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Type: Journal article
Title: Attachment, mothering and mental illness: mother-infant therapy in an institutional context
Author: Hemer, S.
Masciantonio, S.
Chur-Hansen, A.
Citation: Culture, Medicine and Psychiatry, 2017; 42(1):1-19
Publisher: Kluwer Academic Publishers
Issue Date: 2017
ISSN: 0165-005X
Statement of
Sonia Masciantonio, Susan R. Hemer, Anna Chur-Hansen
Abstract: This paper is an ethnographic exploration of how attachment theory underpins therapeutic practices in an Australian institutional context where mothers of infants have been diagnosed and are undergoing treatment for mental illness. We argue that attachment theory in this particular context rests on a series of principles or assumptions: that attachment theory is universally applicable; that attachment is dyadic and gendered; that there is an attachment template formed which can be transferred across generations and shapes future social interactions; that there is understood to be a mental health risk to the infant when attachment is characterised as problematic; and that this risk can be mitigated through the therapeutic practices advocated by the institution. Through an in-depth case study, this paper demonstrates how these assumptions cohere in practice and are used to assess mothering as deficient, to choose therapeutic options, to shape women’s behaviour, and to formulate decisions about child placement.
Keywords: Attachment theory; ethnography; mothering; mental illness; postnatal depression; psychotherapy
Rights: © Springer Science+Business Media, LLC 2017
RMID: 0030072770
DOI: 10.1007/s11013-017-9544-9
Appears in Collections:Psychiatry publications

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