Möhler E, Resch F
Abteilung für Kinder- und Jugendpsychiatrie der Universität Heidelberg.
Prax Kinderpsychol Kinderpsychiatr. 2000 Oct;49(8):550-62.
At the age of 9 weeks a girl was presented by her mother because of intolerable hysterical attacks' triggering maternal impulses of abuse. Maternal perception of her infant was distorted to the extent that the mother was reexperiencing encounters with her own intrusive and traumatizing mother in the face of her screaming child. She also perceived the infant's motor impulses as physical transgressions against herself and expressed intense anxieties about her daughter's future aggressive potential. The infant was viewed by her mother as extraordinarily and dangerously greedy. Even neutral infantile vocalizations were perceived as manipulating and sadistic. She tried to ward off these anxieties by employing a rigid scheme of rules and obsessively controlling the father's and grandmother's interaction with the child. The mother feared to be overwhelmed by the infant's needs if she'd yield to them in a flexible way. A background of early neglect and trauma experienced by the mother is illustrated considering recent literature about early intergenerational transmission of traumatic experiences in order to demonstrate treatment modalities in view of protective and risk factors.
9周大的女孩被母亲带来就诊，因为她令人无法忍受的歇斯底里发作引发了母亲的虐待冲动。母亲对自己婴儿的认知出现了扭曲，以至于在面对哭闹的孩子时，她重新体验到了与自己侵扰性且造成创伤的母亲相处的经历。她还将婴儿的动作冲动视为对自己的身体侵犯，并对女儿未来的攻击潜能表达了强烈的焦虑。母亲认为这个婴儿异常贪婪且极其危险。甚至婴儿中性的发声也被视为操纵性和虐待性的。她试图通过采用一套严格的规则体系并痴迷地控制父亲和祖母与孩子的互动来抵御这些焦虑。考虑到近期关于创伤经历早期代际传递的文献，阐述了母亲早年被忽视和经历创伤的背景，以说明鉴于保护因素和风险因素的治疗方式。
