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1.
J Affect Disord ; 349: 370-376, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38199402

RESUMO

BACKGROUND: The quality of mother-to-infant bonding (MIB) is a crucial determinant of nurturing behaviors and infant development, with bonding difficulties (MIBD) posing a substantial threat. While it is essential to identify MIBD risk factors, previous studies have generally examined MIBD at one time point, leaving the contributors to persistent MIBD uncertain. This study aims to discern longitudinal risk factors for persistent versus episodic MIBD. METHODS: We evaluated 1833 postpartum Japanese women who delivered in the past twelve months, utilizing the Mother-to-Infant Bonding Scale (MIBS) and other sociodemographic, health, pregnancy, childbirth, and child-rearing related data (T1). Follow-up data were obtained six months later (T2). MIBD was defined as a MIBS score of five or more, with "persistent" and "episodic" MIBD classified based on its occurrence at both or either one of the time points, respectively. Logistic generalized estimating equations and inverse probability weighting were used to identify risk factors and address selective attribution bias. RESULTS: Of the subjects, 15.8 % reported episodic and 11.3 % reported persistent MIBD. Shared risk factors for both conditions included postpartum depression and low levels of family support (OR = 1.501-6.343). However, pre-pregnancy underweight status (OR = 1.698) was a unique risk factor for episodic MIBD, while first-time motherhood, no or discontinuation of breastfeeding, and later postpartum months (OR = 1.540-3.179) were distinctive risk factors for persistent MIBD. CONCLUSION: We identified both shared and unique risk factors for episodic and persistent MIBD. Particular attention should be afforded to persistent MIBD and early and proactive interventions to mitigate identified risk factors are recommended.


Assuntos
Depressão Pós-Parto , Mães , Humanos , Lactente , Feminino , Gravidez , Estudos Longitudinais , Relações Mãe-Filho , Japão/epidemiologia , Inquéritos e Questionários , Período Pós-Parto , Depressão Pós-Parto/epidemiologia , Fatores de Risco , Apego ao Objeto
3.
Infancy ; 29(2): 137-154, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38109065

RESUMO

Media use during childhood has quickly become a norm across the United States and in other countries. One area still not well understood is the development of problematic (or maladaptive and disruptive) media use in children. This research examines the role of attachment security as a central component in the development of problematic media use over time in a sample of 248 parent-child dyads (9.50% African American, 20.66% Hispanic, 62.81% White, 2.07% Asian, 4.96% other ethnicities). We examined the relationship between attachment security and problematic media use one and 2 years later. We then constructed a mediation model examining parent responsiveness while jointly engaging in media use and during play as mediators between infant attachment security and problematic media use over time. Results suggest that while infant attachment security may be protective against developing problematic media use patterns, this relationship does not seem to be mediated by parent-child interactions while engaging in media or during play.


Assuntos
Apego ao Objeto , Relações Pais-Filho , Lactente , Humanos , Estados Unidos , Estudos Longitudinais , Pais
4.
Prax Kinderpsychol Kinderpsychiatr ; 72(8): 685-701, 2023 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-38051062

RESUMO

Attachment theory is known as an important therapeutic foundation. Establishing a secure attachment to a caregiver is equally relevant for the mental health of both humans and dogs. A bond can be formed between humans and dogs that is comparable to the attachment between mother and child. Patients with adverse attachment experiences often struggle to maintain stable relationships due to internal working models. Building a therapeutic alliance can also be challenging. On the other hand, establishing a relationship with a dog seems to be successful for patients with adverse attachment experiences. Inclusion of a therapy dog provides them with the opportunity for experiences of trustful relationships.These experiences can then be transferred to the therapist. Later on, internal working models of the patients can indeed come into play in the relationship with the dog. The resulting patterns of relationship can become visible in the interaction with the dog. Within the therapeutic triade of patient, therapy dog and therapist, these patterns can be reflected and integrated into the therapy process. However, achieving this requires a targeted and professionally grounded use of the dog. If dogs are employed with a therapeutic purpose but without professional guidance, there is a risk of reestablishing insecure attachment patterns, which could potentially lead to more disadvantages than benefits for both humans and dogs.


Assuntos
Relações Profissional-Paciente , Psicoterapia , Feminino , Criança , Humanos , Cães , Animais , Psicoterapia/métodos , Saúde Mental , Mães , Apego ao Objeto
5.
BMC Psychol ; 11(1): 426, 2023 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-38053200

RESUMO

BACKGROUND: Pregnancy and childbirth experience can be important factors for a pleasant relationship between mother and baby. This study assessed the relationship between the pregnancy and birth experience with maternal-fetal attachment (MFA) and mother-child bonding. METHODS: A descriptive-analytical study was conducted among 228 pregnant women in Tabriz, Iran February 2022 to March 2023. Using cluster random sampling method, we included 228 women with gestational age 28-36 weeks and followed them up until six weeks postpartum. Data were collected in two stages using the following questionnaires: Pregnancy Experience Scale (hassles and uplifts), Maternal-Fetal Attachment Questionnaire (during the third trimester of pregnancy), Postpartum Bonding Questionnaire, and Childbirth Experience Questionnaire (six weeks postpartum). Data were analyzed using Pearson's correlation test and general linear model. RESULTS: The mean score of MFA was significantly higher among women with feelings of being uplifted during pregnancy [ß (95% CI) = 1.14 (0.87 to 1.41); p < 0.001]. However, there was no statistically significant relationship between pregnancy hassles and MFA and mother-child bonding (p > 0.05). Also, there was no statistically significant relationship between childbirth experience and mother-child bonding (p > 0.05). CONCLUSION: According to the results of this study, pregnancy uplifts have a positive role in improving MFA. Therefore, it is recommended to plan interventions to make pregnancy period a pleasant experience for mothers.


Assuntos
Relações Mãe-Filho , Gestantes , Lactente , Feminino , Gravidez , Humanos , Período Pós-Parto , Mães , Inquéritos e Questionários , Apego ao Objeto
7.
Int J Psychoanal ; 104(6): 1054-1062, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38127475

RESUMO

Freud's publication of The Ego and the Id sparked a diverging set of psychoanalytic models - ego psychology, structural conflict theory, Kleinianism, object relations theories, Lacanianism, etc. - each of which attempted to deal with the clinical limitations of his first topography in regard to unconscious guilt, negative therapeutic reactions and primitive character organizations. This paper attempts to look back on these developments from the perspective of contemporary, post-Freudian psychoanalytic theories.


Assuntos
Ego , Terapia Psicanalítica , Humanos , Teoria Freudiana , Teoria Psicanalítica , Apego ao Objeto
8.
Rev. latinoam. enferm. (Online) ; 31: e4010, Jan.-Dec. 2023. tab
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1515336

RESUMO

Objetivo: examinar la continuidad de vínculos interna y externa en hombres que experiencian duelo por un ser querido. Método: estudio correlacional, descriptivo y transversal. Muestra a conveniencia de 170 hombres dolientes. Las variables fueron mediadores del duelo, continuidad de vínculos y datos sociodemográficos. Se utilizó un cuestionario en línea compuesto por mediadores de duelo, escala de continuidad de vínculos y datos sociodemográficos. Se empleó estadística descriptiva, análisis de varianza y coeficiente de Spearman. El nivel de significancia correspondió a p<0,05. Resultados: la media de edad de los participantes fue de 36,61 años (DE=13,40), y el 80,00% tenía educación superior. Los valores medios de continuidad de vínculos interna y externa fueron 24,85 (DE=7,93) y 7,68 (DE=2,33), respectivamente. Se establecieron diferencias significativas referentes a la continuidad de vínculos interna y externa entre parentesco de la persona fallecida (p<0,001), y ninguna con la causa de muerte o con el tiempo transcurrido desde el fallecimiento. No se precisaron correlaciones significativas entre continuidad de vínculos interna/externa y mediadores del duelo. Conclusión: los hombres dolientes expresan la continuidad de vínculos interna de manera frecuente y la externa en ocasiones, con diferencias respecto a quién era la persona fallecida. La Enfermería podría diseñar estrategias específicas que fortalezcan el afrontamiento del duelo en este grupo.


Objective: to examine internalized and externalized continuing bonds in men grieving a loved one. Method: a correlational, descriptive and cross-sectional study. Convenience sample comprised by 170 mourning men. The variables were mediators of mourning, continuing bonds and sociodemographic data. The instrument used was an online questionnaire comprised by mediators of mourning, a continuing bonds scale and sociodemographic data. Descriptive statistics, analysis of variance and Spearman's coefficient were used. The significance level adopted was p<0.05. Results: the participants' mean age was 36.61 years old (SD=13.40), and 80.00% had Higher Education. The mean values corresponding to internalized and externalized continuing bonds were 24.85 (SD=7.93) and 7.68 (SD=2.33), respectively. Significant differences were established referring to internalized and externalized continuing bonds in terms of kinship with the deceased person (p<0.001), and none with the cause of death or with the time elapsed since the event. No significant correlations were defined between internalized/externalized continuing bonds and mediators of mourning. Conclusion: grieving men express internalized and externalized continuing bonds frequently and occasionally, respectively, with differences according to who the deceased person was. The Nursing discipline might devise specific strategies that strengthen coping with grief in this population group.


Objetivo: examinar a manutenção de vínculos interna e externa em homens vivenciando o luto por um ser querido. Método: estudo correlacional, descritivo e de corte transversal. Amostra de conveniência de 170 homens em luto. As variáveis foram: mediadores do luto, manutenção de vínculos e dados sociodemográficos. Utilizou-se um questionário online composto por mediadores de luto, escala de manutenção de vínculos e dados sociodemográficos. Empregou-se estatística descritiva, análise de variância e coeficiente de Spearman. Nível de significância p<0,05. Resultados: os participantes tinham uma média de idade de 36,61 anos (DP=13,40) e 80,00% tinham ensino superior. A média de manutenção interna dos vínculos foi de 24,85 (DP=7,93) e a de manutenção externa foi de 7,68 (DP=2,33). Foram estabelecidas diferenças significativas para a manutenção dos vínculos internos e externos entre os parentes do falecido (p<0,001), nenhuma com a causa da morte ou o tempo decorrido desde a morte. Não foram encontradas correlações significativas entre a manutenção dos vínculos internos e externos e os mediadores do luto. Conclusão: os homens em luto expressaram a manutenção interna dos vínculos com frequência e a manutenção externa dos vínculos ocasionalmente, com diferenças a respeito de quem era a pessoa falecida. A enfermagem poderia criar estratégias específicas para fortalecer o enfrentamento do luto nesse grupo.


Assuntos
Humanos , Masculino , Adulto , Luto , Adaptação Psicológica , Pesar , Estudos Transversais , Apego ao Objeto
9.
Psychoanal Q ; 92(3): 435-461, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38032765

RESUMO

This paper examines two major issues related to the concept of identity. The first of these concerns the place of this concept in psychoanalytic theory and practice, particularly taking note of its limited presence in the psychoanalytic literature of the British School of psychoanalysis. My argument is that the concept and phenomena of identification has been preferred to that of identity in the discourse of British Object Relations and considers why that might be the case. The second issue concerns the salience of the concept of identity in contemporary political and cultural debate, as this has come to denote differences of a socially-constructed kind such as those of race, gender, ethnicity, and religion. In this context, the idea of identity has become an important point of reference in much recent psychoanalytic thinking. The significance of this development will be considered in its relevance for psychoanalytic and wider social practices.


Assuntos
Apego ao Objeto , Teoria Psicanalítica , Humanos , Identidade de Gênero , Religião , Etnicidade
10.
Psychoanal Q ; 92(3): 499-514, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37972341

RESUMO

Karl Abraham, one of Melanie Klein's analysts, undoubtedly influenced Klein in her clinical and theoretical thinking. Abraham was arguably the first analyst to focus on character, as well as the relationship between bodily experience and object relationships-central to the concept of projective identification. His writing on mourning (like Klein's, intensely personal) described identificatory processes with the lost object. In a lesser known essay, Abraham applied some of these ideas to the Jewish Day of Atonement, Yom Kippur. Through examination of this lesser known paper, this article describes how Abraham initiated ideas around the concept of projective identification, and then extends Abraham's early ideas to a more contemporary understanding of the concept. This extension represents a contemporary elaboration of a psychoanalytic contribution to a study of ritual, which was of great interest to many early psychoanalysts-among them, Abraham.


Assuntos
Projeção , Psicanálise , Humanos , Feminino , Apego ao Objeto , Pesar , Redação , Teoria Psicanalítica
11.
BMC Psychol ; 11(1): 396, 2023 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-37974255

RESUMO

INTRODUCTION: This study aimed to evaluate the relationship between the mother's attachment style and parenting style and mother-infant bonding in the first pregnancy considering the mediating role of mentalization and shame. METHODS: This was a descriptive-correlational study. The sample population included the women who had gone through their first pregnancy and were referred to the health centers in Neyshabur, Iran in 2022. In total, 330 women were selected by convenience sampling. To collect data, we used a demographic questionnaire, the Attachment Style Questionnaire, the Parenting Style Questionnaire, the Mother-Infant Bonding Scale, the Reflective Functioning Questionnaire, and the Guilt and Shame Proneness Scale. Data analysis was conducted using descriptive indices, correlation coefficients, and pass analysis. RESULTS: Overall, the findings showed that the studied model adequately fits the data. Further, the obtained results confirmed the mediating role of mentalization and shame in the relationship between the mother's attachment style and parenting style and mother-infant bonding. A significant correlation was also observed between attachment styles, parenting styles, and mother-infant bonding (p < 0.01). CONCLUSION: Mother-infant bonding is correlated with the mother's attachment style/parenting style, shame, and mentalization. Thus, we can help vulnerable mothers by improving the quality of psychological care before the first pregnancy or during pregnancy.


Assuntos
Mentalização , Mães , Gravidez , Feminino , Humanos , Lactente , Mães/psicologia , Relações Mãe-Filho/psicologia , Poder Familiar/psicologia , Vergonha , Apego ao Objeto , Modelos Estruturais
12.
Attach Hum Dev ; 25(5): 461-486, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37791805

RESUMO

Although there is a consensus that harsh, hostile, abusive discipline has uniformly adverse effects on children, scholars continue to debate implications of varying degrees of power assertion commonly used by most parents in daily interactions with young children. Attachment theory can inform this debate, as early attachment organization can serve as a catalyst, or moderator, of future socialization trajectories. Specifically, insecure attachment can amplify, whereas secure attachment can attenuate, detrimental effects of parental power-assertive control. In two community studies of mothers, fathers, and infants, Family Study (FS, N = 102), and Children and Parents Study (CAPS, N = 200), we assessed attachment security in infancy, parental power-assertive control at 4.5 years in FS and at 16 months in CAPS, and child positive orientation to the parent at 10 years in FS and at 3 years in CAPS. In both studies, fathers' power-assertive control undermined children's positive orientation toward the fathers, but only for children with less secure attachment histories in infancy (Attachment Q-Set in FS and Strange Situation Paradigm in CAPS), and not for those with more secure histories. The findings highlight indirect yet powerful, long-term effects of the early parent-child security, and suggest distinct processes in mother- and father-child dyads.


Assuntos
Apego ao Objeto , Relações Pais-Filho , Lactente , Feminino , Humanos , Pré-Escolar , Mães , Pais , Estudos Longitudinais
13.
Midwifery ; 127: 103842, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37871420

RESUMO

BACKGROUND: The prenatal period is a proper chance for evaluating maternal-fetal attachment. AIM: To determine the relationship between quality of prenatal care and maternal-fetal attachment among primigravida mothers during late pregnancy period. METHODS: The study conducted a survey using a 46-item Quality of Prenatal Care Questionnaire and 24-item Maternal-Fetal Attachment Scale among 343 primigravida mothers in village health stations. Pearson correlation was used to correlate maternal-fetal attachment scores and quality of prenatal scores. Linear regression was used to determine relationships between variables. RESULTS: Maternal-fetal attachment scores is correlated with: age ≤19 years (4.10 [95 % CI 1.81-6.39]), companion during visits (2.76 [95 % CI 0.34-5.18]), education (3.45 [95 % CI 0.93-5.97]). On multivariate analysis, the following were significantly associated with maternal-fetal attachment scores: information sharing (8.67 [95 % CI 4.74 - 12.60]), sufficient time (-2.34 [95 % CI -3.45 - -1.24]), support and respect (8.49 [95 % CI 4.54 - 12.45]), maternal age < 19 years (-3.78 [-5.81 to -1.75]), and unmarried (2.55 [95 % CI 0.70 - 4.41]). CONCLUSION: The quality of prenatal care is correlated significantly with maternal-fetal attachment. Women valued the care given when it was individualized and the health workers were approachable in their ways and addressed their own particular needs. Combination of prenatal education and counselling tailored to address own particular emotional and social concerns of pregnant mothers are interventions that should be integrated in maternal care services.


Assuntos
Mães , Cuidado Pré-Natal , Gravidez , Feminino , Humanos , Adulto Jovem , Adulto , Estudos Transversais , Filipinas , Mães/psicologia , Idade Materna , Apego ao Objeto
14.
Infant Ment Health J ; 44(6): 857-868, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37872701

RESUMO

The infant health movement was launched nearly 50 years ago with the publication of the now classic paper, Ghosts in the Nursery: A psychoanalytic approach to the problems of impaired infant-mother relationships, written by Selma Fraiberg, Edna Adelson, and Vivian Shapiro (1975). This paper offers us lessons for infant mental health practice that have been proven true time and again over the last 50 years. These lessons both underscore the factors essential to clinical progress across a range of interventions, and remind us of the significant challenges we face in these times of massive, global trauma and oppression, extreme economic hardship, and systemic racism. This commentary reviews the key lessons of Fraiberg and her colleagues' classic paper, addresses some of the challenges inherent in retaining the breadth and substance of Fraiberg's model in contemporary practice, and proposes a model for conceptualizing infant and early childhood mental health practice that is geared toward building the relational foundations of reflection (Slade, 2023).


Hace casi cincuenta años que el movimiento de salud infantil se inició con la publicación del ahora clásico ensayo Fantasmas en la guardería: Un acercamiento sicoanalítico a los problemas de relaciones infante-madre deterioradas, escrito por Selma Fraiberg, Edna Adelson y Vivian Shapiro (1975). Fantasmas en la guardería nos ofrece lecciones para la práctica de la salud mental infantil cuya validez ha sido demostrada una y otra vez a lo largo de los últimos 50 años. Estas lecciones enfatizan los factores que son esenciales para el progreso clínico a lo largo de una gama de intervenciones. Ellos también nos recuerdan los retos significativos que enfrentamos en estos tiempos de trauma y opresión global masivas, adversidades económicas extremas y racismo sistémico. Este comentario revisa las lecciones claves del clásico ensayo de Freiberg y sus colegas, se ocupa de algunos de los desafíos inherentes para mantener la amplitud y sustancia del modelo de Freiberg en la práctica contemporánea y propone un modelo para la conceptualización de la práctica de salud mental infantil y la temprana niñez, el cual está dirigido a establecer los cimientos de la reflexión con base en la relación (Slade, 2023) en la práctica clínica.


Le mouvement de la santé du nourrisson a été lancé il y a cinquante ans avec la publication d'un article désormais classique intitulé Fantômes dans la chambre d'enfants: Une approche psychanalytique des problèmes des relations enfants-mères déficientes, écrit par Selma Fraibert, Edna Adelson et Vivian Shapiro (1975). Fantômes dans la chambre d'enfants nous offre des leçons pour la pratique de santé mentale du nourrisson qui se sont avérées vraies au fil des 50 dernières années. Ces leçons soulignent les facteurs essentiels au progrès clinique au travers d'une gamme d'interventions. Elles nous rappellent également les défis importants auxquels nous faisons face à cette époque de trauma et d'oppression massive globale, de difficultés économiques extrêmes et de racisme systémique. Ce commentaire passe en revue les leçons clés de l'article classique de Fraibert et ses collègues, en adressant certains des défis inhérents à la nécessité de retenir l'ampleur et la substance du modèle de Fraiberg dans la pratique contemporaine et en proposant un modèle pour la conceptualisation de la pratique de santé mentale du nourrisson et de la petite enfance qui soit axé sur la construction de fondations relationnelles sur la réflexion (Slade 2023) dans la pratique Clinique.


Assuntos
Transtornos Mentais , Psicanálise , Lactente , Feminino , Humanos , Pré-Escolar , Mães/psicologia , Saúde Mental , Apego ao Objeto
15.
BMC Psychol ; 11(1): 356, 2023 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-37880762

RESUMO

BACKGROUND: Breadcrumbing, defined as the act of sending out flirtatious, but non-committal text messages to lure a sexual/romantic partner without expending much effort, has gained attention in popular culture and the media due to its relevance to contemporary dating dynamics. However, there is lack of evidence of the association between attachment insecurity and breadcrumbing This study aims to uncover the potential relationship between breadcrumbing engagement and attachment insecurity among Indian and Spanish young adults. METHODS: Data were collected through an anonymous online survey answered by 334 adults in India and by 348 adults in Spain aged between 18 and 40 years old. A linear regression model in both countries was run to examine breadcrumbing engagement and its relationship with the set of sociodemographic variables included in the study (participants' age and sex, sexual orientation, relationship status and educational level) and the two dimensions of attachment insecurity (anxious and avoidant). RESULTS: The results showed that insecure attachment, both anxious and avoidant, were associated with engaging in breadcrumbing in both the countries. However, there was a stronger association between anxious attachment and breadcrumbing in India compared to Spain, where the association was stronger between avoidant attachment and breadcrumbing. CONCLUSIONS: Findings from this study offer insight into an under-studied practice in the context of interpersonal relationships (i.e., breadcrumbing behaviour) and show the importance of attachment theoretical framework to hypothesize and analyse expectations regarding strategies to negotiate intimate relationships and the breadcrumbing experience particularly.


Assuntos
Ansiedade , Relações Interpessoais , Humanos , Masculino , Feminino , Adulto Jovem , Adolescente , Adulto , Espanha , Estudos Transversais , Inquéritos e Questionários , Apego ao Objeto
16.
Attach Hum Dev ; 25(5): 544-565, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37815537

RESUMO

Sensitivity in parent-child interaction is essential for child development. Since fathers are increasingly involved in childrearing, identifying factors leading to paternal sensitivity is crucial. We examined the relation between attachment representation and reflective functioning (RF) as factors influencing paternal sensitivity in a longitudinal study including N = 40 first-time fathers (Mage = 33) and their 6-month-old children. We used the Adult Attachment Interview during pregnancy to assess paternal attachment representation and general RF, the Parental Development Interview to assess fathers' parental RF, and the Emotional Availability Scale to measure sensitivity at child's age of 6 month. Data show that secure paternal attachment representation, high general and parental RF are associated with higher levels of paternal sensitivity. Further, parental RF mediates the association between attachment representation and paternal sensitivity. These findings contribute to the identification of a causal interplay in that they suggest an explanatory effect of RF on the association between fathers' attachment representation, and sensitivity.


Assuntos
Mentalização , Poder Familiar , Masculino , Adulto , Humanos , Lactente , Poder Familiar/psicologia , Estudos Longitudinais , Apego ao Objeto , Pai/psicologia , Relações Pai-Filho
17.
Eat Weight Disord ; 28(1): 82, 2023 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-37816948

RESUMO

PURPOSE: We wanted to evaluate the impact of a relational focus in the treatment of adolescent ED-patients and their parents at an intensive outpatient ward, based on attachment theory, combined with a family approach and psychodynamic principles. Our aim was to investigate the distribution of different attachment styles among the adolescent ED-patients and their parents, and to find out if they could change by the treatment. METHODS: Swedish adolescents (n = 33; 3 boys, 30 girls) and their parents (n = 60; 34 mothers, 26 fathers) participated. MEASURES: Attachment Style Questionnaire (ASQ), Body Mass Index (BMI) and Children's Global Assessment Scale (CGAS) before and after treatment. RESULTS: The adolescents were high on Need for Approval (ASQ4) of the Insecure/Anxious scale before treatment (in contrast to the parents). The patients had a significant decrease in ASQ4 after treatment, which correlated inversely to the increase in BMI but not to CGAS. The mothers showed features of the Secure/Confident style, fathers of the Insecure/Avoidant with elevated Relationships as Secondary (ASQ2). CONCLUSIONS: Treatment with a relational and a family focus has impact on attachment insecurity in adolescent ED-patients and outcomes in terms of BMI. It is important to engage the parents, who need to help the adolescents to separate at that developmental stage. A secure therapeutic context, which enables mentalizations and allows new relational experiences, is essential. The ASQ-instrument is useful in indicating how the treatment of ED-adolescents is proceeding. LEVEL OF EVIDENCE: Level IV: evidence obtained from multiple time series with the intervention.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos , Apego ao Objeto , Relações Pais-Filho , Poder Familiar , Aumento de Peso , Adolescente , Feminino , Humanos , Masculino , Mães/psicologia , Pacientes Ambulatoriais/psicologia , Pais/psicologia , Suécia , Pai/psicologia , Poder Familiar/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia
18.
Rev Lat Am Enfermagem ; 31: e4010, 2023.
Artigo em Espanhol, Inglês, Português | MEDLINE | ID: mdl-37820217

RESUMO

OBJECTIVE: to examine internalized and externalized continuing bonds in men grieving a loved one. METHOD: a correlational, descriptive and cross-sectional study. Convenience sample comprised by 170 mourning men. The variables were mediators of mourning, continuing bonds and sociodemographic data. The instrument used was an online questionnaire comprised by mediators of mourning, a continuing bonds scale and sociodemographic data. Descriptive statistics, analysis of variance and Spearman's coefficient were used. The significance level adopted was p<0.05. RESULTS: the participants' mean age was 36.61 years old (SD=13.40), and 80.00% had Higher Education. The mean values corresponding to internalized and externalized continuing bonds were 24.85 (SD=7.93) and 7.68 (SD=2.33), respectively. Significant differences were established referring to internalized and externalized continuing bonds in terms of kinship with the deceased person (p<0.001), and none with the cause of death or with the time elapsed since the event. No significant correlations were defined between internalized/externalized continuing bonds and mediators of mourning. CONCLUSION: grieving men express internalized and externalized continuing bonds frequently and occasionally, respectively, with differences according to who the deceased person was. The Nursing discipline might devise specific strategies that strengthen coping with grief in this population group. (1) It was usual to continue the bond with the deceased loved one. (2) The expression of internalized continuing bonds was frequent after the death. (3) When facing the loss, there was occasional expression of externalized continuing bonds. (4) There were differences in internalized and externalized continuing bonds according to kinship. (5) There were no associations between continuing bonds and mediators of mourning.


Assuntos
Luto , Apego ao Objeto , Masculino , Humanos , Adulto , Estudos Transversais , Pesar , Adaptação Psicológica
19.
J Pers Disord ; 37(5): 580-603, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37903024

RESUMO

Trust is central to successful therapeutic work with adolescents, but establishing trust can be challenging, especially with adolescents with personality disorders. We present our understanding of trust in working with adolescents with and without personality disorders. We draw on complementary and overlapping perspectives, namely the attachment model, Kernberg's object relations model, and Fonagy's mentalization model. In Kernberg's object relations conceptualization, difficulties in trust experienced by patients with borderline personality disorders result from paranoia associated with splitting and identity diffusion. In Fonagy's mentalization model, epistemic trust is rooted in early experiences of being responded to and understood. We outline how techniques used in transference-focused psychotherapy for adolescents promote the development of the adolescent's capacity to trust by facilitating identity integration, thus reducing paranoia. Finally, we use two clinical case illustrations to demonstrate how trust unfolds in working with adolescents with and without personality disorders.


Assuntos
Transtorno da Personalidade Borderline , Confiança , Humanos , Adolescente , Transtornos da Personalidade/terapia , Psicoterapia/métodos , Transtorno da Personalidade Borderline/terapia , Apego ao Objeto
20.
BMC Psychol ; 11(1): 359, 2023 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-37891637

RESUMO

AIMS: This study aimed to evaluate the correlation between parental attachment, resilience, postpartum traumatic stress disorder (PTSD), and maternal-infant bonding at 1 to 3 months postpartum. The mediation effect of resilience and PTSD on the postpartum parental attachment and maternal-infant bond was also evaluated. DESIGN: A cross-sectional research design was used. METHODS: A total of 400 postpartum women examined at a tertiary hospital in Wuhan from January 2021 to June 2021 were enrolled in the study. At about 1 to 3 months after giving birth, the women were asked to complete the Postpartum Bonding Questionnaire (PBQ), Connor-Davidson Resilience scale(CD-RISC), PTSD CheckList-Civilian version (PCL-C), and the Parental Bonding Instrument (PBI). The data were summarized using descriptive statistics. Mediation analyse and the Spearman correlation (r) were used to correlate the resilience and PTSD questionnaire scores. RESULTS: The care attachment dimension was significantly associated with resilience (r = 0.24, p < 0.01), PTSD (r = - 0.27, p < 0.01), and maternal-infant bonding (r = 0.10, p < 0.01), and the overprotection attachment dimension was significantly associated with resilience (r = - 0.11, p < 0.01), PTSD (r = 0.33, p < 0.01), and maternal-infant bonding (r = 0.16, p < 0.01). Resilience and PTSD can mediate the relationship between attachment and maternal-infant bonding. CONCLUSION: Parental attachment, resilience, and PTSD significantly affect maternal-infant bonding at 1 to 3 months postpartum. IMPACT: This study demonstrated that new interventions aimed at addressing PTSD symptoms and improving resilience might increase parental attachment and maternal-infant bonding after birth. However, further research is required to evaluate the success of these interventions.


Assuntos
Transtornos de Estresse Pós-Traumáticos , Transtornos de Estresse Traumático , Gravidez , Feminino , Humanos , Lactente , Relações Mãe-Filho , Estudos Transversais , Período Pós-Parto , Mães , Pais , Apego ao Objeto
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