Reactions of patients during pregnancy of the psychotherapist

Abstract

A variety of patient reactions to the therapists' pregnancies have been described. Although the reactions varied, the central themes of rejection, sibling rivalry, and oedipal strivings were evident. In addition, material suggesting identification with the therapist and identification with the baby was prominent. The case histories were divided into three categories. The first group illustrated the patient's attempts at solving a childhood conflict by means of reliving it in relation to the pregnant therapist. The second group showed a variety of defensive reactions in response to the therapist's pregnancy. The third group, unlike the previous group, integrated into therapy the new material and affect stimulated by the pregnancy, thus allowing for new insights and therapeutic gains. Although some patients showed a temporary setback in therapy, no permanent regressions were seen.