The relationship between the parents and the premature baby

Abstract

The arrival of a newborn baby confronts the parents with the loss of their own childhood and the process of mourning that this entails. In the case of a premature birth, where the often brutal experience of birth is followed by a forced separation of hospitalization, the situation is even more complicated, making it sometimes difficult for the mother to invest in the baby libidinally. The presence of a psychoanalyst working with the resuscitation team can facilitate the encounter with the parents, the baby, and the caretakers, and can, by “supposing a subject” in the baby, help to restore the bond between mother and child.     

Factors That Predict Premature Termination Among Mexican-American Children in Outpatient Psychotherapy

The role of demographic variables, acculturation, and therapy attitudes and expectations in predicting treatment dropout for Mexican-American families who presented for mental health treatment for a young child at a community mental health center was examined. Univariate analyses indicated that less educated parents who felt that they should be able to overcome their child's mental health problems on their own, and who felt that emotional and behavioral problems should be handled by increasing discipline were more likely to terminate prematurely. In addition, parents who perceived more barriers to treatment and expected their child to recover quickly were more likely to drop out of treatment after attending just one session. Measures of household income, acculturation, therapist–client ethnic match, perceptions of stigma, and expectations of therapist directiveness were not related to treatment dropout. When multivariate analyses were examined, parental education, perceived barriers to treatment, and belief in increased discipline remained significant predictors of treatment dropout, and client–therapist ethnic match became a significant predictor of dropout. Results are discussed in terms of implications for culturally-sensitive interventions.     

Using a new analysis of the best interests standard to address cultural disputes: Whose data,which values?

Clinicians sometimes disagree about how much to honor surrogates’ deeply held cultural values or traditions when they differ from those of the host country. Such a controversy arose when parents requested a cultural accommodation to let their infant die by withdrawing life saving care. While both the parents and clinicians claimed to be using the Best Interests Standard to decide what to do, they were at an impasse. This standard is analyzed into three necessary and jointly sufficient conditions and used to resolve the question of how much to accommodate cultural preferences and how to treat this infant. The extreme versions of absolutism and relativism are rejected. Properly understood, the Best Interests Standard can serve as a powerful tool in settling disputes about how to make good decisions for those who cannot decide for themselves.     

Analyse des abandons prématurés lors d’un accompagnement a la validation des acquis de l’expérience (V.A.E.): une recherche empirique

If the VAE’s counseling (validation of knowledge and experience) know a certain success, a lot of candidates have the tendency to termine prematurely the procedure without one can know the precise reasons of it. The present research is based on a sample of 162 subjects that entered to different stages into VAE’s counseling. The comparison between people having quit and those having pursued their VAE carries on self-efficacy, professional and personal social support, self-determination and difficulties met during counseling. A discriminant analysis led between the pursuers and those that don’t pursue as well as the propositions of the participants permit to identify the key variables and to do some recommendations to improve the VAE’counseling.     

早产高胆红素血症患儿脑干听觉诱发电位测听的临床意义

检测分析早产高胆红素血症（HB）患儿脑干听觉诱发电位测听（BAEP）指标。连续选择近期在我院住院的早产HB患儿176例,入选对象治疗前接受了BAEP检测。胎龄较短、分娩体重较轻、日龄较小和血清高浓度早产儿BAEP检测通过耳数、通过率均明显少于胎龄较长、出生体重较重、日龄较大和胆红素较低浓度旱产儿组（P均〈0．05）。不...     

卵巢子宫内膜异位症囊肿剥除术与卵巢功能

子宫内膜异位症是女性慢性盆腔痛和不孕主要病因,好发部位为卵巢、腹膜与阴道直肠膈。腹腔镜检查手术是诊断和治疗卵巢子宫内膜异位症的金标准。年轻未育的患者术后出现卵巢早衰,是近年来出现的新问题。本研究通过文献调查,分析各种预防和治疗卵巢早衰的可行措施。     

The influence of infant irritability on maternal sensitivity in a sample of very premature infants

The relationship between maternal sensitivity and infant irritability was investigated in a short‐term longitudinal study of 29 very preterm infants. Infant irritability was assessed at term with the Brazelton NBAS, the Mother and Baby Scales (MABS) and the Crying Pattern Questionnaire (CPQ). Maternal sensitivity was assessed by nurses' ratings in the neonatal care unit and at three months during mother–infant interaction observation. Cross‐lagged panel analysis indicated that neonatal irritability did not influence sensitivity at 3 months nor did maternal sensitivity in the newborn period lead to reduced irritability at 3 months. Both irritability and maternal sensitivity showed moderate stability over time (r = 0.55 and r = 0.60, respectively). It is concluded that in early infancy maternal sensitivity shows little influence on infant irritability in very preterm infants. Copyright © 2003 John Wiley & Sons, Ltd.