PMID: 3744954Jul 1, 1986Paper

Pregnancy as a reaction to early childhood sibling loss

The Journal of the American Academy of Psychoanalysis
C M Klyman

Abstract

Surrogate mothers, illegitimately pregnant teenagers, married women seeking abortions, women convicted of manslaughter, and sister survivors of early childhood sibling loss may share a common conflict. These women may be in a state of incomplete mourning, unconsciously wishing to master a trauma by turning a passive experience into a life event they can control. Pregnancy can function as that life event. Replacement daughters and/or sister survivors can present as our patients with a search for or an avoidance of pregnancy as a crucial though unconscious issue. Literature written about this sequelae of early sibling death is reviewed according to psychosexual and object relationship stages. Common and uncommon consequences are discussed. Vignettes from the course of psychoanalytic therapy with women whose brothers had been accidently killed; whose sibling had died of metabolic disease; and those whose siblings had been relinquished to foster care are used to illustrate the immediate and long-term reactions. The range of these include varieties of separation anxiety as well as learning inhibitions in latency; exaggerated pseudo heterosexuality and other risk taking at puberty; problems in self-esteem regulation relative to eithe...Continue Reading

References

May 10, 1975·British Medical Journal·R M Williams, C M Parkes
Jul 1, 1972·Journal of the American Psychoanalytic Association·G H Pollock
Oct 1, 1966·Journal of the American Psychoanalytic Association·M M Jackel
Jan 1, 1983·The American Journal of Psychiatry·P J Parker

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Citations

May 1, 1989·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·H Olders
Sep 21, 2005·Human Reproduction Update·Olga van den Akker
Jan 1, 1993·The Journal of the American Academy of Psychoanalysis·P Des Rosiers

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