Vik Kari, Braten Stein
Sorlandet Hospital, Kristiansand, Norway.
University of Oslo, Norway.
Infant Ment Health J. 2009 May;30(3):287-300. doi: 10.1002/imhj.20215.
By sometimes evoking self-absorbed and avoidance behaviors in new mothers, postnatal depression affects the quality of mother-infant interaction, which in turn may invoke distress and avoidance in the infant and cause even more lasting impairment in the child's development. Three depressed mothers, A, B, and C, are reported upon after having been offered counseling in accordance with the Marte Meo approach through jointly watching with the therapist video replays of themselves interacting with their newborns. Clinical vignettes are offered which indicate how empathic and positive support of a sensitive therapist can be helpful in inviting the mother's recognition of her importance to her infant and facilitating mutually gratifying interaction between mother and child. Protocol analyses of select sessions of video-related therapy reveal that two of the mothers sometimes complete the therapist's unfinished statements in an other-centered manner, thereby transcending their initial self-centered state. This is most dramatic in the case of Mother A, who starts out in the first session almost incapable of speech, merely nodding or shaking her head. In addition to other indications of improved mother-infant interaction, comparison of pre- and postguidance windows regarding the three mothers' holding behaviors reveals a shift from an avoidance or anxious stance to closer and more secure holding.
产后抑郁有时会引发新妈妈的自我专注和回避行为，影响母婴互动质量，进而可能导致婴儿产生苦恼和回避行为，并对孩子的发育造成更持久的损害。本文报告了三位抑郁母亲A、B和C，她们在按照玛尔特·梅奥方法接受咨询后，与治疗师一起观看自己与新生儿互动的视频回放。文中提供的临床案例表明，敏感治疗师的共情和积极支持有助于让母亲认识到自己对婴儿的重要性，并促进母婴之间相互满足的互动。对视频相关治疗的部分 sessions 进行的协议分析显示，其中两位母亲有时会以他人为中心的方式完成治疗师未说完的话，从而超越了她们最初的自我中心状态。这在母亲A的案例中最为明显，她在第一 session 开始时几乎无法说话，只是点头或摇头。除了母婴互动改善的其他迹象外，对三位母亲抱持行为的指导前和指导后窗口进行比较，发现从回避或焦虑的姿势转变为更亲密、更安全的抱持。
