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Lecture 6 2011 - Psych/HD 2820 Community Outreach October 4...

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Psych/HD 2820 Community Outreach October 4, 2011 http://www.frick.org/
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Today’s Lecture 1. Mothers & Children – from a prevention standpoint.        When, how and where to you intervene? 2. Case Study: Early Trauma of Substance-Addicted  Mothers  3. Case Intervention: The Prenatal/Early Infancy  Project  4. Case Methods: Home Visitors’ and Mothers’  Attachment Style 5. Back in the Bronx
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Case Study : Childhood Experiences of Abuse, Later Substance  Use, and Parenting Outcomes Among Low-Income Mothers Marcenko, Kemp & Larson,  American Journal of Orthopsychiatry  – July 2000 ( from p. 326) “The purpose of the research here is to test a  developmental model that incorporates childhood experiences  of abuse, its relationship to adult functioning, and child  placement in a sample of African-American mothers with  young children and a history of substance abuse. Research  such as this, which conceptually unites the relationships  among childhood trauma, adult functioning, and parenting,  and which offers guidance for the development of evidence- based interventions that integrate these domains, will be vital  to the success of this much-needed collaboration .”
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Theoretical Model 1. Early sexual victimization is a central factor in women’s  addiction to drugs and alcohol. 2. Studies have shown that women with early sexual  victimization are more likely to have their children placed  outside the home. 3. Substance-abusing mothers are more likely to use punitive  or threatening measures … but… 4. They are also more likely to feel guilt or remorse over the  way they treat their children, and this may in part motivate  them to seek help. 5. No studies have looked at the  severity  of drug use among  addicted mothers and its impact on parenting.
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Measures (questionnaires/structured interviews) 1. Childhood history of physical and/or sexual abuse 2. Substance abuse (and its severity) 3. Social Support 4. Psychological Function (Brief Symptom Index) 5. Attitudes toward Parenting: 1) inapropriate parental expectations 2) lack of empathy toward child’s needs 3) parental value of physical punishment 4) parent-child role reversal
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Sample Characteristics Sample:  127 African  American Mothers who  met one of the  following: current or  past substance abuse, hx  of incarceration,  children in out-of-home  placement, HIV- positive, domestic  violence, late or no  prenatal care.
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Results Abuse History   1.   53.5% of the women reported physical or sexual abuse in  childhood.
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