Living with Emotional Deprivation: Investigating the Primary Representations of Mother/child Interaction in Female Patients with Psychosomatic Disorders
Mother/child Interaction in Female Patients with Psychosomatic Disorders
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Background: Psychosomatic disorders are psychological disorders that lead to physical symptoms such as cardiovascular, respiratory, and gastrointestinal disorders, migraine headaches, dizziness, excessive fatigue, memory impairment, low concentration, shortness of breath, nausea, vomiting, and insomnia. There are many disputes over the pathology of psychosomatic disorders. However, the primary parent-child relationship is one of the factors effective in the pathology of many psychological disorders. To this end, the present study sought to examine the relationship of primary representations of mother and child in female patients with psychosomatic disorders.
Methods: The present study adopted a qualitative and descriptive phenomenological method. The participants were people who visited psychiatric offices in Tehran in 2023 and were selected through purposive sampling. The data were collected using in-depth semi-structured interviews. The sampling process continued until the data were saturated through interviews with 16 participants. The collected data were analyzed using Collaizzi’s seven-step content analysis method.
Results: Analysis of interview data revealed five main themes that were extracted from 32 sub-themes, including: “regret for lost dreams”, “living with humiliation, fear, and feeling of abandonment”, “experiencing emotional deprivation”, “the mother’s ineffective parenting”, and “changing the child’s and mother’s roles”.
Conclusion: The findings from this study revealed the need to take care of the early toxic relationship for every person by raising the awareness of mothers about meeting the needs of the infant/child on time while creating a sense of security and self-worth in the child. The insights from this study can contribute to further investigation of mother/child relationships in psychosomatic patients.
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Abram, J. (2021). On Winnicott’s concept of trauma. The International Journal of Psychoanalysis, 102(4), 778-793. https://doi.org/10.1080/00207578.2021.1932079
American Psychiatric Association, D. S. M. T. F., & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5, No. 5). Washington, DC: American psychiatric association.
Augustijn L.(2023). Joint physical custody, parent-child relationships, and children psychosomatic problems. J Public Health (Berl.). 31:755-64. https://doi.org/10.1007/s10389-021-01583-1
Abbass A, Lumley MA, Town J, Holmes H, Luyten P, Cooper A, Russell L, Schubiner H, Meulemeester CD, Kisely S.(2021). Short-term psychodynamic psychotherapy for functional somatic disorders: A systematic review and meta-analysis of within-treatment effects. Journal of Psychosomatic Research.145. https://doi.org/10.1016/j.jpsychores.2021.110473
Berezowski, L., Ludwig, L., Martin, A., Löwe, B., & Shedden-Mora, M. C. (2022). Early psychological interventions for somatic symptom disorder and functional somatic syndromes: a systematic review and meta-analysis. Psychosomatic medicine, 84(3), 325-338.
https://doi.org/10.1097/PSY.0000000000001011
Bigelow, A. E., & Power, M. (2020). Mother–infant skin-to-skin contact: short‐and long-term effects for mothers and their children born full-term. Frontiers in psychology, 11, 515068. https://doi.org/10.3389/fpsyg.2020.01921
Chystovska, Y., Bratanich, O., Zhurakovskyi, I., Akopian, A., & Izvekova, O. (2022). Neuropsychological Correction of Psychosomatic Disorders. BRAIN. Broad Research in Artificial Intelligence and Neuroscience, 13(1), 145-157.
Fonagy, P., Gergely, G., & Jurist, E. L. (2018). Affect regulation, mentalization and the development of the self. Routledge.
Gaddini, R. (1978). Transitional object origins and the psychosomatic symptom. Between reality and fantasy: Transitional objects and phenomena.
Glaus, J., Moser, D. A., Rusconi Serpa, S., Jouabli, S., Turri, F., Plessen, K. J., & Schechter, D. S. (2022). Families with violence exposure and the intergenerational transmission of somatization. Frontiers in psychiatry, 13, 820652. https://doi.org/10.3389/fpsyt.2022.820652
Grigorian K, Östberg V, Raninen J, Låftman SB. (2023). Parenting Practices and Psychosomatic Complaints Among Swedish Adolescents. International journal of public health,68. https://doi.org/10.3389/ijph.2023.1606580
Heidari, Z., Feizi, A., Rezaei, S., Roohafza, H., & Adibi, P. (2021). Psychosomatic symptoms questionnaire (PSQ-39): a psychometric study among general population of Iranian adults. BMC psychiatry, 21(1), 269. https://doi.org/10.1186/s12888-021-03278-z
Hjern A. (2006). Children’s and young people’s health. Scand J Public Health. 34:165-83. https://doi.org/10.1080/14034950600677238
Kelly C, Molcho M, Doyle P, Gabhainn SN. (2010). Psychosomatic symptoms among schoolchildren. Intl J Adolescent Med Health.22:227-33. https://doi.org/10.1515/IJAMH.2010.22.2.229
Kernberg, O. F. (2005). Object relations theories and technique. Textbook of psychoanalysis, 57-75.
Khoshgoftar, M., Khodabakhshi-Koolaee, A., & Sheikhi, M. R. (2022). Analysis of the early mother-child relationship in schizophrenic patients. International Journal of Social Psychiatry, 68(3), 548-554. https://doi.org/10.1177/0020764021991186
Kirillov I. Positive Psychosomatics. In: Messias E, Peseschkian H, Cagande C. (eds) . (2020). Positive Psychiatry, Psychotherapy and Psychology. https://doi.org/10.1007/978-3-030-33264-8_15
Khodabakhshi-Koolaee A.(2023). The Role of Early Toxic Interaction with Fathers in Males with Bipolar Spectrum Disorder. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 32:114-23. https://doi.org/10.12934/jkpmhn.2023.32.2.114
Lacourt T, Houtveen J, van Doornen L. (2013). Functional somatic syndromes, one or many? An answer by cluster analysis. Journal of psychosomatic research; 74(1):6–11. https://doi.org/10.1016/j.jpsychores.2012.09.013
Lincoln, Y. S., Lynham, S. A., & Guba, E. G. (2011). Paradigmatic controversies, contradictions, and emerging confluences, revisited. The Sage handbook of qualitative research, 4(2), 97-128.
Mak MCK, Yin L, Li M. et al. (2020). The Relation between Parenting Stress and Child Behavior Problems: Negative Parenting Styles as Mediator. J Child Fam Stud, 29:2993–3003. https://doi.org/10.1007/s10826-020-01785-3
McDougall, J. (1989). Theaters of the body: A psychoanalytic approach to psychosomatic illness. WW Norton & Company.
Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. The psychologist, 28(8), 643-644. https://eprints.hud.ac.uk/id/eprint/26984/1/Morrowetal.pdf
Mugal, S. A. (2016). The Influence of the Family on the Development of Psychosomatic Disorders in Preschool Children With Mental Retardation. Psychology, 6(5), 270-274. https://pdfs.semanticscholar.org/4fe3/e53944792ec3fdf8d4d3fb17dcf74224cf74.pdf
Nikolaevich, R. A., & Nematillayevna, S. D. (2023). Comparative effectiveness of treatment of somatoform diseases in psychotherapeutic practice. Science and Innovation, 2(12), 898-903.
Noack, I., & Linden, M. (2020). The different social stressors vilification, humiliation, and breach of trust lead to similar psychological consequences. Behavioral Medicine and Rehabilitation Practice, 110(23), 223-230. https://www.psychologie-aktuell.com/fileadmin/Redaktion/Journale/PsMR_OpenAcess/110_2020-02_Noack_Linden_Stressors_Embitterment.pdf
Ogden, T. H. (2023). Like the belly of a bird breathing: On Winnicott’s “Mind and its Relation to the Psyche-soma”. The International Journal of Psychoanalysis, 104(1), 7-22.
Olenichenko, I. THE USE OF PROJECTIVE METHODS IN POSITIVE PSYCHOTHERAPY WHILE WORKING WITH CLIENTS WITH PSYCHOSOMATIC DISORDERS. JGP EDITORIAL BOARD: Olga Lytvynenko, Ukraine Erick Messias, USA, 86. https://www.positum.org/wp-content/uploads/2024/01/JGP_Vol.-4.-No.-1.-January-2024.pdf#page=87
Orzechowska A, Maruszewska P, Gałecki P.(2021).Cognitive Behavioral Therapy of Patients with Somatic Symptoms—Diagnostic and Therapeutic Difficulties. J. Clin. Med; 10. https://doi.org/10.3390/jcm10143159
Ottova-Jordan, V., Smith, O. R., Gobina, I., Mazur, J., Augustine, L., Cavallo, F., ... & Positive Health Focus Group. (2015). Trends in multiple recurrent health complaints in 15-year-olds in 35 countries in Europe, North America and Israel from 1994 to 2010. The European Journal of Public Health, 25(suppl_2), 24-27. https://doi.org/10.1093/eurpub/ckv015
Petersen R, Brakoulias V, Langdon R. (2016). An experimental investigation of mentalization ability in borderline personality disorder. Comprehensive psychiatry;64:12–21. https://doi.org/10.1016/j.comppsych.2015.10.004
Polese, D., Belli, A., Esposito, D., Evangelisti, M., Luchetti, A., Di Nardo, G., ... & Bruni, O. (2022). Psychological disorders, adverse childhood experiences and parental psychiatric disorders in children affected by headache: a systematic review. Neuroscience & Biobehavioral Reviews, 140, 104798. https://doi.org/10.1016/j.neubiorev.2022.104798
Rocha, N. A. C. F., dos Santos Silva, F. P., Dos Santos, M. M., & Dusing, S. C. (2020). Impact of mother–infant interaction on development during the first year of life: A systematic review. Journal of Child Health Care, 24(3), 365-385. https://doi.org/10.1177/1367493519864742
Rozina I.(2020). Special features of designing a correction program for adolescents who have signs of psychosomatic disorders. European Humanities Studies: State and Society, 23(3(II):19-38. https://doi.org/10.38014/ehs-ss.2020.3-2.02
Schmid B, Blomeyer D, Buchmann AF, Trautmann-Villalba P, Zimmermann US, Schmidt MH, Esser G, Banaschewski T, Laucht M. (2011). Quality of early mother-child interaction associated with depressive psychopathology in the offspring: A prospective study from infancy to adulthood. Journal of psychiatric research; 45(10):1387-94. https://doi.org/10.1016/j.jpsychires.2011.05.010
Seiffge-Krenke I, Sattel H, Cavdar D, et al. (2021). Adolescents’ somatic complaints in eight countries: what influence do parental rearing styles have? Eur Child Adolesc Psychiatry. 30:1533–1545 https://doi.org/10.1007/s00787-020-01628-y
Shibata M, Ninomiya T, Anno K, Kawata H, Iwaki R, Sawamoto R, Kubo C, Kiyohara Y, Sudo N, Hosoi M. (2020). Parenting style during childhood is associated with the development of chronic pain and a patient's need for psychosomatic treatment in adulthood: A case-control study. Medicine, 99(29):e21230. https://doi.org/10.1097/MD.0000000000021230
Taşçıoğlu G, Çakıcı E, Cirhinlioğlu FG. (2021). Somatization Level Among Psychosomatic Dermatology Patients: Relationship with Dyadic Adjustment, Gratitude, Forgiveness, and Perfectionism. Alpha psychiatry;22(3):165–70. https://doi.org/10.5455/apd.113545
Voestermans, D., Eikelenboom, M., Rullmann, J., Wolters-Geerdink, M., Draijer, N., Smit, J. H., ... & van Marle, H. J. (2021). The association between childhood trauma and attachment functioning in patients with personality disorders. Journal of personality disorders, 35(4), 554-572. https://doi.org/10.1521/pedi_2020_34_474
Weigel A, Maehder K, Witt M, Löwe B. (2020). Psychotherapists' perspective on the treatment of patients with somatic symptom disorders. Journal of Psychosomatic Research.;138. https://doi.org/10.1016/j.jpsychores.2020.110228
World Health Organization The ICD-10 Classification of Mental and Behavioral Disorders: Clinical Descriptions and Diagnostic Guidelines. (2024). https://icd.who.int/browse/2024-01/mms/en#794195577
Xu, G., Bullock, A., Yang, P., & Liu, J. (2021). Psychological control and internalizing problems: The mediating role of mother-child relationship quality. Parenting, 21(2), 108-117. https://doi.org/10.1080/15295192.2020.1831295
Yürümez E, Akça ÖF, Uğur Ç, Uslu RI, Kılıç BG.(2014). Mothers' alexithymia, depression, and anxiety levels and their association with the quality of mother-infant relationship: a preliminary study. International journal of psychiatry in clinical practice;18(3):190-6. https://doi.org/10.3109/13651501.2014.940055
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