Finally, the relevance of developmental level, child gender, diagnosis, and the presence
of parental psychopathology to the decision of how and when to include parents in treatment is discussed.
The second aim concerned identifying the role
of parental psychopathology in psychophysiological correlates of ER.
However, the indirect effect
of parental psychopathology symptoms on child social - emotional development via parents» emotion socialization behaviors has rarely been studied.
Our study provides insight in the intergenerational transmission
of parental psychopathology to child behavior problems via emotion socialization.
Perhaps parents feel more inclined to intensify positive interactions with their children when their partners suffer from severe psychological problems due to the unmistakable negative consequences
of parental psychopathology for the ill parent's child - rearing behaviors, notwithstanding the high level of family stress the other parent is likely to encounter.
This study has many strengths, including a matched pairs design to control for child age and gender, and the inclusion of interview assessment
of parental psychopathology.
Parental behaviours related to disorganized / controlling attachment strategiesAn increased incidence of infant disorganization is observed in the context
of parental psychopathology, but not in the context of infant illness or physical disability.8, 9 A meta - analysis has also confirmed that parental lapses of reasoning or discourse style during loss or trauma - related portions of the Adult Attachment Interview (termed an Unresolved State of mind) are associated with infant disorganization, r =.31.10 However, the mechanisms underlying this association remain to be established.
Research reviewed by Hennighausen and Lyons - Ruth has also demonstrated that certain parental behaviours, such as withdrawal, negative - intrusive responses, role - confused responses, disoriented responses, frightened or frightening behaviours and affective communication errors, which include contradictory responses to infant signals, are likely to be more evident in the context of certain types
of parental psychopathology, and have been documented to be associated with disorganized attachment.3, 4
It is the transfer
of this parental psychopathology to the child through highly aberrant and distorted pathogenic parenting practices, as evidenced in the specific features of the child's symptom display.
The purpose of identifying the nature
of the parental psychopathology is to gain an accurate conceptual understanding for the nature of the pathology being displayed by the child in attachment - based «parental alienation.»
However, the relationship dynamics involved with the pathogenic parenting of «parental alienation» processes are exceedingly similar across families, because they originate in the same type
of parental psychopathology (a narcissistic personality disorder with borderline features that is decompensating into persecutory beliefs regarding the targeted / rejected parent's abuse potential relative to the child).
Dr. Lane Strathearn, Director of Developmental and Behavioral Pediatrics and Physician Director at the University of Iowa's Center for Disabilities and Development, presents information regarding research conducted in the Attachment and Neurodevelopment Lab, discusses how face - to - face parent - infant interaction promotes healthy social and emotional development, explains the mechanisms through which adverse childhood experiences may adversely impact child development, and explores some specific examples
of parental psychopathology and potential effects on parenting capacity.
The Influence
of Parental Psychopathology on Offspring Suicidal Behavior across the Lifespan.
Not exact matches
If the respondent does not disagree with any component aspect
of the pathology listed on the checklist and as described in Foundations, then the respondent is essentially agreeing with an attachment - based model
of parental alienation as representing an existing form
of psychopathology (as elaborated in Foundations).
These studies suggest that social reinforcement,
parental psychopathology, family dynamics, and social contagion facilitated by mainstream and social media, all contribute to the development and / or persistence
of GD in some vulnerable children.
Future studies with such designs and more detailed assessments
of the correlates
of poverty, such as nutrition,
parental psychopathology, and genetic factors, are needed to further elucidate the mechanisms
of risk.
Specifically, high rates
of adverse childhood experiences are linked to low
parental education (34 %),
parental psychopathology (33 %),
parental marital conflict (23 %), and poor parent - child relationship (16 %)(Chartier et al., 2010).
Behavior therapy is considered probably efficacious for childhood depression, and a number
of other experimental interventions show promise but require further evaluation.12 Currently, only 2 research groups have focused on psychosocial interventions for childhood bipolar disorder.13 - 15 Hence, increased attention to creation and testing
of treatments specifically targeting depression and bipolar disorder in children is needed.16 In particular, studies should focus on children's developmental needs, address comorbidity, involve family members in treatment, demonstrate treatment gains as rated by parents and clinicians rather than children themselves, and compare experimental interventions with standard care or treatment as usual (TAU) rather than no - treatment or attention control groups.12, 17,18 In addition,
parental psychopathology may affect treatment adherence and response.
Wallerstein: The quality
of the child's relationship to a nurturing parent has been established to be among the best predictors
of their thriving and their ability to recover from marital conflict or
parental psychopathology (Furstenburg Cherlin 1991, Johnston and Kline) Furthermore, children's post-divorce adjustment is tied to the overall quality
of life in the custodial home including the creation
of a nurturing, protective milieu.
Early childhood mental health; developmental
psychopathology; child, family, and parenting processes in the context
of risk, including
parental mental health; early childhood mental health consultation; prevention and early intervention; implementation and evaluation
of evidence - based practice in the community.
Parental psychopathology, adult attachment and risk
of 12 - month suicidal behaviours.
The role
of perceived discrepancies in
parental emotion socialization practices in the relation between marital adjustment and adolescent
psychopathology
Identification
of mediators and moderators
of the relationship between adolescent attachment and functioning in young adulthood (i.e., poverty,
parental psychopathology, peer relationships, school success).
After controlling for relevant demographic characteristics,
parental co-morbid
psychopathology, and offspring
psychopathology, maternal depression was associated with higher levels
of physical symptoms (β = 0 · 14, S.E. = 0 · 07) during adolescence, and higher levels
of minor stressors (β = 2 · 52, S.E. = 1 · 07) and a greater risk for using mental health services (OR 1 · 86, 95 % CI 1 · 14 — 3 · 03) in young adulthood.
This latter at - risk group would likely include children with problems that may be precursors to
psychopathology and children whose parents have distorted perceptions
of child functioning, as may occur with
parental depression (Briggs - Gowan, Carter, & Schwab - Stone, 1996).
Exposure to
parental psychopathology and offspring's risk
of suicide - related thoughts and behaviours: a systematic review.
The relationship between
parental psychopathology and adolescent
psychopathology: an examination
of gender patterns
The quality
of parental care has a broad impact on mental health, including the risk for
psychopathology [1], [2], [3], [4], [5].
Specifically, a lack
of a warm positive relationship with parents; insecure attachment; harsh, inflexible or inconsistent discipline practices; inadequate supervision
of and involvement with children; marital conflict and breakdown; and
parental psychopathology (particularly maternal depression) increase the risk that children will develop major behavioural and emotional problems, including depression and conduct problems.
Even when study is limited to family processes as influences, multivariate risk models find support.9 - 12 For example, Cummings and Davies13 presented a framework for how multiple disruptions in child and family functioning and related contexts are supported as pertinent to associations between maternal depression and early child adjustment, including problematic parenting, marital conflict, children's exposure to
parental depression, and related difficulties in family processes.10, 11 A particular focus
of this family process model is identifying and distinguishing specific response processes in the child (e.g., emotional insecurity; specific emotional, cognitive, behavioral or physiological responses) that, over time, account for normal development or the development
of psychopathology.10
Studies demonstrating this greater susceptibility
of neurobiologically responsive children to both positive and negative aspects
of their environments have implicated a wide variety
of stressors and adversities, including paternal depression (67), marital conflict (68, 69),
parental psychopathology (70), and overall family distress (71);
of positive environmental features, including
parental warmth (72) and supportive interventions (73); and
of defining biological parameters, including physiological reactivity (e.g., 74, 75), differences in brain circuitry (76), and gene polymorphisms (77, 78).
The addition
of parental narcissistic / (borderline)
psychopathology transforms the cross-generational coalition into a particularly malignant and virulent form
of family pathology.
The presence in the child's symptom display
of the three characteristic diagnostic indicators (i.e., the «psychological fingerprints»)
of the child's psychological influence and control by a narcissistic / (borderline) parent represents sufficient and definitive clinical evidence that the symptomatic child - initiated cut - off
of the child's relationship with the other parent is the direct result
of the pathogenic parenting practices
of a narcissistic / (borderline) parent (i.e., the allied and supposedly «favored» parent), who is using the child in a role - reversal relationship as a «regulatory other» (see my blog essay:
Parental Alienation as Child Abuse: The Regulating Other) for the
psychopathology of the narcissistic / (borderline) parent.
In addition to behavior management, effective therapy requires
parental consistency and reduction
of marital or intergenerational conflict.12, 35 Empowering parents to take charge
of discipline and rule setting is often difficult because
of adults» own self - focus or concurrent
psychopathology.
By bringing professional psychology together in a single voice, an attachment - based model
of «
parental alienation» allows the diagnosis and resolution
of the distorted family processes associated with «
parental alienation» to be returned to its proper venue
of professional mental health, rather than diagnosing the nature
of psychopathology through the legal system.
It helped highlight the existence
of «
parental alienation» in the public and professional consciousness, and by giving the
psychopathology a name the construct
of PAS gave some degree
of comfort to the many targeted - rejected parents who suffered the tragic loss
of their children as a consequence
of the
psychopathology of the narcissistic / (borderline) parent that so severely distorted the development
of the children.
the reduction
of parental preoccupation resulting from
parental or child (or both)
psychopathology;
In the 30 years since its inception, Gardner's model
of PAS has failed to provide a solution to «
parental alienation» for the countless parents who continue to lose their children to the
psychopathology of a narcissistic / (borderline) parent.
Therapy for attachment - based «
parental alienation» REQUIRES the child's protective separation from the pathology
of the narcissistic / (borderline) parent during the active phase
of treatment and recovery stabilization from the role - reversal relationship with the narcissistic / (borderline) parent in which the child is being used as a «regulatory object» by the narcissistic / (borderline) parent for the
psychopathology of this parent.
In particular,
parental psychopathology (e.g. depressive disorder and personality disorder)[10, 11],
parental alcohol or substance abuse [40] and the presence
of anxiety disorders [16] were not assessed.
However, heterotypic continuity
of psychopathology is also known across generations, such as the consistently reported relationship between
parental substance abuse, and antisocial behavior and somatization problems in the daughters (Bohman et al. 1984; Cadoret 1978).
Parental psychopathology and treatment outcome for anxious youth: Roles
of family functioning and caregiver strain.
The longevity
of parental mental illness, its potential impact on parent - child attachment, and the stress associated with periods
of acute illness are viewed as factors that may negatively affect the child or adolescent's health, psychosocial competence and future
psychopathology.
The emphasis in the literature, and particularly in relation to parenting behaviours, has been on children's externalizing behaviour, non-compliance and
psychopathology, and several models
of coercive family processes leading to child externalizing behaviour have been delineated and supported.5 There is a paucity
of research examining child competencies, both in terms
of behaviour and developmental competencies (social, cognitive, emotional) and how parenting behaviours,
parental knowledge, mood and self - efficacy interact with and impact on these competencies.
That is, suicidal thinking itself increases risk for future thoughts
of suicide, beyond the influence
of potent risk factors (depressive symptoms, substance use,
parental psychopathology).
Only one study has previously reported on relations between
parental psychopathology and stressful life events prior to the onset
of anxiety disorders in children.
Five dimensions
of lifetime
parental psychopathology were assessed (depressive disorders, anxiety disorders, substance dependence, antisocial behavior, and psychosis), using the TRAILS Family History Interview (FHI), which was administered at the parent interview [26].
The relationship was maintained even after accounting for a number
of family risk factors associated with
parental psychopathology.
Findings underscore the importance
of assessing various types
of internalizing symptoms (i.e., controlling for shared construct variance), obtaining children's perceptions
of parental style in conjunction with conducting behavioral observations, and including fathers in
psychopathology research.
For example, parent behaviour - related adversities may reflect the quality
of parents» relationships (e.g., conflict with the child's siblings or extended family members), their broader environment (e.g., stressful work environment, disadvantaged neighbourhood), or
parental psychopathology — a possibility explored in more detail below.