Balancing acts: Reconceptualizing support in maternal response to intra-familial child sexual abuse

This article reports the findings of a grounded theory study aimed at identifying factors contributing to maternal response, and aspects of more and less supportive responses, to children who were sexually abused by the mother's intimate partner. The discovery-oriented nature of the research revealed dimensions of maternal support that have not been clearly articulated in previous investigation. Maternal reaction, response, and support are terms that have frequently been used interchangeably. A general lack of clarity in defining support specifically in relation to maternal response has resulted in inconsistent conceptual application in research and has implications for assessment and treatment. Based on qualitative analysis of ten mothers' interview data a more comprehensive picture of support emerged. Dimensions of belief, and affective and behavioral support are expanded upon, and the notion of initial and enduring response are introduced as considerations for practice with mothers of sexually abused children. An expanded framework is offered as a tool for assessing the complexities of maternal support and changes over time therefore assisting social work clinicians in identifying specific targets for intervention.