Drug abuse and responsible fathering: a comparative study of men enrolled in methadone maintenance treatment

Thomas J. McMahon · Justin D. Winkel · Bruce J. Rounsaville

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Family Dynamics and Relationships Substance Abuse Treatment and Outcomes Opioid Use Disorder Treatment

Abstract

AIM: Because very little is known about the parenting of drug-abusing men, this study was designed to document ways that drug abuse contributes to compromise of responsible fathering. DESIGN, SETTING, PARTICIPANTS: Generalized linear models and data representing different dimensions of responsible fathering were used to clarify ways that the fathering of 106 men receiving methadone maintenance treatment differed from that of 118 men living in the same community with no history of alcohol or drug abuse. MEASUREMENT: Men who enrolled in the study completed two structured interviews and a battery of five self-report measures selected to document current and historical dimensions of responsible fathering. FINDINGS: When the opioid-dependent fathers were compared to the other fathers, there were significant differences in: (i) economic resources to support family formation; (ii) patterns of pair-bonding; (iii) patterns of procreation; and (iv) parenting behavior. When fathering of the youngest biological child was examined, the opioid-dependent fathers confirmed few differences in historical dimensions of fathering, but they reported significant differences in current dimensions reflecting: (i) constricted personal definitions of the fathering role; (ii) poorer relationships with biological mothers; (iii) less frequent residence with the child; (iv) less frequent provision of financial support; (v) less involvement in positive parenting; (vi) poorer appraisal of self as a father; and (vii) less satisfaction as a father. CONCLUSIONS: The findings highlight ways that drug abuse contributes to compromise of responsible fathering, and they raise questions about ways that the drug abuse treatment system might better address parenting as a treatment issue for men.

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References

1996The Revised Conflict Tactics Scales (CTS2)1999Handbook of attachment: theory, research, and clinical applications 1985The Role of the Father in Child Development 1991Childhood Experience, Interpersonal Development, and Reproductive Strategy: An Evolutionary Theory of Socialization 2019Socioeconomic Status and Parenting 1998Responsible Fathering: An Overview and Conceptual Framework 2003Handbook of Father Involvement: Multidisciplinary Perspectives 2004The Parental "Acceptance-Rejection Syndrome": Universal Correlates of Perceived Rejection.

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2011Drug abuse and intimate partner violence: A comparative study of opioid-dependent fathers.2013Parenting of Men With Co-Occurring Intimate Partner Violence and Substance Abuse 2015Family Polyvictimization and Elevated Levels of Addiction and Psychopathology Among Parents in a Chinese Household Sample 2014Hostility and substance use in relation to intimate partner violence and parenting among fathers 2013The Good, The Bad, and the Invisible Father: A Phenomenological Study of Fatherhood in Men with Substance Use Disorder

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