Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

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6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza de l’Adolescence Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques SATURDAY, May 7 SYMPOSIUMS SYMPOSIUM 10 Perinatality. Prevention and treatment THE BUILDING UP OF INNER MATERNITY: A ROUGH PATH BETWEEN SOMATIC AND PSYCHIC BOUNDS Luigia Cresti, Isabella Lapi, Cristina Pratesi, Laura Mori Florentine Psychotherapy Psychoanalytic Association The present contribution illustrates some crucial points of the complex itinerary through which a woman can build up her “inner maternity”: this term indicates the process of a psychosomatic development of female identity and the working out of the representations of self and of the baby , elaborated by the woman during pregnancy and afterwards. A central aspect in this process is the creation of an "inner tri-dimensional space" ,an internal container for the “phantasy baby” ; these internal conditions will greatly influence the quality of the relationship with the real “external” baby after the birth. The theoretical concept of “inner maternity” is the outcome of a research carried out during the last ten years -within a group context of psychotherapists and psychoanalysts- through an extension of Esther Bick’s method of Infant Observation. The aim of our investigation was to explore the mental events that accompany the “projectbaby” in the woman’s phantasy (and at the same time in her body), and moreover analysing those processes of internal transformation involved in forming a “maternal atmosphere” and a new identity of the expectant mother. The observation has been in actual fact “extended” to the period of pregnancy, in a fascinating backward route towards the dawn of the mother-baby relationship. 470 Our observation was carried out in various contexts and places: 1) Preliminary home-visits with parents - to- be, before delivery, in “classic” Infant Observation. 2) Meetings with women during the antenatal classes in Public Health Services 3) Home visits since the beginning of pregnancy until after birth (the so-called Pre- Infant Observation) 4) In the ultrasound rooms or outpatient- clinics, observation and listening to the emotional responses of women during ultrasound examinations. 5) Sessions with pregnant patients in psychoanalytic or psychotherapic treatment. This model has also been applied to interventions of psychological/psychotherapeutic support in Peri-natal Unit(in Florence Public Health Service). We will present brief observation “flashes” , taken from our experiences in antenatal classes, in which the “normal ambivalence” existing in pregnancy can be clearly seen; further excerpts from a prolonged psychotherapy will differently illustrate the more hindered path towards “inner maternity”.
6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza de l’Adolescence Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques SATURDAY, May 7 SYMPOSIUMS SYMPOSIUM 10 Perinatality. Prevention and treatment PREVENTION OF PRETERM DELIVERY BY A PSYCHOTHERAPEUTIC INTERVENTION IN WOMEN WITH PRETERM LABOR Qayoom Boulvain Zarina, Le Scouëzec L, Palacio-Espasa Francisco, Ansermet Francois, Boulvain Michel Gynecology and Obstetric Department; Child and Adolescent Psychiatry Division of the University Hospitals of Geneva (Geneva - CH) Background: Prematurity is the leading cause of neonatal mortality and morbidity, including neurodevelopmental and psychological. Despite advances in obstetrical care, the rate of preterm delivery (6-11%) has not decreased over the past 40 years. Preterm delivery is the final outcome of several adverse conditions, including obstetrical, socioeconomic and psychological factors. A “before and after” controlled study showed that women treated with a psychological intervention had a reduced risk of preterm delivery (12.3%), compared to 25.7% with the usual treatment. Objectives: The aim of our randomized controlled trial is to demonstrate that a brief psychotherapy in pregnant women, focused on conflict of parenthood reduces preterm delivery (
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Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

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