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A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents' perspectives
Sophiahemmet University.ORCID iD: 0000-0003-3638-3827
2019 (English)In: Infant Mental Health Journal, ISSN 0163-9641, E-ISSN 1097-0355Article in journal (Refereed) Epub ahead of print
Abstract [en]

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.

Place, publisher, year, edition, pages
2019.
Keywords [en]
Child Health Centers, hermeneutics, parent-infant psychotherapy, perinatal mood and anxiety disorder (PMAD), postpartum depression
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:shh:diva-3482DOI: 10.1002/imhj.21828PubMedID: 31583752OAI: oai:DiVA.org:shh-3482DiVA, id: diva2:1365595
Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-10-25Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
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  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
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