Biomedical subjects
Publications and source records attributed to C M Heinicke.
Following up on previous work demonstrating that an intervention with at-risk mothers made a positive impact on the quality of mothers' partner support, responsiveness to the needs of the child, the child's expectation of being cared for, and child's response to a brief separation, the present paper examines whether quality of the mother's partner support mediated the impact of the intervention on these outcomes.
Generic principles governing the outcome and process of the treatment of children and their families can be generated from both research on the psychotherapy of school-aged children and early family intervention. Evidence indicates that the amenability of the child or parent to treatment and the comprehensiveness, duration, and intensity of the helping process are significant parameters. Definition of significant early family intervention roles allows linkage to various therapeutic roles with school-aged children and forces the recognition that most treatment situations involve more roles than are officially recognized. This articulation of the profile of intervention roles among poverty level, first-time parents at risk for neglecting their infant drew on several bodies of theory: psychoanalytic, cognitive, behavioral, social cognitive, and positive reinforcement principles, and advocacy and direct assistance as used in clinical social casework.
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In designing early intervention studies, it is important to consider how the nature of pre-birth parent personality and marital characteristics influence family and child development. Descriptions of the development of three families show the specific impact of these pre-birth characteristics on the quality of the parent-infant transaction of infant soothability-responsiveness to need. Further focus is provided by linking the parent's responsiveness to the infant's need to the emergence and resolution of ambivalent feelings about caring for the infant. The variations in the resolution of ambivalent feelings and the parental personality and marital context of that resolution are explored. Three such configurations are illustrated: a competent mother whose ambivalence appeared in the context of difficulty with intimacy; a mother who struggled with intensely loving and hostile feelings generally; and the description of the emergence of maternal ambivalence in the context of difficulty in achieving psychological separation from her child. Finally, quantitative indices are used to compare these three instances of difficulty in resolving ambivalence with two families whose resolution of the ambivalence was optimal.
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A psychoanalytic social work approach to family intervention is described, and data on its impact on parents and their children are presented. Program parents, especially those in an open-ended approach, were rated as more positive both as persons and as parents; their children scored higher on IQ and other developmental and adaptational measures.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.