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. 2018 Nov 30;9:2349. doi: 10.3389/fpsyg.2018.02349

Table 3.

Quality of care subthemes.

Subtheme Definition Lilia and Flor Gabriela and Eugenia Noe and Gerardo
Creating an affective environment Providing a sense of love and protection to the child through physical contact and verbal expression and/or during play, daily routines and learning situations Storytelling to the girl about her story
Communicating through gazing
Pampering the children with food and play
Rejoicing in twin’s achievements
Constantly telling Karina that they love her
Tickling her and rolling Fostering a loving and guarding circle

Being available Organizing schedules in order to be present and accessible to their children Involving and giving undivided attention during playtime Organizing flexible schedules for the children’s benefits Seeking for free time in order to be with her

Acknowledging and expressing emotions Becoming aware of their own emotions and the importance of teaching their children how to identify them Recognizing when one is tired
Respecting Karina’s negative emotions
Avoiding yelling at the twins so they do not get scared Setting limits when the boys hit each other Balancing annoyance and irritation toward tantrums vs. coherent consequences (“time out”)

Perceiving, interpreting and responding adequately to the child’s real self Remaining attentive to signals and interpreting the child’s negative behaviors in a flexible way in order to respond satisfactorily Conceptualizing crying as something necessary
Self-restraining and approaching to the girl gradually
Differentiating perceptions and making adjustments with Paulo and Gabriel
Setting rules and limits that are aligned with the children’s level of development
Testing hypotheses to get to the cause of the girl’s annoyance
Diverting attention during tantrums

Taking the child’s perspective into account Recognizing and respecting the differences between the children and recognizing their worth for their own rights Explaining the rules
Respecting her own individuality
Allowing her to choose
Making attributions and explanations for the twins, “even when they do not speak yet”
Respecting their children’s needs (e.g., nap time)
Fostering autonomy by assigning tasks and responsibilities that are aligned with her age
Negotiating and providing explanations

Agreeing on roles and dividing the tasks Consenting and organizing to take differentiated roles between the couple and for the upbringing duties along with a support network Flor taking on most of the upbringing activities Involving in different activities (driving them to school, shower time, putting them to bed) even though Eugenia works business hours Gerardo playing the role of the family’s main provider