Towards a new understanding of pregnancy denial: the misunderstood dissociative disorder

Barnes, Diana Lynn

doi:10.1007/s00737-021-01176-7

Cited by 10 publications

(11 citation statements)

References 56 publications

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“…Otra alternativa propuesta es considerar la negación del embarazo como un trastorno psicosomático. Se trataría del mismo caso que los trastornos en los que cerebro y mente entran en conflicto, como los son, los trastornos neurológicos funcionales, los trastornos del dolor funcional o el síndrome del intestino irritable (Ballerini et al, 2022;Barnes, 2022;Murphy Tighe y Lalor, 2015).…”

Section: Discussionunclassified

“…La extrema inseguridad somato-psíquica del síndrome de negación total del embarazo y del parto está en el origen de la disociación psíquica que presenta desrealización y despersonalización. Esta disociación, producida después de un periodo de estupor, imposibilita el trabajo de integración cognitivo-conductual necesario para hacer soportable la presencia de un hijo real y ser consciente y comprender los actos realizados durante este nacimiento y el posible acto impulsivo de neonaticidio (Araya Villavicencio y Barrantes Ortiz, 2020; Barnes, 2022;Behtane y Maïdi, 2017;Dayan y Bernard, 2013;Delcroix et al 2019;Delcroix et al, 2022;Gonçalves 2014Gonçalves , 2016Gonçalves y Macedo, 2011;Maldonado Durán 2011;Maldonado-Durán y Juan Manuel Sauceda-García, 2011;Pelladeau, Marchand y Pommier, 2018;Seigneurie y Limosin, 2012;Stenton y Cohen, 2020;Zagury, 2011).…”

Section: Consecuencias De La Negación Del Embarazounclassified

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Embarazo críptico o negación del embarazo: una realidad desconocida

Llorca-Porcar¹

2023

revTECHNO

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El embarazo críptico o negación del embarazo, según investigaciones, presenta alteraciones que generan riesgo de muerte y/o enfermedad materno-infantil. Parte de la sociedad parece que desconoce o niega la existencia de esta enfermedad. Los objetivos de esta investigación son búsqueda, recogida y difusión de la información existente para detectar una posible realidad ante la que se pueda actuar. Como resultados se constata la existencia de esta realidad, unida a indefensión maternal, falta de apoyo y castigo, más que ayuda. Se evidencia poca investigación y difusión del problema y necesidad de detectar y ayudar a estas mujeres y a su descendencia.

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Section: Discussionunclassified

Section: Consecuencias De La Negación Del Embarazounclassified

Embarazo críptico o negación del embarazo: una realidad desconocida

Llorca-Porcar¹

2023

revTECHNO

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“…These include adverse experiences such as discrimination and gender inequality which can both lead women to delay access healthcare and diminish the quality of care they receive [( 15 , 21 , 22 ); ( 23 )]. For example, women are also more likely to face vulnerability and exposure to violence, including family and sexual violence ( 10 , 24 ), which they may need health services to navigate. Inadequate recognition of women’s social roles and individual health experiences produced gendered has increased gender-based health inequalities, including increased occurrence of preventable morbidity and mortality ( 25 ).…”

Section: Existing Evidencementioning

confidence: 99%

“…The physical health experiences of women who access mental health services are under researched and under-valued ( 9 ). Women are statistically more likely to experience mental and physical health disablement because their needs as they understand them are misconstrued by practitioners and experiences often psychopathologised ( 10–12 ). The diagnostic labels received by women can be incongruent with their experiences and disempowering ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

“…The diagnostic labels received by women can be incongruent with their experiences and disempowering ( 13 ). This is likely to be at least partly because of how social categories of illness and women are constructed; Barr et al ( 10 ) illustrate how mental and physical healthcare provision constructed through policy, funding, workforce, and research and data collection reproduce and reinforcing gender disparities rather than improve mental and physical health outcomes.…”

Section: Introductionmentioning

confidence: 99%

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“I have to fight for them to investigate things”: a qualitative exploration of physical and mental healthcare for women diagnosed with mental illness

Zirnsak,

Elwyn,

McLoughlan

et al. 2024

Front. Public Health

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IntroductionWomen play a significant role in the management of their own healthcare and that of others, however women diagnosed with mental illness and physical health concerns experience significant health inequalities as compared to people living without mental health concerns.MethodsIn this paper, we reflect on the experiences of 20 cis women diagnosed with mental and physical health concerns who agreed to be a part of this research. This qualitative study is part of the larger Healthtalk Australia research project which was not gender specific. Female participants shared many experiences of mental and physical healthcare in interviews with researchers that pointed to the need for a gendered approach to addressing health inequalities. Consequently, we iteratively consolidated transcripts of interviews with participants into thematic categories facilitated by NVIVO 12.ResultsWe identified two broad themes and a set of subthemes: in the doctor’s office – experience of labelling; negotiating medications; and interactions with physical and mental health, and outside the doctor’s office – responses to trauma, financial concerns, and reliance on participant’s internal resources to get healthcare needs met.DiscussionWe conclude that participants in this study undertook significant work to manage their own healthcare needs, despite being challenged by clinicians and systems that failed to see them as whole people with expertise regarding their own health.

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Restorative justice in a case of traumatic birth following an unperceived pregnancy

Olza,

Alfaro,

Klier

2023

Arch Womens Ment Health

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Purpose Pregnancy can be denied or better “unperceived” by women in up to 1:300 pregnancies and poses the mother and her unborn at high risk when an unassisted birth follows. The importance of recognizing unperceived pregnancy and the risk of unassisted births for both mothers and their babies are described. Methods Description of a case of unperceived pregnancy and traumatic unassisted birth. Results A pregnant woman was not diagnosed in a clinic despite being at the verge of giving birth. She was turned away, was on her way to another hospital, and gave birth in a toilet in a dissociative state. The baby survived, but the mother was declared guilty of attempted manslaughter and received a 6-year prison sentence. The expertise of a perinatal psychiatrist reversed the verdict and the court apologized to the mother, now living with her son. Conclusions This case shows the severe consequences when pregnancy and labor are not recognized by health professionals. The reversal of the original sentence is considered a pioneer case of restorative justice in the context of unperceived pregnancy and obstetric violence. Health providers and courts need to be informed by perinatal mental health professionals about the impact of unperceived pregnancy and obstetric violence.

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Towards a new understanding of pregnancy denial: the misunderstood dissociative disorder

Cited by 10 publications

References 56 publications

Embarazo críptico o negación del embarazo: una realidad desconocida

Embarazo críptico o negación del embarazo: una realidad desconocida

“I have to fight for them to investigate things”: a qualitative exploration of physical and mental healthcare for women diagnosed with mental illness

Restorative justice in a case of traumatic birth following an unperceived pregnancy

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