The Mother-Child Relationship in the Genesis of Neurodermatitis

Marmor, Judd

doi:10.1001/archderm.1956.01550120019004

Cited by 25 publications

(10 citation statements)

References 10 publications

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“…More mothers of children with AD were found to be submissive (59%) as compared to mothers of controls (10%), and this difference was statistically significant (p<0.01). However, overall the mothers of children with AD seemed mentally well adjusted and thus probably did not have the negative maternal attitudes toward the child observed in previous studies (4, 9, 10).…”

Section: Discussionmentioning

confidence: 64%

“…Such a dysfunctional mother‐child relationship can lead to physical and emotional developmental arrest. In earlier studies, as well, stressed mothering (4), maternal rejection (9), hostility (10), neglect, and rough handling or a lack of holding and caressing (9), have also been demonstrated in mothers of children with AD. The personality of the mother may be greatly affected by the demands the child's eczema makes on her, due to the impact of the disease on the child's appearance, the additional restlessness and irritability, more disturbed nights, the time consuming nature of the skin care routine and her inability to cure or soothe the child, as these will add to the stresses and exhaustion of motherhood (8).…”

Section: Introductionmentioning

confidence: 76%

“…The mother may feel reluctant to stroke the diseased child, either from anxiety about irritating the skin or from a degree of repulsion that may be hard to acknowledge. This lack of maternal holding and caressing could be both a response to and an exacerbating factor in the child's AD (9). Alternately, the mother's love could become so focussed on the skin that she may become less empathic and responsive to other cues (8).…”

Section: Introductionmentioning

confidence: 99%

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Psychological Disturbances in Indian Children with Atopic Eczema

Sarkar

Raj

Kaur

et al. 2004

The Journal of Dermatology

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Although the link between atopic dermatitis (AD) and emotional disturbance is well known, there have been only a few studies assessing the extent of these disturbances in affected children and the problems experienced by their parents. Furthermore, these studies are mostly from western countries, where atopic dermatitis is seen in a more severe form than in India. The purpose of this study was to determine whether there is an excess of psychological disorders in Indian children with AD as compared to healthy controls and whether their mothers showed higher levels of emotional or mental distress than a comparison group. Twenty-two children, aged 3-9 years, with atopic dermatitis, twenty age and sex matched controls, and their mothers were selected for the study. The personalities of the mothers were assessed from a standard and valid questionnaire, the Hindi adaptation of Personality Trait Inventory, which explored nine areas of the maternal personality and mental distress as well as negative traits of some of these. The two groups were compared using the Chi-square test. To assess the psychopathology of the children, the mothers were made to answer parts of a valid, well-developed questionnaire, the Childhood Psychopathology Measurement Schedule, which enabled the assessment of the following factors: low intelligence with behaviour disorders, conduct disorders, anxiety, and depression. The means of each factor in both the groups were compared using the Students' t-test. Out of all the maternal personality traits, an increased number of mothers of affected children, 13 (59%) were found to be submissive as compared to the mothers of the controls i.e. 2 (10%), which was statistically significant (p<0.01). The children with AD had a higher frequency of low intelligence with behaviour disorders (5.9+/-2.9) as compared to controls and also of conduct disorders (2.1+/-1.4), which were both statistically significant (p<0.01). The results of this pilot study, although small in number, suggest that increased psychological disorders are observed in Indian children with AD as compared to controls, despite the fact that the disease is of a milder variety in this country as compared to its western counterparts. More mothers of children with AD were submissive, which could contribute to the psychological disorders and maintenance of eczema in the children. We suggest that children with AD may benefit if such psychological dimensions are considered as a part of their treatment.

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

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Psychological Disturbances in Indian Children with Atopic Eczema

Sarkar

Raj

Kaur

et al. 2004

The Journal of Dermatology

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“…Initially, the cause of AD was attributed to 'poor mothering', decline [Miller and Baruch, 1948;Williams, 1951], hostility of the mother towards her child [Spitz, 1951;Rosenthal, 1954], or a lack of holding and caressing by the mother [Marmor et al, 1956], and nicotine abuse. Rechenberger [1979], Obermayer [1955] and Whitlock [1980] shared the opinion that AD is caused by an impulse-driven conflict due to a pathologic mother-child symbiosis.…”

Section: Eczema Itch and Scratching In The Biopsychosocial Contextmentioning

confidence: 99%

Psychosomatic Aspects of Skin Care and Therapy of Atopic Dermatitis with Regard to the Patient’s Dealing with Himself and the Parents’ Dealing with Their Child

Roos¹

2004

Dermatol Psychosom

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Due to their exposed localization, skin diseases have characteristic individual and social consequences as compared to other diseases. In the first section of this review, general psychosomatic and psychosocial aspects of the skin and common skin diseases are described. Since atopic dermatitis is characterized by a chronic inflammatory course and associated with intermittent attacks of intensive pruritus, it is more frequently associated with intraand interpersonal conflicts than other skin diseases. Therefore, certain aspects of atopic dermatitis such as coping and compliance/adherence-to-treatment are reviewed and discussed in detail. Finally, clinically important issues of psychosomatic care and dermatological therapy (skin care and topical therapy) of patients with atopic dermatitis are reviewed.

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“…The context of patients developing physical illness has also been intensively investigated, especially disorganizing events within the family (Kellner, 1963 ;Meyer and Haggarty, 1962;Mutter and Schleifer, 1966) and psycho-social stressors (Alexander and French, 1948;Wolff and Wolf, 1968;Rahe, 1968;Brown, 1972). Parental attitudes, usually rejection of the child by the mother, have been argued to be aetiologically important in eczema (Miller and Baruch, 1948 ;Williams, 1951;Marmor et al, 1956;Jacobs et al, 1966).…”

Section: Introduction and Review Of The Literaturementioning

confidence: 99%

Is there a 'psychosomatogenic' family?*

Loader¹,

Kinston²,

Stratford³

1980

J Family Therapy

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Review of the literature revealed two family theories of psychosomatic illness: the 'enmeshed' family of Minuchin and the family with affect disturbances. We interviewed twelve families, each containing a child with eczema. Most, but not all, of the families do fit in with one or other or both of the proposed interactional patterns, but the theory of a single family type, the 'psychosomatogenic family', is not supported. This complements the studies of individuals where specificity hypotheses have proved oversimplified.

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The Mother-Child Relationship in the Genesis of Neurodermatitis

Cited by 25 publications

References 10 publications

Psychological Disturbances in Indian Children with Atopic Eczema

Psychological Disturbances in Indian Children with Atopic Eczema

Psychosomatic Aspects of Skin Care and Therapy of Atopic Dermatitis with Regard to the Patient’s Dealing with Himself and the Parents’ Dealing with Their Child

Is there a 'psychosomatogenic' family?*

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