The Meaning of the Child Interview (MotC)

PurposeThe purpose of this paper is to report on the initial validation of a new method, called the “Meaning of the Child Interview” (MotC), to assess the psychological meaning all children have for their parents, but which in cases of risk, submerge or distort the child’s identity. The MotC analyses parental discourse using a method developed from the discourse analysis used to classify the Adult Attachment Interview together with patterns derived from the infant CARE-Index, a procedure that evaluates face-to-face parent-child interaction. This allows the MotC to illuminate how the parent’s thinking influences the developing relationship between parent and child.Design/methodology/approachParents are interviewed using the Parent Development Interview (PDI), or an equivalent, and then the interview transcript is classified using the MotC system. The coding method was developed from interviews drawn from the first author’s work with children and families in the family court system, and then tested with a sample of 85 mothers and fathers, 62 of whom were parents drawn from an “at risk” context. The parents were also videoed in a short free play interaction, using the CARE-Index.FindingsThe study found a strong correspondence between the levels of risk as assessed by the MotC patterns of parental representation of care giving, the risk to the parent-child relationship observed using the CARE-Index. There was also corroboration of the patterns of interaction identified by the MotC.Originality/valueThe results of the study provide good evidence for the Meaning of the Child as an identifiable construct, and as an assessment tool to identify and assess the nature of “at risk” parent-child relationships. MotC was developed in a clinical setting within the Family Court justice system, and is designed to offer assistance to child protection and mental health practitioners deciding how to intervene in particular parent-child relationships.</jats:sec

The Meaning of the Child Interview:A new procedure for assessing and understanding parent–child relationships of ‘at-risk’ families

Reder and Duncan’s well-known studies of the 1990s on fatal child abuse drew attention to how parental scripts regarding their children could dangerously distort relationships in ways that were sometimes fatal to children. This article reports on a new system for assessing the ‘meaning of the child to the parent’, called the Meaning of the Child Interview (MotC). Parents are interviewed using the established Parent Development Interview, or equivalent, and the transcript of the interview is then analysed according to parental sensitivity and likely risk to the child. The MotC constructs were developed from those used in observed parent–child interaction (specifically, the CARE-Index) and the form of discourse analysis used in the Dynamic Maturational Model – Adult Attachment Interview, allowing a more systemic and inter-subjective understanding of parenting representations than often put forward. This article discusses the theoretical background to the MotC, gives a brief review of similar measures and then introduces the coding system and patterns of caregiving. The validity of the MotC is addressed elsewhere. </jats:p

Social inequalities in the demand, supply and utilisation of psychological treatment

Introduction: Socioeconomic deprivation is associated with higher prevalence of mental disorders but poor access to care. We conducted a national workforce survey to examine the demand, supply and utilisation of primary care psychological services. Aim: To understand the variability in the rates of access to psychological care in different geographical areas. Method: This was a cross-sectional survey of Improving Access to Psychological Therapies (IAPT) services. Data were collected from 144 services covering 180 local areas in England, using a freedom of information request. The access gap (AG) was defined as the percentage of cases that did not receive treatment, from the wider pool of cases referred for psychological care. We examined correlations between the demand (number of referrals), and supply (workforce size) of psychological care with local area prevalence rates of common mental disorders and the index of multiple deprivation (IMD). Regression analyses were used to assess if the variability in AG may be explained by IMD and workforce size, controlling for local population statistics. Results: Workforce size was weakly correlated with the IMD (r = 0.16, p = 0.04) and prevalence rates (r = 0.16, p = 0.03). The AG was significantly associated with IMD, number of referrals, prevalence rates and treatment waiting times, but not with workforce size. Together, these variables explained approximately 26% of variance in the AG. Conclusions: Socioeconomic deprivation is associated with psychological service utilisation, irrespective of the demand–supply function, particularly when contrasting the poorest and most affluent areas

Correction: Farnfield, M.M., et al. Whey Protein Ingestion Activates mTOR-dependent Signalling after Resistance Exercise in Young Men: A Double-Blinded Randomized Controlled Trial. Nutrients 2009, 1, 263-275.

We found an error in our paper recently published in Nutrients [1]