Literature and clinical practice have extensively dealt with the topic of addictions. However, there are still few studies that have systematically investigated parenting and the use or abuse of narcotics. Most focused mainly on the consequences and safety of the children involved. Aware of the need for a rigorous knowledge of the challenges, expectations and difficulties faced by the user in responding adequately to the parental role, the aim of this work is to retrace and integrate, with a critical approach, the main theoretical contributions of the last decade with a specific focus on the maternal role. We therefore argued the need for systemic care of the user starting from pregnancy, which arises as a highly stressful event that puts a strain on a woman’s therapeutic path. The most recent contributions will then be explored in order to understand and explain the variability of parental responses in addictive behavior according to the neurobiological approach to the mother-infant relationship. Finally, we will mention the environmental and social correlates related to the use of substances and how these can selectively affect particular parenting skills, such as the ability to provide consistent and constant caregiving over time. The path traced up to now pushes us to the awareness of the need for a deep knowledge of the complexity of the phenomenon and a careful analysis of the needs prior to the conception of a therapeutic path. The main predictor of treatment failure in this target user is, in fact, the lack of specific intervention programs, which consider individual differences.
Riferimenti bibliografici
Ahluwalia H., Chand P.K., Suman L.N. (2020). Therapeutic Focus for Women With Substance Use Disorders: Views of Experts and Consumers in a Tertiary Hospital in India.
Andolfi M., Angelo C. (1987). Tempo e mito nella psicologia familiare. Roma: Bollati Boringhieri.
Dawe S., Harnett P., Gullo M.J., Eggins E., Barlow J. (2021). Moderators and mediators of outcomes of parents with substance use problems: further evaluation of the Parents under Pressure programme. Society for the study of addiction, 16(11): 3206-3218.
Delker B. (2017). Relationships without Reward: The Role of Childhood Abuse History in Maternal Addiction, Mental Health, and Parenting. Department of Psychology, University of Oregon.
Dyba J., Moesgen D., Klein M., Leyendecker B. (2019). Mothers and fathers in treatment for methamphetamine addiction – Parenting, parental stress, and children at risk. Child & Family Social Work, 24: 106-114.
Freda M.F. (2008). Narrazione e intervento in psicologia clinica: costruire, pensare e trasformare narrazioni tra logos e pathos. Psicologia clinica e lavoro istituzionale. Napoli: Liguori.
Jacques D.T., Sturge-Apple M.L., Davies P.T., Cicchetti D. (2021). Parsing Alcohol-Dependent Mothers’ Insensitivity to Child Distress: Longitudinal Links With Children’s Affective and Anxiety Problems. Department of Psychology, University of Rochester 2 Institute of Child Development, University of Minnesota.
Kim S., Iyengar U., Mayes L.C., Potenza M.N., Rutherford H.J.V., Strathearn L. (2017). Mothers with Substance Addictions Show Reduced Reward Responses When Viewing Their Own Infant’s Face. Human Brain Mapping, 38: 5421-5439.
Kyte D., Jerram M., Di Biase R. (2020). Brain Opioid Theory of Social Attachment: A Review of Evidence for Approach Motivation to Harm. American Psychological Association, 6(1): 12-20.
Lowell A.F., Maupin A.N., Landi N., Potenza M.N., Mayes L.C., Rutherford H.J.V. (2020). Substance use and mothers’ neural responses to infant cues. Infant Ment Health J., 41: 264-277.
Navarra A. (2021). Le origini traumatiche della tossicodipendenza. Kimerik: Patti.
Raynor P.A., Mueller M., Pope C., York J., Smith G. (2019). A feasibility study exploring self-care and parenting for adults recovering from addictive substances. Archives of Psychiatric Nursing, 33(2): 155-163.
Rutherford H.J.V., Mayes L.C. (2019). Parenting stress: A novel mechanism of addiction vulnerability. Neurobiology of Stress, Volume 11.
Stewart C.R. (2021). Experiences of Social Workers in Outpatient Treatment with Young Mothers. Walden University.
United Nations Office on Drugs and Crime (2009). Guida alla realizzazione di programmi di formazione sulle abilità genitoriali per la prevenzione dell’uso di droghe. Dipartimento politiche antidroga.
Winnicott D. (1974). Sviluppo affettivo e ambiente: studi sulla teoria dello sviluppo affettivo, trad. Alda Bencini Bariatti. Roma: Armando.