Psychiatrists are sometimes asked to express an opinion about the competence and motivation of a mentally ill mother to be a consistent, adequate and safe parent of her recently born infant.
There are no reliable methods for assessing mother-infant interaction and relationship in a psychiatric context.
The Bethlem Mother-infant Interaction Scale (BMIS) was developed by the staff of a specialised psychiatric mother and baby unit.
Of the seven subscales, four measured different aspects of the mother's contribution to the dialogue with her baby, one measured her capacity to organise and maintain routine care, one attempted to rate the perception by staff of risk to the child, and the remaining subscale rated the baby's contribution to their interaction.
In normal clinical practice the ratings were made consensually by nurses and they encompassed observations that had been made by them during the previous week.
Despite the simple and global nature of the ratings of the BMIS, moderate to high coefficients of inter-rater reliability were obtained for weekly ratings by nurses as well as for intra-rater reliability of ratings of videotaped interactions between mothers and their infants.
Ratings of mothers and babies in day-to-day activity in the unit that were based on one hour's observation only were much less reliable. (...)
Mots-clés Pascal : Trouble psychiatrique, Mère, Hospitalisation, Service hospitalier, Interaction sociale, Relation mère enfant, Nourrisson, Homme, Echelle évaluation, Psychométrie, Femelle, Adulte, Bethlem Mother-Infant Interaction Scale, Hospitalisation mère enfant
Mots-clés Pascal anglais : Mental disorder, Mother, Hospitalization, Hospital ward, Social interaction, Mother child relation, Infant, Human, Evaluation scale, Psychometrics, Female, Adult
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0349717
Code Inist : 002B18B01. Création : 10/04/1997.