Israel Arriving in the World too Soon

1. Auflage 2013
ISBN: 978-3-86099-971-4
Verlag: Brandes & Apsel
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 132 Seiten

The more concentratedly we try to enter into the inner world of the pre-term infant the more necessary it is to leave behind us every shred of experience we have ever had. Nothing is of any relevance for this encounter. We are confronted with having no knowledge, no experience and this to an degree we would otherwise avoid at all costs. Through the juxtaposition of images, observations and reflections this book tries to help us come as close as is possible to the subjective experience of a baby born before term. Je intensiver wir versuchen, uns auf die Welt der Frühgeborenen einzulassen, desto notwendiger wird es, alles hinter uns zu lassen, was uns an Erfahrung zur Verfügung steht. Nichts gilt mehr. Wir werden in einem Ausmaß mit Nicht-Wissen und Nicht-Erfahrung konfrontiert, das wir sonst tunlichst vermeiden. Dieser Band versucht, Bild, Beobachtung und Gedanken so zusammenzubringen, dass wir möglichst nahe an das subjektive Erleben der Frühchen herangeführt werden. Jedes zehnte Kind wird heutzutage zu früh geboren. Die Hightechmedizin ermöglicht, dass immer mehr Frühgeborene überleben. Ihr körperliches Gedeihen ist das Kriterium, an dem sich derzeit die Qualität der medizinischen Versorgung misst. Doch wie sieht das psychische Erleben von Frühgeborenen aus? Agathe Israel und Björn Reißmann führen uns durch die Verbindung von Fotografie und Beobachtung hautnah an das Erleben der Frühchen heran. Die beeindruckende Intensität der Fotos ermöglicht uns, dass wir uns auf die Welt der Frühgeborenen einlassen können. Die Autorin: Agathe Israel, Dr. med., Psychoanalytikerin für Kinder, Jugendliche und Erwachsene. Zahlreiche Veröffentlichungen u. a. bei Brandes & Apsel: Der Säugling und seine Eltern (2007). Der Fotograf: Björn Reißmann, lebt und arbeitet in Berlin als freiberuflicher Fotograf. Seine Schwerpunkte sind Tanz-, Theater- und Kunstprojekte sowie Portraits

The author: Agathe Israel, Dr. Med., psychoanalyst working with children, adolescents and adults. Numerous publications, among others Der Säugling und seine Eltern (The infant and its parents) (2007) published by Brandes & Apsel. The photographer: Björn Reißmann lives and works as a free-lance photographer in Berlin. He focusses mainly on projects in dance, theatre and art but also does portraits.

Autoren/Hrsg.

Israel, Agathe

Weitere Mitwirkende

Reißmann, Björn

Fachgebiete

• Sozialwissenschaften Psychologie Psychotherapie / Klinische Psychologie Kinder- und Jugendlichenpsychotherapie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Gynäkologie, Geburtshilfe
• Sozialwissenschaften Psychologie Allgemeine Psychologie Entwicklungspsychologie
• Sozialwissenschaften Pädagogik Pädagogik Pädagogische Psychologie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Pädiatrie, Neonatologie

Inhaltsverzeichnis

Table of Contents
Foreword and Acknowledgements

Introductory Note

Our Research Approach

Everyday Life in the Neonatal Intensive Care Unit

Premature Baby Observation - Setting the Scene

Arriving in the World to soon

The "Other" - How the Premature Baby Seeks Encounter

When a Thrid Develops
Alone in the Incubator - Seeing and Feeling

Coming Together - The Development of Bonds

Observations
Isolated

Scenes
Showing Resistance
Rejection and Small-for-Date Birth
Giving the Baby a Name
Bonding
Shock
Establishing a Secure Bond

Janosch (2003)
One Week Later
14 Days Later

Commentary
The Other as Container (Establishing Inner Links)
Catastrophic State
Defence Mechanisms
The Importance of Mentalisation

Gitte (2003)
Absence of Linking and Emotional Isolation
One Week Later
Another Week Later

Klaus-Heiner (2005/2006)
Mortal Danger and Splitting
From the Observation Log
In the Group Discussion

Support for Parents
Establish a Loan-Container for the Parents
Immediate Aid to Alleviate the State of Shock
Absorbing Guilt and Fear
Securing the External Framework for Parent-Child Encounter

Support for Staff
Observing - Feeling - Finding Words
Translating Somatic Reactions into Signs of Mental-Emotional Distress
Creating a Space for Fears
Care Means Human Contact

Glossary
Bibliography

Leseproben

Our Research Approach
How can one approach the experience of premature babies? The idea of observing premature babies directly after their birth in the clinic first arose several years ago and was realised thanks to the generosity of staff at a Berlin centre for neonatology.
The research approach is based on the method of participative infant observation, as it was introduced into the training programme for child psychologists by Esther Bick in 1948 in the Tavistock Clinic in London and further developed by Martha Harris and Donald Meltzer. The method is in the meantime employed world-wide, naturally including Germany. Meltzer (1967) assumed that all experiences accumulate and develop within the individual, that they are therefore processed, and that these processed experiences determine present behaviour.
One form of access to the processes involved in the construction of the psyche (Lazar 1986), is possible through infant observation. Normally, a baby is observed in its natural surroundings from birth until the end of its second year once a week for one hour focusing on the question: How does this child feel within this family?
One is usually observing the mother-child relationship but the main focus is on the child. The younger it is the more difficult the observation because the affects it displays are incredibly moving.
The observer does not intervene in the situation in any way, but is merely present. Each observation is recorded in a memorandum and regularly discussed among a group of other observers. The group becomes a thinking receptacle for the observer, and makes it possible to sense non-comprehension and non-awareness and use this creatively. Theoretical reflections may enter into proceedings, but the focal point remains the individual inner world of the baby being observed. This discussion is also recorded in written form, and once the observation period has come to an end, a summarising report is compiled. This is chiefly concerned with how the baby developed within the framework of his relationships, how the observer found an appropriate inner and outer place for the observation and what projective processes (e. g. what phantasies and roles were assigned to him) and what trans-generational issues arose within the family (e. g. unconscious expectations and experiences of previous generations).

Über Autor(innen)

The author:

Agathe Israel, Dr. Med., psychoanalyst working with children, adolescents and adults. Numerous publications, among others Der Säugling und seine Eltern (The infant and its parents) (2007) published by Brandes & Apsel.

The photographer:

Björn Reißmann lives and works as a free-lance photographer in Berlin. He focusses mainly on projects in dance, theatre and art but also does portraits.