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La période de grossesse est une époque de grands remaniements psychiques chez la femme. Tout comme l’adolescence il s’agit d’une nouvelle étape dans la vie féminine.Les modifications du corps en lien avec la grossesse s’accompagnent de processus psychiques qui s’instaurent progressivement jusqu'à la naissance et se poursuivent en post partum.Parmi ces processus nous retrouvons les représentations mentales de l’enfant. La survenue d’un événement traumatique pendant la grossesse peut alors perturbée ces processus psychiques. C’est part le biais d’une étude qualitative portant sur neufs entretiens avec des femmes hospitalisées que nous étudions l’impact d’une menace d’accouchement prématuré sur les représentations maternelles de l’enfant mais également de la prématurité. Il apparaît ainsi que l’hospitalisation des futures mères à un impact sur les processus psychiques entrepris en début de grossesse dans le sens où l’angoisse et le stress peuvent sidérer totalement les représentations du fœtus.La prématurité et toutes les représentations qui l’entourent vont prendre place dans le psychisme des femmes. Ainsi l’enfant à venir n’est plus imaginé de la même manière qu’auparavant, il est directement associé à la prématurité.Nous remarquons également que les fantasmes concernant la prématurité sont présent chez les patientes hospitalisées et cela même si l’échographie morphologique du foetus est tout à fait normale. L’absence de support d’information sur la prématurité est clairement exprimée, en effet celui-ci pourrait sans doute aider les patientes dans l’élaboration des représentations mentales de leur enfant.
Scientists from different disciplines, including anthropology, psychology, psychiatry, pediatrics, neurobiology, endocrinology, and molecular biology, explore the concepts of attachment and bonding from varying scientific perspectives.
Though much has been written about twins, very little research has been done into their everyday lives, both postnatal and prenatal. In this fascinating new study Alessandra Piontelli follows the development and behaviour of thirty pairs of twins from their early life in the womb through to their third year of childhood. Drawing on detailed ultrasound observations and work with mothers and families in clinical and natural settings, the text traces the subtle ways in which various types of twins live, behave and interact with their unequally shared and unique pre- and postnatal environments. Piontelli shows how from early on distinctive and personal traits can be seen in the behaviour of each member of a twin couple and how these traits continue and strengthen well beyond birth. The book describes not only the behaviour of the twins, but the impact they have on the lives of their family and carers - what family members say, how they react and how the family changes. Scientifically based, but warmly human in content, this unique longitudinal study offers new insight for professionals working with mothers and families of twins and for researchers in human development across a range of disciplines.
In the past decade, the working alliance has emerged as possibly the most important conceptualization of the common elements in diverse therapy modalities. Created to define the relationship between a client in therapy or counseling and the client's therapist, it is a way of looking at and examining the vagaries and expectations and commitments previously implicit in the therapeutic relationship, explaining the cooperative aspects of the alliance between the two parties.
Widely regarded as the standard reference in the field, this state-of-the-art handbook offers a comprehensive analysis of developmental, clinical, and social aspects of mental health from birth to the preschool years. Leading authorities explore models of development; biological, family, and sociocultural risk and protective factors; and frequently encountered disorders and disabilities. Evidence-based approaches to assessment and treatment are presented, with an emphasis on ways to support strong parent–child relationships. The volume reviews the well-documented benefits of early intervention and prevention and describes applications in mental health, primary care, childcare, and child welfare settings. The chapter on psychopharmacology has been updated for the paperback edition.
This book attempts to create a dialogue between the infant as revealed by the experimental approach and as clinically reconstructed, in the service of resolving the contradiction between theory and reality. It describes the several ways that organization can form in the infant's mind.
The value of Winnicott's work has become more and more widely recognized not only among psycho-analysts but also psychologists, educators, social workers, and men and women in every branch of medicine; indeed, all whose work or practice involves the care of children in health or sickness.An important part of the value of these writings lies in the uniquely binocular view with which the author regards the subjects of his investigation. With him, pediatrics informs psycho-analysis; psycho-analysis illuminates pediatrics. This book is not concerned with innovation in basic psychoanalytic concepts or techniques, but with the formulation and testing-out of ideas whose origin was in the challenge of day-to-day clinical work that was the staple of Winnocott's medical experience throughout his professional life.This book is arranged in three sections. The first represents Winnicott's attitudes as a pediatrician prior to training in psycho-analysis, and demonstrates the degree to which a purely formal pediatric approach requires as an effective complement a deeper understanding of the emotional problems of child development.
Over a period of several decades, the author evolved a personal way of relating to and communicating with children, offering them a live professional setting in which to discover themselves. He believed that, in the right case, a full and free use of the first interview can yield rich rewards, and he claimed that the right cases for this are common. He hoped that, by presenting these case studies, he would introduce the reader to the exciting potential of his approach, which depends as much on selection (of therapist) as on training. Here is his presentation - seventeen case histories whose significance for child psychiatry is in the tradition of Freud's case histories of the treatment of adult neurotics. Therapeutic Consultations in Child Psychiatry provides a fruitful feedback to psychoanalysis itself.