Fantasy State During Pregnancy: A Psychoanalytic Account
Fantasy during pregnancy is a very common occurrence, especially during the third trimester. It is often disturbing to the woman, and may provide insights into client concerns of clinical relevance to the health care professional who delivers care to this population. This paper reports on a preliminary classification schema for third trimester fantasies, based on a survey of fantasies reported by pregnant women during this time period. Clinical examples of counseling situations using the schema to identify pregnant clients' problems and concerns are discussed. Assessment of fantasy state during pregnancy is seen as one important component to be included in delivery of care to the whole woman.
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Laurie N. Sherwen, Ph.D., R.N
Laurie N. Sherwen, Ph.D., R.N., is the Nurse Researcher and an Associate Professor in the Department of Nursing at Thomas Jefferson University in Philadelphia. She has published many articles and four books concerned with pregnancy and parenting. Her most current work, a maternity nursing core textbook: Nursing Care of the Childbearing Family, was published by Appleton-Lange in February, 1991. Dr. Sherwen is an associate editor for the Journal of Perinatology. Her current research efforts involve investigation of effects of caretaker environment on HIV-infected children. Address correspondence to Department of Nursing, Thomas Jefferson University, 130 South 9th Street, 12th Floor, Philadelphia, PA 19107.