Practitioner Development

Mothers of children with Down syndrome: constructing the sociocultural meaning of disability.

Lalvani (2008) · Intellectual and developmental disabilities 2008
★ The Verdict

Mothers reject negative medical talk and build proud views of Down syndrome—help them by using respectful, family-centered words from the start.

✓ Read this if BCBAs who support families at diagnosis or in early intervention.
✗ Skip if Clinicians looking for behavior-reduction protocols or quantitative effect sizes.

01Research in Context

01

What this study did

Lalvani (2008) talked with mothers of children with Down syndrome. The goal was to learn how moms make sense of disability in daily life.

The study used open interviews. Moms shared stories about doctors, family, and their own feelings.

02

What they found

Mothers pushed back against gloomy medical talk. They built a new, proud view of Down syndrome and of themselves as moms.

Over time, they saw disability as part of normal life, not a tragedy.

03

How this fits with other research

Gokgoz et al. (2022) extend these ideas. Turkish moms also re-frame Down syndrome in positive terms like strength and spiritual closeness.

Chiviacowsky et al. (2013) show parents feel intense grief at first diagnosis. This seems to clash with Priya’s hopeful shift, but the difference is timing. Early shock gives way to later pride when families get kind support.

Stephens (2008) argues that prenatal counseling often paints Down syndrome as a bad outcome. Priya’s work says the fix is the same: give balanced, respectful information from day one.

04

Why it matters

Your first words to a parent stick. Replace deficit language with hope and facts. Offer parent-to-parent contacts right after diagnosis. Keep checking in, because meaning changes over time.

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Swap any deficit phrases in your reports for strength-based language and add one local parent resource to your handout.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
9
Population
down syndrome
Finding
not reported

03Original abstract

A qualitative study explored mothers' experience of the birth of a child with Down syndrome within a sociocultural context. Nine mothers of children with Down syndrome were interviewed. Mothers discussed responses to their child's diagnosis as well as negative attitudes toward disability that were displayed by members of the medical community. The narratives highlight the process of meaning-making that these mothers engaged in, their resistance to the dominant discourse on disability, and their eventual transformations in perceptions of disability and motherhood. The study suggests that the meaning of Down syndrome may be culturally embedded and that mothers of children with Down syndrome locate their child's disability within a social environment.

Intellectual and developmental disabilities, 2008 · doi:10.1352/2008.46:436-445