치료자의 임신에 대한 정신과 환자들의 반응

The Response of Psychiatric Patients to Therapist’s Pregnancy

The psychological and physiological effects of pregnancy are various, and the pregnancy brings differences in w om an’ s physical appearance and identity, therefore it affects the pregnant women as well as the family. This study was set up to find the patients’ diverse emotional reactions when the psychiatric therapist becomes pregnant and to apply that findings in the treatm ent The suvjects were 30 psychiatric inpatients(l4 men and 16 women) admitted at Ewha Wom ans University Hospital Psychiatric W ard Whose m ean age was 30.8土 10.3 years old. Their diagnoses were schizophrenia(17)，Schizoaffective disoerder(4)，m ood disorder(3)，personality disorder(13)，conduct diso rd er(l)，and eating disorder(l). The m ean age o f control group(8 m en and 22 women) was 29.0± 7.3years old. They were examined by the questionnaire which was designed for this study. The reliability of the questionnaire was measured by C ronbach’ s alpha coefficient and the internal consistency was 0.83 which proved to be high. Among 8 items in the questionnaire, there was no significant difference between the patients and the control in sexuality, fear of abandonm ent but there was significant difference between the patients and the control in sibling rivalry, competition, denial, identification, hostile fantasies, reaction formation and revival of mother-child relationship. There was no difference due to different sex in both the patients and control. Regardless of different sex, the therapists pregnancy gives many stimulations to patients and it stirs up various transference emotions which reflects object relations in the childhood. If the therapist understands these transference emotions and verbalize it in the begining, the therapist’ s pregnancy will provide a productive and effective situation.