title: Understanding maltreating mothers: a synthesis of relational trauma, attachment disorganization, structural dissociation of the personality, and experiential avoidance.
abstract: Treatment options are limited for families in which the child has severe and intractable disturbances of emotion and behavior, in which there is suspected or confirmed maltreatment by the mother, and in which the mother has her own history of childhood neglect and abuse. This paper proposes a model for understanding maltreatment in mother-child dyads, drawing upon the developmental psychopathology, behavior, and trauma literatures. At the core of this model is the hypothesis that a mother's maltreating behavior arises from unconscious attempts to experientially avoid the reemergence of an attachment-related dissociative part of the personality that contains the distress arising from her own early experiences of attachment relationships. The implications of this model for therapy are considered.
authors.affiliation: Southern Adelaide Health Service, Child and Adolescent Mental Health Service, Adelaide, South Australia, Australia. Jackie.amos@health.sa.gov.au
authors.forename: Jackie
authors.initials: J
authors.lastname: Amos
authors.forename: Gareth
authors.initials: G
authors.lastname: Furber
authors.forename: Leonie
authors.initials: L
authors.lastname: Segal
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D001362:Avoidance Learning; D002648:Child; D002649:Child Abuse / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D016241:Child of Impaired Parents / Q000523:psychology*; D002675:Child, Preschool; D003142:Communication; D003674:Defense Mechanisms; D004213:Dissociative Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D005196:Family Therapy / Q000379:methods; D005260:Female; D006380:Helplessness, Learned; D006791:Hostility; D006801:Humans; D007223:Infant; D007389:Internal-External Control; D008297:Male; D061212:Memory, Episodic; D008960:Models, Psychological; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009042:Motivation; D019962:Reactive Attachment Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D012094:Repression, Psychology; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D014473:Unconscious, Psychology