the absent mother
TRANSCRIPT
THE ABSENT MOTHER1
The Absent Mother
Marjorie L. Perry
University of Southern Mississippi
THE ABSENT MOTHER 2
Abstract
The noncustodial mother who has suffered forced estrangement from her children is
ostracized from the world she lives in and viewed as emotionally deficient, socially deviant, and
a personal failure (Elliot, 2011). According to Kruk (2010), women-serving organizations and
child protection services are identified as unhelpful and not tuned into the unique challenges of
these mothers. These women suffer from Post-Traumatic-Stress-Disorder, Depression and
Suicidality (Kruk, 2010). It is very difficult for these women to be productive members of
society because they go through so many periods when they feel like a failure. However, their
life can be made much easier through PTSD treatment, treatment for Depression and Suicidality,
Pharmacotherapy, Psychoeducation, Anger management and “Phase of Life Problems” work.
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The population impacted in my paper is the “Absent Mother”. Until twenty years ago,
maternal absence was only viewed in regards to child development (Elliot, 2011). According to
Elliot (2011), the nonresidential mother was emotionally deficient, socially deviant and a
personal failure. According to Gustafson (2005a), the reasons that women felt pressured to
choose this living arrangement was linked to women’s social, economic or legal disadvantages.
According to Babcock (1997), mothers who were absent from the everyday lives of their
children are stigmatized by family, friends, the courts and other social institutions.
Controlling Behaviors of Ex-Partners
According to Coleman (2012), controlling behaviors of ex-partners did not end when
they were divorced, and this type of relationship continued on through and affected how they
shared custody for their children. According to Coleman (2012), instructors of divorced parent
education programs should emphasize the extreme importance of transitioning from spouse to
coparent, in order to help parents set aside negative feelings toward their ex-partners and focus
on their children.
A Mothers Forced Estrangement from Her Children
According to Grief (1993), involuntary relinquishing mothers expressed greater
dissatisfaction and were seeing their children less often than voluntary relinquishing mothers,
especially when their children were younger. According to Kruk (2010), no evidence was found
that noncustodial mothers were more unfit than custodial mothers in terms of mother-child
attachment, living arrangements, substance abuse or problem areas. A quote from Constantatos
(1984), “My family physician wanted to medicate me knowing that I was being abused…he said
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I was situationally depressed but he did not get the difference between depressed and oppressed”
(p.1).
SPECIAL ISSUES RELATED TO THE ENGAGEMENT AND ESTABLISHMENT OF
THE THERAPEUTIC RELATIONSHIP:
According to Elliot (2011), Narrative therapy with the adult child and the establishment
of boundaries as to how much he or she is willing to share about the other parent works well. The
adult child in therapy may feel as if the mother is asking her to reinvent memories based on his
or her own experience and he or she may feel that the positive memories of his or her father may
be altered in a negative way. According to Gustafson (2000), “Narrative research has evolved
and become part of the repertoire of qualitative approaches used by feminists when explaining a
crisis or significant life event” (p.190). According to Elliot (2011), the narrative should both
reflect and disrupt the commonplace and taken for granted discourses of maternal obligation.
This practice allows for an alternative way of representing divorce, family configuration and
maternal absence.
According to Chung (2006), shared physical custody often puts women at risk for
continued control or abuse and they could benefit from “Safety Focused Guidance”. According
to Chung(2006), “the optimism that they can put aside negative relationship issues and work
cooperatively with their former partners seems to be misguided and techniques for changing the
topic from marital relationship problems to child related discussions are needed”(p.597). Anger
management (CBT) may be necessary and boundary work focusing on the benefits of shared
physical custody may be beneficial.
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According to Depner (1993), a mother experiences intensely painful feelings and a very
difficult adaptation to the noncustodial arrangement. According to Kruk (2010), suicidality is an
issue; women stated, “What is my purpose in life now? It’s almost like being in a limbo state”.
They feel depressed and think about suicide .It makes it very difficult to be a productive member
of society because they go through many periods when they feel like a failure. They start to have
panic attacks and shake and cry uncontrollably.
Legal Abuse
According to Kruk (2010), many women are the subject of allegations of parental
unfitness, substance abuse and mental illness by their former partners. Child welfare authorities
substantiated none of the allegations; nevertheless, they were judged harshly by the family court.
According to Kruk (2010), “the legal abuse suffered by these mothers was seen as equally or
more harmful as physical violence or emotional abuse” (p.535). With fathers armed with legally
sanctioned control of children, mothers reported incidents of access denial and active denigration
of mothers in front of their children. This was part of a campaign to sever contact between
mothers and their children.
According to Kruk (2010), mothers said that children in such situations, caught in loyalty
conflicts and fearful that fathers love might be withdrawn if they sought out their mothers
reacted by disengaging emotionally not only from their mothers but also from the mothers
extended families and cultural traditions .Society and the court system kind of leave the
noncustodial mother out there, as this horrible person whether she is unfit or not. Everyone
prejudges them and they carry all that around and there are no resources for these women.
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Women serving organizations and child protection services are identified as unhelpful and not
tuned into the unique challenges of these mothers.
OTHER ISSUES AND CHALLENGES
According To Elliot (2011), how we refer to these women matters “just say non-
residential mother” when discussing the living arrangement. “The positioning of women as
producing ill health in their children has long been a central element of public health initiatives
and biomedical research” (p.192). According to Kaplan (1992), stories about non-residential
mothers and their emotionally damaged children appear in fairytales, film, theatre, magazines
and books.
According to Constantatos(1984), the controlling behavior does not stop when the
marriage ends: “He knew that it would kill me if I couldn’t have her….that is how he got to
me…”(P.3) According to Ganong(2006), Courts need to recognize that “women may be at risk if
forced to share custody with their former abusive husbands”(P.544). According to Kruk (2010)
“women want recognition as equal parents in the eyes of the law” (p.527). Also, shock, denial,
anger, incredulity and profound sadness characterize these mothers’ accounts of loss.
According to Kruk (2010), it is an issue when someone asks these mothers to remember
how her child was at age 6, 7 or 8. Or when the child’s first tooth came out or when he or she
learned to read. All that they can do is try to have as much contact and visits with their child as
they can. But they are like an aunt or friend to them. According to Constantatos(1984),“You’re
embarrassed to tell anybody, you are quiet about what the arrangements are because you don’t
want people to look at you like you are a monster”(P.10).
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METHODS OF ASSESSMENT AND INTERVENTION
Narrative Therapy
Narrative therapy with the mother and adult child. According to Lehmann (2008),
externalizing is a countercultural practice that protests the practice of putting the pathology
“inside” clients and is a way to invite clients to deconstruct and re-author problem-saturated
stories into stories of competence and courage. According to Elliot (2011), the narrative should
both reflect and disrupt the commonplace and taken for granted discourses’ of maternal
obligation. This practice allows for an alternative way of representing divorce, family
configuration and maternal absence.
PTSD Screening and Treatment
According to the Department of Veterans Affairs, the PCL-S (specific) screening tool
asks about symptoms in relation to the identified “stressful experience” (Weathers, 2012). This is
useful because the symptoms endorsed are clearly linked to a specified event. Respondents’ may
also be instructed to complete the PCL-S in reference to a specific type of event (Weathers,
2012), such as losing a child.
According to Jongsma (2006), the clinician should get a clear description of the traumatic
event in as much detail as possible. The clinician should also explore the depth of depression and
suicidal ideation and take necessary safety precautions to protect the “Absent Mother”. Assess
the clients need for psychotropic medication and arrange for a prescription if appropriate and
then monitor compliance. The clinician should teach calming and coping strategies to manage
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challenging situations related to trauma. The clinician should help the client to identify,
challenge and replace biased, fearful self-talk with reality based positive self-talk. Teach the
client guided self-dialogue in which she learns to recognize maladaptive self-talk. The clinician
should assess for and teach anger management techniques. The clinician should develop and
encourage a physical exercise routine for the client.
The clinician should give “What is Safety Planning” and the number to the National
Domestic Violence Hotline (Hotline, 2012). The clinician should give the client the “Types of
Emotional Abuse” handout so that she can start to identify the abuse and set boundaries with her
ex-husband (Cope", 2013).For boundary work, explore long-term –goals in the “Phase of Life
Problems” portion of the complete adult psychotherapy treatment planner. The long term goals to
be explored with the client are to resolve conflicted feelings and adapt to new life circumstances.
The clinician should try to reorient the clients’ life view to recognize the advantages of the
current situation. The client should explore serving, nurturing, and supporting significant others
who are dependent and needy. Client should also learn to balance life activities between the
consideration of others and the development of her own interests. The client should make copies
of her safety plan and give her children as well as other important family members a copy. The
client should try to learn the different types of emotional abuse do that she can effectively deal
with them by setting boundaries. The clinician may need to explore CBT for “Anger
Management” with the client.
Depression Screening and Treatment
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According to the Macarthur Initiative on Depression and Primary Care (2009), the
PHQ-9 is a nine item depression scale to assess the symptoms and functional impairment to
make a tentative Depression diagnosis. This scale is also used to derive a severity score that is
used to select and monitor depression treatment. “The PHQ-9 is based directly on the diagnostic
criteria for major depressive disorder in the Diagnostic and statistical Manual Fourth Edition
(DSM-IV)” (Care, 2013).
Initially for the client’s depression treatment, the clinician should encourage the
client to take prescribed psychotropic medications responsibly and at the times prescribed by the
physician (Jongsma, 2006). The clinician should then help the client identify and replace
cognitive self-talk that is supporting the clients depression. The clinician should help the client to
utilize behavioral strategies to overcome depression. The clinician should assess the clients
“interpersonal inventory” of important past and present relationships and evidence of potentially
depressive themes
.
Suicide Risk Assessment
According to Johnson (2004), the clinician should inquire about thoughts of
killing self or persistent death wish. Inquire if the patient has a plan and the means to carry out
the plan. The clinician should assess for feelings of hopelessness. The clinician should assess for
a past history of suicide attempts, or if there was someone close to them who has attempted or
committed suicide. The clinician should assess for recent losses and substance abuse. The
clinician should also assess for poor impulse control and judgment. According to Johnson
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(2004), if the client cannot assure the she will not harm herself, then hospitalization is necessary.
If the client will not voluntarily go to the hospital, then the involuntary hospitalization process
must ensue.
According to Stewart (1999), nonresidential mothers are more likely than nonresidential
fathers to remain actively involved in the everyday lives of their children and to maintain
emotional closeness with their children. According to Kruk (2010), in some cases, mothers
access to their children was suspended because they fled a threatening situation taking their
children, in other cases, access was suspended because they stayed and according to the courts,
did not protect their children. In some cases, the mothers were seen as being too career-minded
and in others the mothers were seen as being irresponsible because they did not work outside the
home to provide for their children. It was really difficult for these women to manage work and to
see their children because they were confined to a specific access time from the custodial parent
and were not given much leeway. One parent said “it is almost like they are still controlling your
quality of living and lifestyle and it is very difficult to move forward. According to Kruk (2010),
the child internalizes the negative comments that the parents make of the other in front of the
child. They child reasons that she is half of each of them and “if mom is calling dad bad and dad
is calling mom bad, am I bad too?”.
Narrative therapy is a way for the adult daughter and absent mother to reconstruct bad
memories of they choose to do so. The estranged mother from the abusive relationship is at risk
for PTSD and should be assessed for suicide. This mother should also set up a safety plan and
learn about the different types of emotional abuse. The absent mother should explore “Phase of
Life” problems in order to put into perspective her new role as the absent parent and to set
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healthy boundaries for her new role. A mother’s forced estrangement from her children will
cause PTSD, Depression and Suicidality. This mother is ostracized from society, women serving
organizations as well as family and friends as having done something bad to lose the custody of
her child. She deeply feels the loss of her child everyday as well as the judgments both verbal
and nonverbal from people in her everyday circle. The only peace that she ever feels is when she
is with her child or alone in her home and away from opinions and judgments. This woman
needs ongoing PTSD treatment, Initial Suicide Assessment and treatment if needed, medication
for anxiety, CBT for Anger Management and Depression. This women will also benefit from
ongoing “Phase of Life Problems” work. I would like to someday start support groups for these
women to help them to have a better quality of life.
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