Psychodynamic Therapies with Infants and Parents: A Critical Review of Treatment Methods

Salomonsson, Björn

doi:10.1521/pdps.2014.42.2.203

Cited by 7 publications

(2 citation statements)

References 48 publications

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“…The highly vulnerable group of infants at high psychosocial risk (paper III) are in need of early family treatment and support [97] and family therapy is a well-respected increasingly practiced form of therapy to support families at risk [133,193]. Ainsworth sensitivity score increased during the six-week daycare program and CCR development improved (both adjusted for age).…”

Section: Impact Of Attachment Program -Intervention Imentioning

confidence: 99%

Stress : Clinical and Developmental Aspects of Salivary Cortisol in Infants

Ivars¹

2016

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A functional stress-response system is essential for survival at birth, as well as for health and further development. Altered cortisol response and hypothalamic-pituitary-adrenal system function may have both short and long-term effects on health and development throughout life. Cortisol secretion follows a circadian rhythm in adults. Data in the literature concerning basal cortisol levels is scant, with divergent results regarding the timeframe for establishment of cortisol circadian rhythm in children. Nevertheless, cortisol is often studied in stress-related research concerning preterm infants, full-term infants, and infants at high psychosocial risk. This thesis aimed to investigate at what age cortisol circadian rhythm develops in healthy full-term infants, preterm infants, and infants at high psychosocial risk and to identify whether such development is dependent on gestational or postnatal age. A secondary aim was to investigate whether either behavioral regularity or daily life trauma are associated with establishment of cortisol circadian rhythm. The last two interventional studies explored whether a) parental participation in the Hagadal daycare attachment program in one study and b) oral administration of glucose during nasopharyngeal suctioning in the other study influenced development of salivary cortisol circadian rhythm and/or cortisol levels. The effects, if any, of the Hagadal daycare attachment program on caregiver sensitivity to infants were also investigated. The present thesis includes four original studies. Papers I, II, and III describes prospective, longitudinal studies extending over a year, including a survey of the cortisol levels and development of cortisol circadian rhythm in three infant groups. Paper III also included an intervention component addressing the possible effects of the Hagadal daycare attachment program. Paper IV describes a case-control study designed to generate paired baseline-response data concerning the effects of oral glucose administration during nasopharyngeal suctioning as an interventional procedure. Cortisol circadian rhythm in salivary cortisol secretion was similarly established at one month postnatal age in full-term infants and at one month corrected age in preterm infants, reflecting a process dependent on gestational age. This rhythm persisted throughout the first year of life in all infants and consolidated over time in healthy full-term and preterm infants, but not in infants at high psychosocial risk, who displayed higher variability in cortisol levels. The infants in paper IV had not yet reached one month of corrected age and therefore had not yet developed cortisol circadian rhythm at the time of the investigation. No correlation was found between development of cortisol circadian rhythm and either behavioral regularity or reported traumatic life events. This thesis presents data on salivary cortisol levels among three different groups of infants during the first year of life. Cortisol circadian rhythm among infants in study III evolved in respon...

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Section: Impact Of Attachment Program -Intervention Imentioning

confidence: 99%

Stress : Clinical and Developmental Aspects of Salivary Cortisol in Infants

Ivars¹

2016

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“…To increase the quality of infant mental health care, professionals working in primary contact with families or in psychotherapy need attention and training. Many books and papers have been written by parent–infant psychotherapists explicating their methods (for a review, see Salomonsson, , and https://en.wikipedia.org/wiki/Parent-infant_psychotherapy). In contrast, fewer studies have been devoted to developing a tool that is essential to train and develop nurses’ capacities to detect and handle emotional distress in families: group supervision.…”

Section: Introductionmentioning

confidence: 99%

Defensive patterns in reflective group supervisions at Child Health Centres

Salomonsson

2019

Infant Mental Health Journal

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Reflective group supervision with infant healthcare workers has been described in several publications. It aims to enhance their ability to help distressed families, and to comprehend and relieve themselves of the distress that they encounter in such work. The ultimate aim has been formulated as an effort at increasing the professional's reflective function. The present article adds to the literature by applying an ego‐psychological perspective on the group process and investigating defensive patterns in such supervisions. This approach includes a critical discussion of the place of the reflective function concept in psychoanalytic metapsychology. The article also suggests a Bionian perspective to account for skewed communicative patterns in groups, so‐called basic assumptions. Some technical recommendations are provided on the frame in group supervision. They aim to disarm such defenses and facilitate the group participants’ possibilities of understanding and thus helping their colleague's problematic relationship with the family. To illustrate the discussion, and to help readers form an image of the supervision process, brief detailed accounts of such work are submitted.

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A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents’ perspectives

Kornaros

Zwedberg

Nissen

et al. 2019

Infant Mental Health Journal

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A child's emotional and social development depends on the parents’ provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short‐term consultations at Child Health Centers. This study qualitatively explored parents’ experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists’ technique. Parents were also clustered into three so‐called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight‐promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.

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Psychodynamic Therapies with Infants and Parents: A Critical Review of Treatment Methods

Cited by 7 publications

References 48 publications

Stress : Clinical and Developmental Aspects of Salivary Cortisol in Infants

Stress : Clinical and Developmental Aspects of Salivary Cortisol in Infants

Defensive patterns in reflective group supervisions at Child Health Centres

A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents’ perspectives

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