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An Approach to Supervision Practice with Therapists Who Work with Pregnant Substance-Abusing Women in Voluntary and Compulsory Treatment Settings

  • Siv Merete MyraEmail author
Chapter
Part of the Focused Issues in Family Therapy book series (FIFT)

Abstract

This chapter is written for supervisors and psychotherapists who work with pregnant substance abusing women in the Specialist Health Service in Norway. The chapter describes an approach to supervision, which arises as a result of the findings from a research study conducted with therapist working with pregnant substance abusing women. The study was conducted in Norway, and I am confident that the reflections on the supervision offered in this chapter can be relevant for therapist in different parts of the globe working with the same population. Therapeutic work is demanding, and the therapist encounters different dilemmas. The background for women with substance abuse problems is that substance abuse during pregnancy has become a significant problem and has led to accelerated attempts to develop specific treatments, both voluntary and compulsory. I wanted to investigate through supervision how practitioners in the family-oriented substance abuse services understood their mission, and the aim of the current chapter is to investigate how the professionals who work with both voluntarily and compulsorily admitted substance abusing pregnant women describe their work.

Keywords

Alcohol misuse treatment Pregnancy Norway Voluntary treatment for alcohol misuse Compulsory treatment for alcohol misuse Narrative perspectives Dialogic perspectives Creating understanding 

References

  1. Alvik, A. (2007). Alcohol use before, during and after pregnancy: A population based study in Oslo, Norway. Doctoral dissertation, University of Oslo.Google Scholar
  2. Bakthin, M.M. (1981). The dialogic imagination (M. Holquist & C. Emerson, Trans.). Austin, TX: University of Texas Press.Google Scholar
  3. Bakthin, M. (1984). Problems of Dostojuvskys poetics, ed. and trans C. Emerson. Minneapolis, M.N: University of Minnesota Press.Google Scholar
  4. Bakthin, M. (1991). Dostojuvskijs poetick. Stockholm: Anthropos.Google Scholar
  5. Bowlby, J. (1998). A secure base. Parent–child attachment and healthy human development. London: Routledge.Google Scholar
  6. Bowlby, J. (1988). A secure base: clinical applications of attachment theory. London: Routledge.Google Scholar
  7. Elgen, I., Bruarøy, S., & Lægreid, L. M. (2007). Lack of recognition and complexity of foetal alcohol neuroimpairments. Acta Paediatrica, 96, 1–5. https://doi.org/10.1111/j.1651-2227.2007.00026-x.Google Scholar
  8. Gyarmathy, V. A., Giraudon, I., Hedrich, D., & Wiessing, L. (2009). Drug use and pregnancy—Challenges for public health. Euro Surveillance, 14, 33–36.PubMedGoogle Scholar
  9. Grella, C. E., Joshi, V., & Hser, Y. I. (2000). Program variation in treatment outcomes among women in residential drug treatment. Evaluation Review, 24(4), 364–383. PubMed. https://doi.org/10.1177/0193841x000 2400 402.CrossRefPubMedGoogle Scholar
  10. Helmbrecht, G. D. & Thigarajah, S. (2008). Management of addiction disorders in pregnancy. Journal of addiction medicine, 2, 1–16.Google Scholar
  11. Kristiansen, R. (2015) Gravide innlagt på Borgestadklinikken—Norway. ISBN 978-82-999733-4-2.Google Scholar
  12. Leppo, A. (2009). Illusionen om enkla lösninger [The illusion of simple solutions]. Nordic Studies on Alcohol and Drugs, 26, 314–317.Google Scholar
  13. Mayes, L., & Truman, S. (2002). Substance abuse and parenting. In M. Bornstein (Ed.), Handbook of parenting, Vol 4. Social conditions and applied parenting (Vol. 2, pp. 329–359). Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
  14. Myra, S. M., Ravndal, E., Wie Torsteinson, V., & Wiig, E. M. (2016). Pregnant substance-abusing women in involuntary treatment: Attachment experiences with the unborn child. Nordic Studies on Alcohol and Drugs, 33(3). doi:https://doi.org/10.1515/nsad-2016-0023.
  15. Morson, G. S. (1994). Narrative and freedom; The shadows of time. New Haven, CT: Yale University Press.Google Scholar
  16. Pajulo, M. (2001). Early Motherhood at Risk: mothers with substance dependency. Turun Yliopiston Julka Isuja. Sarja D, ISSN 0355-9483. Medica- Odontologica.Google Scholar
  17. Pajulo, M., Suchman, N., Kalland, M., & Mayes, L. (2006). Enhancing the effectiveness of residential treatment for substance abusing pregnant and parenting women: Focus on maternal reflective functioning and mother-child relationship. Infant Mental Health Journal, 27(5), 448. https://doi.org/10.1002/imhj.20100.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Sheehan, J. (1999). Liberating narrational styles in systemic practice. Journal of Systemic Therapies, 18(3), 1999.CrossRefGoogle Scholar
  19. Suchman, N. E., McMahon, T. J., Slade, A., & Luthar, S. S. (2005). How early bonding, depression, illicit drug use and perceived support work together to influence drug dependent mothers caregiving. American Journal of Orthopsychiatry, 75(3), 431–445. PMC free article PubMed. https://doi.org/10.1037/0002-9432.75.3.431.CrossRefPubMedPubMedCentralGoogle Scholar
  20. Søvig, K. H. (2004). Tvang overfor rusmiddelavhengige: Sosialtjenesteloven§§ 6-2 til 6-3 [Coercion against pregnant women with substance addiction]. Bergen: Fagbokforlaget.Google Scholar
  21. Topley, J., Windsor, D., & Williams, R. (2008). Behavioral, developmental and child protection outcomes following exposure to Class A Drugs in pregnancy. Child: Care, Health and Development, 34, 71–76. https://doi.org/10.1111/j.1365-2214.2007.00768.x.Google Scholar
  22. Vucinovic, M., Roje, D., Vucinovic, Z., Capkun, V., Bucat, M. & Banovic, I. (2008). Maternal and neonatal effects of substance abuse during pregnancy: over ten-years experience. Yonsei Medical Journal, 49, 705–713.Google Scholar
  23. Willig, C. (2013). Introducing qualitative research in psychology. New York: McGraw-Hill.Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Family Therapy Section, Faculty of Social StudiesVID Specialized UniversityOsloNorway

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