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Cultural Processes in Psychotherapy for Perinatal Loss: Breaking the Cultural Taboo Against Perinatal Grief

机译：围产期损失心理治疗中的文化过程：打破围产期悲伤的文化禁忌

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摘要

This paper argues that there is a cultural taboo against the public recognition and expression of perinatal grief that hinders parents' ability to mourn and their psychological adjustment following a loss. It is proposed that this cultural taboo is recreated within the therapy relationship, as feelings of grief over a perinatal loss are minimized or avoided by the therapist and parent or patient. Importantly, it is suggested that if these cultural dynamics are recognized within the therapy relationship, then psychotherapy has the immense opportunity to break the taboo by validating the parent's loss as real and helping the parent to mourn within an empathic and affect-regulating relationship. Specifically, it is suggested that therapists break the cultural taboo against perinatal grief and help parents to mourn through: acknowledging and not pathologizing perinatal grief reactions, considering intrapsychic and cultural factors that impact a parent's response to loss, exploring cultural reenactments within the therapy relationship, empathizing with the parent's experience of loss and of having to grieve within a society that does not recognize perinatal loss, coregulating the parent's feelings of grief and loss, and helping patients to create personally meaningful mourning rituals. Lastly, the impact of within and between cultural differences and therapist attitudes on the therapy process is discussed.
机译：本文认为，有一个文化禁忌抵御公众认可和围产期悲伤的表达，阻碍了父母哀悼的能力及其在损失后的心理调整。建议在治疗关系中重新创建这种文化禁忌，因为治疗师和父母或患者的悲伤感悲伤的感觉最小化或避免。重要的是，建议如果这些文化动态在治疗关系中得到认可，则心理治疗通过验证父母的损失是真实的，并帮助父母在异常和影响调节关系中哀悼禁止禁止禁止的巨大机会。具体来说，有人建议治疗师打破了围产期悲伤的文化禁忌，并帮助父母哀悼：承认和不衡量围产期悲伤反应，考虑影响父母对损失的损失，探索治疗关系中的文化重演，同情父母的丧失经验，并且不得不在一个不承认围产期损失的社会内悲伤，核心父母的悲伤和损失感受，以及帮助患者创造个人有意义的哀悼仪式。最后，讨论了文化差异和治疗师对治疗过程的影响。

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