A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents' perspectives.
Abstract
A child's emotional and social development depends on the parents' provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents' experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists' technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.
Keywords
postpartum depression
hermeneutics
centres de santé de l'enfant
centros de salud infantil
child health centers
dépression postpartum
eltern-kind-psychotherapie
hermeneutik
herméneutique
kindergesundheitszentren
pmad
depresión posterior al parto
hermenéuticas
parent-infant psychotherapy
perinatal mood and anxiety disorder (pmad)
postpartale depression
psychothérapie parent-nourrisson
sicoterapia progenitor-infante
الاكتئاب بعد الولادة
التفسير التأويلي
العلاج النفساني للوالدين والرضع
مراكز صحة الطفل
兒童保健中心
子ども健康センター (chc)
父母-嬰兒心理治療
產後抑鬱症
産後鬱
親-乳幼児精神療法
解釈的
詮釋學
Access
DOI:
10.1002/imhj.21828
Citation
ID:
264792
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264792
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10.1002/imhj.21828
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