Treatment options are limited for families where the child 3 -12 years has severe and intractable disturbances of emotionand behavior, where there is suspected or confirmed maltreatment by the mother and where the mother has her own history of childhood neglect and abuse. This presentation proposes a model for understanding maltreatment in these mother-child dyads, drawing upon the developmental psychopathology, behavior and trauma literatures. At the core of this model is the hypothesis that a mother’s maltreating behavior arises from unconscious attempts to avoid the re-emergence of an attachment related dissociative part of the personality which contains the distress arising from her own early experiences of attachment relationships.
The dynamics of the parent child relationship (dominated by shifts in clinical presentation and relationship avoidance) are understood as having their origins in the activation of dissociative parts of the mother’s personality, in response to the ongoing affective demands of the parent child relationship. Implications of this model for therapy include the notion that successful treatment will depend on the therapist supporting the mother to elicit, understand, modify and integrate these dissociative parts of the personality, allowing maturation of the mother’s care giving motivational system and the development of more attuned and effective emotional communication between parent and child. This presentation, illustrated with clinical examples from a CAMHS clinic, will introduce this model of maternal maltreatment and an approach to intervention called Parallel Parent Child Narrative/Parent and Child Therapy (PPCN/PACT)
"There is no such thing as marriage - merely two scapegoats sent out by their families to perpetuate themselves". Whittaker & Keith 1981. This presentation will explore the experience of Anxiety and Depression for both men and women, in the perinatal period. The perinatal period offers a unique opportunity to provide comprehensive care for parents diagnosed with perinatal Anxiety and/or Depression. There is significant evidence that the partner's risk for developing a related Anxiety or Depression, is increased from 4.8% to 36% at 6 weeks postnatally.
The birth of the democratic South Africa opened up the possibility of meeting with fellow citizens who had previously been kept apart. Since 1995 a model of infant-parent psychotherapy has been developed resulting in a mental health service which has come to be valued within the community.
Within the context of the recent natural disasters occurring around the world, attention has been focussed on trauma's psychological consequences. The trauma spotlighted here is on that of childhood maltreatment and the effects on subsequent adult life. Described in this paper are experiences of recovery from patient perspectives, and an examination of how these are different from, and interact with, representations of therapy derived from published expert theoristpractitioner experience. It is based on a phenomenological study of reports from seven women with histories of chronic childhood maltreatment. These women have since been through significant recovery from dissociative symptoms, and it is this part of their journey that was the focus of this research. From the data, two models are proposed.
For 1000 years during the beginning of Western medicine (500 B.C. - 500 A.D.,) of the hundreds of medical treatments offered at the time, only dream-based medicine was ubiquitously practiced throughout
Over the years, we as health care providers have proven that a good perinatal preparation, a good birthing process and a good postnatal care ensures the physical and mental well being of the newborn and his mother. A similar opportunity for quality outcome should be afforded at life`s final phase - preparation and a good 'gateway' for the dying person, as well as a good follow - up period of those left behind. A good death needs guidance to settle outstanding issues, to articulate values, beliefs and doubts and to live the remaining period of life in the fullest and most meaningful way. Early contact is pivotal to learn about our client and his life history. This time is needed to build our client`s trust, to endorse our commitment, and to collect the tools needed to guide him through the gateway and when taking his last breath. It is equally important to meet the immediate needs of his family and to develop the crucial trusting partnership that will ensure a good dying process for their loved one in setting of his choice, and a better acceptance of their loss. It is realistic to assume that people in the future will invest in their final time.
Lateral violence occurs when the violence associated with oppression is internalised by those who are oppressed, and redirected between the members of the oppressed group. Among Aboriginal and Torres
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent