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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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A difficult parent: when parent-child attachment is fragile.

Scott Brown1, Cristiane Bertuol, Nadia Nassar Kuhn

  • 1Department of Pediatrics, University of California San Diego School of Medicine, San Diego, California, USA.

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PubMed
Summary

This case highlights the complexities of diagnosing and treating behavioral issues in adopted children with a history of trauma. It underscores the importance of a comprehensive approach considering the child's past and family dynamics.

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Area of Science:

  • Pediatric medicine
  • Child psychology
  • Adoption studies

Background:

  • An 11-year-old adopted girl presented with attention problems, anxiety, and oppositional behaviors.
  • Her history includes prenatal substance exposure, foster care, and adoption at age 6.
  • The mother expressed significant concerns about the child's behavior impacting the family.

Observation:

  • The child appeared sad, expressed remorse, and desired family harmony and return to school.
  • The mother's description of behaviors was vague, and she exhibited resistance to family therapy.
  • The pediatrician noted personal feelings of anger and resentment toward the mother.

Findings:

  • The case illustrates challenges in differentiating trauma-related behaviors from other conditions.
  • Maternal stress and potential parent-child relationship difficulties were evident.
  • The pediatrician's subjective response suggests a complex clinical dynamic.

Implications:

  • Emphasizes the need for thorough evaluation of adopted children with behavioral concerns, including trauma history.
  • Highlights the critical role of family dynamics and parental mental health in treatment.
  • Suggests the importance of physician self-awareness in managing challenging clinical relationships.