2004, Number 2
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Perinatol Reprod Hum 2004; 18 (2)
Evaluación de dos casos de madres con VIH, mediante la entrevista de apego adulto
Córdova A, Lartigue T
Language: Spanish
References: 30
Page: 119-131
PDF size: 140.00 Kb.
ABSTRACT
Objective: To identify the attachment classification of two women with HIV with the Adult Attachment Interview (AAI).
Material and methods: Two women out of a sample of 37 (taken from “HIV/AIDS and Personality Disorders in Pregnant Women” project); who had done the Adult Attachment Interview (AAI), agreed to participate in this part of the project. The AAI was audio-recorded, verbatim transcripted and evaluated –after a through certification process-according to the system developed by Main, Goldwyn and Hesse. The two women were similar in age, occupation, marital status, being mothers, having a couple and a depression.
Results: Two women, 23 and 26 years old, both married and working at their home; the first with three pregnancies and the other with one; both with HIV as their couples. In the experience aspect of their childhood: both suffered neglect and a diminished love or care by their parents; rejection was also found mainly in case one. It was found that both cases had a Disoriented/Unresolved classification with an Autonomous second classification, due to unresolved traumatic experiences; and the Autonomous secondary classification, as a result of the compensating influence of a substitute attachment figure, during childhood.
Conclusions: Both women had a difficult childhood with traumatic events that were not resolved and that could be transmitted to their infants as a Disorganized Attachment.
REFERENCES
UNAIDS. 2004. Report on the global AIDS epidemic, Bangkok. Disponible en: http://www.unaids.org/bangkok2004/GAR2004_htm/GAR2004_00_en.htm
UNAIDS. Aids: A global perspective 2002. Disponible en: www.unaids.org/EN/other/functionalities/Search.asp. Disponible en: http://www.unaids.org/wad/2003/epiupdate 2003_sp/Epi03_02_sp.htm#P16_3133
Bianco M, Pagani L, Re MI, Correa C. Un enfoque cultural de la prevención y la atención del VIH/SIDA. Disponible en: http://www.unesdoc.unesco.org/images/0012/001298/129889s.pdf
Vives J, Lartigue T. La adolescente embarazada. Una visión psicoanalítica. En: Dallal E (ed.). Caminos del desarrollo psicológico. México: Plaza y Valdés; 2001, p. 169-230.
Santacroce S. Support from health providers and parental uncertainty during the diagnosis phase of perinatally acquired HIV infection. J Assoc Nurs AIDS Care 2000; 63-75.
Rubin (citado en: Siddiqui A, Hagglof B, Eisemann M. An exploration of prenatal attachment in Swedish expectant women. J Reprod Inf Psychol 1999; 17: 369-80.
Vives J, Lartigue T. Factores psicológicos del periodo perinatal. Bases Teóricas. En: Lartigue T (ed.). Salud comunitaria: Una visión panamericana. México: Universidad Iberoamericana; 1991, p.135-49.
Siddiqui A, Hagglof B, Eisemann M. An exploration of prenatal attachment in Swedish expectant women. J Reprod Inf Psychol 1999; 17: 369-80.
Johnson M, Lobo M. Mother-child interaction in the presence of maternal HIV infection. J Assoc Nurs AIDS Care 2001; 12: 40-51.
Mc Clure JB, Catz SL, Prejean J, Brantley PJ, Jones GN. Factors associated with depression in a heterogeneous HIV-infected sample. J Psychosom Res 1966; 40: 407-15.
George C, Solomon A, Main M. Adult attachment interview. Unpublished manuscript. University of California at Berkeley; 1984.
Main M. Discourse, prediction and recent studies in attachment: implications for psychoanalysis. In: Shapiro T, Emde R, Madison CO. editors. Research in Psychoanalysis. Process, development, outcome. International Universities Press; 1995, p. 209-44.
Ainsworth M, Blehar M, Waters E, Wall S. Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum; 1978.
Van Ijzendoorn M. Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis on the predictive validity of the Adult Attachment Interview. Psychol Bull 1995; 117: 387-403.
Main M, Hesse E. Parent’s unresolved traumatic experiences are related to infant dis-organized attachment status. In: Greenberg MT, Cicchetti D, Cummings EM. editors. Attachment in the preschool years. U. Chicago Press: Chicago; 1990.
Van Ijzendoorn MH, Sagi A. Cross-Cultural patterns of attachment: Universal contextual dimensions. In: Cassidy J, Shaver P. (eds.). Handbook of attachment. New York: Guilford; 1999.
Crowell JA, Fraley RC, Shaver PR. Measurement of individual differences in adolescent and adult attachment. In: Cassidy J, Shaver P, (eds.). Handbook of attachment. New York: Guilford; 1999, p. 434-65.
Steele H, Steele M. Clinical uses of the adult attachment interview. In: Cortina M, Marrone M (eds.). Attachment theory and the psychoanalytic process. London: Whurr Publishers; 2003, p. 107-26.
Main M, Hesse E. Parent’s unresolved traumatic experiences are related to infant disorganized attachment status. In: Greenberg MT, Cicchetti D, Cummings EM (eds.). Attachment in the preschool years. Chicago: U. Chicago Press; 1990.
Pederson D, Gleason K, Moran G, Bento S. Maternal attachment representations, maternal sensitivity, and the infant-mother attachment relationship. Dev Psychol 1998; 67: 925-33.
Lartigue T, Casanova G, Vives J, Ávila-Rosas H, Nava, Ortiz C, et al. ETS/VIHSIDA y trastornos de personalidad en mujeres embarazadas y sus parejas. Detección y prevención de prácticas de riesgo. Proyecto de investigación registrado en el CONACYT, aprobado por las Comisiones de Ética e Investigación del INPer. México: 2000.
Lartigue T, Casanova G, Ortiz J, Aranda C. ITS/VIH-SIDA e indicadores de malestar emocional y depresión en mujeres embarazadas. Perinatol Reprod Hum 2004; 18: 73-90.
Lartigue T, Vives J, De la Cerda M, Vázquez M, Córdova A et al. Risk factors for borderline pathology in pregnant women. Effects on the newborn and affective interaction mother-infant. Proyecto de investigación en proceso, registrado en el programa de investigación del APM y de la IPA; realizado con el apoyo económico del Comité de Investigación de la Asociación Psicoanalítica Internacional: Londres, Inglaterra: 2000.
Main M, Goldwyn R, Hesse E. Adult attachment scoring and classification systems: University of California; 2002.
Hesse E. The adult attachment interview: Historical and current perspectives. In: Cassidy J, Shaver P (eds.). Handbook of attachment. New York: Guilford; 1999, p. 395-433.
Schuengel C, Bakermans-Kranenburg M, Van Ijzendoorn M. Frightening maternal behavior linking unresolved loss and disorganized infant attachment. J Consult Clin Psychol 1999; 67: 54-63.
Gojman S, Millan S. Integrating attachment and social character approaches to clinical training: case studies from a Mexican Nahuatl village. In: Cortina M, Marrone M (eds.). Attachment theory and the psychoanalytic process. London: Whurr Publishers; 2003, p. 179-203.
Bleiberg E. Attachment trauma and selfreflection. In: Maldonado JM (ed.). Infant and toddler mental health. Washington: American Psychiatric; 2002.
Lyons-Ruth K, Jacobvitz D. Attachment disorganization. In: Cassidy J, Shaver P (eds.). Handbook of attachment. New York: Guilford; 1999, p. 520-54.
Lartigue T. VIH/SIDA y fallas en la parentalidad. Una investigación en el INPer desde las teorías psicoanalítica y de género. En: Psicoanálisis y relaciones de género. Alizalde M, Lartigue T (compiladoras). Buenos Aires: Editorial Lumen/IPA COWAP; 2004 p. 57-77.