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An intensive perinatal mentalisation-based intervention for women at risk of child removal and the role of restorative relationships
Child Abuse Review ( IF 2.086 ) Pub Date : 2022-11-28 , DOI: 10.1002/car.2801
Ana Fernandez Jondec 1 , Jane Barlow 1
Affiliation  

Pregnant women with a history of child removal are at greater risk of being found unsuitable to care for their new babies. Neglect, showing a lack of capacity to provide for the child's physical and/or emotional needs, is the most frequent reason why infants are removed from their parents' care. Parents with a history of child removal have often been themselves subject to maltreatment as children and suffer the sequelae of relational trauma which then becomes a barrier to establishing nurturing relationships with their own children. Attachment, and particularly mentalisation-based, parenting interventions focus on restoring relationships by developing parents' capacity to reflect upon their own internal mental experiences as well as those of the child, helping them to better understand themselves and their children. The DAISY programme is an intensive perinatal attachment and mentalisation-based intervention for pregnant women with a history of child removal, aiming to improve mothers' mentalising capacities and care proceeding outcomes. This article uses a case study to describe the programme's model and mechanisms of change. Additionally, we present preliminary observations about the programme's delivery and impact from the perspective of one of its practitioners.

中文翻译:

对有流产风险的妇女进行基于围产期心理化的强化干预以及恢复性关系的作用

有带走孩子史的孕妇被发现不适合照顾新生儿的风险更大。忽视,表明缺乏满足儿童身体和/或情感需求的能力,是婴儿离开父母照料的最常见原因。有过带走孩子经历的父母自己在孩提时代经常遭受虐待,并遭受关系创伤的后遗症,这成为与自己的孩子建立养育关系的障碍。依恋,尤其是基于心智化的育儿干预,侧重于通过培养父母反思自己和孩子内心心理体验的能力来恢复关系,帮助他们更好地了解自己和孩子。DAISY 计划是一项强化的围产期依恋和基于心智化的干预措施,针对有带走孩子史的孕妇,旨在提高母亲的心智化能力和护理过程的结果。本文使用案例研究来描述该计划的模型和变化机制。此外,我们从其中一位从业者的角度介绍了对该计划的交付和影响的初步观察。
更新日期:2022-11-28
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