The role of family and close social relationships in the narratives of Israeli women who experienced stillbirt

• Název práce v češtině: Role rodinných vazeb a vztahů v narativech Izraelských žen, které prodělaly potrat
• Název v anglickém jazyce: The role of family and close social relationships in the narratives of Israeli women who experienced stillbirt
• Klíčová slova: mezigenerační solidarita, potrat, rodina, sociální vazby, trauma
• Klíčová slova anglicky: family, intergenerational solidarity, posttraumatic stress, pregnancy loss, social relationships
• Akademický rok vypsání: 2019/2020
• Typ práce: diplomová práce
• Jazyk práce: angličtina
• Ústav: Katedra sociologie (23-KS)
• Vedoucí / školitel: PhDr. Mgr. Jaroslava Hasmanová Marhánková, Ph.D.
• Řešitel: skrytý - zadáno vedoucím/školitelem
• Datum přihlášení: 13.01.2020
• Datum zadání: 13.01.2020
• Datum a čas obhajoby: 22.06.2020 15:45
• Místo konání obhajoby: Jinonice - U Kříže 8, Praha 5, J2019, Jinonice - místn. č. 2019
• Datum odevzdání elektronické podoby: 17.05.2020
• Datum proběhlé obhajoby: 22.06.2020
• Oponenti: Mgr. Anna Tučková

Zásady pro vypracování

This paper focuses the experiences of women who have experienced pregnancy loss. Our method includes the post-trauma (PCL-5) questioner to point out the woman’ mental or traumatic state, in addition to semi-structured interview that will allow participants the freedom to articulate their stories in their own words, and understand the implications regarding their family structure, close relationship with their partner and the different types of solidarity she shown or receive in the theory frame of the intergenerational model. This paper approaches this topic from the woman’s perspective, in other words, the solidarity model has kept pace with recent empirical and theoretical development but how can we understand coping with a stressful event, such as stillbirth, while addressing the multigenerational family? What types and levels of assistance the multigenerational family could supply, and what additional stress it can invoke? Our innovation in this paper is the use of the model that in most literature reviews and sub theories deals with the inclusion and definition of families in general but is not sufficiently flexible for situations such as this. Answering these questions will aid us to understand the situation and give help or guides to coping with this extreme situation that is part of life events that build the overall family model or to define a new theory model – that will inclusive this type of family structure.

Seznam odborné literatury

Batool, S., & Azam, H. (2016). Miscarriage: Emotional burden and social suffering for women in Pakistan. Death Studies . 40:10, 638-647, DOI: 10.1080/07481187.2016.1203376.

Bengtson, V. (2001). Beyond the nuclear family: The increasing importance of multigenerational bonds. Journal of Marriage and Family . 63: 1-16. doi:10.1111/j.1741-3737.2001.00001.x.

Bengtson, V., Giarrusso, R., Mabry, J., & Silverstein, M. (2002). Solidarity, conflict, and ambivalence: Complementary or competing perspectives on intergenerational relationships? Journal of Marriage and Family , 64(3), 568–576.

Bina, R., & Harrington, D. (2017). Differential Predictors of Postpartum Depression and Anxiety: The Edinburgh Postnatal Depression Scale Hebrew Version Two Factor Structure Construct Validity. Maternal and Child Health Journal . 2017 Dec;21(12) 2237-2244. doi:10.1007/s10995-017-2345-5. PMID: 28755039.

Corbet-Owen, C. (2003). Women's perceptions of partner support in the context of pregnancy loss(es). South African Journal of Psychology, 33(1), 19-27. https://doi.org/10.1177/008124630303300103

Daugirdaitė, V., van den Akker, O., & Purewal, S. (2015). Posttraumatic stress and posttraumatic stress disorder after termination of pregnancy and reproductive loss: a systematic review. Journal of pregnancy, 2015, 646345. doi:10.1155/2015/646345

Diamond, D., & Diamond, M. (2016). Understanding and treating the psychosocial consequences of pregnancy loss. The Oxford handbook of perinatal psychology. (p. 487–523). Oxford University Press.

Engelhard, I., Van den Hout, M., & Arntz, A. (2001). Posttraumatic stress disorder after pregnancy loss. General Hospital Psychiatry . Volume 23, Issue 2, 2001, Pages 62-66, ISSN 0163-8343, https://doi.org/10.1016/S0163-8343(01)00124-4.

Flenady, V., Koopmans, L., Middleton, P., Frøen, J., Smith, G., Gibbons, K., et al. (2011). Major risk factors for stillbirth in high-income countries: A systematic review and meta-analysis. The Lancet .

Gerber-Epstein, P., Leichtentritt, R., & Benyamini, Y. (2009). The experience of miscarriage in first pregnancy: The women's voices. Death Studies, 33:1, 1-29, DOI: 10.1080/07481180802494032

Gold, K., Sen, A., & Leon, I. (2018). Whose fault is it anyway? Guilt, blame, and death attribution by mothers after stillbirth or infant death. Illness Crisis and Loss , 26(1), 40–57. https://doi.org/10.1177/1054137317740800

Harwood, K., McLean, N., & Durkin, K. (2007). First-time mothers' expectations of parenthood: What happens when optimistic expectations are not matched by later experiences? Developmental Psychology, , 43(1), 1–12. https://doi.org/10.1037/0012-1649.43.1.1

Janssen, H., Cuisinier, M., De Graauw, K., & Hoogduin, K. (1997). A prospective study of risk factors predicting grief intensity following pregnancy loss. Archives of General Psychiatry . 1997;54(1):56–61. doi:10.1001/archpsyc.1997.01830130062013

Katz, R., Gur-Yaish, N., & Lowenstein, A. (2010). Motivation to provide help to older parents in Norway, Spain, and Israel. International Journal of Aging and Human Development , 71(4), 283–303. https://doi.org/10.2190/AG.71.4.b

Kersting, A., & Wagner, B. (2012). Complicated grief after perinatal loss. Dialogues in clinical neuroscience, 14(2), 187.
Ptettyman, R., Cordle, C., & Cook, G. (1993). A three‐month follow‐up of psychological morbidity after early miscarriage. British Journal of Medical Psychology . 66: 363-372. doi:10.1111/j.2044-8341.1993.tb01762.x

Prilutzky, D., Lowenstein, A., (2004) University of Haifa. Influence of Family Solidarity, Conflict, and Indigenous Ambivalence on the Quality of Life of "Young Elderly," "Elderly Elderly," and Middle-Ages

Silverstein, M., Lowenstein, A., Katz, R., Gans, D., Fan, Y. K., & Oyama, P. (2013). Intergenerational Support and the Emotional Well-being of Older Jews and Arabs in Israel. Journal of marriage and the family, 75(4), 950–963. doi:10.1111/jomf.12041

Předběžná náplň práce

Loss of a pregnancy holds different emotions, including minor and severe grief, depression disorder, PTSD and anxiety (Diamond & Diamond, 2016). While most pregnancy ends in the birth of a child, there are cases in which the pregnancy ends in stillbirth. Worldwide rates indicate that the incidence of miscarriage is between 15- 27% for a woman between 25-29 years old and it increases up to 75% for women above 45 years old (Engelhard et al., 2001 & Kersting & Wagner 2012). Neonatal death is used to refer to a baby death after 20 weeks or less than 28 days after birth. Although these high rates among society stillbirths as phenomena carries silent debate among the public. It was found that women like to share their story with their surroundings’ to get recognition or support, and validation of her loss from others, and the need to be given a chance to mourn her loss (Adolfsson, Larsson, Wijma, & Bertero, 2004; Corbet-Owen, 2003; Swanson et al., 2007 at Batool & Azam 2016). The topic of stillbirth remains marginal in public and even private debate. The social and emotional taboo continues when it comes to the clinical or professional help because in most states the emotional burden of pregnancy loss is usually not recognized by healthcare professionals in various cultures (Wong, Crawford, Gask, & Grinyer, 2003 in Batool & Azam 2016) and among the woman’s partners. These negative or misdirection support and expectations about how to grieve have the potential to create stress within a partner dyad and their close family. (Corbet-Owen, 2003)

This thesis is part of a larger quantities study documenting the experiences of women who have experienced pregnancy loss. Semi-structured interviews with women who have experienced stillbirth will be conducted. The women will represent a range of demographic backgrounds and loss situations. Semi-structured interview will allow participants the freedom to articulate their stories in their own words, and understand the implications regarding their family structure, close relationship with their partner and the different types of solidarity she shown or receive in the theory frame of the intergenerational model.

Předběžná náplň práce v anglickém jazyce

This thesis examines the social context of stillbirth and its impact on women's life and on their relationships with their family members. The study sample includes 8 adult women from Israel. Israel is a country characterized by a high number of children in families and the centrality of religion in society. The methodology used in this study was semi-structured interviews. Our results were similar to those of previous studies in terms of the partner's attitude to the event. On the other hand, the results included novel findings regarding other family members’ coping with the stillbirth event. Solidarity and other types of empathy were found to be relevant according to women’s stories; whereas some filial norms were met with more ambivalent responses. This thesis demonstrates the importance of intergenerational solidarity, the mass influence of cultural context and ambivalence within everyday situations and the meaning of empathy from close family members. Particular attention needs to be paid to the intergenerational perspective, which focuses on the family (couple, divorced or single units) or the wider society in which they live. Moreover, the experience of particular social groups further exploration; for instance, single mothers and surrogates.