Psychoanalytic psychotherapy and the pregnant therapist: a literature review

Schmidt, Fernanda Munhoz Driemeier; Fiorini, Guilherme Pacheco; Ramires, Vera Regina Röhnelt

doi:10.4081/ripppo.2015.185

Cited by 3 publications

(12 citation statements)

References 27 publications

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“…This study presents a first attempt to investigate the psychodynamic psychotherapeutic process of a schoolaged child and her therapist who becomes pregnant during treatment, based on the Q method. The literature has shown that the impact of pregnancy affects both therapist and patient, and that it can be a difficult and more insecure time for children during their treatment (Schmidt et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Research on adult patients and children discusses the repercussions of the psychotherapist's pregnancy on treatment (Schmidt et al, 2015, Tonon et al, 2012, Wolfe, 2013. Some point in the direction that pregnancy catalyzes and facilitates various aspects of the process (Tonon et al, 2012;Wolfe, 2013), while others point out the difficulties that may occur in a treatment with the pregnant therapist.…”

Section: Psicoterapia Psicodinámica De Niños Y Embarazo De Terapeuta:mentioning

confidence: 99%

“…Some point in the direction that pregnancy catalyzes and facilitates various aspects of the process (Tonon et al, 2012;Wolfe, 2013), while others point out the difficulties that may occur in a treatment with the pregnant therapist. However, the literature emphasizes that what will facilitate and / or hinder its progress depends on the therapist, the patient and what both construct together (Schmidt et al, 2015).…”

Section: Psicoterapia Psicodinámica De Niños Y Embarazo De Terapeuta:mentioning

confidence: 99%

“…In research with children, the papers report that pregnancy emphasizes transference with the psychotherapist. This factor offers a good opportunity to work on developmental difficulties, pre-oedipal issues, problems of separation and individuation, and on the formation of the child's ego (Schmidt et al, 2015).…”

Section: Psicoterapia Psicodinámica De Niños Y Embarazo De Terapeuta:mentioning

confidence: 99%

“…These findings suggest that the psychotherapist's pregnancy can influence and mark the therapeutic relationship. However, there is no consensus whether the effect is positive or negative for treatment (Schmidt et al, 2015;Wolfe, 2013). Despite the relevance of the topic and its repercussion in psychotherapies, there are few current works, most of them with adult patients.…”

Section: Psicoterapia Psicodinámica De Niños Y Embarazo De Terapeuta:mentioning

confidence: 99%

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Child Psychodynamic Psychotherapy and Therapist Pregnancy: Systematic Case Study

Schmidt

Gastaud

Ramires

2018

Paidéia (Ribeirão Preto)

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The present study aimed to describe the characteristics of the psychodynamic psychotherapeutic process of a child with a pregnant therapist and to identify possible repercussions of this pregnancy in the treatment. A descriptive, longitudinal study was conducted, based on systematic single case study procedure. The participants were an eight-year-old girl and her therapist who became pregnant during treatment. Forty psychotherapeutic sessions were analyzed through Child Psychotherapy Q-Set procedure. The therapeutic process was divided into four periods related to the therapist’s pregnancy: (1) the therapist was not pregnant; (2) therapist knew of her pregnancy but the topic had not been verbalized; (3) the pregnancy was treated in the therapeutic setting; (4) return of maternity leave. The results demonstrated that the therapist has adopted a less neutral stance, used less limits, and breaks and pauses in treatment were increasingly discussed. It was concluded that the therapist´s pregnancy influences the therapeutic setting in a marked way.

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Section: Discussionmentioning

confidence: 99%

Section: Psicoterapia Psicodinámica De Niños Y Embarazo De Terapeuta:mentioning

confidence: 99%

Section: Psicoterapia Psicodinámica De Niños Y Embarazo De Terapeuta:mentioning

confidence: 99%

Section: Psicoterapia Psicodinámica De Niños Y Embarazo De Terapeuta:mentioning

confidence: 99%

Section: Psicoterapia Psicodinámica De Niños Y Embarazo De Terapeuta:mentioning

confidence: 99%

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Child Psychodynamic Psychotherapy and Therapist Pregnancy: Systematic Case Study

Schmidt

Gastaud

Ramires

2018

Paidéia (Ribeirão Preto)

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Pregnancy and disability: Therapist transitions and transformations.

Prout

2019

Journal of Psychotherapy Integration

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Pregnancy is a provocative stimulus in the therapeutic situation. It spurs a wide range of reactions in both members of the therapist-patient dyad. To date, the literature on therapist pregnancy has predominantly focused on its impact on patient dynamics and psychotherapy process. This article explores how therapist pregnancies, pregnancyrelated disability, and the birth of a child with genetic differences contributed to personal and professional transformations in the therapist. Through reflections on 4 case vignettes, this article illustrates features of the experience of being a pregnant therapist. Several aspects of therapist transformation in the context of pregnancy and pregnancy-related disability are considered: (a) deepened understanding of unconscious communication in the therapeutic relationship, (b) the development of resilience and acknowledgment of personal and professional limitations, (c) new capacities for clinical work with anger and envy, and (d) the coalescing of 2 distinct pregnancy and birth experiences to inform later work with reproductive trauma. Overall, the experiences detailed represent something more than countertransference; there is a real relationship, impacted by aspects of pregnancy and motherhood, that proves transformative for the therapist.

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Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy

Hyun

Jeon

2020

Applied Sciences

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In this study, according to the exercise intensity (50–60% of HRmax (Maximum Heart Rate), RPE (Rating of Perceived Exertion: 11–13) proposed by The American Congress of Obstetricians and Gynecologists (ACOG) for pregnant women, mat Pilates exercise is related to body composition, lipid parameters, and pelvic stabilization. The effects on muscle and muscle damage were investigated. The subjects of this study were 16 pregnant women registered at the Cultural Center of Gyeonggi-do C Women’s Hospital, and the gestation period was 16 to 24 weeks. The mat Pilates exercise program (twice a week, 60 min per day, total 12 weeks) changed the Pilates exercise program every 6 weeks according to the subject’s pain level and physical fitness. Body composition before and after exercise, hip flexion, abduction and dilated lipids, inflammation, muscle damage, and stress hormones were measured through blood biochemical analysis. First, the difference in total body water, intracellular water, and skeletal muscle changes (post-pre) increased significantly in the Pilates exercise (PE) group compared to the control (CON) group, while the extracellular/intracellular water ratio significantly decreased. The effect of Pilates on body composition and lipid profile confirmed that, after testing, total body water (TBW), intracellular water (ICW), and extracellular water (ECW) were significantly greater than pre-test values in both groups (TBW: z = −2.286, p = 0.022, r = 0.572; ICW: z = −2.818, p = 0.005, r = 0.705; ECW: z = −1.232, p = 0.218, r = 0.308), whereas the ECW/ICW ratio decreased significantly only in the PE group (z = −2.170, p = 0.030, r = 0.543); while the increases in TBW and ICW were greater in the PE group than in the CON group, the ECW/ICW ratio decreased significantly in the PE group. Blood tests showed significant increases in body weight (BW), body fat mass (BFM), and percentage of body fat (PBF) in both groups post-test as compared to pre-test (BW: z = −1.590, p = 0.112, r = 0.398; BFM: z = −0.106, p = 0.916; PBF: z = −1.643, p = 0.100, r = 0.411). There was a slight increase in creatine kinase (CK) and lactate dehydrogenase (LDH), which are indices of muscle damage, and in the difference between the periods within the group, the CK and LDH of the CON group showed a tendency to increase significantly after inspection compared to the previous values (CK: z = −1.700, p = 0.089, r = 0.425, LDH: z = −2.603, p = 0.009, r = 0.651). Aspartate aminotransferase (AST) decreased significantly in the Pilates exercise group compared to that in the control group, and as a result of confirming the difference in the amount of change in C-reactive protein (CRP), there was no significant difference between the two groups, and the PE group showed a tendency to decrease after inspection compared to the previous period even in the difference between the periods in the group. The CON group showed an increasing trend, but no significant difference was found. Cortisol, a stress hormone, also increased significantly after inspection both groups compared to before (CON group: z = −2.201, p = 0.028; PE group: z = −2.547, p = 0.011). Therefore, the 12 week Pilates exercise program conducted in this study has a positive effect on body water balance and strengthens the muscles related to pelvic stabilization within the range of reducing muscle damage or causing muscle damage and stress in pregnant women. We think that it has an effective exercise intensity.

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Psychoanalytic psychotherapy and the pregnant therapist: a literature review

Cited by 3 publications

References 27 publications

Child Psychodynamic Psychotherapy and Therapist Pregnancy: Systematic Case Study

Child Psychodynamic Psychotherapy and Therapist Pregnancy: Systematic Case Study

Pregnancy and disability: Therapist transitions and transformations.

Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy

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