noncustodial mothers in the United States, with approxi- mately 75% being voluntary relinquishers. This chapter identifies, through a review of the social science literature on maternal noncustody and examination of a specific study, the broad range of reasons for becoming a noncustodial mother, as well as provides a clearer picture of the noncustodial mother-child relationship pursuant to relinquishment. An overall theme from the literature was a general societal disapproval regarding maternal custody relinquishment, which in the study described, negatively affected respondents self- perceptions. This study describes the social situation of women who voluntarily gave up custody of one or more biological children. Retrospective data identifying the factors influencing custody relinquishment and the events leading up to giving up custody are examined. Relationships between noncustodial mothers and their children are ex-plored pursuant to relinquishment, as well as the extent to which mothers regretted giving up their children. A sample of 130 noncustodial mothers responded to a 137-item life history questionnaire and three clinical assessment scales. One- hundred-and-two of the participants engaged in two- to five-hour interviews. Findings revealed that approximately 86% of the respon- dents cited multiple reasons for custody relinquishment. Financial considerations, emotional problems, threats of legal custody fights, and being in a destructive relationship with mate emerged as the most frequently reported reasons for giving up one’s children. The reasons for relinquishment as well as how the decision was handled with children had the greatest impact on the mother-child relation- ship. Almost 97% of the mothers actively maintained relationships with children following relinquishment. Seventy percent of those sampled were satisfied with their decision to relinquish in retrospect. Finally, recommendations for policy and practice were discussed. Agency and legal policies and procedures should reflect a sensitivity to conditions under which most mothers relinquish their minor chil- dren, especially a supportive national family policy. The provision of a child or family allowance, compulsory court-based mediation, and a more uniform state-to-state support enforcement are recom- mended. Practitioners need to employ contextually-specific interac- tions for noncustodial mothers and their families, as high anxiety may characterize the emotions of this variable type of single parent. Professionals interacting with potential noncustodial mothers should provide for them to make a more informed and less pressured deci- sion regarding relinquishment.     

Mothers' strategies for protecting children from batterers: the perspectives of battered women involved in child protective services

During in-depth, individual interviews, seventeen battered women involved in the public child welfare system discussed the effects of domestic violence on their children, and their strategies for protecting and supporting them. Most mothers articulated the detrimental effects of domestic violence on their children and coherent strategies to protect them physically, but described difficulties supporting young children psychologically. Collectively, mothers reported a number of apparently useful strategies for supporting children's psychological resilience. Implications for intervention are discussed.     

‘We create our own small world’: daily realities of mothers of disabled children in a South African urban settlement

Parents of disabled children face many challenges. Understanding their experiences and acknowledging contextual influences is vital in developing intervention strategies that fit their daily realities. However, studies of parents from a resource-poor context are particularly scarce. This ethnographic study with 30 mothers from a South African township (15 semi-structured interviews and 24 participatory group sessions) unearths how mothers care on their own, in an isolated manner. The complexity of low living standards, being poorly supported by care structures and networks, believing in being the best carer, distrusting others due to a violent context, and resigning towards life shape and are shaped by this solitary care responsibility. For disability inclusive development to be successful, programmes should support mothers by sharing the care responsibility taking into account the isolated nature of mothers’ lives and the impact of poverty. This can provide room for these mothers to increase the well-being of themselves and their children.     

Mothers’ Involuntary Job Loss and Children’s Academic Achievement

Using matched mother-child data from the National Longitudinal Survey of Youth, I examine the impact of mothers’ involuntary job loss on children’s academic achievement. Single mothers’ job displacement affects children’s math and reading test scores negatively and statistically significantly in the short run. Displacement of married mothers has no impact on their children’s test scores. The decline in income and a worsening of child’s behavioral problems are two channels through which single mothers’ job loss impacts test scores.