Leichtentritt Ronit D, Mahat-Shamir Michal
1 Tel Aviv University, Tel Aviv, Israel.
2 Ariel University, Ariel, Israel.
Qual Health Res. 2017 Apr;27(5):665-676. doi: 10.1177/1049732315616626. Epub 2016 Jul 10.
The nature of the ongoing bond maintained by the bereaved with the deceased has attracted considerable attention, but studies have generally ignored postdeath relationships when loss occurs in utero. The goal of this research was to reach an interpretive understanding of the continuing bond experience among Israeli mothers who underwent feticide, examining the strategies they use in maintaining a postdeath relationship with a child they did not know, whose death they chose and witnessed, within a social context that ignores their loss and forces them to silence their grief. The results highlight two themes: (a) strategies for relinquishing connection with the baby and (b) strategies for maintaining a postdeath relationship. These processes partially correspond with two theoretical views that shed light on interpretation of the results: the dual process of coping with bereavement and relational dialectic theory. Implications of the results to the practice of health providers are outlined.
丧亲者与逝者之间持续维系的关系本质已引发了相当多的关注,但当子宫内的胎儿死亡时,研究通常会忽视产后关系。本研究的目的是对接受堕胎的以色列母亲们持续存在的联结体验达成一种解释性理解,审视她们在一个忽视其丧亲之痛并迫使她们压抑悲伤的社会背景下,与一个她们并不认识、其死亡是她们所选择并目睹的孩子维系产后关系时所采用的策略。研究结果凸显了两个主题:(a)与婴儿断绝联系的策略,以及(b)维系产后关系的策略。这些过程部分对应于两种理论观点,这两种观点为研究结果的解读提供了启示:应对丧亲之痛的双重过程和关系辩证法理论。文中概述了研究结果对医疗服务提供者实践的启示。