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This paper describes the rationale and curriculum for an attachment-based intervention for pregnant women who attend an outpatient methadone-maintenance clinic. Maternal drug use has been associated with negative prenatal internal representations and problems in mutual regulation after birth. Maternal attachment status during pregnancy has been correlated with subsequent security of infant attachment. Recent studies suggest maternal reflective functioning as a key mediator in attachment. The focus of the 6-week Mother-Baby Prenatal Group is to provide a safe space in which to develop and nurture reflective functioning to support secure maternal-fetal and maternal-infant attachment relationships.
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