Almqvist Kjerstin, Broberg Anders G
Centre for Clinical Research, Centralsjukhuset, S-651 85 Karlstad, Sweden.
Attach Hum Dev. 2003 Dec;5(4):367-80; discussion 409-14. doi: 10.1080/14616730310001633447.
Three examples of young Kosovar children who were exposed to brutal violence together with their mothers are presented to illustrate how important it is to understand the impact of traumatic events on young children's development from the perspective of the parent-child relationship. The traumatized mothers' internal representations of self and self-being-together-with-child were damaged, and this in turn led to their care-giving system and internal representations of the children being negatively affected. No longer being able to see themselves as protective and loving parents, the mothers were unable to respond to their children with care-giving behaviour. The traumatized children's increased attachment behaviour and posttraumatic symptoms functioned as a trigger for posttraumatic symptoms in the mothers and contributed to a disengagement of the care-giving system. The on-going process disrupted the previous attachment pattern in mother-child interaction and a disorganized attachment pattern developed.
本文列举了三名科索沃幼儿及其母亲遭受残酷暴力的案例,以说明从亲子关系的角度理解创伤事件对幼儿发展的影响有多重要。受创伤母亲对自我以及与孩子在一起的内在表征受到了损害,进而导致她们的养育系统和对孩子的内在表征受到负面影响。母亲们不再能够将自己视为有保护能力且充满爱意的父母,因而无法以养育行为回应孩子。受创伤孩子依恋行为的增加和创伤后症状成为母亲创伤后症状的触发因素,并导致养育系统的脱离。持续的过程扰乱了之前母子互动中的依恋模式,形成了一种混乱的依恋模式。