Mutter-Kind-Behandlung bei postpartalen psychischen Erkrankungen

Trautmann‐Villalba, Patricia; Hornstein, C.

doi:10.1055/s-0031-1276916

Cited by 2 publications

(7 citation statements)

References 43 publications

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“…According to Brockington and Kumar, one concept of the maternal attachment disorder describes a tiered expression of indifference towards the child, from rejection, alienation and anger, to the point of rage and hatred 28 , 29 , 30 . If severe, disrupted maternal bonding is a risk factor for infanticide 31 .…”

Section: Effects Of Ppdmentioning

confidence: 99%

“…The psychotherapy is provided with a focus on the adjustment requirements occurring as a result of the birth of the child. Important objectives are protection and emotional stabilisation, identification of resources and stress reduction, examination of the mother-child relationship, transfer of developmental psychology knowledge, as well as the topic of adjustment to a triad relationship 28 . Psychodynamic concepts focus on specific unconscious conflicts or unprocessed traumas reactualised due to motherhood which contribute to the maintenance of the attachment disorder and which can be reproduced in the mother-child interaction 48 , 49 .…”

Section: Specific Treatment Taking the Attachment Disorder Into Accountmentioning

confidence: 99%

“…In addition to therapeutic work with the mother, the mother-child relationship is supported in various ways, such as with baby massage, special mother-child movement therapy or therapeutic support of the mother at play and in everyday situations. Video-aided sensitivity training with positive reinforcement of maternal behaviour is very helpful in postpartum affective and psychotic disorders and is a frequent component in the treatment of parents with children in an outpatient and also an inpatient therapy setting 28 , 50 . Observations to date show that joint mother-child treatment leads to an improvement in the mother-child relationship 44 and has a protective effect even after the end of therapy with regard to the mother-child relationship 28 .…”

Section: Specific Treatment Taking the Attachment Disorder Into Accountmentioning

confidence: 99%

“…Ein Konzept der mütterlichen Bindungsstörung beschreibt laut Brockington und Kumar eine gestufte Ausprägung von Gleichgültigkeit dem Kind gegenüber, über Ablehnung, Entfremdung und Ärger bis hin zu Wut und Hass 28 , 29 , 30 . Die gestörte mütterliche Bindung ist bei schwerer Ausprägung ein Risikofaktor für einen Infantizid 31 .…”

Section: Auswirkungen Auf Das Verhalten Der Mutterunclassified

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Postpartum Depressive Disorder – Psychosomatic Aspects

Schipper-Kochems

Fehm

Bizjak

et al. 2019

Geburtshilfe Frauenheilkd

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Postpartum depression (PPD) is the most common mental illness in mothers following the birth of a child. Since the symptoms of PPD are similar to the normal stress of healthy women following childbirth, it is often difficult for the attending gynaecologist or midwife to diagnose this illness in a timely manner and thus initiate adequate treatment and comprehensive support for the patient. Even if there are options for a screening using evaluated questionnaires and subsequent psychotherapy and/or drug therapy in the treatment of PPD which has proven effective, it is seen that, in most treatment approaches, little consideration is given to the affect-controlled interaction and the bonding behaviour between mother and child. This article presents diagnostic measures and current therapeutic approaches as well as their integration in practice in order to achieve awareness of this topic in everyday clinical practice and show the pathways of appropriate treatment. Specific multiprofessional treatment approaches which centre on the mother-child relationship demonstrate successes with regard to depression in the mothers and also on the development of a secure mother-child bond and are thus a protective factor in the development of the affected children. The now well-known effects of PPD on the fathers as well as the negative impacts of paternal depression on child development make it clear that the treatment should not focus solely on maternal depression, but also always on the family bond between the mother, child and father in the treatment.

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Section: Effects Of Ppdmentioning

confidence: 99%

Section: Specific Treatment Taking the Attachment Disorder Into Accountmentioning

confidence: 99%

Section: Specific Treatment Taking the Attachment Disorder Into Accountmentioning

confidence: 99%

Section: Auswirkungen Auf Das Verhalten Der Mutterunclassified

See 2 more Smart Citations

Postpartum Depressive Disorder – Psychosomatic Aspects

Schipper-Kochems

Fehm

Bizjak

et al. 2019

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

show abstract

“…Deren deutschsprachige Sektion (www.marce-gesellschaft.de) gründete sich im Jahr 2000. Heutzutage sind "Mother-Baby-Units" etabliert [9,10] und entsprechende standardisierte Behandlungskonzepte publiziert [11]. Allerdings besteht in Deutschland aufgrund der ungesicherten Finanzierung der Mehrkosten eine erhebliche Unterversorgung an stationären Mutter-Kind-Einheiten (MKE) [12], die aktuell weiter zunimmt [13].…”

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