Abstract
This chapter describes a group intervention for substance-abusing mothers and their infants based on psychoanalytic theory and attachment theory. It first provides an overview of the core principles of psychoanalytic and attachment theories that guide the development of a mother-infant group intervention with substance-abusing mother-infant dyads. It then considers the practical issues and therapeutic elements of the group intervention, along with specific issues associated with substance abuse such as regulating difficult emotions and preventing the transfer of traumatic experiences as well as relapsing into drugs. It illustrates the group therapeutic- and substance abuse-related topics using clinical vignettes from the groups. Finally, the chapter presents preliminary results on the efficacy of the mother-infant group intervention to improve dyadic interaction, maternal relational representations, and mental health.
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