Family Violence: Walking the tightrope between maternal alienation and child safety
Denise Wilson
Nursing (Maori Health), School of Health Sciences, Massey University, Albany, Auckland, New Zealand
Karen McBride-Henry
Clinical Effectiveness Unit, Capital and Coast District Health Board; Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand
Annette Huntington
PP: 85 - 96
Abstract
Mothers are often alienated from their children when child abuse is suspected or confirmed, whether she is the primary abuser of the child or not. An abusive or violent partner often initiates the process of maternal alienation from children as a control mechanism. When the co-occurrence of maternal and child abuse is not recognised, nurses and health professionals risk further alienating a mother from her child/ren, which can have detrimental effects in both the short and long term.
Evidence shows that when mothers are supported and have the necessary resources there is a reduction in the violence and abuse she and her children experience; this occurs even in situations where the mother is the primary abuser of her children.
The family-centred care philosophy, which is widely accepted as the best approach to nursing care for children and their families, creates tension for nurses caring for children who are the victims of abuse as this care generally occurs away from the context of the family. This fragmented approach to caring for abused children can inadvertently undermine the mother-child relationship and further contribute to maternal alienation.
This paper discusses the complexity of family violence for nurses negotiating the 'tight rope' between the prime concern for the safety of children and further contributing to maternal alienation, within a New Zealand context. The premise that restoration of the mother-child relationship is paramount for the long-term wellbeing of both the child/ren and the mother provides the basis for discussing implications for nursing practice.
Keywords
maternal alienation, child abuse, family violence, co-occurrence of maternal & child abuse
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