Ecostructural Family Therapy and Maternal Substance Use

2021 ◽  
Vol 40 (3) ◽  
pp. 50-66
Author(s):  
Jessica L. Chou ◽  
Rachel M. Diamond ◽  
Bertranna M. Muruthi ◽  
Shannon Cooper-Sadlo ◽  
Maliha Ibrahim ◽  
...  

This pilot study utilized phenomenological methodology to explore relational systems for ten mothers enrolled in family-centered substance use treatment. Participants described their experiences during motherhood and addiction. Analysis revealed themes that captured the interpersonal relationships of maternal substance use: (1) parent-child relationships in the context of maternal substance use disorders (SUDs), (2) interaction between romantic relationships and maternal substance use, and (3) intergenerational relationships among mothers and grandmothers. Mothers discussed these complicated and simultaneous roles and relationships that impacted their substance use and recovery within the context of family. Using ecostructural family therapy, we offer clinical recommendations with the aim of creating organizational change for families in recovery.

Author(s):  
Shilo St. Cyr ◽  
Elise Trott Jaramillo ◽  
Laura Garrison ◽  
Lorraine Halinka Malcoe ◽  
Stephen R. Shamblen ◽  
...  

Intimate partner violence (IPV) is a common feature in the lives of incarcerated women returning to rural communities, enhancing their risk of mental ill-health, substance use, and recidivism. Women’s experiences of IPV intersect with challenges across multiple social–ecological levels, including risky or criminalizing interpersonal relationships, geographic isolation, and persistent gender, racial, and economic inequities. We conducted quantitative surveys and qualitative interviews with 99 incarcerated women in New Mexico who were scheduled to return to micropolitan or non-core areas within 6 months. Quantitative and qualitative data were analyzed separately and then triangulated to identify convergences and divergences in data. The findings underscore how individual and interpersonal experiences of IPV, substance use, and psychological distress intersect with broad social inequities, such as poverty, lack of supportive resources, and reluctance to seek help due to experiences of discrimination. These results point to the need for a more proactive response to the mutually constitutive cycle of IPV, mental distress, incarceration, and structures of violence to improve reentry for women returning to rural communities. Policy and treatment must prioritize socioeconomic marginalization and expand community resources with attention to the needs of rural women of color.


2014 ◽  
Vol 23 (4) ◽  
pp. 210-216 ◽  
Author(s):  
Brianna Johnson ◽  
Duane McBride ◽  
Gary Hopkins ◽  
Sara Pepper

Author(s):  
Nathalie Auger ◽  
Nicholas Chadi ◽  
Nancy Low ◽  
Aimina Ayoub ◽  
Ernest Lo ◽  
...  

2017 ◽  
Author(s):  
Jessica ChenFeng ◽  
Diane Gehart

Evidence-based couple and family therapies have a robust and well-established evidence base as a cost-effective treatment for numerous conditions and are the treatment of choice for several childhood and adult mental health issues. This review provides a brief overview of systemic couple and family therapy principles and then reviews the evidence base for using these methods with specific disorders. Family therapy treatments have been identified as a primary intervention for several childhood and adolescent disorders, including conduct, alcohol and substance use, attention-deficit, autism, psychotic, mood, anxiety, and eating disorders, as well as certain physical disorders, including diabetes, enuresis, and asthma. For adults, the current evidence base supports couples therapy for major depressive disorder with couple distress, alcohol and substance use disorders, anxiety disorders, distressed couples, and interpersonal violence with certain batterers. In addition, couple and family therapy is indicated for certain adult chronic health conditions, including stroke, traumatic brain injury, spinal cord injury, cardiovascular diseases, cancer, dementia, and diabetes. The review concludes with a discussion of effective referral for and training in evidence-based family therapy approaches. This review contains 6 figures, 5 tables, and 53 references. Key words: ADD/ADHD, adolescent, childhood trauma, conduct disorder, couples therapy, depression, eating disorders, family therapy,  marital therapy, mood disorder


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