When Boundaries Collide

Amos, Brian; McDonald, Michael P.; Watkins, Russell

doi:10.1093/poq/nfx001

Cited by 26 publications

(36 citation statements)

References 14 publications

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“…The theoretical model identifies trauma as the most useful lens for thinking about how to intervene with these families ( 8 , 9 , 18 ).…”

Section: Model Of Maternal Maltreatmentmentioning

confidence: 99%

“…Extending current understandings, it is proposed in the model that an infant in this situation not only experiences fright without solution, secondary to the failure of their mother to meet basic care needs, combined with the atypical forms of emotional communication ( 23 ) but also shame without solution secondary to the resulting failure of mirroring ( 18 ). This toxic combination of unresolvable distress, referred to in the model as terrified shame without solution, is a seriously disruptive and unmanageable somatic-emotional experience.…”

Section: Model Of Maternal Maltreatmentmentioning

confidence: 99%

“…This toxic combination of unresolvable distress, referred to in the model as terrified shame without solution, is a seriously disruptive and unmanageable somatic-emotional experience. As with all experiences encountered in early infancy, terrified shame without solution is encoded unconsciously in implicit memory ( 24 , 25 ) and remains unprocessed because the required relational support is not available ( 18 ). Accepting that the roots of self-experience are, at a physiological level, underpinned by the smooth functioning of the autonomic nervous system (ANS) ( 26 ) and that shame is particularly disruptive to the operation of the ANS, terrified shame without solution is proposed as the basic biological substrate for subjective experiences of emptiness and annihilation anxiety ( 27 ).…”

Section: Model Of Maternal Maltreatmentmentioning

confidence: 99%

“…Initially, the infant's distress activates both the infant's attachment system and their individualistic mammalian defenses: avoidance, attentive immobility (hyper vigilance), flight, fight, and tonic immobility (or playing dead) ( 12 , 18 ). Activation of the attachment system motivates the infant to seek proximity to their attachment figure, while the defensive systems motivate escape.…”

Section: Model Of Maternal Maltreatmentmentioning

confidence: 99%

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Disrupting Intergenerational Maternal Maltreatment in Middle Childhood: Therapeutic Objectives and Clinical Translation

Amos

Segal

2018

Front. Psychiatry

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Background: Child Maltreatment is a concerning worldwide problem. The population of distressed mothers with their highly disturbed children, in middle-childhood, often present to child and adolescent mental health services (CAMHS). Finding effective therapies for this population has proved elusive. This led the authors to undertake a theory-driven research program to better understand intergenerational child maltreatment from a clinical perspective, in order to determine how best to treat the entrenched distressing and destructive behaviors.Methods: The model describing the mechanisms of the intergenerational transmission of maternal maltreatment is briefly described, from which the objectives of any effective treatment for these mothers and children are derived. A clinical model for achieving the therapeutic objectives is then elucidated.Findings: Core objectives of therapy are; first to support the mother and child to develop differentiated senses of self and, second to disrupt a relationship style built on a competitive dominance and submission hierarchy, replacing it with a hedonic (cooperative and compassionate relationship style). This requires a deep healing of the mother and child's trauma histories. A clinical operationalization of these objectives, through a novel dyadic psychotherapeutic protocol, Parallel Parent and Child Therapy is described, which addresses the therapeutic objectives while attending to the safety of mother and child.Interpretation: This research contributes to a better understanding of the components of effective treatment in what is a notoriously hard to treat population. It also illustrates the value of clinically informed theory development in understanding and refining treatment strategies for highly distressed and distressing populations.

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“…The theoretical model identifies trauma as the most useful lens for thinking about how to intervene with these families ( 8 , 9 , 18 ).…”

Section: Model Of Maternal Maltreatmentmentioning

confidence: 99%

Section: Model Of Maternal Maltreatmentmentioning

confidence: 99%

Section: Model Of Maternal Maltreatmentmentioning

confidence: 99%

Section: Model Of Maternal Maltreatmentmentioning

confidence: 99%

See 2 more Smart Citations

Disrupting Intergenerational Maternal Maltreatment in Middle Childhood: Therapeutic Objectives and Clinical Translation

Amos

Segal

2018

Front. Psychiatry

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“…Human population mapping is fundamental in support of a broad range of applications by governments, non-governmental organisations, and private businesses. Detailed and up to date spatial datasets that accurately describe population distribution can support the planning and delivery of services (Langford, Higgs, Radcliffe, & White, 2008), election mapping (Amos, McDonald, and Watkins 2017), estimation of populations at risk of infectious disease or hazards (Hay, Guerra, Tatem, Atkinson, & Snow, 2005;Linard, Alegana, Noor, Snow, & Tatem, 2010;Snow, Guerra, Noor, Myint, & Hay, 2005), and disaster relief operations (Bhaduri, Bright, Coleman, & Dobson, 2002;Nadim, Kjekstad, Peduzzi, Herold, & Jaedicke, 2006;Taramelli, Melelli, Pasqui, & Sorichetta, 2010).…”

Section: Introductionmentioning

confidence: 99%

Global spatio-temporally harmonised datasets for producing high-resolution gridded population distribution datasets

et al. 2019

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Multi-temporal, globally consistent, high-resolution human population datasets provide consistent and comparable population distributions in support of mapping sub-national heterogeneities in health, wealth, and resource access, and monitoring change in these over time. The production of more reliable and spatially detailed population datasets is increasingly necessary due to the importance of improving metrics at sub-national and multitemporal scales. This is in support of measurement and monitoring of UN Sustainable Development Goals and related agendas. In response to these agendas, a method has been developed to assemble and harmonise a unique, open access, archive of geospatial datasets. Datasets are provided as global, annual time series, where pertinent at the timescale of population analyses and where data is available, for use in the construction of population distribution layers. The archive includes sub-national census-based population estimates, matched to a geospatial layer denoting administrative unit boundaries, and a number of co-registered gridded geospatial factors that correlate strongly with population presence and density. Here, we describe these harmonised datasets and their limitations, along with the production workflow. Further, we demonstrate applications of the archive by producing multi-temporal gridded population outputs for Africa and using these to derive health and development metrics. The geospatial archive is available at https://doi.org/10.5258/ SOTON/WP00650.

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