Personality Organization and Maternal Addiction: A Structural-Developmental Psychodynamic Contribution

Motherhood has been deemed a normal crisis given the significant psychological, biological, and neural changes surrounding pregnancy and the postpartum period. These challenges can become more complex because they are closely related to the parent's own self-development and sense of self-efficacy grounded in their personality prior to parenthood. The normal crisis of motherhood may be further complicated by addiction. Considering the evidence of the negative impact and poor developmental outcomes of children born to mothers with substance use disorders, special attention must be paid to addiction in this context. This paper is a review of evidence on the challenges of parenthood, particularly when affected by addiction. We explore the centrality of object relations in personality development and parenting practices and discuss the problem of maternal addiction from multiple perspectives, particularly Blatt's (1991a) two-polarities model of personality development. 摘要:考虑到孕期和产后的心理的、生物的和神经的重大变化, 身为母亲被视作一种正常的危机。这些挑战可能变得更为复杂, 因为它们与父母自身的自我发展和自我效能感紧密相关, 而这些是基于他们成为父母之前的人格的。母亲的正常的危机可能会由于上瘾问题进母亲的正常的危机可能会由于上瘾问题进一步复杂化。考虑到有药物应用障碍的母亲生下的孩子的发育不良和负面影响的证据, 必须特别关注在此背景下的成瘾问题。本文综述了父母的挑战的证据, 特别是受到成瘾问题影响时。我们探索了客体关系在人格发展和养育实践中的中心地位, 也从多元观点上讨论了母亲的成瘾问题, 特别是Blatt (1991a)的人格发展的双极性模型。