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Cited by 123Maternal Mental Health During Pregnancy and PostpartumSubstance Abuse Treatment and OutcomesPsychoanalysis and Psychopathology Research

Enhancing the effectiveness of residential treatment for substance abusing pregnant and parenting women: Focus on maternal reflective functioning and mother-child relationship

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Pajulo, Marjukka, Suchman, Nancy, Kalland, Mirjam, Mayes, Linda·2006·Infant Mental Health Journal
DOI 10.1002/imhj.20100PMC PMC2813060
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Abstract

Substance abuse during early motherhood has become a significant problem and has led to accelerated efforts to develop specific treatment facilities for these mothers and children. Despite the often intensive treatment efforts in residential settings, there is surprisingly little evidence of their efficacy for enhancing the quality of caregiving. The situation of these mother-child pairs is exceptionally complex and multilevel, and has to be taken into account in the content and structuring of treatment. Intensive work in the "here and now" focusing on the mother-child relationship from pregnancy onwards in an effort to enhance maternal reflective capacity and mindedness is considered a key element for better treatment prognosis, in terms of both abstinence and quality of parenting. Pioneering work with such a focus is described in this article.

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Cited by

Sorted by citations

Authors
Pajulo, M., Suchman, N., Kalland, M., & Mayes, L.
Affiliations
  • Yale University (US)
  • University of Helsinki (FI)
Corresponding author
Pajulo, Marjukka
ORCID
Venue
Infant Mental Health Journal
Publisher
Wiley
Published
2006
Volume
27
Issue
5
Pages
448-465
ISSN
  • 0163-9641 (ISSN-L)
  • 1097-0355
DOI
10.1002/imhj.20100
PMC
PMC2813060
OpenAlex
W2125148014
Cited by
123
References
2
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 7 · 2022: 4 · 2021: 9 · 2020: 4 · 2019: 7 · 2018: 3 · 2017: 11 · 2016: 12 · 2015: 11 · 2014: 7 · 2013: 7 · 2012: 9
FWCI
4.01
Type
journal article
Language
en
Open access
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 3530 d)
Locations
  • Infant Mental Health Journal (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (R01DA006025, K02DA023504, K23DA014606)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
substance abuse in pregnancy, residential treatment, maternal reflective functioning, mother-child relationship, parenting quality, maternal mind-mindedness, treatment efficacy, prenatal drug exposure, treatment prognosis

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