Cacciatore Joanne, Thieleman Kara
Joanne Cacciatore is an Associate Professor, School of Social Work, Arizona State University, Phoenix, AZ. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2019 Jan/Feb;44(1):6-12. doi: 10.1097/NMC.0000000000000486.
There are several ways, clinically, to approach grief after perinatal death, including from a humanistic or a medicalized perspective. The death of a baby is complicated. The loss is an embodied one that incites deep psychological wounds and can be isolating for many parents. Parents process their grief experiences within a sometimes oppressive social context that either sees their expressions of loss as a normal response to an abnormal tragedy or as pathology. Several diagnostic categories have been proposed relative to the traumatic grief experiences of grieving parents that potentially affect them. We explore this nomenclature and, through the lens of a Social-Cognitive Processing Model, examine social support, attitudes, context, and oppressive interpersonal and social structures that affect parents. Clinical implications are discussed.
在临床上，处理围产期死亡后的悲痛有几种方式，包括从人文主义或医学化的角度。婴儿的死亡是复杂的。这种损失是一种切实的损失，会引发深刻的心理创伤，对许多父母来说可能会感到孤立无援。父母在有时压抑的社会环境中处理他们的悲痛经历，这种社会环境要么将他们的损失表达视为对异常悲剧的正常反应，要么视为病态。针对悲伤父母可能受到影响的创伤性悲痛经历，已经提出了几个诊断类别。我们探讨这种命名法，并通过社会认知加工模型的视角，审视影响父母的社会支持、态度、背景以及压迫性的人际和社会结构。还将讨论其临床意义。
