1,720,993 research outputs found

    Il transfert

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    Il lavoro è focalizzato sul transfert, un fenomeno la cui complessità è al centro dell'interesse della disciplina psicoanalitica sin dai suoi primordi. Vengono ripercorsi i contributi classici sul tema, con le rispettive specificità che ne hanno segnato l'evoluzione, fino alle teorizzazioni più attuali, che vanno nella direzione di evidenziare soprattutto i punti di convergenza tra le diverse ipotesi, tanto da arrivare a considerare il transfert uno degli elementi unificanti tra le varie correnti psicoanalitiche

    Un'esperienza di ricerca-intervento nel Reparto di Terapia Intensiva Neonatale. L'incontro con i genitori

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    La gravidanza rappresenta una fase essenziale non solo per lo sviluppo fisico e biologico del feto ma anche per la costruzione progressiva del ruolo genitoriale. Una nascita prematura, pertanto, interrompe bruscamente tanto la gestazione fisica quanto quella psichica con possibili conseguenze sullo sviluppo del bambino e delle capacità di accudimento del genitore. Partendo da tali considerazioni abbiamo avviato il nostro progetto di ricerca, con l’obiettivo principale di fornire uno spazio di accoglimento e di ascolto ai genitori alle prese con il difficile compito di confrontarsi con la nascita pretermine del proprio figlio. Integrando diverse metodologie (strumenti strutturati, colloqui clinici, osservazione) è stato possibile analizzare la prematurità e le conseguenze che essa comporta da vari punti di vista, costruendo in questo modo un quadro composito che tenta di restituire la complessità di tale evento

    From the represented baby to the real one: The parents’ experience of childbirth

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    Childbirth is a special event for every woman: the way she experiences this particular moment may influence the mother's state of mind and the relationship with her partner and the newborn. A negative childbirth experience may result in emotional problems for the woman and consequently in a more difficult development of her "maternal identity" (Rubin, 1984; Fowles, 1994). Several authors suggest that a positive perception of their childbirth experience may help mothers to take better care of their children and to find their own well-being (Green, 1993; Schytt et al., 2007). In the last decades, studies regarding the emotional aspects of the childbirth experience have focused on fathers as well, especially on the deep emotions they experience at the birth of their first child (Venviläinen-Julkunen, Liukkonen, 1998). Our study, as part of a wider research concerning parenthood, explores the childbirth experience from both mothers' and fathers' perspective. For this purpose a specific instrument has been set up, the IEP (Interview about the Childbirth Experience; Candelori et al., 2005). It is a semi-structured interview, where parents are asked questions individually, between the 10th and the 15th day after childbirth. The focus is on three topics: the childbirth experience, the postpartum in the hospital, the returning home from the hospital. For each one of these topics two types of data were collected: descriptive information (type of delivery, length of the hospitalization, bottle or breast feeding,...) and information about emotions (reaction at the first encounter with the infant, moments of distress, closeness/distance of the partner...). IEP has been applied to 80 subjects: 40 mothers and 40 fathers at their first experience as parents. Collected data showed: how popular caesarean section is and what kind of effects it produces; the consequences, for mothers, of being close or distant to their child right after delivery; the relevant role of fathers in the childbirth experience; moreover several specific "at risk" cases were highlighted. According to other studies (Mayes, Leckman, 2007), useful comparisons have been realized between parents' memory of the childbirth experience and their mental representations explored during pregnancy and four months after childbirth

    Becoming mother, becoming father: Methodological and clinical aspects of a longitudinal project

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    A great number of studies on child development begins during pregnancy (Mayseless, 2006; Mayes, 2007; Von Klitzing, 1999, 2008). Our research explores parents' mental representations and problems connected to parenthood, to plan specific clinical interventions for parents and babies. This longitudinal study is part of a wider one, based on several different sessions, starting from the seventh month of pregnancy, until the baby is eighteen months. Thus far, more than 160 subjects (80 couples) were involved. Here we refer to a subsample of 80 parents, 40 mothers and 40 fathers, during their first parental experience. The instruments we used during pregnancy are reported as follows: - IRMAG/IRPAG (Interviews of Maternal and Paternal Representations During Pregnancy; Ammaniti, Candelori et al., vers. Ch), to explore mental representations of parents; - AAI (Adult Attachment Interview, George, Kaplan, Main, 1985), in order to assess the parental state of mind concerning attachment; - Socioanamnestic and Life-events Questionnaire, to evaluate cultural and family factors as well as relevant events in the parents' life; - Observation protocol, to describe the subject, the interview's setting, and the interviewer's personal impression about non-verbal aspects of the communication. On the other hand, these instruments were used after birth: - IEP (Interview about the experience of childbirth, Candelori et al., 2005) with the purpose of exploring the conditions of delivery and the emotional effects of birth; - IRMAN/IRPAN (Interviews of Maternal and Paternal Representations After the Birth; Ammaniti, Candelori et al., vers. Ch), to study possible changes in mental representations after first contacts with the real baby; Other instruments utilized: EPDS, SCL90-R, ISB (Child development interview), Strange Situation. Since the first interview with parents, we offered the opportunity of one or more clinical sessions, in case they were facing psychological problems or critical phases. Our work is still in progress, but most of the collected data has already been analyzed. IRMAG and IRPAG results show a prevalence of "integrated-balanced" representations, while only a small group of subjects were codified as "disengaged" or "ambivalent". These data were compared with the other instruments used. In the presentation of our work we will submit the research methodology, the main results and, in the closing section, we will offer some significant clinical examples
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