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首页> 外文期刊>Best practice & research:Clinical obstetrics & gynaecology >Treatment - Mother-infant relationship psychotherapy
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Treatment - Mother-infant relationship psychotherapy

机译：治疗-母婴关系心理治疗

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In this chapter, we briefly describe several modes of parent-infant- psychotherapy, an efficient way of treating parent-infant relationship disorders. We then focus on treatment for postnatally depressed mothers. Perinatal depression defines an episode of major or minor depression occurring during pregnancy or the first 12 months after birth. Attachment-based parent-infant interventions are particularly helpful in the context of maternal perinatal depression, as postpartum depression has a special link with unresolved trauma and losses in the mother's childhood. The goal of treatment is to improve the mother's mood but also to prevent or reduce the effects of postpartum depression on the child. Infants of perinatally depressed mothers are at risk for a large array of negative outcomes, including attachment insecurity (particularly disorganised attachment), social-skills deficits, cognitive difficulties, behaviour problems, and later psychopathology. The 'ghosts in the nursery' concept refers to the painful or disturbed early childhood experiences coming from the mother's past, which haunt the present mother-infant relationship. By addressing the mother's unresolved attachment conflicts (in her relationship to her own parents), it is believed that the development of a more adaptive parenting and a more secure and less disorganised attachment between the mother and her infant is facilitated. Changes in parent- infant interaction are not dependent on the port of entry (e.g. child's behaviour, parent's representation or parent-infant relationship). The perspective of attachment is key to install a therapeutic alliance with parents.
机译：在本章中，我们简要描述了父母-婴儿-心理治疗的几种模式，这是一种治疗父母-婴儿关系障碍的有效方法。然后，我们将重点放在对产后抑郁母亲的治疗上。围产期抑郁症定义为在怀孕期间或出生后前12个月内发生的严重或轻度抑郁发作。基于依恋的父母-婴儿干预措施在产妇围产期抑郁症的治疗中特别有用，因为产后抑郁症与未解决的创伤和母亲童年期的损失有着特殊的联系。治疗的目的是改善母亲的情绪，但也要防止或减少产后抑郁症对孩子的影响。围生期抑郁的母亲的婴儿有大量负面结果的风险，包括依恋不安全感（尤其是无序依恋），社交技能缺陷，认知障碍，行为问题和后来的心理病理学。 “托儿所的重影”概念是指母亲过去的痛苦或受干扰的幼儿期经历，困扰着目前的母婴关系。通过解决母亲的未解决的依恋冲突（在她与自己的父母的关系中），可以相信，在母亲与婴儿之间发展了更具适应性的父母养育和更安全，更少混乱的依恋。父母与婴儿互动的变化不取决于入境口岸（例如孩子的行为，父母的代表或父母与婴儿的关系）。依恋的角度是与父母建立治疗联盟的关键。

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