Ensink Karin, Rousseau Marie-Eve, Biberdzic Marko, Bégin Michaël, Normandin Lina
Université Laval, Québec.
Infant Ment Health J. 2017 May;38(3):351-362. doi: 10.1002/imhj.21643. Epub 2017 Apr 20.
The aim of this study was to examine whether mothers who manifest insensitive and disconnected behaviors in interaction with their infants differ in terms of maternal reflective functioning (RF), personality organization, and histories of abuse. A total of 86 mother-infant dyads, 28 of them with histories of abuse, participated in the study. RF was assessed with the Adult Attachment Interview (C. George, N. Kaplan, & M. Main, 1985), and personality organization was assessed with the self-report Inventory of Personality Organization (M.F. Lenzenweger, J.F. Clarkin, O.F. Kernberg, & P.A. Foelsh, 2001; L. Normandin et al., 2002), before the birth of the baby. Maternal behaviors were assessed using the Disconnected and Extremely Insensitive Parenting measure when the infants were 15 to 18 months old. The results of multivariate analyses of covariance indicate that both RF and personality organization were associated with disconnected and extremely insensitive maternal behaviors. Mothers classified as presenting intrusive/aggressive behaviors had significantly lower RF as well as significantly more difficulties in personality organization, including reality testing, identity, and defense mechanisms. Withdrawn and disconnected maternal behaviors were associated with the combination of difficulties in mentalization and personality organization rather than difficulties in one specific area. In sum, the study provides new evidence regarding the importance of a mentalizing stance about early attachment relationships for the modulation of maternal behaviors, especially intrusive/aggressive behaviors.
本研究的目的是考察那些在与婴儿互动中表现出冷漠和疏离行为的母亲在母亲反思功能（RF）、人格结构以及虐待史方面是否存在差异。共有86对母婴参与了该研究，其中28对母亲有虐待史。在婴儿出生前，通过成人依恋访谈（C. 乔治、N. 卡普兰和M. 梅因，1985年）评估RF，并通过人格结构自陈量表（M.F. 伦曾韦格、J.F. 克拉金、O.F. 克恩伯格和P.A. 费尔什，2001年；L. 诺曼丁等人，2002年）评估人格结构。当婴儿15至18个月大时，使用冷漠和极度不敏感养育方式量表评估母亲的行为。协方差多元分析结果表明，RF和人格结构均与冷漠和极度不敏感的母亲行为相关。被归类为表现出侵入性/攻击性的母亲，其RF显著较低，并且在人格结构方面存在显著更多困难，包括现实检验、身份认同和防御机制。退缩和疏离的母亲行为与心理化和人格结构方面的困难组合相关，而非特定领域的困难。总之，该研究为早期依恋关系的心理化立场对于调节母亲行为，尤其是侵入性/攻击性的重要性提供了新的证据。
