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Indispensable interaction: parents' perspectives on parent-child interaction and beneficial meetings
Örebro University, School of Health and Medical Sciences.
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Parent-child interaction interventions, guided by the aim of promoting child development, have developed in Sweden during the last three decades. The aim of this thesis was to describe families taking part in such interventions and examine short term and long term changes in their problem loads. Praticular interest was directed towards the parents' experiences, both with respect to the treatment they had taken part in at either of four centres for parent-child interaction interventions presented in this thesis and to other persons and/or contexts the parents considered had played an important and beneficial role for the child or the family.

The results show that the centres have reached both mothers, fathers and children beset by considerable difficulties in relation to interaction, offering them a treatment which an overwhelming majority of the families have chosen to follow through and which has made a difference to the families.

This thesis highlights the significance of beneficial relationships, not only within the intervention but also in other professional contexts, for the enhancing of children's development.

Place, publisher, year, edition, pages
Örebro: Örebro universitet , 2009. , 89 p.
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 36
Keyword [en]
parent-child, interaction intervention, Marte Meo, attachment, parents' perspectives, fathers, child development, narratives, intersubjectivity, hermeneutic phenomenology, therapeutic relationship
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-8506ISBN: 978-91-7668-698-0 (print)OAI: oai:DiVA.org:oru-8506DiVA: diva2:276055
Public defence
2009-12-04, Wilandersalen, Universitetssjukhuset, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2009-11-11 Created: 2009-11-10 Last updated: 2011-05-03Bibliographically approved
List of papers
1. Parents' assessment of parent-child interaction interventions: a longitudinal study in 101 families
Open this publication in new window or tab >>Parents' assessment of parent-child interaction interventions: a longitudinal study in 101 families
2009 (English)In: Child and Adolescent Psychiatry and Mental Health, ISSN 1753-2000, Vol. 3, no 1, 8- p.Article in journal (Refereed) Published
Abstract [en]

Background

The aim of the study was to describe families with small children who participated in parent-child interaction interventions at four centres in Sweden, and to examine long term and short term changes regarding the parents' experience of parental stress, parental attachment patterns, the parents' mental health and life satisfaction, the parents' social support and the children's problems.

Methods

In this longitudinal study a consecutive sample of 101 families (94 mothers and 54 fathers) with 118 children (median age 3 years) was assessed, using self-reports, at the outset of the treatment (T1), six months later (T2) and 18 months after the beginning of treatment (T3). Analysis of the observed differences was carried out using Wilcoxon's Signed-Rank test and Cohen's d.

Results

The results from commencement of treatment showed that the parents had considerable problems in all areas examined. At the outset of treatment (T1) the mothers showed a higher level of problem load than the fathers on almost all scales. In the families where the children's problems have also been measured (children from the age of four) it appeared that they had problems of a nature and degree otherwise found in psychiatric populations. We found a clear general trend towards a positive development from T1 to T2 and this development was also reinforced from T2 to T3. Aggression in the child was one of the most common causes for contact. There were few undesired or unplanned interruptions of the treatment, and the attrition from the study was low.

Conclusion

This study has shown that it is possible to reach mothers as well as fathers with parenting problems and to create an intervention program with very low dropout levels – which is of special importance for families with small children displaying aggressive behaviour. The parents taking part in this study showed clear improvement trends after six months and this development was reinforced a year later. This study suggests the necessity of clinical development and future research concerning the role of fathers in parent-child interaction interventions.

Place, publisher, year, edition, pages
London: BioMed Central, 2009
National Category
Medical and Health Sciences Psychiatry
Research subject
Psychiatry
Identifiers
urn:nbn:se:oru:diva-8502 (URN)10.1186/1753-2000-3-8 (DOI)
Available from: 2009-11-10 Created: 2009-11-10 Last updated: 2016-10-07Bibliographically approved
2. Fathers' involvement in parent-child interaction interventions: a prospective, naturalistic study
Open this publication in new window or tab >>Fathers' involvement in parent-child interaction interventions: a prospective, naturalistic study
(English)Manuscript (preprint) (Other academic)
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-8503 (URN)
Available from: 2009-11-10 Created: 2009-11-10 Last updated: 2016-12-02Bibliographically approved
3. Important meetings with important persons: narratives from families facing adversity and their key figures
Open this publication in new window or tab >>Important meetings with important persons: narratives from families facing adversity and their key figures
2006 (English)In: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 5, no 3, 295-311 p.Article in journal (Refereed) Published
Abstract [en]

In this study families that have struggled with their relationships to their children have identified people who have had a positive influence on the child or the family. By enabling meetings between the parents and these key figures the participants were given an opportunity to together recall their contact. The aim of the study was to examine the understanding they constructed of these beneficial processes. Interpretation according to Max van Manen’s hermeneuticp-phenomenological method led to the crystallization of a number of central themes. These themes together constitute the following whole: these are narratives about ‘emerging mutual trust’, which ‘overcomes obstacles’. The key figures or ‘important persons’ have a ‘clear orientation’ in their occupation and they work in ‘the essential everyday world’ to find and establish ‘contexts that nourish development’ in children and parents. The outcome of this is the creation of ‘new narratives’ that replace the old ones.

National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-3597 (URN)10.1177/1473325006067357 (DOI)
Available from: 2008-12-14 Created: 2008-12-14 Last updated: 2011-12-19Bibliographically approved
4. Bridging the gap - the co-creation of a therapeutic process: reflections by parents and professionals on their shared experiences of early childhood interventions
Open this publication in new window or tab >>Bridging the gap - the co-creation of a therapeutic process: reflections by parents and professionals on their shared experiences of early childhood interventions
2008 (English)In: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 7, no 3, 289-309 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore parents' and therapists' experiences of treatment processes in early childhood interventions. The parents and their therapists reflected on their experiences in joint interviews. The interpretation led to the crystallization of five central themes. The starting point was marked by 'parents' fear versus professional(s') confidence'. This formed the background against which both parties aimed at 'making sense of the situation'. The subsequent therapeutic process was characterized by the parents' and the professionals' 'striving for reciprocal responsiveness' and it led to the 'alteration of inner images'. Finally the two parties made a 'retrospective reflection on the nature of the relation'. Together these themes constitute the co-creation of a therapeutic process by bridging a gap that is created by fear, by power differentials and by differences in familiarity with the context. The parents shoulder responsibility for creating a cooperative relationship, and this is facilitated if they meet a 'normal, friendly and knowledgeable therapist who is capable of admitting that he/she may be wrong'.

Place, publisher, year, edition, pages
London: Sage, 2008
National Category
Social Sciences Social Sciences Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-3577 (URN)10.1177/1473325008093703 (DOI)
Available from: 2008-12-09 Created: 2008-12-09 Last updated: 2010-09-22Bibliographically approved

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Citation style
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