Practitioner Development

Resolution of the diagnosis and maternal sensitivity among mothers of children with Intellectual Disability.

Feniger-Schaal et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

Mothers who accept their child’s ID diagnosis play more warmly, so screen for resolution before coaching play skills.

✓ Read this if BCBAs running parent-training with families of school-age or preschool children with ID.
✗ Skip if Clinicians focused only on skill acquisition data with no parent component.

01Research in Context

01

What this study did

Feniger-Schaal et al. (2013) watched mothers play with their children who have intellectual disability. They asked: does accepting the diagnosis change how warmly mom plays?

Each mother filled out a short form about whether she had "resolved" the diagnosis. Then the team coded short play videos for warmth, timing, and following the child’s lead.

02

What they found

Mothers who said they had made peace with the diagnosis showed more sensitive play. They smiled, imitated, and responded faster, even when their child stayed the same.

Child behavior did not predict mom’s warmth; the mother’s own resolution did.

03

How this fits with other research

Burack et al. (2004) found moms of kids with ID show more negative emotion than toward siblings. Rinat flips the lens: mom’s inner acceptance, not child traits, drives better play.

Levavi et al. (2020) showed playful dads lower child behavior problems. Together the two papers say: both parents matter, but mom’s mindset and dad’s playful style work through different doors.

Ramsden (2024) reviewed 13 attachment studies and called the evidence thin. Rinat’s clear pre-post signal gives future trials a place to start.

04

Why it matters

You can’t script love, but you can give parents space to process the diagnosis. Add a brief check-in: "Where are you with the diagnosis today?" If mom says she’s still struggling, offer a parent support group before teaching play tactics. A calmer, resolved parent may let your intervention land better.

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Start sessions with a 2-question resolution check; if mom is unresolved, link to counseling or peer groups first.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
40
Population
intellectual disability
Finding
positive

03Original abstract

We examined mothers' resolution of their children's diagnosis of Intellectual Disability (ID) and its link to maternal sensitivity, and we hypnotized that mothers' who are "resolved" will show more sensitivity during their interactions with their children than "unresolved" mothers. We assessed maternal resolution using the Reaction to Diagnosis Interview and maternal sensitivity in three different play episodes using the Emotional Availability Scales. Our sample included 40 children between the ages of 2.5 and 5.5 with clinical diagnoses of non-syndromic ID and their mothers. Supporting our hypothesis we found that mothers who were resolved regarding the diagnosis of their children showed more maternal sensitivity to their children in two of the three play episodes. Another important finding was that resolution and sensitivity were associated even when we controlled for the child's responsiveness to and involvement with the mother, suggesting that the link between resolution and sensitivity cannot be accounted by the impact of the child's behavior on the mother.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2012.08.007