helping mothers to attach, ….psychologically. some thoughts on attachment and breastfeeding. dr...
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Helping Mothers to Attach, ….Psychologically.
Some Thoughts on Attachment and Breastfeeding.
Dr Ian Harrison VMO Psychiatrist - Karitane
NSW Lactation College, Annual Conference - 2008
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An Ink Blot
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Before You Start: Know Yourself.
What do babies do to you?
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Begin with a Positive Partnership.
Let mothers start where they wish with their new babies.
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Some Points About Attachment
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Survival = Proximity = Attachment
In attachment theory, Safety trumps Hunger
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Attachment begins prior to birth.
Winnicott and Primary Maternal Preoccupation.
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Margaret Mahler and the “12 month pregnancy”.
Birth is a compromise.
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Prof. Bruce Perry’s “Somatosensory Bath.”
The baby is “bathed” (clothed) in the caregiver’s arms.
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What Helps to Foster a Secure Attachment?
Benign attitudes to babies.
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Selma Fraiberg and “The Ghosts in The Nursery.”
Hearing the mother’s cry.
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The Protective role of the Mother/Caregiver.
Preventing Trauma
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The Infant Brain is a Glorified Spinal Cord.
Negative emotional reflexes are easily set- up and difficult to undo.
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ATTACHMENT AND BREASTFEEDING
The first relationship.
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Two Feeding Episodes – Two Very Different Outcomes.
Pain transformed vs Pain amplified.
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The baby takes in it’s milk and it’s mother.
The proportion changes as the feed progresses.
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Happy Milk and Sad Milk
Not all pure milk is happy milk.
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Happy Milk and Sad Milk
No Antidepressant
Antidepressant
A/D
Not
Depressed
Pure milk
1
Happy milk
A/D in milk
2
Happy Milk
Depressed
Pure Milk
3
Sad Milk
A/D in milk 4
Sad milk
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Breast is great, but mother is better.
Helping mothers to believe in themselves.
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HOW DO WE HELP?
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Remember transference.
Mothers project all sorts of feelings onto their therapists.
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Try to meet the new mother’s dependency needs.
Model a secure attachment relationship.
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Educate parents regarding attachment.
Become an informal attachment educator of your clients.
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Reframe “Negative” Behaviour to Promote Attachment.
Help the infant’s attachment behaviours to become the solution not the problem.
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Use Positive Prediction.
Use your leverage as an attachment figure.
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Build on What Is Already There.
Always seize on whatever the caregiver is doing right.
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THANK YOU
drianharrison.com.au