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Journal of Family Violence

, Volume 34, Issue 4, pp 309–320 | Cite as

Interpersonal Violence, Maternal Perception of Infant Emotion, and Child-Parent Psychotherapy

  • Rosemary E. BernsteinEmail author
  • Adela C. Timmons
  • Alicia F. Lieberman
Original Article

Abstract

Caregivers’ ability to identify infant cues plays a crucial role in child development, enabling attuned and responsive caregiving that serves as the basis for secure attachment. At the same time, exposure to interpersonal violence (IPV) could alter mothers’ interpretations of social stimuli and interfere with normative parent-child interactional processes. The current study examined four interrelated hypotheses. The first two hypotheses test whether IPV-exposed mothers show bias toward fear or anger in interpreting infants’ facial expressions, and whether this bias is related to child symptoms. Our second set of hypotheses examines whether bias can be changed by Child-Parent Psychotherapy (CPP) and whether this change mediates treatment gains. 113 IPV-exposed mothers of 2 to 6 year old children completed the I FEEL picture task at baseline and again twelve months later. In the interim, 33 mothers were randomized into a treatment comparison group and the remainder received CPP. Analyses revealed that IPV-exposed mothers exhibit a perceptual bias toward fear, but not anger. Bias toward fear was linked to greater child internalizing symptoms while bias toward anger was linked to greater child externalizing symptoms. Participation in CPP resulted in decreased bias toward fearful faces. The treatment-related changes in mothers’ perceptions of children’s facial expression did not emerge as the mechanism by which CPP reduces children’s symptoms. These results suggest that exposure to IPV alters mothers’ ability to interpret infant facial expressions and that CPP is effective in reducing such biases.

Keywords

Parent-child relationships Perceptual bias Interpersonal violence Child-parent psychotherapy 

Notes

Acknowledgements

This research was supported by the National Institute of Mental Health (grant R21 MH59,661) and by the Irving Harris Foundation. All research was approved by University of California, San Francisco’s Committee for the Protection of Human Subjects. We express our deepest gratitude to the mothers and children who participated in this study, the clinicians who cared for them, and the many research assistants who assisted on this project.

References

  1. Achenbach, T. M. (1991). Manual for the child behavior checklist 4–18 and 1991 profile. Burlington: University of Vermont Department of Psychiatry.Google Scholar
  2. Achenbach, T. M. (1992). Manual for the child behavior checklist 2–3 and 1992 profile. Burlington,VT: University of Vermont Department of Psychiatry.Google Scholar
  3. Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.Google Scholar
  4. Appelbaum, M. I., Butterfield, P. M., & Culp, R. E. (1993). Operating characteristics and psychometric properties of the IFEEL pictures. In R. N. Emde, J. D. Osofsky, & P. M. Butterfield (Eds.), The IFEEL pictures: A new instrument for interpreting emotions (pp. 97–130). Madison, CT: International Universities Press.Google Scholar
  5. Arteche, A., Joormann, J., Harvey, A., Craske, M., Gotlib, I. H., Lehtonen, A., Counsell, N., & Stein, A. (2011). The effects of postnatal maternal depression and anxiety on the processing of infant faces. Journal of Affective Disorders, 133, 197–203.  https://doi.org/10.1016/j.jad.2011.04.015.CrossRefGoogle Scholar
  6. Bernstein, R. E., Tenedios, C. M., Laurent, H. K., Measelle, J. R., & Ablow, J. C. (2014). The eye of the begetter: Predicting infant attachment disorganization from women's prenatal interpretations of infant facial expressions. Infant Mental Health Journal, 35, 233–244.  https://doi.org/10.1002/imhj.21438.CrossRefGoogle Scholar
  7. Blake, D. D., Weathers, F., Nagy, L., Kaloupek, D. G., Klauminzer, G., Charney, D. S., & Keane, T. M. (1990). A clinician rating scale for assessing current and lifetime PTSD: The CAPS-1. The Behavior Therapist, 13, 187–188.Google Scholar
  8. Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 75–90.  https://doi.org/10.1002/jts.2490080106.CrossRefGoogle Scholar
  9. Bourke, C., Douglas, K., & Porter, R. (2010). Processing of facial emotion expression in major depression: A review. The Australian and New Zealand Journal of Psychiatry, 44, 681–696.CrossRefGoogle Scholar
  10. Bowlby, J. (1969/1982) Attachment and loss (Vol 1.). New York, NY: Basic books.Google Scholar
  11. Brett, E. A. (1996). The classification of posttraumatic stress disorder. In B. A. van der Kolk, A. C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body and society (pp. 117–128). New York, NY: Guilford Press.Google Scholar
  12. Camras, L. A., Grow, J. G., & Ribordy, S. C. (1983). Recognition of emotional expression by abused children. Journal of Clinical Child Psychology, 12, 325–328.  https://doi.org/10.1080/15374418309533152.CrossRefGoogle Scholar
  13. Choi, K. M., Sikkema, K. J., Vythilingum, B., Geerts, L., Faure, S. C., Watt, M. H., Roos, A., & Stein, D. J. (2017). Maternal childhood trauma, postpartum depression, and infant outcomes: Avoidant affective processing as a potential mechanism. Journal of Affective Disorders, 211, 107–115.  https://doi.org/10.1016/j.jad.2017.01.004.CrossRefGoogle Scholar
  14. Cicchetti, D., Toth, S. L., & Rogosch, F. A. (1999). The efficacy of toddler-parent psychotherapy to increase attachment security in offspring of depressed mothers. Attachment & Human Development, 1, 34–66.  https://doi.org/10.1080/14616739900134021.CrossRefGoogle Scholar
  15. Cicchetti, D., Rogosch, F. A., & Toth, S. L. (2000). The efficacy of toddler-parent psychotherapy for fostering cognitive development in offspring. Journal of Abnormal Child Psychology, 28, 135–148.  https://doi.org/10.1023/A:1005118713814.CrossRefGoogle Scholar
  16. Cicchetti, D., Rogosch, F., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18, 623–649.  https://doi.org/10.1017/S0954579406060329.Google Scholar
  17. Dayton, C. J., Huth-Bocks, A. C., & Busuito, A. (2016). The influence of interpersonal aggression on maternal perceptions of infant emotions: Associations with early parenting quality. Emotion, 16(4), 436–448.  https://doi.org/10.1037/emo0000114.
  18. DePrince, A. P., Chu, A. T., & Pineda, A. S. (2011). Links between specific posttrauma appraisals and three forms of trauma-related distress. Psychological Trauma Theory Research Practice and Policy, 3, 430–441.  https://doi.org/10.1037/a0021576.CrossRefGoogle Scholar
  19. Derogatis, L. R. (1992). SCL-90-R: Administration, scoring of procedures manual-II for the R (evised) version and other instruments of the psychopathology rating scale series: Clinical psychometric research incorporated.Google Scholar
  20. Emde, R. N. (1993). Infant emotions and the caregiving environment. In R. N. Emde, J. D. Osofsky, & P. M. Butterfield (Eds.), The IFEEL pictures: A new instrument for interpreting emotions. Madison, CT: International Universities Press.Google Scholar
  21. Emde, R. N., Butterfield, P. M., & Osofsky, J. D. (1987). The I-FEEL pictures: A new instrument for interpreting emotions. Madison, CT: International Universities Press.Google Scholar
  22. Ensink, K., Berthelot, N., Bernazzani, O., Normandin, L., & Fonagy, P. (2014). Another step closer to measuring ghosts in the nursery: Preliminary validation of the trauma reflective functioning scale. Frontiers in Psychology, 5, 1–12.  https://doi.org/10.3389/fpsyg.2014.01471.CrossRefGoogle Scholar
  23. Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.  https://doi.org/10.1037/0033-2909.99.1.20.CrossRefGoogle Scholar
  24. Fonagy, P., Steele, M., Steele, H., Moran, G. S., & Higgitt, A. C. (1991). The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 12, 201–218.CrossRefGoogle Scholar
  25. Fraiberg, S., Adelson, E., & Shapiro, V. (1975). Ghosts in the nursery: A psychoanalytic approach to the problems of impaired infant-mother relationships. Child and Adolescent Psychiatry, 14, 387–421.  https://doi.org/10.1002/1097-0355(199123)12:33.0.CO;2-7.Google Scholar
  26. Galati, D., & Lavelli, M. (1997). Neonate and infant emotion expression perceived by adults. Journal of Nonverbal Behavior, 21, 57–83.  https://doi.org/10.1023/A:1024999818682.CrossRefGoogle Scholar
  27. George, C., & Solomon, J. (2008). The caregiving system: A behavioral systems approach to parenting. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed.). New York, NY, US: Guilford Press.Google Scholar
  28. Gotlib, I. H., Krasnoperova, E., Yue, D. N., & Joormann, J. (2004). Attentional biases for negative interpersonal stimuli in clinical depression. Journal of Abnormal Psychology, 113, 121–135.  https://doi.org/10.1037/0021-843x.113.1.121.
  29. Joormann, J., & Gotlib, I. H. (2007). Selective attention to emotional faces following recovery from depression. Journal of Abnormal Psychology, 116, 80–85.  https://doi.org/10.1037/0021-843x.116.1.80.CrossRefGoogle Scholar
  30. Knežević, M., & Jovančević, M. (2004). The IFEEL pictures: Psychological trauma and perception, and interpretation of child’s emotions. Nordic Journal of Psychiatry, 58, 139–145.  https://doi.org/10.1080/08039480410005521.CrossRefGoogle Scholar
  31. Koizumi, M., & Takagishi, H. (2014). The relationship between child maltreatment and emotion recognition. PLoS One, 9, e86093.CrossRefGoogle Scholar
  32. Lieberman, A. F., & Van Horn, P. (2005). Don’t hit my mommy. Washington, DC: Zero to Three Press.Google Scholar
  33. Lieberman, A. F., Van Horn, P. J., & Ghosh Ippen, C. (2005). Toward evidence-based treatment: Child-parent psychotherapy with preschoolers exposed to marital violence. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 1241–1248.  https://doi.org/10.1097/01.chi.0000181047.59702.58.CrossRefGoogle Scholar
  34. Lieberman, A. F., Ghosh Ippen, C., & Van Horn, P. (2006). Child-parent psychotherapy: Six-month follow-up of a randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 913–918.  https://doi.org/10.1097/01.chi.0000222784.03735.92.CrossRefGoogle Scholar
  35. Lieberman, A. F., Ghosh Ippen, C., & Van Horn, P. (2015). Don't hit my mommy: A manual for child parent psychotherapy with young witnesses of family violence. Washington, D.C.: Zero to Three Press.Google Scholar
  36. Lyons-Ruth, K., & Block, D. (1996). The disturbed caregiving system: Relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Mental Health Journal, 17, 257–275.  https://doi.org/10.1002/(SICI)1097-0355(199623)17:3<257::AID-IMHJ5>3.0.CO;2-L.CrossRefGoogle Scholar
  37. 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.CrossRefGoogle Scholar
  38. Masten, C. L., Guyer, A. E., Hodgdon, H. B., McClure, E. B., Charney, D. S., Ernst, M., Kaufman, J., Pine, D. S., & Monk, C. S. (2007). Recognition of facial emotions among maltreated children with high rates of posttraumatic stress disorder. Child Abuse and Neglect, 32, 139–153.  https://doi.org/10.1016/j.chiabu.2007.09.006.CrossRefGoogle Scholar
  39. Meins, E., Fernyhough, C., Russell, J., & Clark-Carter, D. (1998). Security of attachment as a predictor of symbolic and mentalising abilities: A longitudinal study. Social Development, 7, 1–24.  https://doi.org/10.1111/1467-9507.00047.CrossRefGoogle Scholar
  40. Narayanan, A., Ippen, C. G., Harris, W. W., & Lieberman, A. F. (2017). 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.CrossRefGoogle Scholar
  41. Oppenheim, D., & Koren-Karie, N. (2002). Mothers’ insightfulness regarding their children’s internal worlds: The capacity underlying secure child-mother relationships. Infant Mental Health Journal, 23, 593–605.  https://doi.org/10.1002/imhj.10035.CrossRefGoogle Scholar
  42. Papoušek, M. (2007). Communication in early infancy: An arena of intersubjective learning. Infant Behavior & Development, 30, 258–266.  https://doi.org/10.1016/j.infbeh.2007.02.003.CrossRefGoogle Scholar
  43. Pearson, R. M., O’Mahen, H., Burns, A., Bennert, K., Shepherd, C., Baxter, H. … Evans, J. (2013). The normalisation of disrupted attentional processing of infant distress in depressed pregnant women following cognitive Behavioural therapy. Journal of Affective Disorders, 145, 208–213.  https://doi.org/10.1016/j.jad.2012.07.033.
  44. Poljac, E., Montagne, B., & Haan, E. H. F. (2010). Reduced recognition of fear and sadness in post-traumatic stress disorder. Cortex, 47, 974–980.  https://doi.org/10.1016/j.cortex.2010.10.002.CrossRefGoogle Scholar
  45. Pollak, S. D., Cicchetti, D., Hornung, K., & Reed, A. (2000). Recognizing emotion in faces: Developmental effects of child abuse and neglect. Developmental Psychology, 36, 679–688.  https://doi.org/10.1037/0012-1649.36.5.679.CrossRefGoogle Scholar
  46. Ranson, K. E., & Urichuk, L. J. (2008). The effect of parent-child attachment relationships on child biopsychosocial outcomes: A review. Early Child Development and Care, 178, 129–152.  https://doi.org/10.1080/03004430600685282.CrossRefGoogle Scholar
  47. Sander, L. W. (1965). The longitudinal course of early mother–child interaction—Cross-case comparison in a sample of mother–child pairs. In B. M. Foss (Ed.), Determinants of infant behavior (Vol. IV). London: Methuen & Co..Google Scholar
  48. Sbarra, D. A., & Hazen, C. (2008). Coregulation, dysregulation, self-regulation: An integrative analysis and empirical agenda for understanding adult attachment, separation, loss, and recovery. Personality and Social Psychology Review, 12, 141–167.  https://doi.org/10.1177/1088868308315702.CrossRefGoogle Scholar
  49. Siddiqui, A., Eisemann, M., & Hägglöf, B. (2000). Own memories of upbringing as a determinant of prenatal attachment in expectant women. Journal of Reproductive and Infant Psychology, 18, 67–74.  https://doi.org/10.1080/02646830050001690.CrossRefGoogle Scholar
  50. Spangler, G., Geserick, B., & von Wahlert, A. (2005). Parental perception and interpretation of infant emotions: Psychological and physiological processes. Infant and Child Development, 14, 345–363.  https://doi.org/10.1002/icd.398.CrossRefGoogle Scholar
  51. Spitzer, R. L., Williams, J. B., & Gibbon, M. (1987). Structured clinical interview for DSM-III-R. New York, NY: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
  52. Stein, A., Arteche, A., Lehtonen, A., Craske, M., Harvey, A., Counsell, N., & Murray, L. (2010). Interpretation of infant facial expression in the context of maternal postnatal depression. Infant Behavior and Development, 33, 273–278.  https://doi.org/10.1016/j.infbeh.2010.03.002.
  53. Stern, D. N. (1985). The interpersonal world of the infant. New York, NY: Basic Books.Google Scholar
  54. Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised conflict tactics scales (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17, 283–316.  https://doi.org/10.1177/019251396017003001.CrossRefGoogle Scholar
  55. Szajnberg, N. M., & Skrinjaric, J. (1993). Perceptions of infant affect in mothers of prematures: The IFEEL pictures. In R. N. Emde, J. D. Osofsky, & P. M. Butterfield (Eds.), The IFEEL pictures: A new instrument for interpreting emotions (pp. 185–194). Madison, CT: International Universities Press.Google Scholar
  56. Toth, S. L., Maughan, A., Manly, J. T., Spagnola, M., & Cicchetti, D. (2002). The relative efficacy of two interventions in altering maltreated preschool children’s representational models: Implications for attachment theory. Development and Psychopathology, 14, 877–908.  https://doi.org/10.1017/S095457940200411X.CrossRefGoogle Scholar
  57. Toth, S. L., Rogosch, F. A., Cicchetti, D., & Manly, J. T. (2006). The efficacy of toddler–parent psychotherapy to reorganize attachment in young offspring of mothers with major depressive disorder: A randomized trial. Journal of Consulting and Clinical Psychology, 74, 1006–1016.  https://doi.org/10.1037/0022-006X.74.6.1006.CrossRefGoogle Scholar
  58. van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. New York, NY: Viking.Google Scholar
  59. Wagner, A. W., & Linehan, M. M. (1999). Facial expression recognition ability among women with borderline personality disorder: Implications for emotion regulation? Journal of Personality Disorders, 13, 329–344.  https://doi.org/10.1521/pedi.1999.13.4.329.CrossRefGoogle Scholar
  60. Weathers, F. W., Keane, T. M., & Davidson, J. R. T. (2001). Clinician-administered PTSD scale: A review of the first ten years of research. Depression and Anxiety, 13, 132–156.CrossRefGoogle Scholar
  61. Webb, R., & Ayers, S. (2014). Cognitive biases in processing infant emotion by women with depression, anxiety, and post-traumatic stress disorder in pregnancy or after birth: A systematic review. Emotion and Cognition, 29, 1278–1294.  https://doi.org/10.1080/02699931.2014.977849.CrossRefGoogle Scholar
  62. Wolfe, J. W., Kimerling, R., Brown, P. J., Chrestman, K. R., & Levin, K. (1996). Psychometric review of the life stressors checklist-revised. In B. H. Stamm (Ed.), Measurement of stress, trauma, and adaptation (pp. 198–201). Lutherville, MD: Sidran Press.Google Scholar
  63. Zahn-Waxler, C., & Wagner, E. (1993). Caregivers’ interpretations of infant emotions: A comparison of depressed and well mothers. In R. N Emde., J. D. Osofsky, & P. M. Butterfield (Eds.), The IFEEL pictures: A new instrument for interpreting emotions (pp. 175–184). Madison, CT: International Universities Press.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Rosemary E. Bernstein
    • 1
    Email author
  • Adela C. Timmons
    • 1
    • 2
  • Alicia F. Lieberman
    • 1
  1. 1.Department of Psychiatry, Child Trauma Research ProgramUniversity of CaliforniaSan FranciscoUSA
  2. 2.Department of PsychologyFlorida International UniversityMiamiUSA

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