The Maternal–Foetal Interface and Gestational Chimerism: The Emerging Importance of Chimeric Bodies

The science of gestational cell transfer—research into the transfer of cells between a pregnant woman and foetus during gestation—and subsequent mingling of transferred cells, or microchimerism, is bringing new attention to the maternal/foetal interface. These findings challenge previous biological understandings of a barrier between the body of a pregnant woman and developing foetus, a barrier maintaining the identity integrity as it were, of two beings, two separate subjects. In this sense, the maternal–foetal interface is an interesting bio-political object, predicated upon understandings of individuals as discrete and bounded organisms, an understanding that has been strongly implicated in immunology, as Donna Haraway, Emily Martin and others have argued. Findings of cellular transfer across this interface raise questions about intermingling and permeability of human organism boundaries. However, these findings are important not only for insight into gestational biology, but because they are emerging in a broader biomedical context of the development of cellular therapies and regenerative medicine. These therapeutic strategies call attention to chimerism as a naturally occurring and iatrogenic biological state, highlighting the permeability and permissiveness of bodies to the intermingling of cells, an idea that runs counter to biological, political and social understandings of selves as individuated, discrete and purely self. A theoretical framework of immuno-politics raises implications of trouble at the maternal/foetal interface, and suggests that chimeric, permeable bodies are of increasing value as cellular therapeutic strategies gain in importance for human health.     

行为抑制性、母亲养育方式和学步儿问题行为的关系

采用实验室观察及问卷法,考察学步儿行为抑制性、母亲养育方式和问题行为的关系。结果发现:(1)行为抑制性正向预测内隐问题行为;母亲拒绝正向预测外显问题行为;母亲保护担忧负向预测外显问题行为。(2)性别能调节母亲养育方式与问题行为之间的关系,母亲鼓励独立负向预测男孩内隐问题行为;母亲拒绝正向预测女孩内隐问题行为;保护担忧负向预测男孩外显问题行为;母亲惩罚正向预测男孩外显问题行为。     

母亲元情绪理念与儿童情绪调节能力发展的关系：母亲情绪调节的中介作用

以540名小学一、三、五年级儿童的母亲为对象,采用回归分析和路径分析技术,考察了母亲元情绪理念及其情绪调节对儿童情绪调节能力发展的预测作用及其机制。结果表明：（1）母亲情绪教导和情绪紊乱理念对儿童情绪稳定性的发展具有直接预测作用,且以其高冲动性为中介对儿童情绪稳定性的发展具有间接预测作用;（2）母亲情绪教导理念对儿童情绪调节性的发展具有直接预测作用,且以其情绪调节策略缺乏为中介对儿童情绪调节性的发展具有间接预测作用。因此,母亲情绪教导理念有助于其不良情绪的控制和更加灵活多样的情绪调节策略,而对自身不良情绪的有效控制和更灵活的情绪应对策略,将有助于促进其孩子情绪调节能力的发展。     

Children's Moral Emotions,Narratives, and Aggression: Relations With Maternal Discipline and Support

ABSTRACT. Children who attribute more positive emotions to hypothetical moral victimizers are typically more aggressive and have more behavior problems. Little is known, however, about when individual differences in these moral emotion attributions first emerge or about maternal correlates of these differences. In this study, 63 4–6-year-olds judged how they would feel after victimizing peers for gain and enacted event conclusions using narrative methods adapted from the MacArthur Story Stem Battery. In addition, children's mothers completed assessments of their disciplinary styles and social support, and children's aggressive tendencies were assessed based on ratings from mothers and a second familiar adult. Results revealed that most preschoolers expected to feel happy after their victimizing acts, but variations in happy victimization were unrelated to children's aggression. Several of children's narrative themes, including making amends (e.g., apologizing, reparations), aggressive acts, and mentions of death/killing, however, were related to children's aggression. Moreover, two maternal disciplinary dimensions, higher warmth and reasoning, as well as greater social support were also related to lower child aggression. Children's emotion attributions and moral narratives, however, were unrelated to maternal disciplinary practices or social support.     

The influence of maternal optimality and infant temperament on parenting stress at 12 months among mothers with substance abuse and psychiatric problems

The present prospective longitudinal study aimed to investigate the long‐term impact of maternal optimality assessed during pregnancy on parenting stress at infant age 12 months. In this study the concept of optimality was utilized to investigate maternal variations regarding resources during pregnancy in relation to later parenting stress, among three different groups of mothers that were recruited from substance abuse treatment, psychiatric outpatient treatment and well‐baby clinics respectively. The influence of infant temperament on parenting stress was also examined. All mothers were interviewed during pregnancy. At 12 months, infant temperament (Colorado Childhood Temperament Inventory; Rowe & Plomin, 1977) and stress in the parent and child domain (Parenting Stress Index; Abidin, 1955) were assessed. Results demonstrated higher levels of parenting stress among mothers in the clinical groups, compared to the non‐clinical group. Furthermore, it was the maternal psychiatric optimality index in combination with child temperament characteristics (child emotionality) that contributed uniquely to stress in the parent domain, while stress in the child domain was significantly associated only with child temperament characteristics (both child emotionality and soothability). The association between maternal psychiatric optimality assessed in pregnancy, infant temperament and parenting stress when the infants were 12 months old, points to the importance of simultaneously addressing the mothers' own psychological distress, and to support positive mother–infant interactions. Each woman's individual optimality profile may be used to display needs of follow‐up in order to prevent enduring effects of non‐optimality on parenting stress.     

‘If I knew where the enemy,or even Germany was,we could have fired in that direction’: Bion's experience of war

The role of a child psychotherapist's gender is not often considered in terms of treatment outcome. This paper discusses how aspects of being a male child psychotherapist influenced the successful treatment of a very young boy with Asperger's Syndrome. The paper highlights how the nature of his very early relationship with his mother and the absence of his father were the basis of his difficulties resulting in that diagnosis. It shows that his desire to seize the opportunity of working with a male enabled him to understand his feelings about his father, why it was so difficult to want to be with him and not his mother, and why he could not be without her.

Le rôle joué par le sexe du psychothérapeute d'enfants dans les effets du traitement est rarement pris en compte. Dans cet article, l'auteur montre qu'à un certain niveau le fait d'être un psychothérapeute homme eut une influence sur la réussite de la thérapie d'un très jeune garçon présentant un syndrome d'Asperger. Selon l'auteur, la nature de la relation précoce entre ce petit garçon et sa mère, ainsi que l'absence de son père, étaient à l'origine des difficultés qui conduisirent à ce diagnostic. Il montre que le désir de l'enfant de se saisir de l'occasion ainsi offerte de travailler avec un homme lui permit de comprendre trois éléments essentiels : ses sentiments à l'égard de son père, la raison pour laquelle il lui était tellement difficile de vouloir être avec lui plutôt que de rester avec sa mère, et ce qui faisait qu'il ne pouvait pas se passer de celle-ci.

Die Rolle des Geschlechts des Kindertherapeuten wird nicht oft bezüglich des Behandlungsergebnis in Betracht bezogen. Dieser Artikel diskutiert, wie Aspekte dessen, ein männlicher Kindertherapeut zu sein, die erfolgreiche Behandlung eines sehr kleinen Jungen mit Asperger Syndrom beeinflussten. Der Artikel unterstreicht, wie die Art seiner frühen Beziehung zu seiner Mutter und die Abwesenheit seines Vaters die Grundlage seiner Schwierigkeiten bildeten, die zu dieser Diagnose führten. Es zeigt, dass sein Wunsch, die Gelegenheit zu ergreifen, mit einem Mann zu arbeiten, ihm ermöglichte, seine Gefühle seinem Vater gegenüber zu verstehen, warum es so schwierig war, mit ihm und nicht seiner Mutter sein zu wollen und warum er nicht ohne sie sein konnnte.

Riassunto: Il ruolo che gioca il sesso dello psicoterapeuta infantile non è solitamente considerato in relazione al risultato del trattamento. In questo articolo si discute come il fatto di avere un terapeuta maschile abbia influenzato per certi aspetti il risultato positivo del trattamento di un bambino molto piccolo che soffriva della Sindrome di Asperger. L'articolo illustra come la natura della sua primissima relazione con la madre e l'assenza del padre furono alla base delle sue difficoltà che portarono alla diagnosi. L'articolo mostra come il desiderio del bambino di lavorare con un terapeuta maschile gli ha permesso di capire i suoi sentimenti verso il padre, perché era così difficile voler restare con lui e lo stesso non succedeva con sua madre, e perché non poteva restare senza di lei.     

The effect on a child of a mother who though physically present was emotionally unavailable

In this paper I put forward a hypothesis on a particular psycho-sexual determinant of anorexia nervosa in adolescent girls. I begin with an overview of existing literature which examines anorexia from psychiatric, demographic, medical, historical and psychoanalytic viewpoints. Drawing on the theories of Freud, Klein, Winnicott and Bion, and building on previous thinking, I posit a specific disturbance in the psychic development of the adolescent girl. I suggest that this amounts to her rebellion against the psychic onset of her future maternal capacities for reverie and containment. I link this disturbance to a pathological mother-daughter relationship and illustrate my hypothesis with a clinical account of intensive, long-term work with an adolescent girl. The high motivation and vivid dream material of this patient make for a particularly rewarding study.     

Designing an Outcomes-Based Research Study to Assess the Development of Roles in Adults Diagnosed with Schizophrenia

SUMMARY

“Promises to keep” is a theme that weaves in and out of the experiences of the participants, from the past to the present. In this chapter, I present my impressions of the participants with this theme in mind. Demographic information is also integrated into the portraits. However, what I say about the participants comes from my subjective experience of spending many months in their presence. This chapter lays the groundwork for the stories of their experiences in their own words that are found in the subsequent chapters.     

The Orsino complex: Men who love themselves as love objects

Abstract

The Duke Orsino, in Shakespeare's Twelfth Night, is cited as the archetypal embodiment of a psychological complex which, it is argued, may affect many men in modern patriarchal societies. This condition named the ‘Orsino complex’ is characterized by the subject's experience of being in love with himself as a love object. It is the consequence of the subject's very early experience of his mother's dual psychological reactions to him as a male child. The first of these, and the more significant, I have called maternal phallic projection, while the second I term maternal withdrawal. I also consider the influence of the father upon this complex.

While this paper remains speculative in its present form—that is, its central thesis is based on fictional and not on clinical material—it might, I hope, assist all of us working psychodynamically in understanding further some of the severe problems that male clients present in their relationships with women, as well as directing further research into the complexities of gender identity in contemporary society.     

All by Myself? Independence and Coordination During Distress Episodes from 14 to 24 Months Among Latino Children

Growing research suggests that socialization toward independence with a focus on ‘separate individuality’ may be a culture specific rather than universal socialization goal. Among Latino families, children of mothers high in formal schooling have shown more independent and less coordinated patterns of interaction than children of mothers low in formal schooling. This longitudinal research explored the balance between independence and coordination during mother–child interaction around distress by examining age‐related changes and within‐group variation among Latino children. Fifty Latino dyads were videotaped during unstructured interactions in their homes at 14 and 24 months of age. Episodes of distress were identified and then classified according to individual contributions and coordination (e.g. [child] independent, mother‐led, coordinated). Coordinated and independent resolutions were the most frequent type at both ages. To examine the balance between these for each child, a proportion of episodes resolved in each type was calculated. Children in both groups (high maternal schooling, low maternal schooling) increased in coordination, but only children with higher maternal schooling also increased in independent resolutions. Copyright © 2012 John Wiley & Sons, Ltd.