Enhancing the effectiveness of residential treatment for substance abusing pregnant and parenting women: Focus on maternal reflective functioning and mother-child relationship
✍ Scribed by Marjukka Pajulo; Nancy Suchman; Mirjam Kalland; Linda Mayes
- Publisher
- John Wiley and Sons
- Year
- 2006
- Tongue
- English
- Weight
- 144 KB
- Volume
- 27
- Category
- Article
- ISSN
- 0163-9641
No coin nor oath required. For personal study only.
✦ Synopsis
Substance abuse during early motherhood has become a significant problem and has led to accelerated efforts to develop specific treatment facilities for these mothers and children. Despite the often intensive treatment efforts in residential settings, there is surprisingly little evidence of their efficacy for enhancing the quality of caregiving. The situation of these mother-child pairs is exceptionally complex and multilevel, and has to be taken into account in the content and structuring of treatment. Intensive work in the "here and now" focusing on the mother-child relationship from pregnancy onwards in an effort to enhance maternal reflective capacity and mindedness is considered a key element for better treatment prognosis, in terms of both abstinence and quality of parenting. Pioneering work with such a focus is described in this article.
RESUMEN: El abuso de sustancias durante la temprana maternidad se ha convertido en un problema significativo, lo cual ha llevado a esfuerzos acelerados para desarrollar lugares específicos de tratamiento para estas madres y sus infantes. A pesar de las esfuerzos de tratamiento, a menudo intensivos, en lugares residenciales, sorprende la poca evidencia que hay de la eficacia de dichos lugares para mejorar la calidad del cuidado que se presta a los infantes. La situación de estos pares de madres e infantes es