EARLY PARENT-CHILD INTERACTIONS AND SUBSTANCE USE DISORDER: AN ATTACHMENT PERSPECTIVE ON A BIOPSYCHOSOCIAL ENTANGLEMENT

Author(s):  
Maria Lidia Gerra ◽  
Maria Carla Gerra ◽  
Leonardo Tadonio ◽  
Pietro Pellergini ◽  
Carlo Marchesi ◽  
...  
2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Alessio Porreca ◽  
Zeynep Biringen ◽  
Micol Parolin ◽  
Hannah Saunders ◽  
Giulia Ballarotto ◽  
...  

Parental Substance Use Disorder (SUD) constitutes a high-risk condition for parent-child interactions and child development. Empirical evidence indicates high rates of psychopathology and neuropsychological impairments in individuals with SUD. Despite research indicating that parenting skills are related to psychological well-being and cognitive/neuropsychological functioning, prior studies have not examined the associations between these areas of parental functioning and the quality of parent-child interactions in the context of SUD. Aim(s). The present study adopts an integrated perspective to investigate the way in which maternal neuropsychological functioning and psychopathology are associated with mother-child emotional availability (EA), in the context of parental Substance Use Disorder. Methods. Twenty-nine mothers with SUD were assessed in interaction with their children, as well as with respect to their neuropsychological functioning and psychopathology. Results. In this group, high rates of maternal neuropsychological impairments and psychopathology, as well as generally low levels of EA, were uncovered. Regression analyses showed that maternal neuropsychological functioning was significantly associated with mother-child EA, specifically sensitivity; the role of maternal psychopathology, however, was only marginally significant. Conclusion. In the context of SUD, maternal neuropsychological impairments are significantly associated with mother-child EA. Clinical implications of the findings are discussed.


Author(s):  
Evelien Dirks

Early parent–child interactions influence children’s later linguistic, social-emotional, and cognitive development. Since deaf and hard-of-hearing (DHH) children are more at risk for difficulties in their development than hearing children, the caregiving environment is an important context to enhance their development. This chapter describes different aspects of parent–child interactions that are related to the development of young DHH children. Parental language input, mental state language, and sensitivity are related to young DHH children’s language skills, social-emotional development, and executive functions. The chapter addresses parent-based interventions to promote DHH children’s linguistic, social-emotional, and cognitive development.


2017 ◽  
Vol 22 (3) ◽  
pp. 467-482 ◽  
Author(s):  
Nadine Urbain-Gauthier ◽  
Jaqueline Wendland

Background: Among the multiple risk factors, the emergence of conduct problems in young children may be linked to harsh parenting and child’s temperamental difficulties, leading to a reciprocal early discordant relationship. Little is known about the characteristics of early parent–child interactions in young children with physical aggression. Objective: The purpose of the current study was to evaluate the characteristics of mother–child interactions in dyads referred for excessive physical aggression in young children under 5 years of age compared to mother–child interactions in typically developing young children. Method: Mother–child interactions were assessed during a free-play session in both a clinical sample ( N = 70, child mean age  = 3.5 years) and a nonclinical sample ( N = 80, child mean age  = 3.5 years) by using the Rating Scale of Interaction Style (Clark and Seifer, adapted by Molitor and Mayes). Results: Significant differences were found between several interactive features in clinical and nonclinical dyads. In clinical dyads, mothers’ behaviors were often characterized by intrusiveness and criticism toward children, and poor facilitative positioning. Children with excessive aggressive behavior often displayed poor communication, initiation of bids, and poor responsiveness toward the mother. They displayed fewer sustained bouts of play than typically developing children did. In clinical dyads, strong positive correlations were found between child responsiveness and maternal interest in engagement ( r = .41, p < .001), while the child displaying sustained bouts of play was negatively correlated with the mother’s attempts to intrude on the child’s activity ( r = .64, p < .05). Conclusions: These data show that children with excessive aggressive behavior develop disrupted mother–infant interactions from a very young age. Several negative interactive features and correlations between child behavior and maternal behavior were found in clinical samples. The effects of these features add up and probably strengthen each other, thus leading to interactive difficulties from a very young age. More attention should be paid to early parent–child interactions in case of child behavioral problems. The recognition of these interactive dysfunctions is discussed in terms of clinical implications for therapeutic interventions.


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