摘要:

AbstractThis paper describes a pregnancy and infant/parent program that was developed to provide comprehensive mental health services to families with children under 3 years of age. Because either the infant or parent can be the identified patient, we are able to treat families who define their problems in a variety of ways. The program has four basic premises: (1) the mental health of all family members should be addressed, (2) treatment of family members should be provided with minimum fragmentation of services, (3) the treatment plan must be individualized for each family, and (4) modes of therapy must be changed as the needs of the family change over time. This paper presents the rationale and techniques necessary for integrated services to families with children under 3 years of age. Two cases are presented: one with the infant as the identified patient, and one with the mother as the identified patient.

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<276::AID-IMHJ2280120402>3.0.CO;2-U

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY

摘要:

AbstractAdolescent mothers frequently experience problems in mother‐infant interaction. However, intervention can be very difficult, particularly when complicated by unresolved conflicts involving relationships in the young woman's past. This article describes a therapeutic intervention, based on the work of Fraiberg, which allows the young mother to learn to interpret her infant's cues while also encouraging her to express her own emotions in the context of the mother‐infant relationship. Two case studies are discussed to illustrate the use of the technique as part of a program of mother‐infant interve

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<291::AID-IMHJ2280120403>3.0.CO;2-3

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY

摘要:

AbstractFailure in homeostatic organization in the early years of life is purported to indicate an early disorder in relationships. We report a method of psychodynamic psychotherapy with parents and child that addresses these problems with an emphasis on enhancing the maternal function. The nodal point of treatment consists of the “negotiation” between the needs of the child and the adaptive capacity of the environment, and includes both aspects of the primary adaptive modes: that of the child's ability to organize increasingly complex modes of adaptation and that of the organizing quality of the maternal function. One case is reported in depth to illustrate the problem and our psychotherapeutic appro

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<302::AID-IMHJ2280120404>3.0.CO;2-3

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY

摘要:

AbstractMunchausen by Proxy Syndrome is a version of Munchausen's Syndrome whereby a parent, usually the mother, simulates or fabricates disease in one or more of her children in order to seek medical attention. Because this disorder is usually identified in pediatric settings, current literature focuses on identification of the syndrome, with little discussion of treatment issues or management strategies other than confrontation of the parent and removal of the child from the home. With the increased availability of infant mental health services, infant clinicians are likely to be called on to evaluate and treat cases of this disorder. This paper reviews the Munchausen by Proxy literature for infant clinicians and describes the identification and long‐term management of one Munchausen by Proxy case within the context of an infant home‐visiting service. Pertinent issues that emerged included the difficulties inherent in documenting the mother's pathological behavior, the clinical tension between preventing flight from treatment but limiting harmful behavior, the need for a long‐term collaborative relationship with a designated pediatrician, and the importance of further education of protective service workers about this syn

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<309::AID-IMHJ2280120405>3.0.CO;2-G

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY

摘要:

AbstractCognitive performance of 3‐year‐old, very low birth weight children (N= 42) was found to be more significantly related to the quality of parent‐child interaction than to early measures of cognitive performance or measures of developmental risk such as birth weight and APGAR. The subjects were randomly divided into an intervention and a control group. The intervention group was visited at home, infrequently, by a mediator who identified basic criteria of quality of parent‐child interaction and provided the parents with feedback on the quality of interaction with their own children. The intervention procedure continued for 7 months. The extent of a family's participation in the intervention varied depending upon the initial quality of parent‐child interaction and the amount of time it took a family to reach criteria. Quality of parent‐child interaction and children's cognitive performance were pretested and reassessed 3 years after the intervention. The sample was reduced to 29 due to attrition over time. Parental behavior following the intervention had changed significantly with respect to all criteria. Parents who had received intervention, as compared to the control group parents, provided their children with more behaviors related to focusing attention, exciting and rewarding, expanding children's understanding of the world around them, preplanning and regulating behavior. Three years after the relatively unintensive intervention, parents continued to show significant gains in quality of mediation. Differences were found between parents of Small for Gestational Age (SGA) and Appropriate for Gestational Age (AGA) children in favor of the SGA group. In children's cognitive performance, scores of the intervention group on the Peabody Picture Vocabulary Test (PPVT) were significantly higher than those of the control group. On other cognitive measures, a consistent trend in favor of the intervention group was noted. More children in the control as compared to the experimental group were rated by their parents as having difficulties with language, fine motor, and sociability skills 3 years after the i

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<321::AID-IMHJ2280120406>3.0.CO;2-Z

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY

摘要:

AbstractIt has been reported that 83%–87% of full‐term infants regularly sleep through the night (from midnight to 5 a.m.) by 6 months of age, but there is little information about the sleep patterns of premature infants. The purpose of the current study was to identify maternal perceptions of the sleep patterns of premature infants. Parents of 32 premature infants with birth weight below 1,750 gm and of 13 full‐term infants completed a 24‐hour sleep record in 30‐minute epochs for 1 week at 7 months of chronological (term) or corrected age (premature). Mean birth weight of premature infants was 1,278 ± 340 gm, with a gestational age of 30.4 ± 2.7 weeks. The daily total sleep time, longest sleep segment, frequency of sleep‐wake transitions, and percentage of night sleep (8 p.m.–8 a.m.), averaged from the 1‐week sleep record and number of night wakenings per week, were used as indicators of sleep patterns. The longest reported sleep segments of premature infants were significantly shorter than those of full‐term infants (8.2 ± 2 hours versus 9.6 ± 1 hour,p<0.01) and the number of night wakenings per week was significantly greater (3.13 ± 3 versus 0.54 ± 7,p<0.005). Total reported sleep time, percentage of night sleep, and sleep‐wake transitions did not differ significantly between premature and full‐term infants. However, analysis of feeding events revealed that premature infants received significantly more feedings between midnight and 5 a.m. (M = 0.31 + 3 versusM= 0.06 + 1,p<0.001). We conclude that sleep pattern diaries kept by parents indicate that premature infants have developed a diurnal sleep rhythm by 7 months corrected age, but they still have shorter sleep segments and they awaken more during

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<338::AID-IMHJ2280120407>3.0.CO;2-A

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY

摘要:

AbstractMaternal locus of control orientation and depression were examined in relation to joint negotiation and coordination of mother‐child play at 20 months. Subjects were 51 high‐social‐risk mothers and children. Mothers completed the I‐E Scale and the Beck Depression Inventory prenatally and at 20 months; mother‐child interaction was videotaped in a laboratory playroom at 20 months. Tapes were coded using the Control‐Autonomy Balance Scales to evaluate maternal control and sensitivity and child engagement and autonomy. Analyses of dyadic play behavior indicated that maternal controllingness was related to an external locus of control orientation. Child engagement during play was related to the resolution of mild maternal

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<347::AID-IMHJ2280120408>3.0.CO;2-9

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<361::AID-IMHJ2280120409>3.0.CO;2-M

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY

ISSN:0163-9641    

DOI:10.1002/1097-0355(199124)12:4<::AID-IMHJ2280120401>3.0.CO;2-A

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1991

数据来源: WILEY