Human Development and the Family

Back to main website
Back to the course's website

Reading 5

Stern, Daniel (1995). Motherhood Constellation: A Unified View of Parent-Infant Psychotherapy. New York: Basic Books. Chapter 11 , Pp.171-190


Chapter 11 – the motherhood constellation

Motherhood is not just a continuation of a previous psychic state but a categorically different psychic state to any other time in a woman’s life. 

“Motherhood Trilogy”

The motherhood constellation concerns 3 different but related preoccupations/discourses and discourses which occur internally and externally:

  1. mother’s discourse with her own mother: mother-as-mother-to her-as –a-child
  2. mother to herself: herself-as-mother
  3. her discourse with her baby.
 

Those things require mental work and mental reworking. Mother become less identified with her father, with her role as a careerist, or as a woman in general or wife-of-a-sexual-partner (as opposed to a supporter). 

A new triad develops: the traditional Oedipal triad would be mother-mother’s mother-and-father, and mother-father-newborn. The emerging triad is newborn-mother-mother’s mother. It’s sort of like the new-mother receiving permission to become a mother for herself The author of this book claims that this triad is not Freudian in nature, so there is no penis envy and replacement of the penis with a child. Instead, when women become mothers, at least in our culture, several themes emerge:

  1. life growth theme: can she maintain the life and growth of the baby?
  2. Primary relatedness theme:  can she engage with the baby in her own authentic way and will that engagement assure the baby’s psychic development towards the baby she wants?
  3. Supporting matrix theme: will she know how to create and permit the necessary support systems to fulfill these functions?
  4. Identity reorganization theme: will she be able to transform her self-identity to permit and facilitate these functions?
 

Each theme involves an organized set of ideas/wishes/memories and motives that will influence the mother’s feelings/actions/interactions 

Motherhood constellation is not universal. The hormonal/psychobiological is universal but not the motherhood state across cultures/times/places. Our society places emphasis on:

  1. our society places great values on babies, their survival, well-being and optimal development
  2. the baby is supposed to be desired
  3. the culture places a high value on maternal role and a mother is, in  part, evaluated as a person by her participation and success in the maternal role
  4. the ultimate responsibility for care of the baby is placed on the mother even if she delegates much of the tasks to others
  5. it is expected that the mother will love the baby
  6. it is expected that the father and others will provide a supporting context in which the mother can fulfill her maternal role, for the initial period
  7. the family, society and culture do not provide the mother with the experience, training or adequate support for her to execute her maternal role alone easily or well
 

Not all women will develop the maternal constellation – and society will allow for some variability – but only to a limit before being labeled “child abuse” or bizarre. 

Component Themes of the Motherhood Constellation

-mother-infant psychotherapy themes emerge even before the birth of the child! 

The Life-Growth theme: i.e. can she sustain/promote the baby’s growth

Mother wonders if she will succeed in sustaining her child, as this is often used as a measure of her own success. This is a normal fear (will her baby survive). The reverse in this fear is “murder by profound inadequacy”, to use the author’s words. Failing to raise her children has huge implications for a woman’s self-concept. Though the traditional themes include individual survival and individual sexual reproduction, it also includes the species survival, in many women. 

Primary Relatedness theme – social-emotional engagement with the baby.

Questions include: can she love her baby? Does she feel the baby’s love? Can she enter a “primary maternal preoccupation” [Winnicott- identification with the baby i.e. heightened sensitivity. This is a preverbal pre-symbolic relatedness, i.e. reading the baby needs. This means attachment and regulating the child’s rhythm, induction of basic rules of human interactions and “holding” the baby]?

Mothers may be fearful of failures in this task, which is very culturally defined, yet may also be very different than mother’s own personal learnings.

 

Supporting Matrix theme – getting the support system in order to achieve the first two tasks (keeping baby alive and promoting psychic-affective development)

-a protective social matrix is important so that the mother can focus on the child’s needs through supporting the care-giving mother. There are two elements to this support: 1) supportive/buffer from external reality/provide for vital needs; and 2) psychological support and educate re: mothering. Mother needs to look at internalized and external objects for direction. Mother often needs a benevolent mother and grandmother, Mr. Hubby (the husband), can only be that much maternalized. Mother’s relationship to her own mother gets reactivated and reorganized. By the way, the best predictor of attachment between other and her baby is how the mother currently speaks of her own mother and experiences of being mothered. Clinical questions around this include: is mother enmeshed/autonomous from/rejecting of her relationship with her own mother? The internalized mother-objects get re-evaluated during the emergent motherhood. 

Fears in this stage include the failure to create or keep the supporting matrix, or whether the matrix will be unhelpful/bashing/critical? The cost of the support matrix may be high. i.e. mother may be paying with dependency/fusion. This price takes a toll on the mother’s autonomy, self-esteem, dignity, etc… 

Husband may compete with baby for the mother/wife’s attention. Motgher may fear that the seeming “over-parenting” may make the lonely husband leave, and possibly seek the attention with another partner. Therefore, success in the supporting matrix will also require ongoing successful renegotiation of the relationship between mother/wife and husband. 

Women tend to be better able to serve as supports for new-mother. 

Supporting Matrix theme

With the birth of a new baby, the woman’s identity shifts from:

 

Reworking/shifting the identity to the current situation is important for the completion of the other tasks. Allocation of energy/time/energy must shift, which involves mental work. 

-the intergenerational transmission process takes place and are based on a remembering context. 

The present remembering context and its role in identity transformations

Memory is often procedural. A person will procedurally know how to do something (i.e. soothe an infant), based in procedural memory from pre-episodic memory of the now-adult’s own life. So a parent will do the action in a similar fashion than done to him/her, even though there is no declarative memory of it. The maternal-care-giving situation may invoke some strong memories, some of them quite episodic and declarative. The maternal care-giving situations are not regressional but a powerful invoker of schematic memory. 

Nature of the Motherhood Constellation

A life phase is defined as a developmental stage with new tasks, concerns and capacities. It is not a new psychic organization, as it merely re-orients/elaborates and extends the existing order. Motherhood does create a new psychic organization 

Clinical implications of the Motherhood Constellation

We cannot use the traditional view of working through transference with new-mother clients. Motherhood difficulties including the transference (i.e. wanting to be supported/etc. by a maternal figure, and they usually get this from other mothers). The “good grandmother transference” is that wish to have a supporting maternal figure. Therapists may have a hard time with this transference, in that they need to remember that this is not just another form of psychoneurotic transference. But those therapists have to remember that this is really part of the mother constellation which means that the therapist has to be supportive of this positive transference. Not all transference is shitty. Therefore, therapists have to facilitate and act therapeutically and facilitate psychodynamically guided exploration if they were to support the motherhood constellation transference. Ignoring the maternal constellation transference leads to a therapeutic wound which at best supports disappearing of the symptom, based on client’s avoidance. Therapist is therefore to be a form of the supporting matrix: validate/support/appreciate and “hold” the mother, perhaps promoting that corrective experience necessary for positive change. 

Implications for fathers

Partners who have traditional roles: fathers are less able to be supportive of the new-mother due to his massively un-maternal role. In the couple where the roles are more equal, the husband is able to be of some maternal support, but his advice/validating capacities are limited in the fact that he never had the maternal or female experiences (writer’s comment: and as of 2010, statistically is unlikely to even eventually have it). 

The equality-based husbands may be on the disadvantage – he might give up half of his work to share in the child-rearing, but at first, mother may want to be with the child more than half her share. 

When the extended family is virtually non-existent, the husband can never fully replace the matrix of support… firstly just because he cannot fully validate the new-mother’s situation by virtue of the fact that he was not raised as a woman. 


End of reading!!!



Locations of visitors to this page