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Intervention strategies with multiproblem families. Part 1. A psychoanalytical approach
Insights
Community health nurses can apply psychoanalytical intervention strategies to support families during the developmental crisis of childbirth. Three approaches exist, chosen based on family needs and capacity, all requiring a committed therapeutic relationship.
Area of Science:
- Psychology
- Family Health
- Nursing Interventions
Background:
- Childbirth represents a significant developmental crisis for families.
- Psychoanalytical theory offers a framework for understanding family dynamics during this period.
Purpose of the Study:
- To outline psychoanalytically-based intervention strategies for community health nurses (CHNs).
- To emphasize the importance of tailoring interventions to family needs and capacities.
Main Methods:
- Discussion of intervention strategies derived from psychoanalytical theory.
- Identification of three basic approaches for CHNs.
Main Results:
- The selection of an intervention approach is contingent upon the family's specific needs and their responsiveness.
- A foundational element across all approaches is the establishment of a committed therapeutic relationship.
Conclusions:
- CHNs can effectively support families through childbirth crises using psychoanalytical interventions.
- Clear communication regarding commitment within the therapeutic relationship is crucial for successful intervention.
Abstract:
This discussion has focused on intervention strategies based on psychoanalytical theory. Recognizing that the birth of a baby is a developmental crisis in a family, the CHN can use one of three basic approaches. The choice of approach depends upon the family's need and their ability to respond to the approach. Fundamental to all three approaches is the establishment of a therapeutic relationship based on commitment. The nurse needs to be clear with her- or himself and with the family on what that commitment is.