The Neonate and His Mother

Author(s):  
Donald W. Winnicott

In this paper, Winnicott describes some elements of the psychology of the newborn. He distinguishes the difference between a mother’s psychology and that of her infant's, and also ascribes to the mother the capacity for primary maternal preoccupation (his term) for identifying with her infant. He gives importance both to the concept of the proper ‘holding’ physically and emotionally of the newborn and to the environmental provision that the infant needs. The beginnings of the personality, and the difficulties inherent in failures of early provision leading to serious mental illness are also discussed. Detailed examples from his clinical cases are given.

2021 ◽  
pp. 1-10
Author(s):  
Chi-Kang Chang ◽  
Edward Chesney ◽  
Wei-Nung Teng ◽  
Sam Hollandt ◽  
Megan Pritchard ◽  
...  

Abstract Background People with serious mental illness (SMI) have a significantly shorter life expectancy than the general population. This study investigates whether the mortality rate in this group has changed over the last decade. Methods Using Clinical Record Interactive Search software, we extracted data from a large electronic database of patients in South East London. All patients with schizophrenia, schizoaffective disorder or bipolar disorder from 2008 to 2012 and/or 2013 to 2017 were included. Estimates of life expectancy at birth, standardised mortality ratios and causes of death were obtained for each cohort according to diagnosis and gender. Comparisons were made between cohorts and with the general population using data obtained from the UK Office of National Statistics. Results In total, 26 005 patients were included. In men, life expectancy was greater in 2013–2017 (64.9 years; 95% CI 63.6–66.3) than in 2008–2012 (63.2 years; 95% CI 61.5–64.9). Similarly, in women, life expectancy was greater in 2013–2017 (69.1 years; 95% CI 67.5–70.7) than in 2008–2012 (68.1 years; 95% CI 66.2–69.9). The difference with general population life expectancy fell by 0.9 years between cohorts in men, and 0.5 years in women. In the 2013–2017 cohorts, cancer accounted for a similar proportion of deaths as cardiovascular disease. Conclusions Relative to the general population, life expectancy for people with SMI is still much worse, though it appears to be improving. The increased cancer-related mortality suggests that physical health monitoring should consider including cancer as well.


2002 ◽  
Author(s):  
B. Christopher Frueh ◽  
◽  
Ronald F. Levant ◽  
Stevan E. Hobfoll ◽  
Laura Barbanel

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