Lighthouse Parenting Programme: Description and pilot evaluation of mentalization-based treatment to address child maltreatment

2018 ◽  
Vol 24 (4) ◽  
pp. 680-693 ◽  
Author(s):  
Gerry Byrne ◽  
Michelle Sleed ◽  
Nick Midgley ◽  
Pasco Fearon ◽  
Clare Mein ◽  
...  
Keyword(s):  
At Risk ◽  
Child Development ◽  
Child Maltreatment ◽  
Personality Disorders ◽  
Parenting Intervention ◽  
Antisocial Personality ◽  
Parenting Programme ◽  
Parenting Confidence ◽  
Inner World ◽  
The Relationship

This article introduces an innovative mentalization-based treatment (MBT) parenting intervention for families where children are at risk of maltreatment. The Lighthouse MBT Parenting Programme aims to prevent child maltreatment by promoting sensitive caregiving in parents. The programme is designed to enhance parents’ capacity for curiosity about their child’s inner world, to help parents ‘see’ (understand) their children clearly, to make sense of misunderstandings in their relationship with their child and to help parents inhibit harmful responses in those moments of misunderstanding and to repair the relationship when harmed. The programme is an adaptation of MBT for borderline and antisocial personality disorders, with a particular focus on attachment and child development. Its strength is in engaging hard to reach parents, who typically do not benefit from parenting programmes. The findings of the pilot evaluation suggest that the programme may be effective in improving parenting confidence and sensitivity and that parents valued the programme and the changes it had helped them to bring about.

scholarly journals Is the Families First Home Visiting Program Effective in Reducing Child Maltreatment and Improving Child Development?

2017 ◽  
Vol 22 (2) ◽  
pp. 121-131 ◽  
Author(s):  
Mariette J. Chartier ◽  
Marni D. Brownell ◽  
Michael R. Isaac ◽  
Dan Chateau ◽  
Nathan C. Nickel ◽  
...  
Keyword(s):  
At Risk ◽  
Child Development ◽  
Child Maltreatment ◽  
Social Services ◽  
Home Visiting ◽  
School Entry ◽  
Adjusted Risk ◽  
Education Data ◽  
Home Visiting Program ◽  
Families First

While home visiting programs are among the most widespread interventions to support at-risk families, there is a paucity of research investigating these programs under real-world conditions. The effectiveness of Families First home visiting (FFHV) was examined for decreasing rates of being in care of child welfare, decreasing hospitalizations for maltreatment-related injuries, and improving child development at school entry. Data for 4,562 children from home visiting and 5,184 comparison children were linked to deidentified administrative health, social services, and education data. FFHV was associated with lower rates of being in care by child’s first, second, and third birthday (adjusted risk ratio [aRR] = 0.75, 0.79, and 0.81, respectively) and lower rates of hospitalization for maltreatment-related injuries by third birthday (aRR = 0.59). No differences were found in child development at kindergarten. FFHV should be offered to at-risk families to decrease child maltreatment. Program enhancements are required to improve child development at school entry.

scholarly journals Early identification of individuals at risk for antisocial personality disorder

2003 ◽  
Vol 182 (S44) ◽  
pp. s11-s14 ◽  
Author(s):  
Jonathan Hill
Keyword(s):  
At Risk ◽  
Personality Disorder ◽  
Conduct Problems ◽  
Antisocial Personality Disorder ◽  
Early Identification ◽  
Antisocial Behaviour ◽  
Antisocial Personality ◽  
Child Conduct Problems ◽  
Child Conduct ◽  
The Relationship

BackgroundAntisocial personality disorder is usually preceded by serious and persistent conduct problems starting in early childhood, and so there is little difficulty in identifying an at-risk group.AimsTo address six key areas concerning the relationship between early conduct problems and antisocial personality disorder.MethodReview of recent research into early identification of and intervention in child conduct problems, following up to possible adult antisocial behaviour.ResultsConduct problems are predictive of antisocial personality disorder independently of the associated adverse family and social factors. Prediction could be aided through identification of subtypes of conduct problems. There is limited evidence on which children have problems that are likely to persist and which will improve; children who desist from early conduct problems and those with onset in adolescence are also vulnerable as adults.ConclusionsThe predictive power of the childhood precursors of antisocial personality disorder provides ample justification for early intervention. Greater understanding of subgroups within the broad category of antisocial children and adults should assist with devising and targeting interventions.

Borderline and Antisocial Personality Scores as Mediators Between Attachment and Intimate Partner Violence

2007 ◽  
Vol 22 (2) ◽  
pp. 139-157 ◽  
Author(s):  
Anne Marie Mauricio ◽  
Jenn-Yun Tein ◽  
Frederick G. Lopez
Keyword(s):  
Personality Disorders ◽  
Social Desirability ◽  
Partner Violence ◽  
Structural Equation ◽  
Intervention Program ◽  
Equation Modeling ◽  
Antisocial Personality ◽  
Psychological Violence ◽  
Anxious Attachment ◽  
The Relationship

Court-mandated male batterers (n = 192) attending an intervention program completed measures examining adult attachment orientations (anxious and avoidant), personality disorders (borderline and antisocial), type of violence (psychological and physical), and social desirability. Structural equation modeling was used to determine whether there were significant relationships between anxious attachment and physical and psychological violence that are mediated by either borderline or antisocial personality disorders. Social desirability was included in both models as a covariate. Results indicated that personality disorders fully mediated the relationship between avoidant attachment and physical as well as psychological violence. Personality disorders only partially mediated the relationship between anxious attachment and psychological violence. Implications for intervention are discussed.

scholarly journals Men’s Involvement in a Parenting Programme to Reduce Child Maltreatment and Gender-Based Violence: Formative Evaluation in Uganda

2017 ◽  
Vol 29 (5) ◽  
pp. 1017-1037 ◽  
Author(s):  
Godfrey E. Siu ◽  
Daniel Wight ◽  
Janet Seeley ◽  
Carolyn Namutebi ◽  
Richard Sekiwunga ◽  
...  
Keyword(s):  
Child Maltreatment ◽  
Formative Evaluation ◽  
Parenting Intervention ◽  
Gender Based Violence ◽  
Parenting Programme ◽  
Spousal Relationships ◽  
Gender Based ◽  
And Gender ◽  
Children’S Behaviour ◽  
Men’S Involvement

Abstract Parenting programmes involving fathers can reduce child maltreatment and gender-based violence. However, most parenting programmes find it difficult to recruit fathers. We piloted a 21 session parenting intervention, ‘Parenting for Respectability’, with fathers and mothers near Kampala, Uganda. Sixty-one fathers and 83 mothers were recruited initially and 52 fathers and 76 mothers retained to the end. We interviewed with 24 fathers and 16 mothers. Data were analysed thematically. Success in involving fathers was probably due to (a) the first 10 sessions being father-only, allowing them to share experiences before participating in mixed-sex sessions; (b) exploiting men’s pre-existing motivation to improve their children’s behaviour, thereby enhancing family respectability; and (c) the interactive, participatory delivery. Mixed sessions enabled couples to clarify conflicting perspectives regarding spousal relationships and gendered norms. However, men experienced social pressure to conform to conventional masculinity, suggesting the need to instil intervention values at community level.

The relationship between reflective functioning and affect consciousness in patients with avoidant and borderline personality disorders.

2018 ◽  
Vol 35 (4) ◽  
pp. 382-393
Author(s):  
Merete S. Johansen ◽  
Sigmund W. Karterud ◽  
Eivind Normann-Eide ◽  
Frida G. Rø ◽  
Elfrida H. Kvarstein ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Reflective Functioning ◽  
Borderline Personality ◽  
Borderline Personality Disorders ◽  
The Relationship

Comparisons of Child, Parental, and Familial Features among Child-Maltreatment Reported, Non-Reported At-Risk, and Non-Reported Intact Teen Groups

2018 ◽  
Vol 13 (1) ◽  
pp. 17-38
Author(s):  
Hyun-Soo Kim ◽  
◽  
Bong Joo Lee ◽  
Sewon Kim ◽  
Joan P. Yoo ◽  
...  
Keyword(s):  
At Risk ◽  
Child Maltreatment

The Democratic Costs of Constitutionalization— The European Case

2017 ◽  
Author(s):  
Dieter Grimm
Keyword(s):  
At Risk ◽  
Economic Integration ◽  
Fundamental Rights ◽  
European Law ◽  
European Court ◽  
Political Implications ◽  
The Impact ◽  
The Relationship ◽  
The Eu

This chapter examines the democratic costs of constitutionalization by focusing on the European case. It first considers the interdependence of democracy and constitutionalism before discussing how constitutionalization can put democracy at risk. It then explores the tension between democracy and fundamental rights, the constitutionalization of the European treaties, and the European Court of Justice’s (ECJ) two separate judgments regarding the relationship between European law and national law. It also assesses the impact of the ECJ’s jurisprudence on democracy, especially in the area of economic integration. The chapter argues that the legitimacy problem the EU faces is caused in part by over-constitutionalization and that the remedy to this problem is re-politicization of decisions with significant political implications.

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