Llairó Antònia, Gomà Marta, Nanzer Nathalie
Head of Clinical Psychology Centre, Bruc Salut S.C.P., Psychoanalyst SEP-IPA, Barcelona, Spain.
Head of Research Clinical Psychology Centre, Bruc Salut S.C.P., Barcelona, Spain.
Int J Psychoanal. 2023 Feb;104(1):46-68. doi: 10.1080/00207578.2022.2149404.
Maternal representations play a key role in intrapsychic conflicts relating to accession to parenthood and in the formation of the mother-baby bond. Around the birth of the child, the shadows of past objects are cast on the baby and the parent's self-image. Mother-baby psychoanalytic psychotherapy helps us to understand internal conflicts that tend to interfere with the mother's representations of her child or of herself as a mother, as well as aiming to reduce the risk of difficulties for the child. Through a clinical case, this article explores the development of maternal representations in a course of parenthood-centred psychotherapy that begins during pregnancy and ends 11 months after the baby's birth. The psychic change carried out by the mother frees the mother-baby bond from the projections of the past. Excerpts from clinical sessions illustrate mother-baby interactions during the session, the projection of the mother's internal objects on to the baby, and the elaboration and reintrojection of the mother's internal conflicts. Changes in the mother's representations were measured both qualitatively and quantitatively using the 'R' interview, which allows various dimensions of these representations to be measured on a Likert scale.
母亲意象在与为人父母相关的内心冲突以及母婴联结的形成中起着关键作用。在孩子出生前后，过去客体的影子投射在婴儿和父母的自我形象上。母婴精神分析心理治疗有助于我们理解那些往往会干扰母亲对其孩子或作为母亲的自己的意象的内心冲突，同时旨在降低孩子出现困难的风险。通过一个临床案例，本文探讨了以为人父母为中心的心理治疗过程中母亲意象的发展，该治疗从孕期开始，在婴儿出生11个月后结束。母亲所经历的心理变化使母婴联结摆脱了过去的投射。临床 session 的摘录展示了 session 期间的母婴互动、母亲内心客体向婴儿的投射，以及母亲内心冲突的阐述和重新内投。使用“R”访谈从定性和定量两方面测量母亲意象的变化，该访谈允许在李克特量表上测量这些意象的各个维度。
