Parenthood and Mental Health: A Bridge Between Infant and Adult Psychiatry

487 Pages·2010·1.87 MB·English

by  Sam Tyano

Parenthood and
Mental Health

Parenthood and
Mental Health
A Bridge between Infant and Adult Psychiatry
Sam Tyano
ProfessorEmeritusofChildandAdolescentPsychiatry,
TelAvivUniversity,SacklerSchoolofMedicine,Israel.
VicePresidentoftheInternationalAssociationofChildand
AdolescentPsychiatryandAlliedProfessions
Miri Keren
HeadoftheInfantPsychiatryProgram,TelAvivUniversity,SchoolofMedicine,Israel.DirectorofInfant
MentalHealthUnit,GehaMentalHealthCenter,PetachTikvah.PresidentElectoftheWorldAssociation
forInfantMentalHealth
Helen Herrman
ProfessorofPsychiatry,OrygenYouthHealthResearchCentre,TheUniversityofMelbourne.Director,
WorldHealthOrganizationCollaboratingCentreinMentalHealth,Melbourne.SecretaryforPublications,
WorldPsychiatricAssociation
John Cox
ProfessorEmeritus,UniversityofGloucestershire,UK.ImmediatePastSecretaryGeneral,World
PsychiatricAssociation
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Contents
Foreword xix
Listofcontributors xxi
I Introduction 1
I.1 Ahistoricaloverview:infants,parents,andparentingfromancient
timestonowadays 2
I.2 Definitionofsomemajorconcepts 4
I.3 Structureofthebook 6
I.4 References 7
SECTION 1 Parental Orientations
Normal processes
1 Mothers’andfathers’orientations:patternsofpregnancy,
parentingandthebondingprocess 9
JoanRaphael-Leff
1.1 Introduction 9
1.2 Pregnancyandthe‘placentalparadigm’ 11
1.3 Themodelofmaternalorientations 13
1.4 Mothering 14
1.5 Postnataldisturbances 16
1.6 Contagiousarousal 19
1.7 Paternalorientations 20
1.8 Conclusion 21
1.9 References 21
vi CONTENTS
2 Thecompetentfetus 23
SamTyanoandMiriKeren
2.1 Introduction 23
2.2 Continuityfromintrauterinelifetoinfancy 24
2.3 Thecompetentfetusanditsreceptivesensorialcapacities 25
2.4 Fetusesrememberandthereforecanlearn... 26
2.5 Fetusescanfeelpain 26
2.6 Fetalpsychology:anemergingdomain 27
2.7 Conclusion:thefetuscannolongerbethoughtasa‘witlesstadpole’ 28
2.8 References 28
Challenging pregnancies
3 Singleparenthood:itsimpactonparentingtheinfant 31
SamTyanoandMiriKeren
3.1 Introduction 31
3.2 Single-parentfamiliescomeinavarietyofprofiles 32
3.3 Singleparenthoodasriskfactorforparentalmentalhealth 32
3.4 Riskfactorsformentalhealthproblemsamongsinglemothers 33
3.5 Single-fatherfamiliesversussingle-motherfamilies 34
3.6 Singlecustodialparenthood 34
3.7 Psychologicalcharacteristicsofsinglemothersbychoice 35
3.8 Adouble-edgerisksituation:beingasingleparentofan
infantatrisk 35
3.9 Clinicalimplications 36
3.10 Summary 36
3.11 References 37
4 Surrogatemothers 39
OlgaB.A.vandenAkker
4.1 Introduction 39
4.2 Characteristics,motivationsandexperiences 43
4.3 Attachment,bondingandpregnancy 44
4.4 Relinquishingthebabyandthesocialcontext 47
4.5 Conclusion 48
4.6 References 48
At-risk pregnancies
5 Theimpactofstressinpregnancyonthefetus,theinfant,
andthechild 51
MiriKeren
5.1 Introduction 51
5.2 Datafromanimalstudies 52
CONTENTS vii
5.3 Humanstudiesoftheimpactofmaternalstressonoffspring 52
5.4 Discussion 55
5.5 Conclusion:implicationsforsocialhealthpolicy 56
5.6 References 57
6 Unintendedpregnancies 59
MyriamSzejer
6.1 Introduction 59
6.2 Theinsistenceofdesire 59
6.3 Abortion 63
6.4 Rape,incestanddenialsofpregnancy 63
6.5 Pregnancyandmentalillness 64
6.6 Conclusion 65
6.7 References 65
7 Clinicalchallengesofadolescentmotherhood 67
GeorgeM.Tarabulsy,AnnieBernier,SimonLarose,FanieRoy,
CarolineMoisanandClaireBaudry
7.1 Introduction 67
7.2 Earlychallengesfacedbyyoungmothers 69
7.3 Adolescentmother–infantinteractionandtheelaborationof
attachment 73
7.4 Interventionwithadolescentmothersandtheirinfants 74
7.5 Conclusion 76
7.6 References 77
8 Psychopathologicalstatesinthepregnantmother 79
CarolHenshawMDFRCPsychFHEA
8.1 Introduction 79
8.2 Generalguidelines 86
8.3 Conclusions 87
8.4 References 87
9 Whensomethinggoeswrongwiththefetus:rights,wrongsand
consequences 89
JulioArboleda-Flo´rez
9.1 Reproductionandthreatstotheunborn 89
9.2 Therightsofthefetusandofthenewborn 91
9.3 Parentalreactions 93
9.4 Thefateofpersonswithdevelopmentaldisabilities 94
9.5 Conclusions 97
9.6 References 98
viii CONTENTS
10 Multiplefetusespregnancyandothermedicalhigh-risk
pregnancies 99
MichelineGarel,EliseCharlemaineandSylvainMissonier
10.1 Medicalhigh-riskpregnancies:definition 99
10.2 Psychologicalaspectsofmultiplepregnancies 100
10.3 PregnancyandHIV,apublichealthproblem 103
10.4 Conclusion 107
10.5 References 107
Assessment of prenatal parenting
11 Prenatalself-reportquestionnaires,scalesand
interviews 109
MassimoAmmanitiandRenataTambelli
11.1 Introduction 109
11.2 Semi-structuredinterviews 110
11.3 Self-reportquestionnairesandscales 115
11.4 Inventories 117
11.5 Conclusion 118
11.6 References 119
12 Observationaltool:theprenatalLausanneTriloguePlay 121
ElisabethFivaz-Depeursinge,FranceFrascaroloandAntoinette
Corboz-Warnery
12.1 Introduction 121
12.2 TheLausanneTriloguePlayparadigm 122
12.3 TheprenatalLTP 123
12.4 Discussion 125
12.5 Conclusion 126
12.6 References 126
Treatment of abnormal states during pregnancy
13 Psychopharmacologicaltreatmentsduringpregnancy:
risksandbenefitsforthemotherand
herinfant 129
MartinSt-Andre´andBrigitteMartin
13.1 Introduction 129
13.2 Depressionandanxietyduringpregnancy 130
13.3 Bipolardisorder 137
13.4 Schizophrenia 143
13.5 Post-partumpsychosis 144
13.6 Conclusion 145
13.7 References 145