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Maternal ambivalence affects all mothers, manifesting as conflicted feelings of love and hate toward their children. This ambivalence often leads to intense shame and guilt. Over time, many mothers reconcile these feelings, becoming good-enough mothers. For mothers of children with developmental differences, ambivalence is more painful and complex. The child’s developmental difference heightens maternal guilt and shame. Additionally, all mothers must relinquish fantasies of an idealized child, but mothers of developmentally different children also face the task of mourning an ambiguous loss. Their identities as a good-enough mothers are challenged by the lack of a maternal ego ideal for such children. Ultimately, in families with a developmentally different child both mother and child must navigate mutual ambivalence. Separation and individuation occur in a more complex process allowing both mother and child to form into distinct identities. This paper explores how maternal ambivalence, influenced by past traumas, maternal ego ideals, and identity, captures the experience of mothers of developmentally different children. A single clinical case study provides vignettes to illustrate these theoretical concepts.