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Difficult: Mothering Challenging Adult Children Through Conflict and Change

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Told from the perspective of mothers who've lived it, Difficult focuses on mothering challenging adult children.



Difficult brings to life the conflicts that arise for mothers who are confronted with the unexpected, burdensome, and even catastrophic dependencies of their adult children associated with mental illness, substance use, or chronic unemployment. Through real stories of mothers and their challenging adult children, this book offers readable, provocative, and, at times, shocking illustrations of the excruciating maternal dilemma: Which takes precedence--the needs of the mother or of the distressed adult child? Difficult addresses a family situation which too many keep secret. The book allows readers to see that they are not alone. It includes resources for getting help: finding social support, staying safe, engaging in self-care, and helping the adult child.



Judith Smith speaks empathically to parents, acknowledging and illuminating the embarrassment, shame, and helplessness that women can feel when their adult children's problems puncture their own feelings of self-worth. In the absence of sufficient supports and affordable housing for persons with mental illness or substance misuse disorder, mothers feel that they have no choice - "if not me, then who?" Unpaid and unrecognized maternal caregiving work continues to limit women's quality of life, even, into their later years. Smith addresses this as a societal issue which requires structural solutions.



Difficult is for parents, concerned family and friends, health and mental health professionals, and policy makers. The book provides resources for women to find social support, stay safe, and engage in self-care.

280 pages, ebook

First published February 15, 2022

37 people are currently reading
117 people want to read

About the author

Judith R. Smith

5 books2 followers
Judith R. Smith, PhD, LCSW, is a leader in gerontological research focusing on women’s experiences as they age. She is a senior clinical social worker, psychotherapist, and professor of social work at Fordham University. She lives in New York City with her husband.

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5 stars
20 (42%)
4 stars
14 (29%)
3 stars
11 (23%)
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1 (2%)
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Displaying 1 - 4 of 4 reviews
219 reviews3 followers
May 25, 2022
Minuteman. Academic study by Fordham professor. Methodology created the conclusions--Sought out elders who in the elder abuse system primarily. Mental illness portrayed as highly likely to involve violence.
One interesting research piece described: Andreas Bartels, Germany, mothers of young children, part of the brain responsible for negative emotions and critical assessment is relatively inactive. Uses this to argue that older mothers don't see their difficult children's flaws, aren't "objective." Not compassionate, not sophisticated, summarizes her interviews. Difficult is primarily substance abuse, criminal behavior, mental illness.
This entire review has been hidden because of spoilers.
13 reviews4 followers
January 28, 2023
I have to give five stars because I am a mother that fits the category of women Judith R Smith has written about. She has represented in such collective importance the quiet enormity of a problem that plagues our societies. This book took me a while to complete because in part sometimes I don’t want to remember that I have to find ways to navigate life as a mother of an adult child with severe mental illness. I would recommend to anyone who wants to understand the issues facing those who quite often are the heart and core of humanity’s wellness.
203 reviews
May 22, 2025
A great resource for all who are going through this.
Displaying 1 - 4 of 4 reviews

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