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Abstract
An instrument for assessing the parent-child relationship over time was developed and tested for clinical application, using a transactional development framework. It was used each month by the primary therapist for each of 18 mother-child dyads for a period of 14 months, resulting in 128 incidences of use of the tool. Items are related to the Mental Development Index (MDI) subscale of the Bayley Scale for Infant Development (BSID). Exploratory factor analysis to test construct validity yielded three factors that accounted for 84.8% of the variance, with factor loadings of. 52143 to.78355. Results describe the nature of the parenting relationship during addiction recovery for this sample, and indicate the usefulness of this instrument for assessing the nature of the parenting relationship during addiction recovery. Implications for perinatal addiction research and practice include encouraging healthy parent-child interactions that support the continuing development of the child.