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Goodness-of-fit and Mental Health

Goodness of fit. Stella Chess and Thomas Concept of temperament

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Goodness-of-fit and Mental Health

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    1. Goodness-of-fit and Mental Health M Maldonado

    2. Goodness of fit Stella Chess and Thomas Concept of temperament “different kinds of temperament” Relationship with caregiver’s style: Good fit, or poor fit

    3. Temperament. Bernhard Hellwig “Die vier Temperamente bei Kindern” (1780’s) Sanguine child Phlegmatic child Choleric child Melancholic child

    4. Temperament: Chess and Thomas Easy child Slow to warm up child Difficult child Undifferentiated

    5. Temperament Biological Predisposition Rhythmical functioning Circadian rhythmicity Interest in novelty Approach to new situations, curiosity Inclination to “outside’ or “inside”

    6. Temperament Environmental influences on biological predisposition: Promoting self-regulation through other-regulation Promoting development (Vygotskian model) Promoting rhythmicity through routines Buffering from environmental influences

    7. Transition to parenthood Wish for a perfect child Reverie during pregnancy about how the baby will be Images (working models) in parents’ mind about what it is to be a mother/ father Influence of own experience of being parented on “what is a mother, father”

    8. Transition to parenthood Calipedia (wish for a beautiful child) Conscious wish for a baby Imaginary baby ( preconscious desire, fantasy) Phantasmatic baby (unconscious representation, meaning of baby) “Real baby” “Cultural baby” (MR Moro)

    9. Transition to parenthood First encounter with baby Encounter between desired baby and real baby Surprise, “shock” and ambivalence Reconciliation between imagined and real infant Process of acceptance, celebration, “mourning” of ideal features

    10. Influences on development

    13. Goodness of Fit: “ideal” PARENT Expectation Active, energetic Likes music Wanted a boy INFANT Child has easy temperament Child is athletic and interested Likes music Child is a boy

    14. Poor fit PARENT Parent is exhausted and stressed Low level of energy Active, likes sports Conflict with own father CHILD Child is irritable and “high demand” Sleeping difficulties Is floppy and low muscular tone Child resembles the grandfather

    15. Goodness of fit DEGREE OF FLEXIBILITY ACCEPTING THE REALITY CAPACITY TO “READ” THE CHILD EMPATHY/MENTALIZATION MATERNAL OR PATERNAL INSTINCT ADAPTABILITY CAPACITY TO READ PARENT “BABYNESS” “SOCIAL ORIENTATION” DEVELOPMENTAL PUSH

    16. Goodness of fit Parent adapts caregiving to child’s unique characteristics Parent modifies expectation Parent alters discipline strategies Child creates own environment Child “disarms” parent Child reinforces parent

    17. Positive mutual feedback

    18. Vicious cycle feedback

    19. Effects of child on parent

    20. Mutual coercive training (GR Patterson)

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