
Yifa McDonald
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Papers by Yifa McDonald
This paper discusses the difficulties that ‘healthy’ severe (24 to 32 gestation weeks) premature babies encounter during their hospitalisation from a psychoanalytical perspective. It elaborates on early ego formation and its importance to mental development. It compares and contrasts between the early development of a full term baby and a severely premature baby. Finally, it discusses the different psychological problems that a high percentage of severe premature infants will potentially develop as a result of the premature birth and the traumatic stay in the “Neonatal Intensive Care Unit”- NICU. This paper maintains that emerging medical findings support the well established psychoanalytic views which stress the paramount importance of the ‘Good Enough’ environment in early infancy and theoretically links the lacking environment of the NICU with a high risk to develop mental disorders namely: learning and attachment disorders.
This thesis discusses the trauma that ‘healthy’ severe premature babies (24 to 32 gestation weeks) endure as a result of their early birth and their prolonged hospitalisation from a psychoanalytical perspective supported by new medical findings. It elaborates on the concept of trauma from a psychoanalytic view point. It explores pregnancy and birth, as well as comparing and contrasting the early mental development of a full term baby and a severely premature baby. In order to support the claim that severe prematurity is a substantial trauma to the infant, the paper compares the brain trauma of neglected infants, who are widely recognised to be traumatised subjects and the brain trauma that severe premature infants endure as a result of their early birth and subsequent stay in the Neonatal Intensive Care Unit (NICU). This paper maintains that emerging medical findings support the well established psychoanalytic viewpoint which stresses the paramount importance of the ‘Good Enough’ environment in early infancy. It theoretically links the lacking environment of the NICU with a greatly increased risk of developing mental disorders, namely: learning and attachment disorders. Finally, the paper discusses the possible future implications of this trauma and elaborates on recommendations which emphasise the importance of early therapeutic intervention. Using the latest findings in neuroscience and attachment therapy, I will argue that the premature infant is at high risk of developing learning and attachment disorders as a result of the NICU environment, which lacks certain psychological elements essential to the infant’s healthy mental development.
This paper discusses the difficulties that ‘healthy’ severe (24 to 32 gestation weeks) premature babies encounter during their hospitalisation from a psychoanalytical perspective. It elaborates on early ego formation and its importance to mental development. It compares and contrasts between the early development of a full term baby and a severely premature baby. Finally, it discusses the different psychological problems that a high percentage of severe premature infants will potentially develop as a result of the premature birth and the traumatic stay in the “Neonatal Intensive Care Unit”- NICU. This paper maintains that emerging medical findings support the well established psychoanalytic views which stress the paramount importance of the ‘Good Enough’ environment in early infancy and theoretically links the lacking environment of the NICU with a high risk to develop mental disorders namely: learning and attachment disorders.
This thesis discusses the trauma that ‘healthy’ severe premature babies (24 to 32 gestation weeks) endure as a result of their early birth and their prolonged hospitalisation from a psychoanalytical perspective supported by new medical findings. It elaborates on the concept of trauma from a psychoanalytic view point. It explores pregnancy and birth, as well as comparing and contrasting the early mental development of a full term baby and a severely premature baby. In order to support the claim that severe prematurity is a substantial trauma to the infant, the paper compares the brain trauma of neglected infants, who are widely recognised to be traumatised subjects and the brain trauma that severe premature infants endure as a result of their early birth and subsequent stay in the Neonatal Intensive Care Unit (NICU). This paper maintains that emerging medical findings support the well established psychoanalytic viewpoint which stresses the paramount importance of the ‘Good Enough’ environment in early infancy. It theoretically links the lacking environment of the NICU with a greatly increased risk of developing mental disorders, namely: learning and attachment disorders. Finally, the paper discusses the possible future implications of this trauma and elaborates on recommendations which emphasise the importance of early therapeutic intervention. Using the latest findings in neuroscience and attachment therapy, I will argue that the premature infant is at high risk of developing learning and attachment disorders as a result of the NICU environment, which lacks certain psychological elements essential to the infant’s healthy mental development.