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早期母婴关系。哥本哈根针对母婴关系障碍的早期预防性干预模式。

Early mother-child relationship. The Copenhagen model of early preventive intervention towards mother-infant relationship disturbances.

作者信息

Lier L, Gammeltoft M, Knudsen I J

机构信息

Child Psychiatric Department, Bispebjerg Hospital Bispebjerg Bakke, Copenhagen, Denmark.

出版信息

Arctic Med Res. 1995;54 Suppl 1:15-23.

PMID:7639899
Abstract

The development of interactive patterns in the first year of life has been studied in healthy mother-infant pairs and in infants whose mothers have psychiatric or psychosocial problems, interfering with their relation to the child. During the first 3 months a relationship develops in healthy mother-infant pairs characterized by an intimate interchange of signals and responses between mother and child. The baby develops a basic pattern of social relating. During the next months the baby begins to expect the mother to fulfil it's wishes and still the mother adapts to and supports the baby's expanding capacities and needs. A beginning sense of self and not-self develops. At 10-12 months the infant is able to move around trying to examine everything within range. At this age the infant senses that there exist other wills and minds than it's own. The child looks at the mother and reads her expressions for "yes", "no", and "maybe". The mother can stop or encourage her child by verbal and body signals. At 12-18 months the child has developed a secure attachment apt to protect the child against later adversities. The development during the first year of life may be seriously disturbed if the mother cannot adapt to and support the baby's signals and needs. Relationship disturbances in the first year of life may be related to maternal or infant problems: Low birth weight babies, irritable babies with low stimulus tolerance and babies with withdrawal reactions following maternal alcoholism or drug abuse during pregnancy.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

研究人员对健康母婴对以及母亲患有精神疾病或存在心理社会问题、影响其与孩子关系的母婴对中婴儿出生第一年互动模式的发展情况进行了研究。在最初的3个月里,健康母婴对之间会形成一种关系,其特点是母婴之间亲密地相互传递信号和做出反应。婴儿形成了一种基本的社交模式。在接下来的几个月里,婴儿开始期望母亲满足其愿望,而母亲也会适应并支持婴儿不断增长的能力和需求。自我与非自我的初步意识开始发展。在10至12个月时,婴儿能够四处活动,试图检查其范围内的一切事物。在这个年龄段,婴儿感觉到除了自己的意志和想法之外,还存在其他的意志和想法。孩子看着母亲,解读她表示“是”“否”和“也许”的表情。母亲可以通过言语和身体信号来阻止或鼓励孩子。在12至18个月时,孩子形成了一种安全型依恋,有助于保护孩子抵御日后的逆境。如果母亲不能适应并支持婴儿的信号和需求,婴儿出生第一年的发育可能会受到严重干扰。出生第一年的关系紊乱可能与母亲或婴儿的问题有关:低体重儿、刺激耐受性低的易激惹婴儿以及母亲在孕期酗酒或滥用药物后出现退缩反应的婴儿。(摘要截选至250词)

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