Understanding maltreating mothers: a synthesis of relational trauma, attachment disorganization, structural dissociation of the personality, and experiential avoidance

J Trauma Dissociation. 2011;12(5):495-509. doi: 10.1080/15299732.2011.593259.

Abstract

Treatment options are limited for families in which the child has severe and intractable disturbances of emotion and behavior, in which there is suspected or confirmed maltreatment by the mother, and in which the mother has her own history of childhood neglect and abuse. This paper proposes a model for understanding maltreatment in mother-child dyads, drawing upon the developmental psychopathology, behavior, and trauma literatures. At the core of this model is the hypothesis that a mother's maltreating behavior arises from unconscious attempts to experientially avoid the reemergence of an attachment-related dissociative part of the personality that contains the distress arising from her own early experiences of attachment relationships. The implications of this model for therapy are considered.

Publication types

  • Review

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Affective Symptoms / diagnosis
  • Affective Symptoms / psychology*
  • Affective Symptoms / therapy
  • Avoidance Learning
  • Child
  • Child Abuse / diagnosis
  • Child Abuse / psychology*
  • Child Abuse / therapy
  • Child Behavior Disorders / diagnosis
  • Child Behavior Disorders / psychology*
  • Child Behavior Disorders / therapy
  • Child of Impaired Parents / psychology*
  • Child, Preschool
  • Communication
  • Defense Mechanisms
  • Dissociative Disorders / diagnosis
  • Dissociative Disorders / psychology*
  • Dissociative Disorders / therapy
  • Family Therapy / methods
  • Female
  • Helplessness, Learned
  • Hostility
  • Humans
  • Infant
  • Internal-External Control
  • Male
  • Memory, Episodic
  • Models, Psychological
  • Mother-Child Relations
  • Mothers / psychology*
  • Motivation
  • Reactive Attachment Disorder / diagnosis
  • Reactive Attachment Disorder / psychology*
  • Reactive Attachment Disorder / therapy
  • Repression, Psychology
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / psychology*
  • Stress Disorders, Post-Traumatic / therapy
  • Unconscious, Psychology