Trouble de la personnalité borderline et déni de grossesse : une étude cas-témoins PDF Download

Author: Lucie Martel
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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INTRODUCTION : Le déni de grossesse est généralement défini par le fait qu'une femme ne prenne pas conscience de sa grossesse au-delà de 20 semaines de gestation. Les mécanismes psychiques à l'œuvre dans le déni de grossesse sont méconnus. Des travaux suggèrent que les femmes ayant fait un déni de grossesse présenteraient souvent un fonctionnement limite (1). Les objectifs de notre travail étaient d'évaluer si le trouble de la personnalité borderline constitue un facteur de risque de déni de grossesse et de décrire les caractéristiques relevées dans des dossiers de déni de grossesse. MATERIEL ET METHODES : Il s'agissait d'une étude cas-témoins rétrospective réalisée à partir de dossiers de patientes suivies entre 2008 et 2020 par l'équipe de pédopsychiatrie périnatale PPUMMA. Les groupes de sujets ayant fait un déni de grossesse et de sujets témoins ont été appariés selon 4 critères : la tranche d'âge, les situations affective et socio-économique et la multiparité. En complément, une base de données a été constituée afin de relever les caractéristiques des patientes ayant fait un déni de grossesse. RESULTATS : Dans le cadre de l'étude cas-témoins nous avons apparié 29 cas avec 29 témoins. 10,3 % des cas avaient un diagnostic de trouble de la personnalité borderline contre 37,9 % des sujets témoins, Odds Ratio = 0,19 et un intervalle de confiance à 950/0 de [0.03 ; 0.88] (p = 0,03). Par ailleurs nous avons décrit les caractéristiques relevées dans 56 dossiers de patientes ayant fait un déni de grossesse. Nous avons observé dans cet échantillon un isolement affectif et une précarité socio-économique majeurs. CONCLUSION . D'après notre travail, le trouble de la personnalité borderline pourrait représenter un facteur protecteur du déni de grossesse, ce qui correspond à l'inverse de notre hypothèse de départ. Nous avons constaté que les femmes ayant fait un déni de grossesse présentaient fréquemment un fonctionnement en faux self avec peu de symptômes externalisés.

Author: Dennis van der Veur
Publisher: Council of Europe
ISBN: 9789287163936
Category : Political Science
Languages : en
Pages : 180

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"'Gender Matters' is a manual aimed to assist educators and youth leaders work on issues of gender and gender-based violence with young people. This publication presents theoretical information, methods and resources for education and training activities, along with concrete exercises that users can put into practice in their daily work. Violence is a serious issue which directly affects the lives of many young people. It often results in lasting damage to their well-being and integrity, putting even their lives at risk. Gender-based violence, including violence against women, remains a key human rights challenge in contemporary Europe and in the world. Working with young people on human rights education is one way of preventing gender-based violence from occurring. By raising awareness on why and how it manifests and exploring its impact on people and in society, gender-based violence will no longer go undetected. Gender really does matter, to women, to men, to young people - to all of us. This manual serves to explore these human rights issues and act upon them."--Book jacket.

Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318

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"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

Author: Robert N. Emde
Publisher: Oxford University Press, USA
ISBN: 0195154045
Category : Education
Languages : en
Pages : 416

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Reports the work of a 20-year collaboration between 36 psychologists who have created and investigated a tool to elicit and analyze children's narratives. This tool is the "MacArthur Story Stem Battery", a systematic collection of story beginnings that are referred to as 'stems.'

Author:
Publisher:
ISBN:
Category : Family violence
Languages : en
Pages :

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"Intimate partner violence and sexual violence are significant global health problems and human rights issues. Under the rubric of violence against women the two overlapping issues have received increasing attention. Much of the response to these forms of violence has focussed either on advocacy, providing adequate health and legal services and ensuring safety of victims once violence is disclosed, or on screening for violence in the context of health services. When the word "prevention" is used, it is usually in reference to secondary and tertiary prevention - helping women get out of violent situations and preventing further violence. Little attention has been given to primary prevention - addressing the root causes with the goal of reducing the number of new cases. Recent hallmark publications have called for increased investment in primary prevention. As part of the Global Campaign for Violence Prevention, WHO is giving increased attention to the primary prevention of intimate partner violence and sexual violence. Preventing intimate partner and sexual violence against women: taking action and generating evidence is an important new tool for violence prevention researchers, practitioners and advocates provides a planning framework for developing policies and programmes for the prevention of intimate partner and sexual violence. This guide outlines the nature, magnitude, risks and consequences of intimate partner and sexual violence. It outlines strategies to prevent these forms of violence against women and describes how these can be tailored to the needs, capacities and resources of particular settings. It also emphasizes the importance of integrating scientific evaluation into all prevention activities in order to expand current knowledge of what works. The manual describes interventions of known effectiveness, those supported by emerging evidence, and those that could potentially be effective, but have yet to be sufficiently evaluated for their impact. For instance, school-based programmes to prevent violence occurring in "dating relationships" have been shown to be effective in randomized trials in the USA and Canada. Evidence is emerging for the effectiveness of empowerment approaches which use microfinance combined with gender-equality training or are based on communications and relationship skills training such as the Stepping Stones training package, which has been widely used in low- and middle-income countries. Strategies that aim to prevent intimate partner and sexual violence through reducing the harmful use of alcohol also show promise. A six-step framework for planning, implementing and evaluating such prevention programmes and policies is presented. This document is primarily aimed at policy-makers, programme planners and donors from public health and related sectors who seek to advance the prevention of intimate partner and sexual violence against women. In addition to the principal audience, other interested parties will include those working in other government sectors such as education, child welfare, social care, criminal justice and departments of women or gender equality; advocates from civil society organizations; local authorities; environmental and urban planners; and researchers."

Author: Diane Publishing Staff
Publisher: DIANE Publishing
ISBN: 9780788143427
Category :
Languages : en
Pages : 426

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Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284

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Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

Author: Lynne Murray
Publisher: Guilford Press
ISBN: 9781572305175
Category : Psychology
Languages : en
Pages : 340

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One in ten women suffers from an episode of significant depression following the birth of a baby. These depressions can have a profoundly negative effect on the quality of the mother infant relationship and, in turn, on the course of child development itself. The first book in a decade to deal exclusively with the impact of postpartum depression on child development, this groundbreaking volume brings together rigorous and sophisticated research from eighteen of the leading authorities in the field.

Author: Anne Hebert
Publisher: House of Anansi
ISBN: 9780887845970
Category : Fiction
Languages : en
Pages : 164

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"When her long-estranged daughter disappears in Quebec, famous actress Flora Fontanges returns home from Paris and experiences a devastating confrontation with the past."

Author: Alessandra Piontelli
Publisher: Psychology Press
ISBN: 9780415262279
Category : Child development
Languages : en
Pages : 260

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Book Description
Though much has been written about twins, very little research has been done into their everyday lives, both postnatal and prenatal. In this fascinating new study Alessandra Piontelli follows the development and behaviour of thirty pairs of twins from their early life in the womb through to their third year of childhood. Drawing on detailed ultrasound observations and work with mothers and families in clinical and natural settings, the text traces the subtle ways in which various types of twins live, behave and interact with their unequally shared and unique pre- and postnatal environments. Piontelli shows how from early on distinctive and personal traits can be seen in the behaviour of each member of a twin couple and how these traits continue and strengthen well beyond birth. The book describes not only the behaviour of the twins, but the impact they have on the lives of their family and carers - what family members say, how they react and how the family changes. Scientifically based, but warmly human in content, this unique longitudinal study offers new insight for professionals working with mothers and families of twins and for researchers in human development across a range of disciplines.