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Updated: Aug 7, 2025

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
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Published on: September 22, 2023

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The Art of Holding Perinatal Women in Distress

Karen Kleiman1, Hilary Waller1

  • 1The Postpartum Stress Center, Rosemont, Pennsylvania, USA.

Women'S Health Reports (New Rochelle, N.Y.)
|March 10, 2023
PubMed

Therapies like cognitive behavioral therapy and interpersonal psychotherapy are regarded as highly effective treatments for perinatal mood and anxiety disorders. Therapists appreciate robust research supporting the efficacy of these evidenced-based treatments and the structure of the tools these therapies provide for effective intervention. Less has been written on supportive psychotherapeutic techniques and few of those writings provide instruction or tools for therapists who wish to strengthen their skills in this therapeutic approach. This article describes The Art of Holding Perinatal Women in Distress™, a model of perinatal treatment developed by Karen Kleiman, MSW, LCSW. Kleiman instructs therapists to incorporate six "Holding Points" into their approach to therapeutic assessment and intervention for the purpose of establishing a holding environment conducive to the release of authentic suffering. This article reviews the Holding Points and provides a case study that elucidates how the holding points function within the context of a therapy session.

Keywords:
holding environmentperinatal distressperinatal mental healthpostpartumpostpartum depressionsupportive psychotherapytherapeutic alliance

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