Thomas J Mcmahon
Biographic Data
| ID | 1069742 |
|---|---|
| NAME | Thomas J Mcmahon |
| GIVEN NAMES | Thomas J |
| FAMILY NAME | Mcmahon |
| SIGNATURE | MCMAHON T J |
| AFFILIATIONS | Yale University |
| ORCID | 0000-0002-2069-8982 |
| VERIFIED | Yes |
| TOTAL WORKS | 31 |
| TOTAL CITATIONS | 59 |
| AUTHOR COUNT | 31 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1920 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Guilt, Shame, and Fathering
Home‐based family recovery supports
Support for families affected by substance use disorders (SUDs) remains challenging, particularly during the postpartum period. The objective of this study was to assess the introduction of an evidence‐based parenting intervention, Mothering from the Inside Out (MIO), into the early intervention (EI) home visiting setting. We conducted a mixed methods pilot study in the United States to assess the training and delivery of MIO within EI. MIO train…
On the future of the psychological study of men and masculinities
Opioid addiction and gender role conflict
Although the concept of gender role conflict has advanced contemporary research on the psychology of men and masculinities, there has been little exploration of gender role conflict within clinical samples of men. Consequently, variable- and person-oriented approaches to the analysis of data collected from a racially and ethnically diverse sample of 224 fathers living in southern New England were used to document differences in gender role confli…
Maternal childhood trauma, caregiving behavior, and child cognitive development in the context of drug addiction
Exposure to childhood trauma confers intergenerational risk on child development. However, the mechanism linking a mother's childhood trauma with her child's cognitive development remains poorly understood. This study recruited 71 mother-child dyads affected by substance use disorder from local, community-based, outpatient substance use treatment programs. Maternal exposure to childhood trauma, caregiving behavior, and child cognitive development…
Self‐report measure of parental reflective functioning
The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community s…
Enhancing parental reflective functioning
Nancy E. Suchman's contributions to the fields of infant mental health, maternal reflective functioning, and attachment‐based intervention will have long‐lasting impacts. In particular, through the development and dissemination of her intervention program, Mothering from the Inside Out (MIO) , she innovated a way of working with mothers with substance use disorders that represented a paradigm shift within the field of addiction. In this introduct…
Mothering from the Inside Out
Does maternal reflective functioning mediate associations between representations of caregiving with maternal sensitivity in a high-risk sample
Although it is known that mothers with substance abuse disorders struggle to provide adequate parenting to their children, little is understood about the mechanisms behind this. This cross-sectional study uses an attachment perspective to examine whether reflective functioning mediates the relationship between mental representations of caregiving and maternal sensitivity, in an ethnically diverse sample of 142 substance-abusing mothers (M [SD] = …
Implementation of an Evidenced‐based Parenting Program in a Community Mental Health Setting
The process of mental health intervention implementation with vulnerable populations is not well‐described in the literature. The authors worked as a community‐partnered team to adapt and pilot an empirically supported intervention program for mothers of infants and toddlers in an outpatient mental health clinic that primarily serves a low‐income community. We used qualitative ethnographic methods to document the adaption of an evidence‐based int…
Attachment‐based intervention for substance‐using mothers
Although randomized controlled trials examining the efficacy of attachment‐based interventions have been increasing in recent years, adequate measurement of treatment integrity, integrity–outcome associations, and mechanisms of change has been rare. The aim of this investigation was to conduct a rigorous test of proposed mechanisms of change in the Mothers and Toddlers Program (MTP) treatment model, a 12‐session, attachment‐based individual thera…
Sensation seeking, coping with stress, and readiness to engage in therapy
Ego development, the capacity to derive coherent, nuanced meaning from one's life experiences, often has significant impact on psychosocial adjustment during adulthood. Research with nonclinical populations has indicated links between higher ego development and healthy emotional coping and interpersonal relationships. Emerging research with substance-abusing mothers suggests that higher levels of ego development are associated with improved paren…
Maladaptive Coping as a Mediator of Family Stress
Family members of women substance users may be at risk for stress-related problems. Family coping responses may affect outcomes for both families and women in treatment. Eighty-two women in treatment for substance use disorders (56 with comorbid psychiatric conditions) and 82 family members were interviewed. Stressors related to women's disorders were significantly related to increased family member burden. Women's behavioral problems predicted g…
Socioeconomic Context and Emotional‐Behavioral Achievement Links
Temporal associations in the relationship between emotional-behavioral difficulty and academic achievement were explored in 2 samples followed from 6th through 8th grade. The first sample comprised 280 students entering an economically disadvantaged urban middle school and the second comprised 318 students entering an affluent suburban middle school. Among disadvantaged youth, emotional indices were concurrently associated with poorer achievement…
The mothers and toddlers program, an attachment‐based parenting intervention for substance‐using women
Previously, we reported posttreatment findings from a randomized pilot study testing a new attachment‐based parenting intervention for mothers enrolled in substance‐use treatment and caring for children ages birth to 3 years (N.E. Suchman, C. DeCoste, N. Castiglioni, T. McMahon, B. Rounsaville, & L. Mayes, 2010). The Mothers and Toddlers Program (MTP) is a 12‐session, weekly individual parenting therapy that aims to enhance maternal capacity for …
Drug abuse and intimate partner violence
Because very little is known about the coparenting relationships of drug-abusing men, this comparative study was designed to examine the lifetime prevalence and recent frequency of intimate partner violence in the coparenting relationships of 106 fathers enrolled in methadone maintenance treatment. When compared with 118 community controls, the opioid-dependent fathers reported greater prevalence of physical, sexual, and psychological aggression …
The Mothers and Toddlers Program, an attachment-based parenting intervention for substance using women
This is a report of post-treatment findings from a completed randomized pilot study testing the preliminary efficacy of the Mothers and Toddlers Program (MTP), a 12 week attachment-based individual parenting therapy for mothers enrolled in substance abuse treatment and caring for children ages birth to 36 months. Forty-seven mothers were randomized to MTP versus the Parent Education Program (PE), a comparison intervention providing individual cas…
Ego development, psychopathology, and parenting problems in substance-abusing mothers
The authors examined maternal ego development in relation to psychopathology and parenting problems in a sample of substance abusing mothers. Given predilections at higher levels of ego development for introspection and guilt, the authors expected mothers at higher levels to report more psychopathology. Given predilections at lower levels of ego development for dichotomous perceptions and limited conceptions of causation, the authors expected mot…
Defining characteristics and potential consequences of caretaking burden among children living in urban poverty
Parentification of children has not been the focus of much empirical research. Consequently, this study was designed to explore the defining characteristics and potential consequences of caretaking burden in a sample of 356 children living in urban poverty. In a series of multivariate analyses, characteristics of the children, vocational-educational status of their mothers, and family structure correlated with caretaking burden more consistently …
How Early Bonding, Depression, Illicit Drug Use, and Perceived Support Work Together to Influence Drug-Dependent Mothers' Caregiving
In this study, the authors used an attachment framework to examine how drug-dependent mothers' early bonding experience, depression, illicit drug use, and perceived support work together to influence the family environment. The authors hypothesized that (a) depression and drug use function as proxies for a stronger risk factor, the perceived absence of support available in everyday life, and (b) associations between mothers' early bonding experie…
Initial Appointment Nonattendance in Child and Family Mental Health Clinics
Current medical, psychiatric, and nursing sources were examined for literature concerning the problem of initial appointment non attendance at child and family mental health clinics. The factors proposed to underlie missed initial appointments were reviewed and found to be both contradictory and inconsistent. Interventions designed to increase attendance were considered. These interventions were found to significantly increase attendance consiste…
Tell them you love them because you never know when things could change
This study analyzed the qualitative and quantitative responses of 60 minority teens affected by HIV. Relationships between adolescents' reports of: (1) feeling different, (2) having secrets, (3) worrying, and (4) caretaking were revealed. Six themes emerged from the content analysis of qualitative data that reflect how these adolescents have been affected by HIV: (1) core assumptions about life, (2) fearful anticipation of the death, (3) stigma a…
El Rio del Espiritu Santo
Eastern Catholic Worship
Outline History of the Church by Centuries
The mothers and toddlers program, an attachment‐based parenting intervention for substance‐using women
Previously, we reported posttreatment findings from a randomized pilot study testing a new attachment‐based parenting intervention for mothers enrolled in substance‐use treatment and caring for children ages birth to 3 years (N.E. Suchman, C. DeCoste, N. Castiglioni, T. McMahon, B. Rounsaville, & L. Mayes, 2010). The Mothers and Toddlers Program (MTP) is a 12‐session, weekly individual parenting therapy that aims to enhance maternal capacity for …
Self‐report measure of parental reflective functioning
The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community s…
Attachment‐based intervention for substance‐using mothers
Although randomized controlled trials examining the efficacy of attachment‐based interventions have been increasing in recent years, adequate measurement of treatment integrity, integrity–outcome associations, and mechanisms of change has been rare. The aim of this investigation was to conduct a rigorous test of proposed mechanisms of change in the Mothers and Toddlers Program (MTP) treatment model, a 12‐session, attachment‐based individual thera…
Mothering from the Inside Out
Implementation of an Evidenced‐based Parenting Program in a Community Mental Health Setting
The process of mental health intervention implementation with vulnerable populations is not well‐described in the literature. The authors worked as a community‐partnered team to adapt and pilot an empirically supported intervention program for mothers of infants and toddlers in an outpatient mental health clinic that primarily serves a low‐income community. We used qualitative ethnographic methods to document the adaption of an evidence‐based int…
Enhancing parental reflective functioning
Nancy E. Suchman's contributions to the fields of infant mental health, maternal reflective functioning, and attachment‐based intervention will have long‐lasting impacts. In particular, through the development and dissemination of her intervention program, Mothering from the Inside Out (MIO) , she innovated a way of working with mothers with substance use disorders that represented a paradigm shift within the field of addiction. In this introduct…
Socioeconomic Context and Emotional‐Behavioral Achievement Links
Temporal associations in the relationship between emotional-behavioral difficulty and academic achievement were explored in 2 samples followed from 6th through 8th grade. The first sample comprised 280 students entering an economically disadvantaged urban middle school and the second comprised 318 students entering an affluent suburban middle school. Among disadvantaged youth, emotional indices were concurrently associated with poorer achievement…
The Pearl Fishers of Torres Straits Islands
The Pearl Fishers of Torres Straits Islands
The Orient I Found
Reformer
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The Bishop Jots It Down
Cardinal Hayes
Christian Churches and American Culture
Outline History of the Church by Centuries
Eastern Catholic Worship
El Rio del Espiritu Santo
Tell them you love them because you never know when things could change
This study analyzed the qualitative and quantitative responses of 60 minority teens affected by HIV. Relationships between adolescents' reports of: (1) feeling different, (2) having secrets, (3) worrying, and (4) caretaking were revealed. Six themes emerged from the content analysis of qualitative data that reflect how these adolescents have been affected by HIV: (1) core assumptions about life, (2) fearful anticipation of the death, (3) stigma a…
Initial Appointment Nonattendance in Child and Family Mental Health Clinics
Current medical, psychiatric, and nursing sources were examined for literature concerning the problem of initial appointment non attendance at child and family mental health clinics. The factors proposed to underlie missed initial appointments were reviewed and found to be both contradictory and inconsistent. Interventions designed to increase attendance were considered. These interventions were found to significantly increase attendance consiste…
How Early Bonding, Depression, Illicit Drug Use, and Perceived Support Work Together to Influence Drug-Dependent Mothers' Caregiving
In this study, the authors used an attachment framework to examine how drug-dependent mothers' early bonding experience, depression, illicit drug use, and perceived support work together to influence the family environment. The authors hypothesized that (a) depression and drug use function as proxies for a stronger risk factor, the perceived absence of support available in everyday life, and (b) associations between mothers' early bonding experie…
Defining characteristics and potential consequences of caretaking burden among children living in urban poverty
Parentification of children has not been the focus of much empirical research. Consequently, this study was designed to explore the defining characteristics and potential consequences of caretaking burden in a sample of 356 children living in urban poverty. In a series of multivariate analyses, characteristics of the children, vocational-educational status of their mothers, and family structure correlated with caretaking burden more consistently …
Ego development, psychopathology, and parenting problems in substance-abusing mothers
The authors examined maternal ego development in relation to psychopathology and parenting problems in a sample of substance abusing mothers. Given predilections at higher levels of ego development for introspection and guilt, the authors expected mothers at higher levels to report more psychopathology. Given predilections at lower levels of ego development for dichotomous perceptions and limited conceptions of causation, the authors expected mot…
The Mothers and Toddlers Program, an attachment-based parenting intervention for substance using women
This is a report of post-treatment findings from a completed randomized pilot study testing the preliminary efficacy of the Mothers and Toddlers Program (MTP), a 12 week attachment-based individual parenting therapy for mothers enrolled in substance abuse treatment and caring for children ages birth to 36 months. Forty-seven mothers were randomized to MTP versus the Parent Education Program (PE), a comparison intervention providing individual cas…
Maladaptive Coping as a Mediator of Family Stress
Family members of women substance users may be at risk for stress-related problems. Family coping responses may affect outcomes for both families and women in treatment. Eighty-two women in treatment for substance use disorders (56 with comorbid psychiatric conditions) and 82 family members were interviewed. Stressors related to women's disorders were significantly related to increased family member burden. Women's behavioral problems predicted g…
Socioeconomic Context and Emotional‐Behavioral Achievement Links
Temporal associations in the relationship between emotional-behavioral difficulty and academic achievement were explored in 2 samples followed from 6th through 8th grade. The first sample comprised 280 students entering an economically disadvantaged urban middle school and the second comprised 318 students entering an affluent suburban middle school. Among disadvantaged youth, emotional indices were concurrently associated with poorer achievement…
The mothers and toddlers program, an attachment‐based parenting intervention for substance‐using women
Previously, we reported posttreatment findings from a randomized pilot study testing a new attachment‐based parenting intervention for mothers enrolled in substance‐use treatment and caring for children ages birth to 3 years (N.E. Suchman, C. DeCoste, N. Castiglioni, T. McMahon, B. Rounsaville, & L. Mayes, 2010). The Mothers and Toddlers Program (MTP) is a 12‐session, weekly individual parenting therapy that aims to enhance maternal capacity for …
Drug abuse and intimate partner violence
Because very little is known about the coparenting relationships of drug-abusing men, this comparative study was designed to examine the lifetime prevalence and recent frequency of intimate partner violence in the coparenting relationships of 106 fathers enrolled in methadone maintenance treatment. When compared with 118 community controls, the opioid-dependent fathers reported greater prevalence of physical, sexual, and psychological aggression …
Attachment‐based intervention for substance‐using mothers
Although randomized controlled trials examining the efficacy of attachment‐based interventions have been increasing in recent years, adequate measurement of treatment integrity, integrity–outcome associations, and mechanisms of change has been rare. The aim of this investigation was to conduct a rigorous test of proposed mechanisms of change in the Mothers and Toddlers Program (MTP) treatment model, a 12‐session, attachment‐based individual thera…
Sensation seeking, coping with stress, and readiness to engage in therapy
Ego development, the capacity to derive coherent, nuanced meaning from one's life experiences, often has significant impact on psychosocial adjustment during adulthood. Research with nonclinical populations has indicated links between higher ego development and healthy emotional coping and interpersonal relationships. Emerging research with substance-abusing mothers suggests that higher levels of ego development are associated with improved paren…
Implementation of an Evidenced‐based Parenting Program in a Community Mental Health Setting
The process of mental health intervention implementation with vulnerable populations is not well‐described in the literature. The authors worked as a community‐partnered team to adapt and pilot an empirically supported intervention program for mothers of infants and toddlers in an outpatient mental health clinic that primarily serves a low‐income community. We used qualitative ethnographic methods to document the adaption of an evidence‐based int…
Does maternal reflective functioning mediate associations between representations of caregiving with maternal sensitivity in a high-risk sample
Although it is known that mothers with substance abuse disorders struggle to provide adequate parenting to their children, little is understood about the mechanisms behind this. This cross-sectional study uses an attachment perspective to examine whether reflective functioning mediates the relationship between mental representations of caregiving and maternal sensitivity, in an ethnically diverse sample of 142 substance-abusing mothers (M [SD] = …
Self‐report measure of parental reflective functioning
The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community s…
Enhancing parental reflective functioning
Nancy E. Suchman's contributions to the fields of infant mental health, maternal reflective functioning, and attachment‐based intervention will have long‐lasting impacts. In particular, through the development and dissemination of her intervention program, Mothering from the Inside Out (MIO) , she innovated a way of working with mothers with substance use disorders that represented a paradigm shift within the field of addiction. In this introduct…
Psychology (22 works) · Psychiatry (16 works) · Developmental psychology (15 works) · Medicine (15 works) · Clinical Psychology (14 works) · Child and Adolescent Psychosocial and Emotional Development (12 works) · Maternal Mental Health During Pregnancy and Postpartum (9 works) · Psychological intervention (8 works) · Attachment and Relationship Dynamics (6 works) · Family Support in Illness (6 works)