By April E. Fallon, Virginia Brabender
The passage into and during being pregnant and new parenthood is person who impacts all points of a therapist's existence, together with paintings with sufferers. It offers certain healing demanding situations, in addition to distinctive healing possibilities. Drawing at the scattered literature, interviews with those who were within the roles of therapists and expectant mom and dad at the same time, and their very own wealthy reviews, the authors contemplate therapists' mental lives ahead of start (or adoption) and look at either therapist and sufferer reactions to the truth of a coming baby. regardless of the therapist's theoretical orientation, the patient-therapist courting undergoes alterations, and therapists are confronted with a couple of vital judgements no longer in most cases addressed within the psychotherapy literature, similar to no matter if and whilst to notify the sufferer of what's expected. The authors supply functional recommendation that permits therapists to continue via a legitimate medical decision-making approach and talk about the ways that the adjustments will be harnessed within the carrier of remedy targets. a number of modalities are covered--including person, team, relatives, and therapy--which may be understood from a number of theoretical views. the desires of sufferers in numerous diagnostic different types at diverse developmental levels are addressed and the connection among therapist and perform environment is tested. all through, the authors remove darkness from their issues with shiny real-life case vignettes. the problem of imminent parenthood arises for female and male practitioners, adopters and organic mom and dad, and their supervisors. All these dealing with it is going to locate this ebook crucial examining as they search to spot and quell their anxieties and enhance their scientific acumen and effectiveness.
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Additional info for Awaiting the therapist's Baby: A Guide for Expectant Parent-practitioners (A Volume in the Personality and Clinical Psychology Series)
Consider the following example: Vignette 5 The week after the therapist announced her pregnancy in a family therapy session, the teen-age daughter confessed that she had had unprotected sex and was terrified that she might be pregnant. The family occupied itself with this situation for several weeks. The therapist noticed that no mention was made of her pregnancy and she felt inhibited in making an inquiry about their reactions out of a concern that she would appear self-centered. This example is consistent with the common observation of clinicians that the patient's discovery of the therapist's pregnancy frequently precipitates episodes of acting out.
It is also significant that when the therapist is present to assist the patient through these loss and identity formation experiences, the patient can learn that separation need not imply abandonment. Envy and Competition. The pregnancy of the therapist provides an opportunity par excellence for the evocation of envy within the treatment. The experience of intense envy within the treatment may be a somewhat unique experience for many patients: Because envy is such a disturbing response to many people, great defensive efforts are made to keep it out of consciousness.
Because of the mother's need to be the recipient of narcissistic supplies, the mother's engagement in maternal activities was extremely limited and her identity diffuse. Sherry's effort was always to scope out for herself some area on which her mother could not encroach. Within therapy, Sherry responded similarly by establishing a clear differentiation between herself and the therapist as the therapist's role as mother was underscored by the pregnancy. In this case, Sherry was not able to experience envy until she had addressed her identificatory problems with her mother sufficiently to be able to establish an identification with the therapist as a woman.