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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">CUR</journal-id>
<journal-title-group>
<journal-title>CURATIONIS Journal of the Democratic Nursing Organisation of South Africa</journal-title>
</journal-title-group>
<issn pub-type="ppub">0379-8577</issn>
<issn pub-type="epub">2223-6279</issn>
<publisher>
<publisher-name>AOSIS OpenJournals</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">CUR-38-1429</article-id>
<article-id pub-id-type="doi">10.4102/curationis.v38i1.1429</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Life stories of young women who experience rejection from their mothers</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mosman</surname>
<given-names>Selina C.</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Poggenpoel</surname>
<given-names>Marie</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Myburgh</surname>
<given-names>Chris</given-names>
</name>
<xref ref-type="aff" rid="AF0002">2</xref>
</contrib>
<aff id="AF0001"><label>1</label>Department of Nursing Science, University of Johannesburg, South Africa</aff>
<aff id="AF0002"><label>2</label>Department of Educational Psychology, University of Johannesburg, South Africa</aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><bold>Correspondence to:</bold> Chris Myburgh, <bold>Postal address:</bold> PO Box 524, Auckland Park 2006, South Africa. <bold>Email:</bold> <email xlink:href="chrism@uj.ac.za">chrism@uj.ac.za</email></corresp>
<fn><p><bold>How to cite this article:</bold> Mosman, S.C., Poggenpoel, M. &#x0026; Myburgh, C., 2015, &#x2018;Life stories of young women who experience rejection from their mothers&#x2019;, <italic>Curationis</italic> 38(1), Art. #1429, 8 pages. <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.4102/curationis.v38i1.1429">http://dx.doi.org/10.4102/curationis.v38i1.1429</ext-link></p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>08</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<year>2015</year>
</pub-date>
<volume>38</volume>
<issue>1</issue>
<fpage>1</fpage>
<lpage>8</lpage>
<history>
<date date-type="received">
<day>20</day>
<month>05</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>05</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2015. The Author(s)</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/">
<license-p>AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License.</license-p>
</license>
</permissions>
<abstract>
<sec id="st1">
<title>Background</title>
<p>When a daughter perceives rejection from her mother, she is bound to be sensitive to rejection for most if not all of her life. Such an experience influences almost all future relationships.</p>
</sec>
<sec id="st2">
<title>Objectives</title>
<p>The purpose of this research was to explore and describe the life stories of young women who perceived rejection from their mothers and to formulate guidelines to assist them.</p>
</sec>
<sec id="st3">
<title>Method</title>
<p>A phenomenological interpretive method that is explorative, descriptive, and contextual was used to explore everyday life experiences. Network sampling was used. In-depth phenomenological interviews were conducted with the young women so that they could define the most important dimensions of their life stories and elaborate on what is relevant to them. They were asked: &#x2018;Tell me your life story.&#x2019; One of the authors also had a life story of perceived maternal rejection; hence an auto-ethnography was critical and was included in the study. Thematic data analysis was applied.</p>
</sec>
<sec id="st4">
<title>Results</title>
<p>Themes that emerged from the data were that the young women: (1) perceive ongoing challenges in forming and sustaining relationships in their lives; (2) experience their lives as conflicted because their relationship with the central core of their existence, their mother, is perceived as tumultuous; and (3) experience fundamental links to be missing in their &#x2018;mother-daughter relationship&#x2019;.</p>
</sec>
<sec id="st5">
<title>Conclusion</title>
<p>Only a few women were interviewed regarding perceived rejection from their mothers. Further research in this regard is imperative.</p>
</sec>
</abstract>
</article-meta>
</front>
<body>
<sec id="s0001">
<title>Introduction</title>
<p>A daughter&#x0027;s bond with her mother is a critical, quintessential one because their confidence is fragile and they understand themselves better through their key relationships, especially as they pass through key developmental stages such as adolescence and young adulthood. They become more self-aware and need plenty of attention at these stages as they are faced with questions of self-identity (Hartley-Brewer <xref ref-type="bibr" rid="CIT0017">2001</xref>:124). However, if a daughter perceives that her mother rejects her in her time of need, she loses her self-confidence, questions her identity and becomes further confused and unsettled by the altered behaviour of those she relies on.</p>
<p>Numerous studies have shown that a perceived poor relationship with a parent together with memories of perceived rejection may both directly be linked to the development of depressive symptoms right through to adulthood (Rholes &#x0026; Simpson <xref ref-type="bibr" rid="CIT0028">2004</xref>:418). Jay (<xref ref-type="bibr" rid="CIT0018">n.d.</xref>) mentions that when a daughter perceives that she is forced to go through life without the love, support and nurturing of a mother, she will grope blindly in the dark, crashing into walls and at times faltering and falling, unable to stand up again. Given this notion, we are of the opinion that there could be nothing more harmful to a daughter&#x0027;s self-belief, spirit of life and soul than perceived rejection from her mother.</p>
<sec id="s2002">
<title>Problem statement</title>
<p>A fact sheet (Mind for better mental health <xref ref-type="bibr" rid="CIT0026">2009</xref>:n.p.) conducted in the United Kingdom on women and mental health indicates women&#x0027;s proneness to mental health challenges when they do not have positive coping or survival strategies to help them deal with these challenges. The fact sheet records rates of anxiety and depression as one and a half or two times higher in women than in men, with rates of self-harm being two or three times higher. The fact sheet states that at least one new mother in 10 would experience postnatal depression. It also mentions that out of the 1.15 million people who suffer from an eating disorder, 90% were found to be women (Mind for better mental health <xref ref-type="bibr" rid="CIT0026">2009</xref>:n.p.). It further suggests that these facts are often the outcome of &#x2018;internalising&#x2019; negative emotions, such as the perception of parental rejection.</p>
<p>Rohner and Khaleque (<xref ref-type="bibr" rid="CIT0029">n.d.</xref>) point out that considerable research literature shows that the quality of a parent-child relationship characterised by perceived parental acceptance (perceived love) or perceived parental rejection (perceived lack of love) is a major predictor of psychological functioning and development for both children and adults universally. Gull, Tanq and Malik (<xref ref-type="bibr" rid="CIT0016">n.d.</xref>) report that persons who have perceived parental rejection are more likely to be hostile, dependent, emotionally unstable, emotionally unresponsive, to have impaired feelings of self-esteem and self-sufficiency, and to have a negative view of the world.</p>
<p>Lessesne and Kennedy (<xref ref-type="bibr" rid="CIT0020">2005</xref>:757) suggest that poor mental health could contribute to cycles of intergenerational transmission of risks, leading to poor mental and physical health in children of exposed women. It states that if left untreated, mental, emotional and behavioural health concerns can greatly affect the development of a child, just as they affect the lives of adults. This means that if the daughter&#x0027;s perception of rejection from her mother is left unresolved, it can also affect the next generation. To be more precise, the daughter can predispose her child to the same mental, emotional and physical challenges that emerge from perceived parental rejection, if not worse. This can continue for generations and generations until the cycle is broken by effectively managing the phenomenon.</p>
<p>Because a person&#x0027;s quality of life depends greatly on his or her mental health, the ongoing existence of aspects that affect the mental health could greatly diminish that quality of life. The World Health Organization (<xref ref-type="bibr" rid="CIT0039">2004</xref>:21) also relates the intrinsic value of mental health, describing it as a pivotal resource for persons, families, communities and nations and that it contributes to the social, human and economic capital of every society. This boils down to my (one of the above authors) concern that denying the young women mental health would be like denying them the need for survival, because mental health encompasses productive functioning and the capacity to build and maintain a fulfilling life.</p>
<p>The greatest issue here is that if anyone ought to love a child, it is a mother, as mothers are seen as life givers and the most fundamental teachers of survival skills (Mark<xref ref-type="bibr" rid="CIT0022"> n.d</xref>.; Stuart <xref ref-type="bibr" rid="CIT0034">2009</xref>). Any society&#x0027;s faith rests on mothers to bring up children who are productive and contribute positively to its development. Stuart (<xref ref-type="bibr" rid="CIT0034">2009</xref>) even attests to some women who have perceived rejection from their mothers, once grown and being adults with families of their own, still referring to a mother&#x0027;s perceived rejection in their early years as the most disastrous experience of their lives.</p>
<sec id="s3003">
<title>Background</title>
<p>The relationship between a mother and a daughter is vital from birth to adulthood, as they share a bond that is unlike any other because of the symbiotic connection and natural liaison associated with this union (Stuart <xref ref-type="bibr" rid="CIT0034">2009</xref>). Interpersonal closeness with a mother is an integral part of mental health and a primary source of happiness, says Deeba (<xref ref-type="bibr" rid="CIT0010">2001</xref>:1). If a girl grows up with the perception that she is being rejected by her mother through, for example, heavy criticism, she is likely to seek acceptance elsewhere. She often turns towards drugs, sex and other addictions to comfort herself (Jay n.d.).</p>
<p>A number of longitudinal studies show that perceived parental rejection often precedes the development of depressive symptoms. Many cross-cultural findings in support of this suggestion are available from many countries from around the world, including China, Egypt, England, Finland, India, Japan, Norway, Pakistan and elsewhere (<xref ref-type="bibr" rid="CIT0029">Rohner &#x0026; Khaleque n.d.</xref>). This suggests that a vast number of research studies exist on the effects of perceived rejection. However, more research studies need to be conducted into the results of those effects.</p></sec>
<sec id="s3004">
<title>Research objectives</title>
<p>The overall research purpose was to explore and describe the life stories of young women who have perceived rejection from their mothers, and to formulate guidelines and recommendations that can assist them in coping with the challenge of their life stories.</p></sec></sec>
<sec id="s2005">
<title>Definition of key concepts</title>
<p><bold>Life stories:</bold> McAdams (<xref ref-type="bibr" rid="CIT0024">2009</xref>:11) explains that life stories are narratives of the self that are internalised and evolving. Life stories will reveal how the young women who have perceived rejection from their mothers integrated their past, present, and future in a manner that displays some sense of their life meaning and purpose.</p>
<p><bold>Young women</bold>: Sadock and Sadock (<xref ref-type="bibr" rid="CIT0030">2007</xref>:45) mention that young adulthood is considered to begin at the end of adolescence and end at the age of 40. <italic>The Oxford Advanced Learner&#x2019; s Dictionary (</italic><xref ref-type="bibr" rid="CIT0035">2011</xref>:n.p.) defines women as being of the sex that can bear offspring or produce eggs. In relation to these clarifications, our research study involves young women aged between 18 and 35 years. The terms are used interchangeably with &#x2018;daughters&#x2019; in our research study.</p>
<p><bold>Perceived:</bold> Uys and Middleton (<xref ref-type="bibr" rid="CIT0037">2004</xref>:836) define perceptual processes as the experience of sensing, interpreting and comprehending the social world through conscious awareness of the elements in it. Our research study evolved around the perception of rejection as it influences the way in which the young women under study thought and behaved.</p>
<p><bold>Rejection:</bold> Rejection was applied in our research study as defined by Williams, Forgas and Von Hippel (<xref ref-type="bibr" rid="CIT0038">2005</xref>:47) &#x2013; the broadest, most generic term for instances where the young women perceive their relational value with their mother as being lower than they desire. Occurrences of either prior belonging or non-belonging are accompanied by the young women&#x0027;s either positive or negative evaluations of the mother, with or without the involvement of actual disassociation, and as a result of either comparative or non-comparative judgements. The term was used cohesively with perceived neglect in our research study.</p>
<sec id="s3006">
<title>Significance of the study</title>
<p>The significance of our research study lies in hearing and understanding the life stories of young women who have perceived rejection from their mothers. The perceived rejection by their mothers influences their lives, as they experience ongoing challenges in forming and sustaining relationships. The young women also experience that their lives are conflicted as their relationship with their mother is perceived as tumultuous. They experienced that even as they went through something painful in their lives, their mothers were not there for them. Because of these experiences and perceptions, these young women have low self-concepts that make them vulnerable to mental health challenges such as academic failure, sexual misconduct, depression and suicidal ideas. To address these mental health challenges these young women need to be facilitated to practice mindfulness in their everyday lives.</p></sec></sec></sec>
<sec id="s0007">
<title>Research design</title>
<sec id="s2008">
<title>Design</title>
<p>A post-modern constructivist approach (Gray <italic>et al.</italic> <xref ref-type="bibr" rid="CIT0015">2007</xref>:184) was applied, where our interests were solely based on the young women&#x0027;s life stories of perceived rejection from their mothers as well as their settings, rather than on concepts and theories. The approach followed a qualitative, exploratory, descriptive, contextual research study design (Creswell <xref ref-type="bibr" rid="CIT0008">2013</xref>:59). This was because qualitative research requires us to get to the heart and soul of the young women&#x0027;s life stories and settings without imposing any expectations (Chambliss &#x0026; Schutt <xref ref-type="bibr" rid="CIT0005">2010</xref>:10). Exploratory research is concerned with discovering and gathering new information about and insights into the phenomenon under study (Gray <italic>et al.</italic> <xref ref-type="bibr" rid="CIT0015">2007</xref>:37). Descriptive research has as its main objective the accurate and detailed portrayal of the participants&#x2019; beliefs, values, attitudes and cognitive processes that underlie the phenomenon under study (Polit &#x0026; Beck <xref ref-type="bibr" rid="CIT0027">2010</xref>:552). Contextual research is when the natural setting in which events occur is used as an &#x2018;observation post&#x2019; from which data are gathered (Gorman &#x0026; Clayton <xref ref-type="bibr" rid="CIT0014">2005</xref>:4).</p>
<sec id="s3009">
<title>Population and sampling</title>
<p>Young women from surrounding townships in Johannesburg whose ages ranged between 18 and 35 years formed the population in our research study. The network sampling method (Burns &#x0026; Grove <xref ref-type="bibr" rid="CIT0004">2005</xref>:353) was established in our social and professional circles. The criteria which were used for inclusion were as follows: they must be young women aged between 18 and 35 years; they must be from any township within Johannesburg; they must have perceived rejection from their biological mothers; they must be able to speak and fully understand any of the 11 South African languages; and they must give informed written consent to participate in our research study. An exclusion criterion was that the young women should not be unable to tell their life stories on perceived rejection from their mothers.</p>
<p>Data saturation was achieved after eight participants were interviewed, when no new information and repeating themes were evident in the interview data.</p></sec>
<sec id="s3010">
<title>Data collection</title>
<p>A phenomenological interpretive method was used to relay the life stories of young women who have perceived rejection from their mothers. This method allowed us to set aside our own experiences and take on a fresh perspective on the phenomenon under study. According to Alaszewski (<xref ref-type="bibr" rid="CIT0001">2006</xref>:36) accessing the participants&#x2019; interpretations of their world was the only way to achieve this. In-depth phenomenological interviews were conducted and audio taped to help recapture the responses and how they manifested. Informed written consent was obtained beforehand. One central question was posed to all participants which was &#x2018;Tell me your life story.&#x2019; Observations were made and field notes were compiled because they provided us with a record of the experiences, activities, interactions and reflections of what occurred during the data collection process (Gorman &#x0026; Clayton <xref ref-type="bibr" rid="CIT0014">2005</xref>:185). Data were collected until saturation point was reached. Transcriptions were done verbatim. An auto-ethnography was included to ensure that the data collected were unbiased and uninfluenced by the researcher who had a life story of perceived maternal rejection (Ty &#x0026; Verduyn <xref ref-type="bibr" rid="CIT0036">2008</xref>:4).</p></sec>
<sec id="s3011">
<title>Data analysis</title>
<p>Data were analysed by means of thematic coding (Creswell <xref ref-type="bibr" rid="CIT0008">2013</xref>:61&#x2013;62). We went through the transcriptions of the interviews and highlighted units of meaning pertaining to the participants&#x2019; experience of their perceived rejection by their mothers. These units of meaning were then combined in significant statements to form themes. The themes were then used to write a description of what the participants experienced, with supporting direct quotations from the participants. Lastly the results were discussed in relation to the existing literature.</p></sec></sec></sec>
<sec id="s0012">
<title>Ethical considerations</title>
<p>It is our moral duty to conduct a research study that is ethically sound because ethics are concerned with morality as well as the balancing and respect of relations, rights, values and needs between the participants and researchers (Dhai &#x0026; McQuoid-Mason <xref ref-type="bibr" rid="CIT0011">2011</xref>:147). Great care was applied in order to secure the well-being of the participants as the phenomenon under study may be a sensitive issue to them (Long &#x0026; Johnson <xref ref-type="bibr" rid="CIT0021">2007</xref>:11). Before obtaining informed consent from the participants, their legal capacity to give consent and to comprehend all the elements involved in the subject matter being studied was first ensured (Burns &#x0026; Grove <xref ref-type="bibr" rid="CIT0004">2005</xref>:193). We provided an explanation of our research study and its context prior to providing the consent form in order to equip the participants with efficient and enlightened appreciation of what they were consenting to (Long &#x0026; Johnson <xref ref-type="bibr" rid="CIT0021">2007</xref>:9). The participants were informed that the information they shared would not be divulged to any other person without professional capacity for involvement in the research study (Long &#x0026; Johnson <xref ref-type="bibr" rid="CIT0021">2007</xref>:16). The participants were also informed that the audio tapes and diaries used will be kept under lock and key and destroyed two years after publication of the research study. The participants were informed of their right to withdraw from the study at any time that they wished, notwithstanding our appreciation of their willingness to share their life stories.</p>
<p>All participants signed a consent form that afforded us permission to interview them and to audio tape their life stories. We undertook to attain the necessary skills needed to carry out effective interviews by means of the Masters in Psychiatric Nursing Science Programme, since interviews can be invasive to the psyche and are capable of posing risks to the health of the participants (Burns &#x0026; Grove <xref ref-type="bibr" rid="CIT0004">2005</xref>:541). Our research study was approved by the Faculty of Health Science Academic Ethics Committee, University of Johannesburg (ethics clearance number AEC 22/01-2011). Participants were offered the telephone number of the Primary Health Clinic that serves the area they reside in if they needed any further support after verbalising their life stories about their perceived rejection from their mothers.</p></sec>
<sec id="s0013">
<title>Trustworthiness</title>
<p>The criteria of credibility, transferability, dependability and confirmability of our research study were addressed in an effort to present a convincing case that our work is academically sound (Shenton <xref ref-type="bibr" rid="CIT0033">2004</xref>:22). The following series of actions were carried out to ensure credibility of our research study: prolonged engagement, persistent observations, triangulation, reflexive journal, member checking and peer group review. Transferability was ascertained through a dense description of the demographics of the participants and a dense description of our research study&#x0027;s results, which included direct quotations from the participants (Polit &#x0026; Beck <xref ref-type="bibr" rid="CIT0027">2010</xref>:503). The following measures were performed to achieve dependability of our research study: stepwise replication of the research method, dense description of the research method, code-recoding of data, and a dependability audit. The more formal approach of a dependability audit of the whole research process was carried out through a chain of evidence, and involved scrutiny of data by an external reviewer (Polit &#x0026; Beck <xref ref-type="bibr" rid="CIT0027">2010</xref>:502) in order to establish confirmability of our research study.</p></sec>
<sec id="s0014">
<title>Results and discussion</title>
<p>Eight young females participated in this research. Their ages ranged from 18 to 35 years of age. Three of the participants were unemployed, two had permanent jobs, two were students, and one was a businesswoman. Three participants did not have matric, one was at university, two had matric and two were college students.</p>
<p>The findings of our research study were discussed under headings of the central theme, themes and categories that were derived from the process of data analysis. Three themes emerged from the life stories of the participants, under which three categories were identified from each. Verbatim extracts were included to illustrate each of them.</p>
<p>In terms of the central theme of the study, the young women perceive ongoing challenges in forming and sustaining relationships in their lives, which related to their low self-concept. The young women also experience living conflicted lives and perceive that there are fundamental links missing in their relationships with their mothers.</p>
<p>After prolonged engagements with the participants, similar challenges which they seemed to experience from their life stories of perceived rejection from their mothers seemed to stem from one common denominator, which we identified as low self-concept. To identify this, here is some of what the participants said during the interviews: &#x2018;I&#x2019;ve always been the black sheep&#x2019; (Participant 3), and &#x2018;I feel as though I&#x2019;m a failure because I failed to make her happy&#x2019; (Participant 1).</p>
<p>Self-concept holds a powerful function in mediating human behaviour, as it is thought to be a necessary element of health, happiness and the productivity of all individuals (Marsh, Craven &#x0026; McInerney <xref ref-type="bibr" rid="CIT0023">2003</xref>:96). Self-concept is also vastly shaped by memory and personal experience because it is guided by what we pay attention to as well as the meaning we make of it (Brewer &#x0026; Hewstone <xref ref-type="bibr" rid="CIT0003">2004</xref>:10). Many societal ills can be traced back to low self-concept, often resulting in personal and social ineffectiveness, as reported by Marsh <italic>et al.</italic> (<xref ref-type="bibr" rid="CIT0023">2003</xref>:98). Amongst these challenges are academic failure, sexual misconduct, depression and suicide.</p>
<sec id="s2015">
<title>Theme 1: Ongoing challenges in forming and sustaining relationships in their lives</title>
<p>The first and most fundamental pattern of relationship that a human being can experience, often associated with the one developed with a parent or a caregiver, often sets the tone for future relationship patterns (Uys &#x0026; Middleton <xref ref-type="bibr" rid="CIT0037">2004</xref>:31). That being said, we found that the young women with life stories of perceived rejection from their mothers also perceived challenges in forming and sustaining other relationships in their lives.</p>
<p>The participants&#x2019; perceived hardships with parenting were found to be emotionally based, as we gathered that they were experiencing some or other burden in caring for their children. These are some of their statements: &#x2018;I didn&#x2019;t have a connection. It was difficult for my mind to adapt that now you have a child. I knew I was pregnant but it was hard &#x2026;&#x2019; (Participant 8), and &#x2018;I didn&#x2019;t really like my son that much. Even after giving birth, I didn&#x2019;t carry him &#x2026;&#x2019; (Participant 2).</p>
<p>The emotional state of a parent is said to have a significant effect on the quality of the relationship that they build with their child (Bornstein <italic>et al.</italic> <xref ref-type="bibr" rid="CIT0002">2003</xref>:133). Shaffer (<xref ref-type="bibr" rid="CIT0032">2005</xref>:144) explains that the young women most probably start out with the best intentions when they themselves become parents. They vow never to do to their children what they perceive to have been done to them &#x2013; &#x2018;but they often expect their infants to be &#x201C;perfect&#x201D; and to love them right away&#x2019; (Shaffer <xref ref-type="bibr" rid="CIT0032">2005</xref>:144). So when their babies are irritable and fussy, as all infants sometimes are, the already emotionally insecure young women are likely to feel rejected once again and may withdraw their affection, to the point of repeating the cycle of perceived parental rejection or neglect with their own child. Cottle (<xref ref-type="bibr" rid="CIT0007">2003</xref>:24) gives another explanation, that the young women grow up to be parents that practice the same parenting patterns inflicted on them because they may know no other forms of interaction or attachment.</p>
<p>The participants spoke of abuse or being taken advantage of in relationships which they were in at the time or had been in. Although speaking of pain and unhappiness that they experienced in their intimate relationships, we identified that they somehow found themselves still attached to their partners. These are the words of some of the participants:</p>
<disp-quote><p>&#x2018;&#x2026; I called him last week telling him about the baby and he was like, &#x201C;Why didn&#x2019;t you kill that baby because today I&#x2019;ve got my own budget and I&#x2019;ve got my own family to take care of&#x201D;&#x2026;&#x2019; (Participant 4)</p>
<p>&#x2018;&#x2026; And this one day he said I should accompany him to his place and I did, and he actually raped me, twice. And he said he&#x0027;s sorry &#x2026;&#x2019; (Participant 3)</p></disp-quote>
<p>Parental response that is perceived as sensitive is associated with secure attachment patterns, but because the young women perceive that their mothers failed to be sensitive and responsive to their needs, they start to develop insecure attachment and low self-worth (Miller <xref ref-type="bibr" rid="CIT0025">2004</xref>:69). With insecure attachment the young women may come to believe that they are bad and unworthy of love, respect and support (Sedikides &#x0026; Spencer 2007:26). The young women may also develop a tendency of wanting to repair their low self-worth by seeking reassurance and validation from others (Miller <xref ref-type="bibr" rid="CIT0025">2004</xref>:288).</p>
<p>The participants in our research study were of the opinion that they related better with male friends than female friends. They stated their reasons based on their history and experiences with female friends, for example: &#x2018;&#x2026; I make better friends with guys &#x2026;&#x2019; (Participant 7), and &#x2018;&#x2026; Okay, so there&#x0027;s these guys that I chill with, I don&#x2019;t have that many girlfriends &#x2026;&#x2019; (Participant 1).</p>
<p>Shaffer (<xref ref-type="bibr" rid="CIT0032">2005</xref>:380) states that individuals who perceive neglect or rejection from their parent(s) often display a number of serious problems, including social anxiety. This is, at most, a result of the negative feelings and emotions that accompany their low self-concept. The shame and embarrassment that, conversely, accompanies low self-concept may inform the young women that they are at risk of group rejection (Sedikides &#x0026; Spencer <xref ref-type="bibr" rid="CIT0031">2007</xref>:197). This may ultimately predispose them to self-compromising behaviours of either a desire to appease others for the sake of friendship or avoiding any closeness because of a negative view of people in general, especially other women (Miller <xref ref-type="bibr" rid="CIT0025">2004</xref>:70).</p></sec>
<sec id="s2016">
<title>Theme 2: Conflicted lives because their relationship with the central core of their existence, their mother, is perceived to be tumultuous</title>
<p>The young women experienced that their lives were conflicted because their life stories of perceived rejection from their mothers had not been dealt with and resolved (Uys &#x0026; Middleton <xref ref-type="bibr" rid="CIT0037">2004</xref>:270). This seemed to have resulted in the young women&#x0027;s perceptions and emotions centred on their life stories festering in their lives and the organisation of their relationship with their mother. The categories identified under this follow below.</p>
<p>During the in-depth interviews with the young women the interviewing researcher experienced that they harboured a lot of anger towards their mothers, and as a result a sense of loss of respect for the mother could also be identified. Participant 3 said &#x2018;It makes me have an evil heart. I have a lot of anger &#x2026;&#x2019;, whilst Participant 5 stated as follows:</p>
<disp-quote><p>&#x2018;I&#x2019;m serious, I feel that way about my mother. I can&#x2019;t say I know it&#x0027;s wrong &#x2026; It&#x0027;s me being honest with my feelings &#x2026; I can&#x2019;t stand her, I can&#x2019;t be with her, I can&#x2019;t breathe the same air with her, I can&#x2019;t live in the same space with her &#x2013; I just can&#x2019;t, I cannot! If it were up to me, I would be on one continent and she would be on the other right now. That&#x0027;s where I&#x2019;m at with the way I feel about my mom.&#x2019;</p></disp-quote>
<p>The rejection and harsh treatment perceived by the young women from their mothers are the core elements and socialising practices that contribute to the development of the anger that they harbour (Miller <xref ref-type="bibr" rid="CIT0025">2004</xref>:68). The anger can turn to hostility and resentment, as it is directed towards someone who is perceived to have threatened their identity and sense of security (Sedikides &#x0026; Spencer <xref ref-type="bibr" rid="CIT0031">2007</xref>:190).</p>
<p>Even without asking about it, the young women spoke of their love for their mothers. Each time it was a vulnerable sight to see. The interviewing researcher also heard them speak of putting their mother&#x0027;s feelings first before their own, yet they feel a strong need to live away from her. Living away from her, however, proved hard for the young women, who still apparently had love for their mothers. These were some of their statements: &#x2018;&#x2026; I still can&#x2019;t leave her, and I won&#x2019;t. For some reason, she&#x0027;s got this hold on me [<italic>crying</italic> ]. But it&#x0027;s okay, it&#x0027;s hard &#x2026;&#x2019; (Participant 6), and &#x2018;&#x2026; I love my mom very much. I don&#x2019;t think she realises that I love her &#x2026;&#x2019; (Participant 2).</p>
<p>The young women&#x0027;s apparent love for their mothers, despite perceiving rejection from them, mainly stems from the young women&#x0027;s need to protect the mother from the same hurt they feel from the whole perception of rejection (Miller <xref ref-type="bibr" rid="CIT0025">2004</xref>:74). The young women therefore tend not to want to inflict or cause their mothers the same pain, ultimately putting themselves in positions where they make sacrifices for her. However, they have a need to live away from the mother because being around her seems to be a reminder of the unpleasant feelings and emotions that the young women carry with them and, most importantly, what they believe about themselves (self-concept) and their relationship with their mothers (Coleman &#x0026; Kerbo <xref ref-type="bibr" rid="CIT0006">2006</xref>:49).</p>
<p>One of our findings was that the young women seemed to be battling to get over the pain of their life stories of perceived rejection from their mothers. They cited the perceived negative behaviours that they saw themselves doing in trying to cope with or even forget about their situation. What was conflicting about this is that the young women believed that their life stories made them strong individuals, in that they could deal with any situation without necessarily relying on their mothers &#x2013; yet they seemed to struggle with coping and survival strategies, even when it came to other pain in their lives. Here is some of what the participants said during the interviews: &#x2018;Smoking, that&#x0027;s the one thing I can say I do when I&#x2019;m stressed. I do smoke&#x2019; (Participant 4), and &#x2018;I still have suicidal ideations because I can&#x2019;t figure out if my mom really loves me &#x2026;&#x2019; (Participant 8).</p>
<p>The young women tend to lose self-control and engage in self-defeating behaviours as a result of their life stories of perceived rejection from their mothers, as they lack the ability to regulate their emotions (Sedikides &#x0026; Spencer <xref ref-type="bibr" rid="CIT0031">2007</xref>:320). Shaffer (<xref ref-type="bibr" rid="CIT0032">2005</xref>:320) adds that many of those individuals who have perceived rejection or neglect are, however, remarkably resilient because of having had to be self-reliant in finding a perceived positive relationship elsewhere for themselves. However, this still does not remove the low concept of self that results from the perceived negative relationship with the mother, since she (the mother) remains her parent, an individual of high importance and influence in her life (Bornstein <italic>et al.</italic> <xref ref-type="bibr" rid="CIT0002">2003</xref>:244). Hence the challenge that the young women still encounter with coping and survival strategies when they face or think about their life stories of perceived rejection from their mothers.</p></sec>
<sec id="s2017">
<title>Theme 3: Fundamental links are perceived to be missing in their &#x2018;mother-daughter relationship&#x2019;</title>
<p>Young adulthood mostly requires establishing an identity that matches one&#x0027;s young adult goals (Sadock &#x0026; Sadock <xref ref-type="bibr" rid="CIT0030">2007</xref>:45). This process can be viewed as an elaboration of self and is often influenced by relationships that the young adult regarded as important. If these relationships are perceived to be distorted, such as in the young women&#x0027;s life stories of perceived rejection from their mothers, the young women&#x0027;s inner definitions of themselves can become emotionally affected by how they view themselves and their relationship with their mothers. In line with this, the categories identified from the in-depth interviews with the young women are outlined below.</p>
<p>The participants experienced that even as they went through something painful in their lives, their mothers could not be there for them. What we also noted was that such memories seemed to be etched into their minds, and still appeared to be vivid and painful as they shared the experience. Participant 3 stated &#x2018;I stay quiet and sometimes find myself crying at night when everyone is asleep knowing that no-one else can see or hear me&#x2019;, whilst Participant 5 said:</p>
<disp-quote><p>&#x2018;I keep having these flashbacks of a cousin of mine touching me inappropriately. So I told my mother about it and she flipped out because to her I&#x2019;m just mean and I lie and I just say things, because she doesn&#x2019;t really know me.&#x2019;</p></disp-quote>
<p>It is a parent&#x0027;s privilege to support their child and to satisfy a wide range of his or her emotional needs, since parental warmth and support are seen as key components in the development of a secure parent-child relationship (Coleman &#x0026; Kerbo <xref ref-type="bibr" rid="CIT0006">2006</xref>:53). However, when a mother&#x0027;s reaction to her daughter&#x0027;s emotions is perceived to be negative, it denies the daughter an environment where she feels free to experience and express emotions (Miller <xref ref-type="bibr" rid="CIT0025">2004</xref>:404).</p>
<p>The young women in our research study perceived that their mothers failed to guide them through life and to establish a relationship where they could feel free to openly communicate with them about anything and everything. Some of them had the following to say during the interviews:</p>
<disp-quote><p>&#x2018;I remember my first menstrual cycle. I actually didn&#x2019;t know how to use a sanitary towel. The sticky side that is supposed to be on the underwear, I would actually put it upside down &#x2026;&#x2019; (Participant 7)</p>
<p>&#x2018;I&#x2019;m afraid to tell her about a lot of things that are happening with me, she&#x0027;s harsh. I&#x2019;m not able to sit down with her and talk about anything or my experiences at this age, being a single parent and also depending on her sometimes.&#x2019; (Participant 3)</p></disp-quote>
<p>Positive guidance is necessary in rearing a child because it instils structure and order that make the child&#x0027;s life easier in gaining a better understanding of the world and developing some sense of self-guidance (Miller <xref ref-type="bibr" rid="CIT0025">2004</xref>:70). Another factor that contributes to the development of self is how and how much a parent communicates with their child (Sedikides &#x0026; Spencer <xref ref-type="bibr" rid="CIT0031">2007</xref>:77). Communication allows the parent to explain consequences of behaviour and reasons for rules which, ultimately, can become useful for the young women in reducing and/or eliminating maladaptive behaviours.</p>
<p>The young women were of the perception that, ever since they could remember, their mothers showed an inability to emotionally connect with them as there were no hugs, kisses or any signs that could assure them of her love or affection towards them. Some of the young women had the following to say in light of this:</p>
<disp-quote><p>&#x2018;I remember once as a child, because I grew up [<italic>in</italic> ] a very westernised way where kids hug and what, and I once tried to do that and she pushed me away. She just didn&#x2019;t want that.&#x2019; (Participant 6)</p>
<p>&#x2018;I generally do not cry. It&#x0027;s a sign of weakness. That&#x0027;s what my brother told me and I never cried. And if my mother was there for me, she would have taught me to cry when I need to cry. That&#x0027;s how I feel. She wasn&#x2019;t there for me, emotionally especially.&#x2019; (Participant 5)</p></disp-quote>
<p>A mother&#x0027;s perceived inability to provide love, affection and nurturing indicates a perceived failure to be responsive to the needs of her daughter. Such perceived insensitive parental responsiveness is likely to rob the daughter of the basic need for security and parental-affirmation, resulting in the daughter developing a negative self-identity (Miller <xref ref-type="bibr" rid="CIT0025">2004</xref>:68). A negative self-identity predisposes the daughter to insecure attachments and negative connections with both adults and peers (Shaffer <xref ref-type="bibr" rid="CIT0032">2005</xref>:437).</p></sec>
<sec id="s2018">
<title>Practical implications</title>
<p>A phenomenological approach was used to detail the many emotions and issues that the young women who have perceived rejection from their mothers endured. Our research study also displayed cause and effect from the phenomenon under study, which depicted a generational cycle of the phenomenon if left unmanaged. Guidelines and recommendations were formulated as a framework to assist the young women in coping with the challenges of their life stories.</p></sec></sec>
<sec id="s0019">
<title>Limitations of the study</title>
<p>Our research study, although sensitive, was interesting and unique as not many studies had been done on the phenomenon under study, especially in South Africa. However this generated major challenges for us since there were not many theories to compare and contrast the findings with.</p></sec>
<sec id="s0020">
<title>Guidelines and recommendations</title>
<p>After having explored the life stories of young women who have perceived rejection from their mothers in order to understand the contributing factors thereto and consequences thereof, guidelines and recommendations were formulated to assist the young women with coping. In facilitating management of the ongoing challenges perceived by the young women in forming and sustaining relationships in their lives, the following guidelines were suggested: emphasis on the importance of parental socialisation; introduction to programmes that facilitate the importance of self-affirmation; and the need for a comprehensive approach to develop positive self-esteem. In facilitating this approach the young women were assisted to resolve their life challenges. <xref ref-type="table" rid="T0001">Table 1</xref> indicates the challenges that were identified and guidelines to address them.</p>
<table-wrap id="T0001">
<label>TABLE 1</label>
<caption><p>Identified challenges and guidelines to address challenges.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left">Identified challenges</th>
<th align="left">Guidelines</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="2" align="left"><bold>Intrapersonal challenges</bold></td>
</tr>
<tr>
<td align="left">Low self-concept leading to:
<list list-type="bullet">
<list-item><p>academic failure</p></list-item>
<list-item><p>sexual misbehaviour</p></list-item>
<list-item><p>depression</p></list-item>
<list-item><p>suicidal ideation.</p></list-item></list></td>
<td align="left">Facilitation of mindfulness</td>
</tr>
<tr>
<td colspan="2" align="left"><bold>Interpersonal challenges</bold></td>
</tr>
<tr>
<td align="left">
<list list-type="bullet">
<list-item><p>Inability to form and sustain relationships.</p></list-item>
<list-item><p>Lives conflicted because of tumultuous relationship with mothers.</p></list-item>
<list-item><p>Experience mothers not being there for them during painful times.</p></list-item>
</list></td>
<td align="left">Facilitation of constructive interpersonal skills:
<list list-type="bullet">
<list-item><p>Constructive communication.</p></list-item>
<list-item><p>Assertiveness.</p></list-item>
<list-item><p>Conflict management.</p></list-item>
</list></td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Mindfulness should be facilitated in these young women, who should become aware and discover themselves. This includes these young women needing to know themselves and understand their own thoughts, feelings and actions. Self-awareness (Johnson <xref ref-type="bibr" rid="CIT0019">2009</xref>:52&#x2013;53; Uys &#x0026; Middleton <xref ref-type="bibr" rid="CIT0037">2004</xref>:185&#x2013;186) can lead the young women to behave pro-actively as well as responsibly in choosing constructive behaviour. The young women need to perceive their experiences in a non-judgemental way and not label their experiences in any way. They need to be compassionate towards themselves. Young women need to live in the present moment and accept that they are active participants and can choose to respond constructively to their perceived rejection from their mothers. Young women need to be open to new possibilities (Duke Health Organisation <xref ref-type="bibr" rid="CIT0012">2010</xref>) and see their own experiences as an opportunity to learn and grow.</p>
<p>To be able to form and sustain interpersonal relationships it is necessary for young women to practice their interpersonal skills. The young women also need to practice empathy &#x2013; that is, to place themselves in the shoes of their mothers. They need to listen respectfully (Johnson <xref ref-type="bibr" rid="CIT0019">2009</xref>:234) and hear what their mothers say and then try and identify and understand their mother&#x0027;s point of view (Davidson &#x0026; Wood <xref ref-type="bibr" rid="CIT0009">2004</xref>). It is also important to question feelings as well as facts. The young women also need to share their feelings (Foundation Coalition <xref ref-type="bibr" rid="CIT0013">2013</xref>) of rejection with their mothers. In addition, they need to manage their feelings (Foundation Coalition <xref ref-type="bibr" rid="CIT0013">2013</xref>) towards their mothers, and even leave the situation for a while to take control of their emotions.</p></sec>
<sec id="s0021">
<title>Conclusion</title>
<p>Our research study granted only a few young women an opportunity to vent their feelings and emotions regarding perceived rejection from their mothers. Very possibly there could be many more life stories to tell based on this phenomenon. Our hopes and wishes are not only that more research studies be done, but for other solutions to be determined and implemented. This, we believe, can better the lives of individuals and improve their mental, emotional, psychological and physical health.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>We acknowledge the participants who gave their time in providing us with the information used to conduct this research.</p>
<sec id="s2022">
<title>Competing interests</title>
<p>The authors declare that they have no financial or personal relationship(s) that may have inappropriately influenced them in writing this article.</p>
</sec>
<sec id="s2023">
<title>Authors&#x2019; contributions</title>
<p>S.C.M. (Department of Nursing Science, University of Johannesburg) did the research for her Master&#x0027;s degree; M.P. (Department of Nursing Science, University of Johannesburg) and C.M. (Department of Educational Psychology, University of Johannesburg) supervised the study and did the final editing of the article.</p>
</sec>
</ack>
<ref-list id="reference">
<title>References</title>
<ref id="CIT0001"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Alaszewski</surname>, <given-names>A.</given-names></string-name></person-group>, <year>2006</year>, <source><italic>Using diaries for social research</italic></source>, <publisher-name>Sage Publications</publisher-name>, <publisher-loc>London</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0002"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Bornstein</surname>, <given-names>M.H.</given-names></string-name>, <string-name><surname>Davidson</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Keyes</surname>, <given-names>C.L.M.</given-names></string-name> &#x0026; <string-name><surname>Moore</surname>, <given-names>K.A.</given-names></string-name> (Eds.)</person-group>, <year>2003</year>, <source><italic>Well-being: Positive development across the life course</italic></source>, <publisher-name>Lawrence Erlbaum Associates</publisher-name>, <publisher-loc>London</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0003"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Brewer</surname>, <given-names>M.B.</given-names></string-name> &#x0026; <string-name><surname>Hewstone</surname>, <given-names>M.</given-names></string-name> (Eds.)</person-group>, <year>2004</year>, <source><italic>Self and social identity</italic></source>, <publisher-name>Blackwell Publishing</publisher-name>, <publisher-loc>Malden</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0004"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Burns</surname>, <given-names>N.</given-names></string-name> &#x0026; <string-name><surname>Grove</surname>, <given-names>S.K.</given-names></string-name></person-group>, <year>2005</year>, <italic>The practice of nursing research: Conduct, critique, and utilization</italic>, 5th edn., Elsevier Saunders, St. Louis.</mixed-citation></ref>
<ref id="CIT0005"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Chambliss</surname>, <given-names>D.F.</given-names></string-name> &#x0026; <string-name><surname>Schutt</surname>, <given-names>R.S.</given-names></string-name></person-group>, <year>2010</year>, <source><italic>Making sense of the social world: Methods of investigation</italic></source>, <publisher-name>Pine Forge Press</publisher-name>, <publisher-loc>Thousand Oaks, CA</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0006"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Coleman</surname>, <given-names>J.W.</given-names></string-name> &#x0026; <string-name><surname>Kerbo</surname>, <given-names>H.R.</given-names></string-name></person-group>, <year>2006</year>, <source><italic>Social problems</italic></source>, <edition>9th edn</edition>., <publisher-name>Pearson Education</publisher-name>, <publisher-loc>Los Angeles</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0007"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Cottle</surname>, <given-names>T.J.</given-names></string-name></person-group>, <year>2003</year>, <source><italic>Beyond self-esteem: Narratives of self-knowledge</italic> &#x0026; <italic> devotion to others</italic></source>, <publisher-name>Peter Lang Publishing</publisher-name>, <publisher-loc>New York</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0008"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Creswell</surname>, <given-names>J.W.</given-names></string-name></person-group>, <year>2013</year>, <source><italic>Qualitative inquiry</italic> &#x0026; <italic> research design: Choosing among five approaches</italic></source>, <edition>3rd edn.</edition>, <publisher-name>Sage Publications</publisher-name>, <publisher-loc>London</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0009"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Davidson</surname>, <given-names>J.</given-names></string-name> &#x0026; <string-name><surname>Wood</surname>, <given-names>C.</given-names></string-name></person-group>, <year>2004</year>, &#x2018;<article-title>A conflict resolution model</article-title>&#x2019;, <source><italic>Theory and Practice</italic></source> <volume>43</volume>(<issue>1</issue>), <fpage>6</fpage>&#x2013;<lpage>13</lpage>. <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1353/tip.2004.0005">http://dx.doi.org/10.1353/tip.2004.0005</ext-link></mixed-citation></ref>
<ref id="CIT0010"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Deeba</surname>, <given-names>F.</given-names></string-name></person-group>, <year>2001</year>, <source><italic>Home environment and parental acceptance-rejection and authorisation in child abuse</italic></source>, <publisher-name>Quaid-i-Azam University</publisher-name>, <publisher-loc>Islamabad</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0011"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Dhai</surname>, <given-names>A.</given-names></string-name> &#x0026; <string-name><surname>McQuoid-Mason</surname>, <given-names>D.</given-names></string-name></person-group>, <year>2011</year>, <source><italic>Bioethics, human rights, and health law: Principles and practice</italic></source>, <publisher-name>Juta &#x0026; Company</publisher-name>, <publisher-loc>Claremont</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0012"><mixed-citation publication-type="journal"><person-group person-group-type="author"><collab>Duke Health Organisation</collab></person-group>, <year>2010</year>, <source><italic>How to bring more mindfulness in your life</italic></source>, <comment>viewed 11 March 2013, from</comment> <ext-link ext-link-type="uri" xlink:href="http://www.dukehealth.org/health_article/howtobringmoremindfulness">http://www.dukehealth.org/health_article/howtobringmoremindfulness</ext-link></mixed-citation></ref>
<ref id="CIT0013"><mixed-citation publication-type="journal"><person-group person-group-type="author"><collab>Foundation Coalition</collab></person-group>, <year>2013</year>, <source><italic>Effective interpersonal/intra-team communication</italic></source>, <comment>viewed 11 March 2013, from</comment> <ext-link ext-link-type="uri" xlink:href="http://www.foundationcoalition.org">http://www.foundationcoalition.org</ext-link>.</mixed-citation></ref>
<ref id="CIT0014"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Gorman</surname>, <given-names>G.E.</given-names></string-name> &#x0026; <string-name><surname>Clayton</surname>, <given-names>P.</given-names></string-name></person-group>, <year>2005</year>, <source><italic>Qualitative research for the information professional: A practical handbook</italic></source>, <edition>2nd edn</edition>., <publisher-name>Facet Publishing</publisher-name>, <publisher-loc>London</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0015"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Gray</surname>, <given-names>P.S.</given-names></string-name>, <string-name><surname>Williamson</surname>, <given-names>J.B.</given-names></string-name>, <string-name><surname>Karp</surname>, <given-names>D.A.</given-names></string-name> &#x0026; <string-name><surname>Dalphin</surname>, <given-names>J.R.</given-names></string-name></person-group>, <year>2007</year>, <source><italic>The research imagination: An introduction to qualitative and quantitative methods</italic></source>, <publisher-name>Cambridge University Press</publisher-name>, <publisher-loc>New York</publisher-loc>. <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1017/CBO9780511819391">http://dx.doi.org/10.1017/CBO9780511819391</ext-link></mixed-citation></ref>
<ref id="CIT0016"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gull</surname>, <given-names>S.A.</given-names></string-name>, <string-name><surname>Tanq</surname>, <given-names>H.</given-names></string-name> &#x0026; <string-name><surname>Malik</surname>, <given-names>S.</given-names></string-name></person-group>, <year>n.d.</year>, <source><italic>Parental acceptance and rejection theory (part) assignment No. 1</italic></source>, <comment>viewed 12 September 2009, from</comment> <ext-link ext-link-type="uri" xlink:href="http://www.scribd.com/doc/16954509/Parental-Acceptance-and-Rejection-Theory">http.www.scribd.com/doc/16954509/Parental-Acceptance-and-Rejection-Theory</ext-link>.</mixed-citation></ref>
<ref id="CIT0017"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Hartley-Brewer</surname>, <given-names>E.</given-names></string-name></person-group>, <year>2001</year>, <source><italic>100 Tips for parents and teachers: Raising confident girls</italic></source>, <publisher-name>Fisher Books</publisher-name>, <publisher-loc>Cambridge</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0018"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Jay</surname></string-name></person-group>, <year>n.d.</year>, <source><italic>Helium testimonies: Dysfunctional mother and daughter relationships</italic></source>, <comment>viewed 12 September 2009, from</comment> <ext-link ext-link-type="uri" xlink:href="http://www.helium.com/items/869254-testimonies-dysfunctional-mother-and-daughter-relationships">http://www.helium.com/items/869254-testimonies-dysfunctional-mother-and-daughter-relationships</ext-link></mixed-citation></ref>
<ref id="CIT0019"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Johnson</surname>, <given-names>D.W.</given-names></string-name></person-group>, <year>2009</year>, <source><italic>Reaching out: Interpersonal effectiveness and actualisation</italic></source>, <publisher-name>Allyn &#x0026; Bacon</publisher-name>, <publisher-loc>Boston</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0020"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Lessesne</surname>, <given-names>C.A.</given-names></string-name> &#x0026; <string-name><surname>Kennedy</surname>, <given-names>C.</given-names></string-name></person-group>, <year>2005</year>, &#x2018;<article-title>Starting early: Promoting the mental health of women and girls throughout the life span</article-title>&#x2019;, <source><italic>Journal of Women</italic>&#x2019;<italic>s Health</italic></source> <volume>60</volume>(<issue>9</issue>), <fpage>754</fpage>&#x2013;<lpage>763</lpage>. <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1089/jwh.2005.14.754">http://dx.doi.org/10.1089/jwh.2005.14.754</ext-link></mixed-citation></ref>
<ref id="CIT0021"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Long</surname>, <given-names>T.</given-names></string-name> &#x0026; <string-name><surname>Johnson</surname>, <given-names>M.</given-names></string-name></person-group>, <year>2007</year>, <source><italic>Research ethics in the real world: Issues and solutions for health and social care</italic></source>, <publisher-name>Churchill Livingstone Elsevier</publisher-name>, <publisher-loc>St Louis</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0022"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mark</surname>, <given-names>A.</given-names></string-name></person-group>, <year>n.d.</year>, <source><italic>Mother-daughter relationships: Reaping its positive benefits</italic></source>, <comment>viewed 20 September 2009, from</comment> <ext-link ext-link-type="uri" xlink:href="http://knol.google.com/k/abi-mark/mother-daughter-relationship-reaping/o1182174iwo5/90">http://knol.google.com/k/abi-mark/mother-daughter-relationship-reaping/o1182174iwo5/90</ext-link></mixed-citation></ref>
<ref id="CIT0023"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Marsh</surname>, <given-names>H.W.</given-names></string-name>, <string-name><surname>Craven</surname>, <given-names>R.G.</given-names></string-name> &#x0026; <string-name><surname>McInerney</surname>, <given-names>D.M.</given-names></string-name> (Eds.)</person-group>, <year>2003</year>, <source><italic>International advances in self research</italic></source>, <publisher-name>Information Age Publishing</publisher-name>, <publisher-loc>Connecticut</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0024"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>McAdams</surname>, <given-names>D.P.</given-names></string-name></person-group>, <year>2009</year>, <source><italic>The person: An introduction to the science of personality psychology</italic></source>, <edition>5th edn.</edition>, <publisher-name>John Wiley &#x0026; Sons</publisher-name>, <publisher-loc>Hoboken</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0025"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Miller</surname>, <given-names>A.G.</given-names></string-name></person-group> (ed.), <year>2004</year>, <source><italic>The social psychology of good and evil</italic></source>, <publisher-name>Guilford Press</publisher-name>, <publisher-loc>New York</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0026"><mixed-citation publication-type="journal"><person-group person-group-type="author"><collab>Mind for better mental health</collab></person-group>, <year>2009</year>, <source><italic>Women and mental health</italic></source>, <comment>viewed 16 July 2009, from</comment> <ext-link ext-link-type="uri" xlink:href="http://www.mind.org.uk/Information/Factsheets/Women+and+mental+health.htm">http//www.mind.org.uk/Information/Factsheets/Women+and+mental+ health.htm</ext-link></mixed-citation></ref>
<ref id="CIT0027"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Polit</surname>, <given-names>D.F.</given-names></string-name> &#x0026; <string-name><surname>Beck</surname>, <given-names>C.T.</given-names></string-name></person-group>, <year>2010</year>, <source><italic>Essentials of nursing research: Appraising evidence for nursing practice</italic></source>, <edition>7th edn.</edition>, <publisher-name>Lippincott Williams &#x0026; Wilkins</publisher-name>, <publisher-loc>Philadelphia</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0028"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Rholes</surname>, <given-names>W.S.</given-names></string-name> &#x0026; <string-name><surname>Simpson</surname>, <given-names>J.A.</given-names></string-name> (eds.)</person-group>, <year>2004</year>, <source><italic>Adult attachment: Theory, research, and clinical implications</italic></source>, <publisher-name>The Guilford Press</publisher-name>, <publisher-loc>New York</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0029"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Rohner</surname>, <given-names>R.P.</given-names></string-name> &#x0026; <string-name><surname>Khaleque</surname>, <given-names>A.</given-names></string-name></person-group>, <year>n.d.</year>, <source><italic>Parental acceptance-rejection and life-span developments: A universal perspective</italic></source>, <comment>viewed 12 September 2009, from</comment> <ext-link ext-link-type="uri" xlink:href="http://www.scribd.com/doc/16954509/Parental-Acceptance-and-Rejection-Theory">http://www.scribd.com/doc/16954509/Parental-Acceptance-and-Rejection-Theory</ext-link></mixed-citation></ref>
<ref id="CIT0030"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Sadock</surname>, <given-names>B.J.</given-names></string-name> &#x0026; <string-name><surname>Sadock</surname>, <given-names>V.A.</given-names></string-name></person-group>, <year>2007</year>, <source><italic>Kaplan</italic> &#x0026; <italic> Sadock</italic>&#x2019;<italic>s synopsis of psychiatry: Behavioural sciences/clinical psychiatry</italic></source>, <edition>10th edn</edition>., <publisher-name>Lippincott Williams &#x0026; Wilkins</publisher-name>, <publisher-loc>Philadelphia</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0031"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Sedikides</surname>, <given-names>C.</given-names></string-name> &#x0026; <string-name><surname>Spencer</surname>, <given-names>S.J.</given-names></string-name> (Eds.)</person-group>, <year>2007</year>, <source><italic>The self</italic></source>, <publisher-name>Psychology Press</publisher-name>, <publisher-loc>New York</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0032"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Shaffer</surname>, <given-names>D.A.</given-names></string-name></person-group>, <year>2005</year>, <source><italic>Social and personality development</italic></source>, <edition>5th edn.</edition>, <publisher-name>Thomson Wadsworth</publisher-name>, <publisher-loc>Bellmont</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0033"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Shenton</surname>, <given-names>A.K.</given-names></string-name></person-group>, <year>2004</year>, <source><italic>Strategies for ensuring trustworthiness in qualitative research projects</italic></source>, <comment>viewed 03 March 2011, from</comment> <ext-link ext-link-type="uri" xlink:href="http://iospress.metapress.com/content/3ccHm2g59cklapx/">http://iospress.metapress.com/content/3ccHm2g59cklapx/</ext-link></mixed-citation></ref>
<ref id="CIT0034"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Stuart</surname>, <given-names>B.</given-names></string-name></person-group>, <year>2009</year>, <source><italic>The mother-daughter relationship</italic></source>, <comment>viewed 12 September 2009, from</comment> <ext-link ext-link-type="uri" xlink:href="http://www.selfgrowth.com/print/667598">http://www.selfgrowth.com/print/667598</ext-link></mixed-citation></ref>
<ref id="CIT0035"><mixed-citation publication-type="journal"><person-group person-group-type="author"><collab><italic>The Oxford Advanced Learner</italic>&#x2019;<italic>s Dictionary</italic></collab></person-group>, <year>2011</year>, &#x2018;<article-title>Experience</article-title>&#x2019;, <comment>viewed 3 March 2012, from</comment> <ext-link ext-link-type="uri" xlink:href="http://www.theoxfordadvancedlearnersdictionary.com/p/experience">http://www.theoxfordadvancedlearnersdictionary.com/p/experience</ext-link>.</mixed-citation></ref>
<ref id="CIT0036"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Ty</surname>, <given-names>E.</given-names></string-name> &#x0026; <string-name><surname>Verduyn</surname>, <given-names>C.</given-names></string-name> (Eds.)</person-group>, <year>2008</year>, <source><italic>Asian Canadian writing beyond autoethnography</italic></source>, <publisher-name>Wilfrid Laurier University Press</publisher-name>, <publisher-loc>Waterloo, Canada</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0037"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Uys</surname>, <given-names>L.</given-names></string-name> &#x0026; <string-name><surname>Middleton</surname>, <given-names>L.</given-names></string-name> (Eds.)</person-group>, <year>2004</year>, <source><italic>Mental health nursing: A South African perspective</italic></source>, <edition>4th edn</edition>., <publisher-name>Juta &#x0026; Co</publisher-name>, <publisher-loc>Cape Town</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0038"><mixed-citation publication-type="book"><person-group person-group-type="editor"><string-name><surname>Williams</surname>, <given-names>K.D.</given-names></string-name>, <string-name><surname>Forgas</surname>, <given-names>J.D.</given-names></string-name> &#x0026; <string-name><surname>Von Hippel</surname>, <given-names>W.</given-names></string-name> (Eds.)</person-group>, <year>2005</year>, <source>The social outcast: Ostracism, social exclusion, rejection, and bullying</source>, <publisher-name>Psychology Press</publisher-name>, <publisher-loc>New York</publisher-loc>.</mixed-citation></ref>
<ref id="CIT0039"><mixed-citation publication-type="book"><person-group person-group-type="author"><collab>World Health Organization</collab></person-group>, <year>2004</year>, <source><italic>Promoting mental health: Concepts, emerging evidence, practice</italic></source>, <publisher-name>World Health Organization Publications</publisher-name>, <publisher-loc>Geneva</publisher-loc>.</mixed-citation></ref>
</ref-list>
</back>
</article>