Human Development and the Family

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Reading 8

Fraiberg S., Adelson E., Shapiro V. (1975). Ghosts in the nursery. A psychoanalytic approach to the problems of impaired infant-mother relationships. Journal of the American Academy of Child and Adolescents Psychiatry 14(3 PT 2):387-422


Every mother-child interaction involves having “ghosts” – uninvited (unremembered, not conscious, procedural) memories of parent’s past. Ideally, those ghosts are to be repressed. Baby tried to make full claim to parental love, and without malevolent intruders. Even in a stable/strong parent-infant bond/love, intruding scripts from parent’s past, with different circumstances/players can come up. When brief and non-impairing, then it is not too much of a concern. There is concern where intrusions from parents’ past does impair functioning, such as feeding, sleep, toilet training or discipline. When those intrusions of the parents’ past is transient, such parents generally come for professional advice, with a good working alliance, and reap the benefits of counseling. 

Not all suffering/poorly-parented/abused/etc. children become bad parents. So there must be other factors. There must be a resiliency and capacity to establish a corrective experience for their kids. 

Then, there are another group of families, where the intergenerational crap is a permanent fixture. “The ghosts were not invited, but have taken full-time residence”. They “rehearse the family tragedy from a tattered script”. By the time that they come to counselling, the baby shows the distress of emotional starvation, grave symptoms, or developmental impairments. In such families, the issues are intergenerational (i.e. even 3-4 generations!), and the instruction of past scripts are rigidly seen as ego-syntonic. They tend not to come for counseling, and the therapists/youth-protection is seen as the real intruders, by such families. Freud’s concept of repetition compulsion is at its best in those families. Otherwise, babies who are afflicted by their parents’ past must await a spokesman for dealing with that (i.e. a therapist).

Therefore, the therapist must access those past experiences of the parents and process them in order for them not to influence the present as blindly as they do. Such work combines the ideas of social work, psychoanalysis and developmental theories. 

The following part of the paper is case studies of May and of Greg. 

Mary

5 ½ months old, whose mother wanted to give up Mary for adoption, while the father did not agree to consent to this. Un uncovering the mother’s crap, this “rejecting mother” had am underlying depression with suicide attempts (i.e. Aspirin). Mary had the features of a “crib baby” – i.e. well fed, but not more than that. The back of her head was bald. She rarely smiled, few vocalizations, little interest in her surrounding, very few eye-contacts/reaching out to her mother. The one time that the baby did (in the videoed session, the mother did not respond, and looked dreadful. It was as if mother did not hear the cries of the baby! 

Mom’s story:

Attempted suicide several times (aspirin, gunshot which deformed her face). She was cared for grudgingly by family members, as parents were absent. Poverty, crime, family secrets, promiscuity, and incompetent child-protection agencies were part of mother’s own history. Mom married in her late adolescence to a man with similar history of crap. They both wanted “something better”, but after a few years of trying that, the downwards-spiral has begun. A central theme in mom’s guilt was that the husband was not “father” of Mary– everyone commented that Mary is probably due to some affair of the mom (due to looks). Dad kept on saying that he does not care, but that what is of essence here is caring for Mary. Both parents’ families-of-origin had a lot of illegitimacy in their history and carried no stigma. (They happened not to be from Cornwall). So, why did mom feel so guilty? Was she one of them illegitimates? To uncover this, Mary’s mom was sent to psychoanalysis, but she could not handle it, as it was too scary for her. She could not stop speaking of how much she hates men.

As also dyadic work was sought to work on Mary’s situation, the in-home component was a good way to see natural observations in the natural context of the mom-infant dyad.

The more that the in-home therapist “allowed” Mary’s mom to cry and grieve her own crap, the more she spontaneously grabbed Mary and comforted herself and Mary (as opposed to not touching her baby at all!).  baby began to seek comfort in mother and spontaneous smiling at mom. Therapist reflected this to the mother (i.e. “spoke on behalf of the baby”). Therapist made the connection for the mom as to how the mother brought her own suffering onto the relationship with her daughter, Mary.

By age 10 month, Mary showed appropriate attachment (i.e. preference for mother for comfort/safety). The mother’s depression had constricted. But it was still there! The raging disease was at least controlled. 

Other conflicts:

The next stage of counselling also moved freely between Mary’s developmental needs and mother’s conflicted past.

Issues were not as grave as in the beginning. But there were still issues to be worked out. Mother still did not see the attachment needs behind making haphazard babysitting plans when mom had to go work. After all, for a woman who grew up in poverty, wouldn’t she see work as primary for survival, before attachment needs? Mom’s rule of thumb was still “forget about grief – you will have losses in life and you have to get used to it”.

In working out mom’s own numerous losses of parental figures and the related rule of thumb of “forget about it” (which precludes grieving over it), Mary’s mom was helped to see that she is doing the same to Mary (i.e. “forget about the loss of a baby-sitter, as they come and go, so, I will ignore your distress about it and ignore it too”). 

At this time, the secret of men came out (i.e. the strong counter-transference towards men as seen in mom’s psychoanalysis): in mom’s family of origin, incest was commonplace, and was minimized by the maternal parental figures. This was processed with the mother, and mother’s anxieties around men and “child-making” were abated. 

End of story: At age 2, Mary was appropriately attached, and shows maternal/comforting behaviours towards her dolls. Mother seemed freer to empathize appropriately. 

Greg’s story

Just like Mary’s story, Greg’s story is of how parent’s personality/historical crap, which when unprocessed, is then crapped on the kids, despite best intentions. 

Greg is 3.5 months old. Mom (16 years old) won’t touch/care for him. Mom forgets to buy milk and often feeds him with Kool-Aid and Tang. She lets 19-year old dad do the care-giving. Mom’s family is known to social service agencies for 3 generations. Delinquency, promiscuity, child abuse, poverty, school failure, psychosis brought every family member to community agencies/courts. Mom is now the third-generation child-abandoner. Dad did the caring, which was deemed as somewhat adequate. Mom saw the therapist as a conspirator, just like her own mother. Her emotions seemed blank. Basic trust of the therapist was an issue for the mom, and she did a quite a few no-shows/moving to different addresses tricks in the beginning of the therapy. Problem is, baby is in peril. Therapy was done with an in-home setting. 

Turns out (after mom started opening up a bit) that she was supposed to care for her siblings since her early childhood, and not doing so risked corporal punishment from a father who was alcoholic, an probably psychotic. Mom’s descriptions were factual, with little emotion expressed. But then, for the first time, mom went to pick up the crying baby as she was talking about her own experiences, not only factually but emotively/experientially. Mother’s play with Greg still has aggressive themes. i.e. when Greg picked up a toy hammer, mom took it from him and (softly) tapped Greg’s head, saying “I am going to beat you”. Mom still needed to align herself with a mother identity and may need an auxiliary ego to defend from dangerous impulses. For that, a therapist would have been needed 24/7 in this case. There was a therapeutic dilemma here: to open up the unconscious destructive feelings was not possible as they were a still repressed, and quite strongly in the mom. But working on client’s current ego state meant colluding with the repression which to begin with brought on the current situation (i.e. distancing from baby/lack of care-giving). And after all, repression of the suffering/emotional experience behind the factual memories is the key to maintaining the repetition compulsion of the intergenerational crap. But, there was hope! After talking about her childhood (albeit in a flat manner), mom did respond to Greg. So, plan was set to face the anxieties of the mom, head-on with all the therapeutic (and transference) implications of it. 

Mom started speaking about the charade of men in her own mom’s life. One would beat her a lot when not caring for the siblings (until the belt broke). Mom used to laugh at herself being beaten as a kid, as it would not hurt anymore. When the original (biological) father died, mom left the children (6 from 4 men) at an old lady’s home, who would lock them out of the home for punishment. When mom returned, she was absent (i.e. work or at “unknown” places). Therapist tried to access mom’s feelings of missing her mom, and mom started to respond. But then one time, the mom locked the therapist out of the in-home visit. Mom did not remember the affective terrors behind her experiences, but she definitely acted them out in transference and acting out (i.e. locking the therapist out of the house). Best reaction is to not abandon client (due to the understanding of the transference/counter-transference of the specific case). Problem being: the baby is part of the crap now!!! So therapist sent out a letter saying that “we wanna help you, but if you do not remain in contact with us, w may need child-protection agencies’ help with helping you.” So mom called back. And trust issues were addressed, as anger was encouraged to be expressed directly at therapist (i.e. so tough emotions are taught to be fine and manageable!). Anger towards, and the desertion of Greg’s mom’s own mother were the recurrent themes in subsequent discussions. In mom’s family of origin, rage was responded to by either flight or identification with the aggressor. So, Greg’s mom had to learn that anger towards someone does not lead to retaliation or abandonment. Mom tries to survive by forgetting, and the therapist tried to get mom to remember with the aim of processing as opposed to isolation of affect (fleeing from the affective components of the memories, and the subsequent acting out of the memories). And only when Greg’s mother was able to re-experience, and then put into perspective her own hurts pertaining to herself being parented, did she start comforting and caring for Greg. And Greg responded by seeking mother’s attention and company. Nutrition and caring for Greg became more appropriate. 

The therapist questioned the rule of thumb of mom and dad’s respective families-or-origin: that even an infant is capable of malice. Then parents started to seek cause-and effect of Greg’s behaviour, as opposed to seeking a negative attribution to Greg. 

But when mother had a psychic regression, therapist and mom were able to relate that to meaning behind mother’s moods. 

Other issues which arose:

 

Last therapeutic issue

When Greg became more independent, he would become more mobile mischievous and curious, and mom stopped the comforting behaviours and became obnoxiously loud in her disciplining. Greg would laugh nervously, just as mom did when she was beaten as a kid. Identification with the aggressor is usually done in response to anxiety and helplessness towards the attacker. Mom had probably regressed to the helplessness which she felt as a child, when she had to deal with Greg’s developmental stage of exploring/testing the world. But her tone of voice was still ego-alien to her (mom didn’t even realize the drastic change in herself!). One time, as Greg was eating breakfast, therapist called mom on her directive shouting (Greg was playing with his breakfast), and mom sounded initially defensive, but got the point… but then she spoke and showed her anxiety around the sense of helplessness behind her shouting at Greg. And then, the identification with the aggressor began to dissolve in the mother. Then, therapist taught mother concrete ways to be attuned to Greg’s developmental needs without being critical of them. 

At the end of this story, mom got pregnant again, with a baby she wants and expects, and is able to foresee her care-giving roles, as well as possible reaction of Greg to the new baby/etc… 

Conclusion:

What determines whether parents’ conflict will be repeated with the child? It is not the parents actually having their own negative experiences as children, but rather the repetition compulsion and identification with the aggressor mechanism. The negative events were remembered explicitly by the parents, often with chilling gory details. What was not remembered was the associated affective experience. Those affective memories are not gone, but repressed (i.e. alive and kickin’ from under the carpet). Then when the kids come alone, the repressed crap gets placed on them, repeating the past ills in their lives (i.e. externalize the conflict). 

For parents who can speak not only of the incidents which they experiences, but how they experienced it, then their pain has not undergone repression, and they can identify with the injured child, as opposed to the fearsome figures of the past. In short access to childhood pain is a powerful deterrent to repetition of those traumas in subsequent events, while repression/isolation of painful affect provide the psychological requirements for identification with the betrayers and aggressors of childhood. 

Unsolved mystery: why do some children not align/identify with the aggressors.

End of reading!!!



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