Abstract
The present study examined developmental antecedents of angels and ghosts in the nursery during the pregnancy and postnatal periods. Higher levels of benevolent childhood experiences (BCEs) were hypothesized to predict higher levels of angels in the nursery at both periods, whereas higher levels of adverse childhood experiences (ACEs) were expected to predict higher levels of ghost in the nursery at both periods. Participants were 101 low-income, ethnically diverse pregnant women (M = 29.10 years, SD = 6.56, range = 18–44; 37% Latina, 22% African American, 20% White, 13% biracial/multiracial, 8% other) planning to deliver at an urban general hospital. During their second or third trimester, they reported on ACEs, BCEs, and demographic information. During pregnancy and 3–4 months of postnatal, they completed the Angels in the Nursery Interview (Van Horn, Lieberman, & Harris, 2008), coded by trained raters for quality of loving memories with childhood caregivers (angel memories) and traumatic intrusions of childhood adversity (ghost memories). Results revealed moderate stability of angel and ghost memories across the perinatal period. Higher levels of BCEs directly predicted higher levels of angel memories during pregnancy, and indirectly predicted higher levels of angel memories during the postnatal period through angel memories during pregnancy. Higher levels of ACEs directly predicted higher levels of ghost memories during both periods. BCEs did not predict ghost memories and ACEs did not predict angel memories. Findings support independent pathways of risk and resilience through the pregnancy period with distinct origins in women’s childhood adversity versus positive childhood experiences. Implications for promoting intergenerational resilience by linking and leveraging BCEs and angel memories and recovering from ACEs and ghost memories are discussed.
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Atzl, V. M., Grande, L. A., Davis, E. P., & Narayan, A. J. (2019a). Perinatal promotive and protective factors for women with histories of childhood abuse and neglect. Child Abuse & Neglect, 91, 63–77. https://doi.org/10.1016/j.chiabu.2019.02.008.
Atzl, V. M., Narayan, A. J., Rivera, L. M., & Lieberman, A. F. (2019b). Adverse childhood experiences and prenatal mental health: Type of ACEs and age of maltreatment onset. Journal of Family Psychology, 33, 304–314. https://doi.org/10.1037/fam0000510.
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., et al. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27, 169–190. https://doi.org/10.1016/S0145-2134(02)00541-0.
Besemer, S., Ahmad, S. I., Hinshaw, S. P., & Farrington, D. P. (2017). A systematic review and meta-analysis of the intergenerational transmission of criminal behavior. Aggression and Violent Behavior, 37, 161–178. https://doi.org/10.1016/j.avb.2017.10.004.
Bethell, C., Jones, J., Gombojav, N., Linkenbach, J., & Sege, R. (2019). Positive childhood experiences and adult mental and relational health in a statewide sample: Associations across adverse childhood experiences levels. JAMA Pediatrics, 173(11), e193007–e193007. https://doi.org/10.1001/jamapediatrics.2019.3007.
Centers for Disease Control and Prevention (CDC). (2019). Adverse childhood experiences (ACEs). Retrieved from https://www.cdc.gov/violenceprevention/acestudy/about.html
Crandall, A., Miller, J. R., Cheung, A., Novilla, L. K., Glade, R., Novilla, M. L. B., Magnusson, B. M., Leavitt, B. L., Barnes, M. D., & Hanson, C. L. (2019). ACEs and counter-ACEs: How positive and negative childhood experiences influence adult health. Child Abuse & Neglect, 96, 104089. https://doi.org/10.1016/j.chiabu.2019.104089.
Egeland, B., Jacobvitz, D., & Sroufe, L. A. (1988). Breaking the cycle of abuse. Child Development, 59, 1080–1088. https://doi.org/10.2307/1130274.
Ensink, K., Berthelot, N., Bernazzani, O., Normandin, L., & Fonagy, P. (2014). Another step closer to measuring the ghosts in the nursery: Preliminary validation of the trauma reflective functioning scale. Frontiers in Psychology, 5, 1471. https://doi.org/10.3389/fpsyg.2014.01471.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) study, American Journal of Preventive Medicine., 14, 245–258. https://doi.org/10.1016/j.amepre.2019.04.001.
Fraiberg, S., Adelson, E., & Shapiro, V. (1975). Ghosts in the nursery: A psychoanalytic approach to the problem of impaired infant-mother relationships. Journal of the American Academy of Child & Adolescent Psychiatry, 14, 387–421. https://doi.org/10.1016/S0002-7138(09)61442-4.
Graham, J. W., Cumsille, P. E., & Elek-Fisk, E. (2003). Methods for handling missing data. In J. A. Schinka & W. F. Velicer (Eds.), Handbook of psychology: Research methods in psychology (Vol. 2, pp. 87–114). New York: Wiley.
Hardt, J., & Rutter, M. (2004). Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. Journal of Child Psychology and Psychiatry, 45, 260–273. https://doi.org/10.1111/j.1469-7610.2004.00218.x.
Hoyle, R. H. (1995). The structural equation modeling approach: Basic concepts and fundamental issues. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues and applications (pp. 1–15). London: Sage.
Hoyle, R. H., & Panter, A. T. (1995). Writing about structural equation models. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues and applications (pp. 158–176). London: Sage.
Labella, M. H., Raby, K. L., Martin, J., & Roisman, G. I. (2019). Romantic functioning mediates prospective associations between childhood abuse and neglect and parenting outcomes in adulthood. Development and Psychopathology, 31, 95–111. https://doi.org/10.1017/S095457941800158X.
Lieberman, A. F., Padrón, E., Van Horn, P., & Harris, W. W. (2005). Angels in the nursery: The intergenerational transmission of benevolent parental influences. Infant Mental Health Journal, 26, 504–520. https://doi.org/10.1002/imhj.20071.
Lieberman, A. F., Díaz, M. A., & Van Horn, P. (2009). Safer beginnings: Perinatal child–parent psychotherapy for newborns and mothers exposed to domestic violence. Zero to Three Journal, 29(3), 17–22.
Lieberman, A. F., Ghosh Ippen, C., & Van Horn, P. (2015). “Don’t Hit My Mommy!”: A manual for child-parent psychotherapy with young children exposed to violence and other trauma, 2nd Edition. Zero to Three.
Luthar, S. S., & Eisenberg, N. (2017). Resilient adaptation among at-risk children: Harnessing science toward maximizing salutary environments. Child Development, 88, 337–349. https://doi.org/10.1111/cdev.12737.
Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562. https://doi.org/10.1111/1467-8624.00164.
Madigan, S., Cyr, C., Eirich, R., Fearon, R. P., Ly, A., Rash, C., ... & Alink, L. R. (2019). Testing the cycle of maltreatment hypothesis: Meta-analytic evidence of the intergenerational transmission of child maltreatment. Development and Psychopathology, 31, 23–51. doi: https://doi.org/10.1017/S0954579418001700.
Main, M., & Goldwyn, R. (1984). Adult attachment scoring and classification systems (2nd ed.). Unpublished manuscript, University of California, Berkeley.
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. Monographs of the Society for Research in Child Development, 50, 66–104. https://doi.org/10.2307/3333827.
Malone, J. C., Levendosky, A. A., Dayton, C. J., & Bogat, G. A. (2010). Understanding the “ghosts in the nursery” of pregnant women experiencing domestic violence: Prenatal maternal representations and histories of childhood maltreatment. Infant Mental Health Journal, 31, 432–454. https://doi.org/10.1002/imhj.20264.
Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56, 227. https://doi.org/10.1037//0003-066x.56.3.227.
Masten, A. S. (2018). Resilience theory and research on children and families: Past, present, and promise. Journal of Family Theory & Review, 10, 12–31. https://doi.org/10.1111/jftr.12255.
McDonald, R. P., & Ho, M. R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7, 64–82.
Merrick, J. S., Narayan, A. J., DePasquale, C. E., & Masten, A. S. (2019). Benevolent childhood experiences (BCEs) in homeless parents: A validation and replication study. Journal of Family Psychology, 33, 493–498. https://doi.org/10.1037/fam0000521.
Muthén, L. K., & Muthén, B. O. (1998-2019). Mplus user’s guide (6th ed.). Los Angeles: Author.
Narayan, A. J., Oliver Bucio, G., Rivera, L. M., & Lieberman, A. F. (2016). Making sense of the past creates space for the baby: Perinatal child-parent psychotherapy for pregnant women with childhood trauma. ZERO TO THREE Journal, 36, 22–28.
Narayan, A. J., Ghosh Ippen, C., Harris, W. W., & Lieberman, A. F. (2017a). Assessing angels in the nursery: A pilot study of childhood memories of benevolent caregiving as protective influences. Infant Mental Health Journal, 38, 461–474. https://doi.org/10.1002/imhj.21653.
Narayan, A. J., Kalstabakken, A. W., Labella, M. H., Nerenberg, L. S., Monn, A. R., & Masten, A. S. (2017b). Intergenerational continuity of adverse childhood experiences: Unpacking exposure to maltreatment versus family dysfunction. American Journal of Orthopsychiatry, 87, 3–14. https://doi.org/10.1037/ort0000133.
Narayan, A. J., Rivera, L. M., Bernstein, R. E., Castro, G., Gantt, T., Thomas, M., Nau, M., Harris, W. W., & Lieberman, A. F. (2017c). Between pregnancy and motherhood: Identifying unmet mental health needs in pregnant women with lifetime adversity. ZERO TO THREE Journal, 37, 4–13.
Narayan, A. J., Rivera, L. M., Bernstein, R. E., Harris, W. W., & Lieberman, A. F. (2018). Positive childhood experiences predict less psychopathology and stress in pregnant women with childhood adversity: A pilot study of the benevolent childhood experiences (BCEs) scale. Child Abuse and Neglect, 78, 19–30. https://doi.org/10.1016/j.chiabu.2017.09.022.
Narayan, A. J., Atzl, V. M., Merrick, J. S., River, L. M., & Peña, R. (2019a). Therapeutic perinatal research with low-income families: Leveraging benevolent childhood experiences (BCEs) and fathers’ perspectives to promote resilience. ZERO TO THREE Journal, 39, 43–53.
Narayan, A. J., Ghosh Ippen, C., Harris, W. W., & Lieberman, A. F. (2019b). Protective factors that buffer against the intergenerational transmission of trauma from mothers to young children: A replication study of angels in the nursery. Development and Psychopathology, 31, 173–187. https://doi.org/10.1017/S0954579418001530.
National Council of Juvenile and Family Court Judges (NCJFCJ), 2019. Adverse childhood experiences: Finding your ACE score (ACEs Calculator). Retrieved from: http://www.ncjfcj.org/sites/default/files/FindingYourACEScore.pdf
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. https://doi.org/10.3758/brm.40.3.879.
Raby, K. L., Steele, R. D., Carlson, E. A., & Sroufe, L. A. (2015). Continuities and changes in infant attachment patterns across two generations. Attachment & Human Development, 17, 414–428. https://doi.org/10.1080/14616734.2015.1067824.
Racine, N., Plamondon, A., Mcdonald, S., Tough, S., & Madigan, S. (in press). The consistency of maternal childhood abuse reporting in pregnancy and the postpartum period. Journal of Women's Health. https://doi.org/10.1089/jwh.2019.7795.
Reuben, A., Moffitt, T. E., Caspi, A., Belsky, D. W., Harrington, H., Schroeder, F., Hogan, S., Ramrakha, S., Poulton, R., & Danese, A. (2016). Lest we forget: Comparing retrospective and prospective assessments of adverse childhood experiences in the prediction of adult health. Journal of Child Psychology and Psychiatry, 57, 1103–1112. https://doi.org/10.1111/jcpp.12621.
River, L. M., Narayan, A. J., Galvan, T., Rivera, L. M., Harris, W. W., & Lieberman, A. F. (2019). On the verge of motherhood and mental illness: Prenatal mental health service utilization among women at highest risk. ZERO TO THREE Journal, 39, 33–42.
Schmidt, M. R., Narayan, A. J., Atzl, V., Rivera, L. M., & Lieberman, A. F. (2018, online). Childhood maltreatment on the adverse childhood experiences (ACEs) scale versus the childhood trauma questionnaire (CTQ) in a perinatal sample. Journal of Aggression, Maltreatment & Trauma. doi: https://doi.org/10.1080/10926771.2018.1524806.
Slade, A., & Cohen, L. J. (1996). The process of parenting and the remembrance of things past. Infant Mental Health Journal, 17, 217–238. https://doi.org/10.1002/(SICI)1097-0355(199623)17:3<217::AID-IMHJ3>3.0.CO;2-L.
Slade, A., Grienenberger, J., Bernbach, E., Levy, D., & Locker, A. (2005). Maternal reflective functioning, attachment, and the transmission gap: A preliminary study. Attachment & Human Development, 7, 283–298. https://doi.org/10.1080/14616730500245880.
Slade, A., Cohen, L. J., Sadler, L. S., & Miller, M. (2009). The psychology and psychopathology of pregnancy. In C. H. Zeanah (Ed.), Handbook of infant mental health (pp. 22–39). New York: Guilford Press.
Sperlich, M., & Seng, J. S. (2008). Survivor moms: Women’s stories of birthing, mothering and healing after sexual abuse. Eugene: Motherbaby Press.
Sroufe, L. A., Egeland, B., Carlson, E. A., & Collins, W. A. (2005). The development of the person. New York: Guilford.
Stith, S. M., Rosen, K. H., Middleton, K. A., Busch, A. L., Lundeberg, K., & Carlton, R. P. (2000). The intergenerational transmission of spouse abuse: A meta-analysis. Journal of Marriage and the Family, 62, 640–654. https://doi.org/10.1111/j.1741-3737.2000.00640.x.
Van Horn, P., Lieberman, A. F., & Harris, W. W. (2008). The angels in the nursery interview. San Francisco: University of California, San Francisco, Department of Psychiatry.
Wright, M. O., Masten, A. S., & Narayan, A. J. (2013). Resilience processes in development: Four waves of research on positive adaptation in the context of adversity. In S. Goldstein & R. B. Brooks (Eds.), Handbook of resilience in children (2nd ed., pp. 15–37). New York: Kluwer Academic/Plenum.
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The authors would like to thank all the participants who shared their stories and memories with us during the pregnancy and postpartum periods.
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Funding for this study was provided by the Coydog Foundation.
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Narayan, A.J., Atzl, V.M., Merrick, J.S. et al. Developmental Origins of Ghosts and Angels in the Nursery: Adverse and Benevolent Childhood Experiences. ADV RES SCI 1, 121–134 (2020). https://doi.org/10.1007/s42844-020-00008-4
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DOI: https://doi.org/10.1007/s42844-020-00008-4