4. IPV-PTSD mothers' toddlers show a significantly lower stress response than those of non-PTSD mothers (ref). And IPV-PTSD mothers' neural activity in response to a) child-parent separation vs. play and b) adult male-female interactions that are menacing vs. neutral vs. prosocial both reflect cortico-limbic dysregulation with less ventro-medial prefrontal cortical activity among PTSD mothers than non-PTSD mothers (Moser et al., submitted; Moser et al., 2014). 5. children of IPV-PTSD mothers vs. non-PTSD mothers from 12-42 months and then from 24-54 months, show a) greater attachment disturbances, and b) less cooperativeness during play with mother on observational measures, and c) greater internalizing and externalizing behavior on maternal report measures. (Preliminary analyses reported: Schechter DS. Understanding how traumatized mothers process their toddlers' affective communication under stress: Towards preventive intervention for families at high risk for intergenerational violence. Symposium on Attachment and Psychopathology in Families at Risk (Ute Ziegenhain, Chair; Klaus Schmeck, discussant). European Congress of Developmental Psychology, Lausanne, 6-9-2013. Final analyses are pending. 6. maternal PTSD severity is correlated significantly with negativity of maternal attributions towards her child, her primary attachment figure from childhood, and herself with only a significant decrease in negativity of attributions towards her child over the course of the 3-session evaluation that includes a CAVES (single-session) (see Schechter et al., 2014) H*2/-22*$#! We are using an approach towards evaluating violence and maltreatment-exposed mothers and their children from early childhood on that involves an integration of psychoanalytically-informed, psychiatric, and developmental neuroscientific measures in order to characterize risk and resilience with respect to theintergenerational transmission of violence and related psychopathology and determinants of individual differences. We are also developing and evaluating parent-child videofeedback-based interventions that are targeted to supporting maternal affect regulation and reflective functioning upon clinician-assisted exposure to child negative affect, helpless states, and distress that in the context of maternal PTSD might well otherwise have been avoided. Outcomes include change of the quality of maternal attributions ! G$#.1/.\!
daniel.schechter@hcuge.ch sandra.rusconi-serpa@hcuge.ch
Daniel S. Schechter (PI), Sandra Rusconi Serpa (Co-PI), Francesca Suardi, Aurelia Manini, Ana Sancho Rossignol, Axelle Kreis, Gaëlle Merminod, Dominik A. Moser, Tatjana Aue, Virginie Pointet, Isabel Maria Cordero, Ariane Giacobino, Ludwig Stenz, Wafae Adouan, Alexandre G. Dayer, Christoph Michel, Michel Rossier, François Ansermet (Department Chair)
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