Pregnant substance abusers in voluntary and coercive treatment in Norway: Therapists’ reflections on change processes and attachment experiences

Myra, Siv Merete; Ravndal, Edle; Torsteinsson, Vigdis Wie

doi:10.1111/jocn.14067

Cited by 2 publications

(3 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The relationship between mother’s use of alcohol and the lasting impact on the child is a focus in the articles identified from a public health perspective (Corrigan, Shah, Lara, Mitchell, Combs-Way, Simmes and Jones, 2018; Corrigan, Shah, Lara, Mitchell, Simmes and Jones, 2018; Corrigan et al , 2017; Zizzo and Racine, 2017). Other disciplines identified in the literature include neuropsychology (Davis et al , 2017; Pei et al , 2017; Glass and Mattson, 2017; Fitzpatrick, Latimer, Olson, Carter, Oscar, Lucas, Doney, Salter, Try, Hawkes, Fitzpatrick, Hand, Watkins, Tsang, Bower, Ferriera, Boulton and Elliot, 2017; Fitzpatrick, Oscar, Carter, Elliott, Latimer, Wright and Boulton, 2017); criminal justice perspective (Brown et al , 2017; Tait et al , 2017; Flannigan et al , 2018); child health, social work and child welfare (Mukherjee et al , 2017; Kapasi and Brown, 2017; Hafekost et al , 2017; Bakhireva et al , 2017; Petrenko and Alto, 2017; Gibbs and Sherwood, 2017; Myra et al , 2018); the substance use field (Washio et al , 2017); nursing (Marcellus, 2017; Howlett et al , 2017), women’s health (Cook, Green, de la Ronde, Dell, Graves, Ordean, Rutler, Steeves and Wong, 2017; Cook, Green, de la Ronde, Dell, Graves, Morgan, Ordean, Steeves and Wong, 2017; Hui et al , 2017; Hemsing et al , 2017; Osterman et al , 2017); health care ethics (Elias et al , 2018; Helgesson et al , 2018); and education (Millar et al , 2017). It is interesting to note that the literature emerging from the search terms FASD and stigma yielded results from multiple sources indicating that this topic is of interest to a variety of disciplines in the health and social sciences fields.…”

Section: Introductionmentioning

confidence: 99%

Stigma as a dominant discourse in fetal alcohol spectrum disorder

Choate

Badry

2019

ADD

View full text Add to dashboard Cite

Purpose The purpose of this paper is to conduct a scoping review of the literature to explore the many ways stigma affects people with FASD and to highlight the disciplines and places where discourse on FASD and stigma is taking place. Design/methodology/approach Searches were conducted in PubMed, ERIC, Family & Society Studies Worldwide, Families Studies Abstracts and Google Scholar between 2008 and 2018. Search terms focused on stigma, shame and the connection to FASD with a view to looking across social and medical science literature. Findings Searches identified 39 full text manuscripts, 13 of which were included in the scoping review. Stigma toward people with FASD exists in multiple professional forums across disciplines. The relationship between mother’s use of alcohol and the lasting impact on the child is a focus in the articles identified from a public health perspective. The review showed there was limited cross-disciplinary discussion evident. In total 13 articles were selected for inclusion in this review. Research limitations/implications Negative discourses predominate with little attention being paid to possible areas of success as well as cases of lower FASD impacts. There is a significant void in work focusing on positive outcomes for people with FASD. Such discourse would support a better understanding of pathways to more positive outcomes. Originality/value This paper highlights the issue of FASD and stigma through identification of relevant literature and expands the conversation to offer insights into the challenging terrain that individuals with FASD must navigate. The issue of stigma is not linked only to individuals with FASD but also their support systems. It is critical to recognize the multiple attributions of stigma to FASD in order to effectively take up conversations across and between disciplines to promote new discourses focused on de-stigmatization.

show abstract

Section: Introductionmentioning

confidence: 99%

Stigma as a dominant discourse in fetal alcohol spectrum disorder

Choate

Badry

2019

ADD

View full text Add to dashboard Cite

show abstract

“…Mothers themselves often seek this type of treatment since they feel powerless to abstain [98]. Maternal-fetal attachment has been found to improve in both voluntary and involuntary treatment contexts, interestingly, perhaps more so during involuntary care [21]. According to a qualitative study, viewing a fetal ultrasound was experienced as quite important for mothers in involuntary treatment, allowing them to emotionally attach to the unborn child [98].…”

Section: Review Of Prenatal Interventions For Substance-using Mothersmentioning

confidence: 99%

“…Pregnancy has been described as a "window of opportunity," featuring enhanced treatment motivation for substance-using mothers [19,20]. There is also an increasing understanding of the role of pregnancy process in the development of parenting among substance-using mothers, with an emphasis on prenatal interventions targeting the maternal-fetal attachment bond as well as the maternal ability to reflect upon her baby, mothering, and her own attachment history [21,22]. Furthermore, the roles of maternal prenatal stress and emotion regulation have been increasingly acknowledged as vital to prenatal substance use interventions [23, 24.••••].…”

Section: Introductionmentioning

confidence: 99%

“A Window of Opportunity”: Parenting and Addiction in the Context of Pregnancy

2021

View full text Add to dashboard Cite

Purpose of Review Maternal prenatal substance use presents a multilevel risk to child development and parenting. Although parenting interventions are increasingly integrated into substance use treatment, prenatal parenting processes have not received equal attention within these interventions. This article aims to synthesize the evidence on the specific prenatal risk factors affecting the development of early parenting of substance-using mothers, as well as interventions focusing on those factors. Recent Findings Both neurobiological and psychosocial risk factors affect the prenatal development of parenting in the context of maternal substance use. Maternal–fetal attachment, mentalization, self-regulation, and psychosocial risks are important in treatment and highly intertwined with abstinence. Although parenting interventions seem to be highly beneficial, most studies have not differentiated between pre- and postnatal interventions or described pregnancy-specific intervention elements. Summary Due to the salience of pregnancy in treating substance-using parents, interventions should begin prenatally and include pregnancy-specific parenting focus. Further research on prenatal interventions is warranted.

show abstract

Pregnant substance abusers in voluntary and coercive treatment in Norway: Therapists’ reflections on change processes and attachment experiences

Abstract: Treatment professionals need to focus more on the discursive dilemmas encountered in the relation between substance use disorders and the unborn child.

Cited by 2 publications

References 37 publications

Stigma as a dominant discourse in fetal alcohol spectrum disorder

Stigma as a dominant discourse in fetal alcohol spectrum disorder

“A Window of Opportunity”: Parenting and Addiction in the Context of Pregnancy

Contact Info

Product

Resources

About