‘The Whole Family Suffered, So the Whole Family Needs to Recover’: Thematic Analysis of Substance-Abusing Mothers’ Family Therapy Sessions

ABSTRACT

Substance-abusing mothers and their children are more likely to experience a range of social, behavioral, and psychological difficulties. Despite the significant challenges faced by these families, little is known about their experiences in treatment. The current study analyzed 12 sessions of family therapy using thematic analysis to identify common themes that arose during discussion between substance-abusing mothers and their children during family therapy. Mothers’ ages ranged from 28 to 35 years old, and the children's ages ranged from 12 to 14 years old. Four therapy sessions from 3 families were coded for a total of 12 therapy sessions. An ecological framework was used to classify themes, in which themes related to each level of the families’ ecological systems were identified. Thematic analysis of the therapy sessions indicated that mothers and their children primarily discussed topics related to their relational and emotional needs. The findings indicated that mothers with substance use disorders and their children have unique treatment needs that should be addressed when the mother seeks treatment. More research is needed to further clarify and confirm the observations in this study. In particular, future research should include a larger sample and quantitative methodology.

KEYWORDS:

• Family therapy
• substance use
• children of substance-abusing mothers
• mother–child relationships
• thematic analysis