Advertisement
Research Article| Volume 12, ISSUE 2, P81-89, April 1998

Addiction recovery for low-income pregnant and parenting women: A process of becoming

  • Deena Nardi
    Correspondence
    Address reprint requests to Deena A. Nardi, Indiana University Northwest School of Nursing, 3400 Broadway, Gary, IN 46408.
    Affiliations
    Indiana University Northwest School of Nursing, Gary, IN, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      A naturalistic field study of low-income women (N = 17) in an intensive outpatient addiction recovery program addressed the question: What is the nature of addiction recovery for pregnant and parenting-women in an addiction treatment program? Grounded theory methodology was used to determine the nature of the interpersonal and social processes that define addiction recovery for women in this study. Over 2 years, audiotaped semi-structured interviews, document reviews of medical records, treatment progress and group therapy notes, and participant observation notes were collected and analyzed. The constant comparison method of analysis involved an ongoing process of theoretical sampling, memoing, and open and then axial coding to identify, group, link, and reduce the categories produced. A developmental model of addiction recovery in pregnant and parenting women emerged that consisted of the dimensions of becoming drug and alcohol free, a partner in a relationship, a person, and a parent. These four dimensions parallel and transform each other, yielding different outcomes but similar patterns over time. This model of addiction recovery provides a beginning framework for understanding the transactional nature of addiction recovery for low-income women who are adapting to a drug and alcohol-free lifestyle and the task and role of parenting a newborn.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Psychiatric Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Abadinsky H.
        Drug abuse: an introduction.
        Nelson-Hall, St. Louis MO1989
        • Bresnahan K.
        • Brooks C.
        • Zuckerman B.
        Prenatal cocaine use: impact on infants and mothers.
        Pediatric Nursing. 1991; 17: 123-129
        • Bretherton I.
        Attachment theory: retrospect and prospect.
        in: Bretherton I. Waters E. Growing points of attachment theory and research. University of Chicago Press, Chicago1985: 3-35
        • Brown S.
        Treating the alcoholic.
        Wiley & Sons, Chicago1985
        • Brown D.
        • Gary L.
        Social support network differentials among married and nonmarried black females.
        Psychology of Women Quarterly. 1985; 9: 229-241
        • Burns W.
        • Burns K.
        Parenting dysfunction in chemically dependent women.
        in: Chasnoff I. Drugs, alcohol, pregnancy and parenting. Kluwer Academic Publishers, New York1988: 159-171
        • Burns K.
        • Chethik L.
        • Burns W.
        • Clark R.
        Dyadic disturbances in cocaine abusing mothers and their infants.
        Journal of Clinical Psychology. 1991; 47: 316-319
        • Colletta N.
        Social support and the risk of maternal rejection by adolescent mothers.
        The Journal of Psychology. 1981; 109: 191-197
        • Coppolillo H.
        Drug impediments to mothering behavior.
        Addictive diseases. 1975; 2: 201-208
        • Fraiberg S.
        • Adelson E.
        • Shapiro V.
        Ghosts in the nursery: A psychoanalytic approach to the problems of impaired mother-infant relationships.
        in: Fraiberg S. Clinical studies in infant mental health: The first year of life. Basic Books, Boston1980: 164-196
        • Gerstley L.
        Antisocial personality disorder in patients with substance abuse disorders.
        American Journal of Psychiatry. 1990; 147: 173-177
        • Glaser B.
        • Strauss A.
        The discovery of grounded theory.
        Aldine, New York1967
        • Gurdin J.
        • Patterson C.
        The problem of sample frame in populations called deviant: the case of methadone-maintained women and their infants.
        Journal of Community Psychology. 1987; 15: 459-470
        • Holstrom C.
        Women and substance abuse.
        Psychiatric Nursing. 1990, April, May, June; : 6-10
        • Kohut H.
        The search for self.
        International Universities Press, Inc., Chicago1971
        • Lindblad-Goldberg M.
        • Dukes J.
        Social support in black, low-income, single parent families: normative and dysfunctional patterns.
        American Journal of Orthopsychiatry. 1985; 55: 42-58
        • Miles M.
        • Huberman M.
        Qualitative data analysis.
        Sage Publications, New York1984
        • Naiditch B.
        Rekindled spirit of a child: Intervention strategies for shame with elementary age children of alcoholics.
        Alcoholism Treatment Quarterly. 1988; 4: 57-69
        • Nardi D.
        Parent-infant interaction during perinatal addiction treatment.
        Issues in Comprehensive Pediatric Nursing. 1994; 17: 161-175
        • Partridge S.
        The parental self-concept: a theoretical exploration and practical application.
        American Journal of Orthopsychiatry. 1988; 58: 281-287
        • Piaget J.
        The child's grasp of consciousness.
        Harvard University Press, Newbury Park, CA1976
        • Riegel K.
        Toward a dialectical theory of development.
        Human Development. 1975; 18: 50-64
        • Sameroff J.
        • Fiese B.
        Transactional regulation and early intervention.
        in: Meisels S. Shonkoff J. Handbook of early childhood intervention. Cambridge University Press, Cambridge, Mass.1990: 119-149
        • Solomon L.
        • Rothblum E.
        Stress, coping and social support in women.
        The Behavior Therapist. 1986; 9: 199-204
        • Sroufe L.
        The role of infant-caregiver attachment in development.
        in: Belsky J. Nozworsky T. Clinical implications of attachment. Erlbaum Publishing, Cambridge, Mass1988: 18-38
        • Stern D.
        The interpersonal world of the infant.
        Basic Books, Inc., Hillsdale, N.J.1985
        • Stern-Bruschweiler N.
        • Stern D.
        A model for conceptualizing the role of the mother's representational world in various mother-infant therapies.
        Infant Mental Health Journal. 1989; 10: 142-155
        • Stern P.
        • Kerry J.
        Restructuring life after home loss by fire.
        IMAGE. 1996; 28: 11-16
        • Strauss A.
        • Corbin J.
        Basics of qualitative research.
        Sage Publications, New York1990
        • Streubert H.
        • Carpenter D.
        Qualitative research in nursing.
        J.B. Lippincott, Newbury Park, CA1995
        • Sullivan K.
        Maternal implications of cocaine use during pregnancy.
        Perinatal Nursing. 1990; 3: 12-25
        • Treece E.
        • Treece J.
        Elements of research in nursing.
        2nd ed. C.V. Mosby, Philadelphia1979
        • Tyler R.
        Prenatal drug exposure: an overview of associated problems and intervention strategies.
        Phi Delta Kappan. 1992, May; : 705-707
        • Zeanah C.
        Subjective experience in attachment relationships: recent research on internal representations.
        in: Paper presented to the William Alanson White Psychoanalytic Society, New York, New York1991, November
        • Zeanah C.
        • Anders T.
        Subjectivity in parent-infant relationships: a discussion of internal working models.
        Infant Mental Health Journal. 1987; 8: 237-250
        • Weinraub M.
        • Wolf B.
        Effects of stress and social supports on mother-child interactions in single- and two-parent families.
        Child Development. 1983; 54: 1297-1311