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母婴精神分析治疗中母亲的经历——一项质性研究

MOTHERS' EXPERIENCES OF MOTHER-INFANT PSYCHOANALYTIC TREATMENT-A QUALITATIVE STUDY.

作者信息

Winberg Salomonsson Majlis, Barimani Mia

机构信息

Karolinska Institutet.

出版信息

Infant Ment Health J. 2017 Jul;38(4):486-498. doi: 10.1002/imhj.21649. Epub 2017 Jun 28.

DOI:10.1002/imhj.21649
PMID:28658562
Abstract

As part of a larger research project in Sweden, a qualitative study investigated mother-infant psychoanalysis (MIP). Earlier, a randomized controlled trial compared two mother-infant groups. One received MIP, and the other received standard child health center care. Previous articles have reported long-term effects: MIP-group mothers were less depressed throughout a 3-year posttreatment period, and their children demonstrated better global functioning and psychological well-being (Winberg Salomonsson, Sorjonen, & Salomonsson, ). The present study's objectives were to describe the mothers' experiences of MIP and deepen the understanding of the MIP process. Six months after treatment started, all mothers were interviewed. Transcribed interviews of 10 (of 33) MIP-group participants were randomly selected and analyzed in detail. Thematic analysis was used on the interview data. Two main themes emerged: (a) transition to motherhood and (b) relationships with the infant and family. MIP facilitated mother-infant relationship development and familial relationship development and clarified mothers' views of how their personal histories were connected with their motherhood experiences. Mothers reported that the analysts had succeeded in balancing the mothers' own needs and those of the infant. Their accounts of therapy matched the published descriptions of MIP.

摘要

作为瑞典一个更大研究项目的一部分,一项定性研究对母婴精神分析(MIP)进行了调查。早些时候,一项随机对照试验比较了两个母婴组。一组接受母婴精神分析,另一组接受标准的儿童健康中心护理。此前的文章报道了长期效果:母婴精神分析组的母亲在治疗后的3年期间抑郁程度较低,她们的孩子表现出更好的整体功能和心理健康状况(温伯格·萨洛蒙松、索乔宁和萨洛蒙松, )。本研究的目的是描述母亲对母婴精神分析的体验,并加深对母婴精神分析过程的理解。治疗开始6个月后,对所有母亲进行了访谈。从33名母婴精神分析组参与者中随机选取了10名的访谈记录进行详细分析。对访谈数据采用了主题分析法。出现了两个主要主题:(a)向母亲角色的转变和(b)与婴儿及家庭的关系。母婴精神分析促进了母婴关系和家庭关系的发展,并澄清了母亲们对其个人经历与母亲角色体验如何关联的看法。母亲们报告说,分析师成功地平衡了母亲自身的需求和婴儿的需求。她们对治疗的描述与已发表的母婴精神分析描述相符。

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