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BMC Psychiatry
Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Research article

Marte Meo as a port of entry to parental sensitivity - a three–case study

Authors: Elise H. Gill, Anne Brita Thorød, Kari Vik

Published in: BMC Psychiatry | Issue 1/2019

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Abstract

Background

Early parent- child relations play an important role in children’s development. Therapeutic intervention towards infants and toddlers at high-risk intends to prevent mental health problems. In this work, the parent-child-dyad is crucial. The video interaction guidance method, Marte Meo, is one among different methods used in attachment-based treatment in an outpatient infant mental health clinic. Parental sensitivity towards infants and toddlers needs is considered significant in developing secure attachment. Secure attachment is further considered decisive for mental health and the extent to which children are at risk of developing mental health problems. Different treatment methods aim at strengthening parents’ sensitivity. This study’s purpose was to gain further understanding about parent’s experiences with Marte Meo – therapy and highlight the importance for parental sensitivity.

Methods

This is a cross-sectional phenomenological hermeneutical study. Four biological parents of three infants and toddlers aged 0–20 months who received Marte Meo- therapy in a clinical context were selected. Data was collected using semi structured interviews.

Results

This article presents the study’s key-finding; we suggest that sensitivity increases. The key components of this are: watching edited video interaction in a therapeutic context, emotional activation, mutuality, self-esteem / self-confidence and reflective function. These are further elaborated and discussed.

Conclusion

The findings indicate that Marte Meo contributes to facilitate development-supportive interaction, strengthen parental sensitivity, emotional availability, reflective functioning and coping - experience.
Literature
1.
Rusconi-Serpa S, Rossignol AS, McDonough SC. Video feedback in parent-infant treatments. Child Adolesc Psychiatr Clin N Am. 2009;18(3):735–51.PubMedCrossRef
2.
Kennedy H, Landor M, Todd L. Video interaction guidance as a method to promote secure attachment. Educ Child Psychol. 2010;27(3):59–72.
3.
Vik K, Rohde R. Tiny moments of great importance: the Marte Meo method applied in the context of early mother-infant interaction and postnatal depression. Utilizing Daniel Stern's theory of 'schemas of being with' in understanding empirical findings and developing a stringent Marte Meo methodology. Clin Child Psychol Psychiatry. 2014;19(1):77–89.PubMedCrossRef
4.
Aarts M. Marte Meo: basic manual. 2nd ed. Eindhoven: Aarts Productions; 2008. p. 5–251.
5.
Winnicott DW. The theory of the parent-infant relationship. In: Essential papers on object relations. New York: New York University Press; 1986. p. 233–53.
6.
Gallese V. The roots of empathy: the shared manifold hypothesis and the neural basis of intersubjectivity. Psychopathology. 2003;36(4):171–80.PubMedCrossRef
7.
Schore AN. Back to basics: attachment, affect regulation, and the developing right brain: linking developmental neuroscience to pediatrics. PediatrRev. 2005;26(6):204–17.
8.
Bagot RC, Meaney MJ. Epigenetics and the biological basis of gene x environment interactions. J Am Acad Child Adolesc Psychiatry. 2010;49(8):752–71.PubMedCrossRef
9.
Patterson JE, Vakili S. Relationships, environment, and the brain: how emerging research is changing what we know about the impact of families on human development. Fam Process. 2013.
10.
Stern DN. The interpersonal world of the infant: a view from psychoanalysis and developmental psychology: with a new introduction author. New York: Basic Books; 2000.
11.
Hansen BR. Intersubjectivity: a new developmental psychological perspective. Tidsskrift for Norsk Psykologforening. 1991;28(7):568–78.
12.
Ainsworth MDS, et al. Patterns of attachment: a psychological study of the strange situation. Hillsdale: Lawrence Erlbaum; 1978. XVIII, 391 s. : ill
13.
Kalinauskiene L, et al. Supporting insensitive mothers: the Vilnius randomized control trial of video-feedback intervention to promote maternal sensitivity and infant attachment security. Child Care Health Dev. 2009;35(5):613–23.PubMedCrossRef
14.
Nievar M, Becker BJ. Sensitivity as a privileged predictor of attachment: a second perspective on De Wolff and Van IJzendoorn's meta-analysis. Soc Dev. 2008;17(1):102–14.CrossRef
15.
Ainsworth MD, Bell SM, Stayton DJ. Individual differences in strange-situation behaviour of one-year-olds, in Schaffer, H R (1971) The origins of human social relations xiv. Oxford: Academic Press; England; 1971. p. 297.
16.
De Wolff MS, Van Ijzendoorn MH. Sensitivity and attachment: a meta-analysis on parental antecedents of infant attachment. Child Dev. 1997;68(4):571–91.PubMedCrossRef
17.
Goldsmith HH, Alansky JA. Maternal and infant temperamental predictors of attachment: a meta-analytic review. JConsult ClinPsychol. 1987;55(6):805–16.
18.
Bowlby J. Attachment and loss. New York: Basic Books; 1980.
19.
Egeland B, Carlson EA. Attachment and psychopathology. In: Attachment issues in psychopathology and intervention. Mahwah: Lawrence Erlbaum Associates Publishers; 2004. p. 27–48.
20.
Bakermans-Kranenburg MJ, Van Ijzendoorn MH, Juffer F. Less is more: meta-analyses of sensitivity and attachment interventions in early childhood. PsycholBull. 2003;129(2):195–215.
21.
Beebe B. Mother-infant research informs mother-infant treatment. PsychoanalStudy Child. 2005;60:7–46.CrossRef
22.
Doria MV, et al. Explanations for the success of video interaction guidance (VIG): an emerging method in family psychotherapy. Fam J. 2014;22(1):78–87.CrossRef
23.
Vik K. "from the outside looking in": a phenomenological study of postnatal depression, mother-infant interaction and video guidance. Oslo: University of Oslo; 2010. Unipub. p. 1 b. (flere pag.)
24.
Sameroff A. Transactional models in early social relations. Hum Dev. 1975;18(1–2):65–79.CrossRef
25.
Stern DN. The interpersonal world of the infant: a view from psychoanalysis and developmental psychology, vol. 2. London: Carnac; 1998.
26.
Fonagy P, et al. The capacity for understanding mental states: the reflective self in parent and child and its significance for security of attachment. Infant Ment Health J. 1991;12(3):201–18.CrossRef
27.
Anke T. Tilknytning mellom fosterbarn og fosterforeldre: et behandlingsperspektiv [Attachment in foster care: A treatment approach]. Tidsskrift for Norsk Psykologforening. 2007;44(10):1230–8.
28.
Hafstad R, Øvreeide H. Marte Meo - en veilednings- og behandlingsmetode [Marte Meo - a method of supervision and of therapy]. Tidsskrift for Norsk Psykologforening. 2004;41:447–56.
29.
Braten S. The virtual other in infants' minds and social feelings. In: The dialogical alternative: Towards a theory of language and mind. Norway: Scandinavian University Press; 1992. p. 77–97.
30.
Vik K, Hafting M. The outside view as facilitator of self-reflection and vitality: a phenomenological approach. J Reprod Infant Psychol. 2009;27(3):287–98.CrossRef
31.
Vik K, Braten S. Video interaction guidance inviting transcendence of postpartum depressed Mothers' self-centered state and holding behavior. Infant MentHealth J. 2009;30(3):287–300.CrossRef
32.
Osterman G, Moller A, Wirtberg I. The Marte Meo method as a means of supporting new adoptive parents. Adoption Fostering. 2010;34(2):49–57.CrossRef
33.
Bunder P. Enhancing development of children at risk and their parents by video counselling according to the Marte Meo method. Prax Kinderpsychol Kinderpsychiatr. 2011;60(5):333–50.PubMedCrossRef
34.
Hoivik MS, et al. Video feedback compared to treatment as usual in families with parent-child interactions problems: a randomized controlled trial. Child Adolesc Psychiatry Ment Health. 2015;9:3.PubMedPubMedCentralCrossRef
35.
Kristensen IH, et al. Are health VISITORS' observations of early parent-infant interactions reliable? A cross-sectional design. Infant Ment Health J. 2017;38:276-88.21627.
36.
Bovenschen I, et al. Video-based intervention for mother-infant-dyads at risk-effects on maternal sensitivity. Psychol Erzieh Unterr. 2012;59(4):275–89.
37.
Weinberg MK, Tronick EZ. The impact of maternal psychiatric illness on infant development. JClinPsychiatry. 1998;59(Suppl 2):53–61.
38.
Goodman G. The impact of intervention points of entry on attachment-based processes of therapeutic change with prepubertal children. In: Attachment-based clinical work with children and adolescents. New York: Springer Science + Business Media; 2013. p. 193–218.CrossRef
39.
Polit DF, Beck CT. Generalization in quantitative and qualitative research: myths and strategies. Int J Nurs Stud. 2010;47(11):1451–8.PubMedCrossRef
40.
Kvale S. The qualitative research interview: a phenomenological and a hermeneutical mode of understanding. J Phenomenol Psychol. 1983;14(2):171–96.CrossRef
41.
Hansen ES, Karlsson B. The researcher-therapist relationship-ethical and methodological reflections in qualitative research. Tidsskrift for Norsk Psykologforening. 2009;46(11):1044–8.
42.
Malterud K. Kvalitative metoder i medisinsk forskning [qualitative methods in medical reseach]. 2nd ed. Oslo: Universitetsforlaget; 2003.
43.
Fonagy P. Thinking about thinking: some clinical and theoretical considerations in the treatment of a borderline patient. IntJ Psychoanal. 1991;72(Pt 4):639–56.
44.
Klein Velderman M, et al. Effects of attachment-based interventions on maternal sensitivity and infant attachment: differential susceptibility of highly reactive infants. J Fam Psychol. 2006;20(2):266–74.PubMedCrossRef
45.
Smith L. Tilknytning og barns utvikling [Attachment and childrens development]. Kristiansand: H°yskoleforl; 2002. p. 247.
Metadata
Title
Marte Meo as a port of entry to parental sensitivity - a three–case study
Authors
Elise H. Gill
Anne Brita Thorød
Kari Vik
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-018-1959-5

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