Learning Objective 1: Describe the impact of institutionalized custodial childcare on the Eastern European adopted child's ability to establish the bonds of attachment.
Learning Objective 2: Discuss the impact of attachment disorder on family dynamics from the perspective of an adoptive mother.
This phenomenological study was undertaken to obtain a description of the experience of parenting an adopted child from Eastern Europe with attachment disorder from the perspective of the mother. Four themes were derived from 14 participant's interviews which describe isolation, disruption of the normal principles of childrearing, fears of being an inadequate mother, and the struggle for control between mother and child. Literary and artistic sources were also investigated to discover how attachment disorder is depicted.
The findings of this study indicate that adoptive mothers of Eastern European children with attachment disorder are in need of increased support and nderstanding. Nurses who work with adoptive families must be able to assess the degree of attachment between an adoptive child and their parents, evaluate the mother's ability to cope, and be prepared to refer the family to available therapeutic resources. Mothers of adopted children with attachment disorder must be evaluated for physical and emotional well-being at every point of entry in the health care system.
See more of: Evidence-Based Practice Sessions – Oral Paper & Posters