Pajulo Marjukka, Suchman Nancy, Kalland Mirjam, Mayes Linda
University of Tampere, Finland, and Yale University, Child Study Center.
Infant Ment Health J. 2006 Sep 1;27(5):448. doi: 10.1002/imhj.20100.
Substance abuse during early motherhood has become a significant problem and has led to accelerated efforts to develop specific treatment facilities for these mothers and children. Despite the often intensive treatment efforts in residential settings, there is surprisingly little evidence of their efficacy for enhancing the quality of caregiving. The situation of these mother-child pairs is exceptionally complex and multilevel, and has to be taken into account in the content and structuring of treatment. Intensive work in the "here and now" focusing on the mother-child relationship from pregnancy onwards in an effort to enhance maternal reflective capacity and mindedness is considered a key element for better treatment prognosis, in terms of both abstinence and quality of parenting. Pioneering work with such a focus is described in this article.
孕产早期的药物滥用已成为一个重大问题，促使人们加快努力为这些母亲和孩子开发专门的治疗机构。尽管在住院环境中通常会进行密集治疗，但令人惊讶的是，几乎没有证据表明这些治疗能有效提高育儿质量。这些母婴组合的情况极其复杂且涉及多个层面，在治疗内容和结构设计中必须予以考虑。从怀孕起就专注于母婴关系的“此时此地”的密集工作，旨在提高母亲的反思能力和心智化水平，这被认为是改善治疗预后的关键因素，无论是在戒除药物方面还是在养育质量方面。本文介绍了以此为重点的开创性工作。
