Karl Heinz Brisch

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The birth of a very small preterm infant (< or = 1500 grams) can be a traumatizing experience for many parents. A developmental risk model is presented that is the background to an early attachment-oriented preventive psychotherapeutic intervention. This comprehensive parent-centered intervention program is composed of supportive group psychotherapy,(More)
In the first part of this article we give a review of the basic concepts of attachment theory and summarize Bowlby's crucial thoughts about attachment. In the second part we introduce the traditional attachment methods with concrete cases. In this context we describe the transgenerational aspect of attachment and highlighten the bridge between infant(More)
A randomized controlled pilot study was performed with a sample of extremely preterm infants to evaluate the impact of postnatal estradiol and progesterone replacement on postnatal bone mineral accretion. Twenty-five of 30 infants in the pilot study survived, and of these, 24 infants were available for the follow-up examination at a median chronological age(More)
OBJECTIVE Ultrasound is a widespread noninvasive method of prenatal diagnosis. The detection of fetal abnormalities can provoke anxiety, which needs coping. The coping process of pregnant women with different risk conditions for fetal abnormality were studied in a longitudinal design and compared with a nonrisk control group of women with healthy(More)
After an introduction about the basic concepts of attachment theory the diagnostic classification systems ICD, DSM and ZERO TO THREE are reviewed for descriptions and diagnosis of attachment disorders. It is demonstrated how over the last few years attachment theory has been partly adopted in those diagnostic systems. In addition different types of(More)
Ultrasound is a widespread non-invasive method of prenatal diagnosis. The detection of fetal abnormalities can provoke anxiety, which needs coping. Anxiety and the coping process of pregnant women with different risk conditions for fetal abnormality were studied in a longitudinal design and compared with a non-risk control group of women with healthy(More)
During the course of its first year of life, the infant develops a strong attachment to the person with whom it has most contact (usually the mother), to whom it turns for consolation when in pain, or protection when threatened. If the infant's bonding needs are not adequately met, rage, disappointment, or ambivalent feelings towards that person may result.(More)
Nach einer Einführung in die Konzepte der Bindungstheorie werden die Möglichkeiten einer Diagnostik von Bindungsstörungen in den vorhandenen Klassifikationssystemen (ICD, DSM) diskutiert. Es wird ein erweitertes diagnostisches System von Bindungsstörungen vorgestellt, das in der klinischen Anwendung eine Differenzierung ermöglicht. In der Pädiatrie besteht(More)