"ANGELS IN THE NURSERY": PROMOTING MOTHERHOOD AMONG NEGLECTED CHILDREN WHO BECOME PARENTS
P. Hertz, H. Elyashar, F. Wies, Y. Kastiel, A. Tenenbaum,
S. Koretz, I. Wexler
פ. הרץ, ה. אלישר, פ. וייס, י. קסטיאל, א. טננבאום, ש. קורץ, י. וקסלר
Department of Pediatrics, Hadassah-Hebrew University Medical Center,
Mt. Scopus, Jerusalem, Israel
מחלקת ילדים- המרכז לטיפול בילדים עם מחלות כרוניות, בית חולים "הדסה" הר-הצופים, ירושלים
First time young mothers may perceive motherhood and feeding episodes as a challenge that becomes stressful in cases of medical conditions and in the absence of positive parenting models. That was the case of Hope, diagnosed with Pierre Robbin syndrome and FTT.
Short term goals: constructing a positive relationship with team, reducing stress symptoms, improving height and weight growth, providing better parenting holding and exposing child to social models of eating.
Long term goals: assisting mom to recognize her general and motherhood abilities, assisting mom to spend her time in an affective and balanced manner, achieving experiences of enjoying and admiring child and improvement in the domain of temperamental goodness of fit.
Assessment: physical, developmental, and psychosocial condition
Therapeutic family unit: 14 months old girl and parents
Therapeutic Setting: Meetings with parents, individual meetings with mom, dyadic meeting with mom and toddler and home observations
Results: medical and nutritional improvement, parental agreement about psychosocial needs, improvement of feeding and playing skills, accessibility to sharing thoughts and feelings with therapist, achieving self enjoyment and dyadic enjoyment and responsiveness to signs of physical and emotional hunger and emptiness.
Multidisciplinary treatment in feeding disorders' clinics is necessary #
# Medical issues are frequently resolved in short term while psychosocial aspects demand long term treatment
# Parental needs must be recognized and treated in order to fulfill infant
and childhood needs.
# Ghosts from the past which block bonding and relating may become
angels in a nurturing environment