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Family-Centred Care: Time for a New Model?
Family-Centred Care: time for a new model? Linda Shields MD, PhD, FACN, Centaur Fellow, MAICD, CCYPN Professor of Rural Health, Charles Sturt University, Bathurst, NSW and Honorary Professor, School of Medicine, The University of Queensland Brisbane Australia Necker-Enfants Malades Hospital, Paris, 1801 • Free Hospital for Sick Children (Royal Children’s Hospital), Melbourne, 1870 • Hospital for Sick Children (Royal Hospital for Sick Children, Great Children’s Hospital), Brisbane, 1878 Ormond Street, London, 1832 • The Sydney Hospital for Sick Children (Royal Alexandra Hospital for Children), 1880 4 “Although the tonsillectomy itself aroused anxiety in all the children, the great majority mastered and integrated the experiences without any serious emotional consequences” (Blom, 1954) 5 Sir James Spence, 1892-1954 René A. Spitz, 1887-1974 John Bowlby 1907-1990 Joyce Robertson 1919-2013 James Robertson 1911-1988 Platt Report 1959 • Children .. Should not be admitted to hospital unless … treatment … cannot be given in other ways … • Children should not be nursed in adult wards • Child should be handled by as few people as possible • Both parents and child should be adequately prepared for admission to hospital • … wherever possible provision should be made for both mother and child to be admitted together. • Unrestricted visiting strongly advised • School and play provisions be made • Sister in charge should be RSCN. Models of care: • Care-by-parent USA 1960s • Partnership-in-care - Anne Casey UK 1988 • Family-centred care - many places ≈ 1970s AAAAAHHHHH!!!!! FAMILY-CENTRED CARE “a way of caring for children and their families within health services which ensures that care is planned around the whole family, not just the individual child/person, and in which all the family members are recognised as care recipients” (Shields et al. -
The Experiences of Parents and Nurses Caring for A
‘CAN MUMMY COME TOO?’ RHETORIC AND REALITIES OF ‘FAMILY-CENTRED CARE’ IN ONE NEW ZEALAND HOSPITAL, 1960-1990. by Kim Therese Chenery A thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Arts (Applied) in Nursing Victoria University of Wellington 2001 ABSTRACT: The development of ‘family-centred care’ began in the United Kingdom during the 1950s and 1960s in response to ‘expert’ concern for the child as an ‘emotional’ being. John Bowlby’s maternal deprivation thesis suggested that constant maternal attention in the early years of life would ensure emotionally healthy future members of society. Application of this theory to the hospital children’s ward indicated that young children should not be without their mothers for long periods of time. This theory and the subsequent release of the Platt Report in the United Kingdom in 1959 provided the necessary ‘scientific’ justification allowing mothers greater access to the historically restrictive hospital children’s wards. Influenced by trends in the United Kingdom the tenets of the separation thesis were reflected in New Zealand government policy towards child care and the care of the hospitalised child. However, the wider societal context in which these changes were to be accepted in New Zealand hospital children’s wards has not been examined. This study explores the development of ‘family- centred care’ in New Zealand as part of an international movement advanced by ‘experts’ in the 1950s concerned with the psychological effects of mother- child separation. It positions the development of ‘family-centred care’ within the broader context of ideas and beliefs about mothering and children that emerged in New Zealand society between 1960 and 1980 as a response to these new concerns for children’s emotional health. -
John-Bowlby-Separation-Anxiety-And-Anger-Attachment-And-Loss-Vol-2-1976
Attachment and Loss VOLUME II SEPARATION ANXIETY AND ANGER John Bowlby With Additional Notes by the Author BASIC BOOKS A Member of the Perseus Books Group -i- 1 To THREE FRIENDS Evan Durbin Eric Trist Robert Hinde Copyright © 1973 by The Tavistock Institute of Human Relations Library of Congress Catalog Card Number: 70-78464 ISBN: 0-465-07691-2 Cloth ISBN: 0-465-09716-2 Paper Printed in the United States of America 99 RRD-H 30 29 28 27 26 25 24 -ii- 2 Contents Foreword page vii Preface xi Acknowledgements xvii PART I: SECURITY, ANXIETY, AND DISTRESS 1 Prototypes of Human Sorrow 3 Responses of young children to separation from mother 3 Conditions leading to intense responses 6 Conditions mitigating the intensity of responses 16 Presence or absence of mother figurer: a key variable 22 2 The Place of Separation and Loss in Psychopathology 25 Problem and perspective 25 Separation anxiety and other forms of anxiety 30 A challenge for theory 30 3 Behaviour with and without Mother: Humans 33 Naturalistic observations 33 Experimental Studies 39 Ontogeny of responses to separation 52 4 Behaviour with and without Mother: Non-human Primates 57 Naturalistic observations 57 Early experimental studies 60 Further studies by Hinde and Spencer-Booth 69 PART II: AN ETHOLOGICAL APPROACH TO HUMAN FEAR 5 Basic Postulates in Theories of Anxiety and Fear 77 Anxiety allied to fear 77 Models of motivation and their effects on theory 79 Puzzling phobia or natural fear 83 6 Forms of Behaviour Indicative of Fear 87 An empirical approach 87 Withdrawal behaviour and -
The Telling Story of Video in Attachment-Based Interventions Femmie Juffer3* and Miriam Steeleb
Attachment & Human Development, 2014 i Routledge Vol. 16, No. 4, 307-314, http://dx.doi.org/10.1080/14616734.2014.912484 Taylor & Frandi Group INTRODUCTION TO THE SPECIAL ISSUE What words cannot say: the telling story of video in attachment-based interventions Femmie Juffer3* and Miriam Steeleb “Centre fo r Child and Family Studies, Leiden University, Leiden, The Netherlands; bDepartment o f Psychology, New School for Social Research, New York, USA {Received 3 February 2014; accepted 24 February 2014) In this Introduction to the Special Issue The Use o f Video in Attachment-Based Interventions, we describe how film and video made their entry in attachment theory and research and ultimately in attachment-based interventions. The role of film in helping to understand attachment had its roots several decades ago with the Robertsons’ footage as a memorable example, while the role of video in helping to support attachment in the context of intervention started later but quickly increased with the rapid growth of smaller video cameras. Today the use of video and video feedback in attachment-based interventions is common, with applications in home- visiting programs, clinical treatment and therapy, and training modalities for parent coaches. In this Special Issue we highlight current work in this field, including illustrative case studies, clinical descriptions and process evaluations as well as rigorous randomized controlled trials. Keywords: attachment-based interventions; filmed observations; video; video feedback; speaking-for-the-child technique In this Introduction to the Special Issue The Use o f Video in Attachment-Based Interventions, we describe how film and video made their entry in attachment theory and research and ultimately in attachment-based interventions. -
Sick Children and Their Parents
Mary Lindsay MB FRCP FRCPsych FRCPCH(Hon) Born in Belfast in 1926, brought up in England, qualified Queens University Belfast in 1951. After several house jobs, did paediatrics at Hammersmith Hospital and was sent by Archie Norman to work under Dermod MacCarthy at Aylesbury and Amersham. He had been having mothers of young children coming in to Amersham Hospital for about a year when I arrived there in 1954 at the instigation of his ward sister Ivy Morris who had been a nanny before qualifying as a nurse at E G A Hospital. James Robertson from the Tavistock Clinic followed up his film A Two Year Old Goes to Hospital with Going to Hospital With Mother at Amersham. It is partly due to the influence of those two films and talking to Robertson and MacCarthy, who were supported by Wilfred Sheldon, that Platt was able to make a recommendation that mothers come into hospital with their young children. After five years of paediatrics, did three years in General Practice, three years in Adult Psychiatry, and one year in Child Psychiatry. I was appointed Consultant Child Psychiatrist in 1966 at Aylesbury, retiring from there in 1991. I then did about fifteen years as an expert witness in the Family Division of the Courts. I have recently felt I have a responsibility to use my own experience to reflect on the contact that children have had with their parents when they were sick, at home and in hospital, which is why I wrote what you are about to read, but have no idea what to do with it. -
Zur Geschichte Der Robertson-Filme (S
A. Holicki: Zur Geschichte der Robertson-Filme (S. 341 - S. 344) Axel Holicki Zur Geschichte der Robertson-Filme The History of Robertson’s films Zusammenfassung Summary In einem kurzen, einführenden Vortrag zum Film „John“ In a brief introductory lecture on the film “John” (1969) the (1969) werden die wissenschaftlichen Forschungsarbeiten scientific research of James and Joyce Robertson, which in von James und Joyce Robertson gewürdigt, die in den 40er the 1940s were essential for the attachment theory later po- Jahren des vergangen Jahrhunderts grundlegend für die später pularized by John Bowlby, are appreciated. von John Bowlby popularisierte Bindungstheorie waren. Schlüsselwörter Keywords James Robertson – Joyce Robertson – John Bowlby – nor- James Robertson – Joyce Robertson – John Bowlby – normal male Entwicklung von Kleinkindern – Trennungssituation development of young children – separation situation – noso- – Hospitalismus – Deprivationssyndrom – Bindungstheorie comial – Deprivationssyndrom – attachment theory n Vorwort Das Wissen über das Deprivationssyndrom, also über die kör- perlichen und psychischen Begleiterscheinungen und Folgen Obwohl auf den ersten Blick der Vortrag ohne Film nicht in längerer Krankenhaus- und Heimaufenthalte – inzwischen sich abgerundet und vollständig erscheint, soll er hier den- mit dem Begriff „Hospitalismus“ zusammengefasst –, ist uns noch abgedruckt werden. Er enthält sehr viele, sehr wichtige heute sehr vertraut. Und prophylaktische Maßnahmen, wie Aussagen und kann vielleicht zusätzlich dazu führen,