Mehrotra Kanika, Bhola Poornima, Desai Geetha
Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore.
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore.
Res Psychother. 2023 Feb 3;26(1):675. doi: 10.4081/ripppo.2023.675.
An understanding of the complex intersection of borderline personality vulnerabilities and motherhood calls for an integrative and culture-sensitive lens in assessment and therapeutic interventions. The aim of the study was to explore constructions of motherhood in an Indian context to inform the adaptation of the Parent Development Interview-Revised (PDI-R) for use with mothers with borderline personality vulnerabilities. A stepwise framework was followed to obtain conceptual, semantic, and operational equivalences for the PDI-R adaptation. Interviews on contextualised aspects of motherhood were conducted with a sample of eight mental health practitioners specializing in borderline personality disorders, women's mental health or child psychology, two cultural psychologists, one gynaecologist and one paediatrician. Six emergent themes were identified through thematic analysis, 'The ideal mother and her search for identity,' 'Mothering the mother and the vicissitudes of care,' 'Not just mine - negotiating boundaries,' 'Mother knows best,' 'Food, feeding and embodied nurturing,' and 'Approaching motherhood in the clinic.' The proposed adaptations to the PDI-R were further reviewed by two experts; a clinical psychologist and a psychiatrist specialised in perinatal services. This was followed by the process of operational equivalence through administration of PDI-R with two mothers with borderline personality vulnerabilities and two mothers from the community. The expert review and the administration informed the final adaptation of the PDI-R. A systematic process of adaptation can support the use of measures like the PDI-R in different cultures. A contextual understanding of constructions of motherhood and borderline personality has potential to support meaningful assessment and targeted parenting interventions.
要理解边缘型人格易感性与母亲身份之间的复杂交集，就需要在评估和治疗干预中采用综合且具有文化敏感性的视角。本研究的目的是探索印度背景下母亲身份的建构，以为修订版父母发展访谈（PDI-R）适用于有边缘型人格易感性的母亲提供参考。遵循一个逐步推进的框架来实现PDI-R改编的概念等效、语义等效和操作等效。对八名专门研究边缘型人格障碍、女性心理健康或儿童心理学的心理健康从业者、两名文化心理学家、一名妇科医生和一名儿科医生进行了关于母亲身份情境化方面的访谈。通过主题分析确定了六个新出现的主题：“理想母亲及其身份探寻”“照顾母亲与照料的变迁”“不只是我的——协商界限”“母亲最懂”“食物、喂养与身体养育”以及“在诊所中接近母亲身份”。两名专家对PDI-R的拟议改编进行了进一步审查，一名临床心理学家和一名专门从事围产期服务的精神科医生。随后，通过对两名有边缘型人格易感性的母亲和两名社区母亲进行PDI-R施测来实现操作等效。专家审查和施测为PDI-R的最终改编提供了依据。系统的改编过程可以支持在不同文化中使用PDI-R等测量工具。对母亲身份和边缘型人格建构的情境化理解有潜力支持有意义的评估和有针对性的育儿干预。
