The replacement of the fantasied oedipal child: A disruptive effect of sibling loss on the mother-infant relationship.

Abstract

The replacement child syndrome has been discussed from the vantage point of parents who have attempted to undo their loss through replacement phenomena, or from the vantage point of the effects of being a replacement child on the children themselves. This article discusses the replacement child syndrome from a previously unreported perspective: A case is presented in which a woman whose sibling had died during adolescence experienced her own child, almost two decades later, as a replacement for the lost sibling. This process was facilitated by the oedipal meaning of her sibling, as well as by the interference in her family's ability to mourn the death of the child. The case illustrates the manner in which these conflicts were activated during the patient's pregnancy, and how they subsequently interfered in the developing mother-infant relationship prior to intervention. The loss of a child through death is alwasy a traumatic event for parents. Not uncommonly, parents attempt to ameliorate their suffering through the conception of another child. The decision to do this may be fully conscious, it

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“…She deposits, transgenerationally transports (Kestenberg & Brenner, 1996;Kogan, 1995;Laub & Auerhahn, 1993), this image into the developing self-representation of her next-born child, usually born after the first child's death. The second child, the ''replacement child'' (Ainslie & Solyom, 1986;Cain & Cain, 1964;Green & Solnit, 1964;Legg & Sherick, 1976;Poznanski, 1972;Volkan & Ast, 1997), has no actual experience with the dead sibling or his or her image. The mother, who has an image of the dead child, treats the second one as the reservoir where the dead child can be kept ''alive.''…”

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“…When individuals experience the loss of an object, they tend to recreate the loss in their fantasies (Ainslie and Solyom 1986). Parents in this situation may choose to have another child to keep their mental image of the 407 Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry deceased children alive and help themselves in their grieving process.…”