Kornaros Katarina, Zwedberg Sofia, Nissen Eva, Salomonsson Björn
Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen, 18 A, 171 77, Stockholm, Sweden.
Sophiahemmet University, Sweden.
Infant Ment Health J. 2020 Jan;41(1):108-125. doi: 10.1002/imhj.21828. Epub 2019 Oct 4.
A child's emotional and social development depends on the parents' provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents' experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists' technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.
儿童的情感和社交发展依赖于父母提供的最佳支持。许多患有围产期困扰的父母在为人父母方面存在困难，并向初级医疗保健机构的专业人员寻求帮助。斯德哥尔摩启动了一个临床项目，心理动力心理治疗师在儿童健康中心提供短期咨询。本研究定性地探索了父母在围产期困扰方面的经历，以及他们在该项目中接受护士和治疗师帮助的经历。对13位父母进行了访谈，并采用诠释学方法对他们的回答进行了分析。形成了三个主要主题：心理帮助的可及性和情感问题的发现；在儿童健康中心的治疗经历；以及治疗师的技巧。父母还被分为三种所谓的理想类型：不安全型；处于危机中的父母；以及有终身心理问题的父母。父母在获得初级医疗保健中的心理护理方面遇到了障碍。具有整体家庭视角且能在促进洞察力和支持性干预之间灵活转换的心理治疗师尤其受到赞赏。分别确定了从促进洞察力和支持中受益的患者类别。
