Skip to main content

Advertisement

Log in

The Pregnant Therapist: A Qualitative Examination of the Client Experience

  • Original Paper
  • Published:
Clinical Social Work Journal Aims and scope Submit manuscript

Abstract

This article reports on the findings of a qualitative study that was designed to capture the clinical dynamics that emerge when a therapist becomes pregnant during treatment. While there have been some empirical studies that have captured the pregnant therapist’s perspective, it is a sparse amount in comparison to the vast number of women therapists who become pregnant, and there have been no studies that have actually interviewed clients of pregnant therapists. This study seeks to begin to redress that crucial missing perspective by interviewing the clients of pregnant therapists, as well as first-time, formerly pregnant therapists. This article will look at the coded results of this qualitative study and the emergent themes from the client perspective, as well as discuss their implications for clinical social work practice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Atlas-Koch, G. (2008). Three pregnancies and psychoanalysis: A thin line between fusion and separateness. Psychoanalytic Review, 95(2), 259–283. http://proxy.library.upenn.edu:2442/doi/pdf/10.1521/prev.2008.95.2.259.

  • Balin, J. (1988). The sacred dimensions of pregnancy and birth. Qualitative Sociology, 11(4), 275–301. doi:10.1007/BF00988967.

    Article  Google Scholar 

  • Bashe, E. (1989). The therapist’s pregnancy: The experience of patient and therapist in psychoanalytic psychotherapy. Doctoral dissertation. Retrieved from: ProQuest dissertations and theses database (9008019).

  • Bassen, C. R. (1988). The impact of the analyst’s pregnancy on the course of analysis. Psychoanalytic Inquiry: A Topical Journal for Mental Health Professionals, 8(2), 280–298. doi:10.1080/07351698809533723.

    Article  Google Scholar 

  • Baum, N. (2006). Pregnant field student’s guilt. Journal of Social Work Education, 42(3), 561–576. doi:10.5175/JSWE.2006.200404144.

    Article  Google Scholar 

  • Baum, N. (2010). Dual role transition among first time pregnant social work student trainees. Journal of Social Work Education, 29(7), 718–728. doi:10.1080/02615471003599335.

    Article  Google Scholar 

  • Baum, O. E., & Herring, C. (1975). The pregnant therapist in training: Some preliminary findings and impressions. American Journal of Psychiatry, 132(4), 419–425.

    Article  PubMed  Google Scholar 

  • Baum, N., & Itzhaky, H. (2006). Pregnancy as a secret in supervision. Arete, 29(2), 33–43.

    Google Scholar 

  • Benjamin, J. (1988). The bonds of love: Psychoanalysis, feminism, and the problem of domination. New York: Pantheon.

    Google Scholar 

  • Berman, E. (1975). Acting out as a response to the psychiatrist’s pregnancy. Journal of the American Medical Women’s Association, 30(11), 456–458.

    PubMed  Google Scholar 

  • Bernardi, E. (2013). Comment: Pregnancy in the early career psychiatrist. Australasian Psychiatry, 21(2), 157–159. doi:10.1177/1039856212467840.

  • Byrnes, M. J. (2000). The impact of therapist pregnancy on the process of child psychotherapy. Doctoral dissertation. Retrieved by: ProQuest dissertations and theses database (AAI9982603).

  • Campbell, J., Quincy, C., Osserman, J., & Pedersen, O. (2013). Coding-in depth semi-structured interviews: problems and unitization and intercoder reliability and agreement. Sociological Methods & Research, 42(3), 294–320. doi:10.1177/0049124113500475.

    Article  Google Scholar 

  • Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Los Angeles: Sage Publications Ltd.

    Google Scholar 

  • Council on Social Work Education. (2013). 2013 Statistics on social work education in the United States. http://www.cswe.org/File.aspx?id=74478.

  • Dyson, E., & King, G. (2008). The pregnant therapist. Psychodynamic Practice, 14(1), 27–42.

    Article  Google Scholar 

  • Fallon, A., & Brabender, V. (2003). Awaiting the therapist’s baby: A guide for expectant parent–practioners. Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Fenster, S. L. (1983). Intrusion in the analytic space: The pregnancy of the psychoanalytic therapist. Doctoral dissertation. Retrieved from: ProQuest dissertations and theses database (1984-50948-001).

  • Goldberger, M. (1991). Pregnancy during analysis: Help or hindrance? Psychoanalytic Quarterly, 60(2), 207–225.

    PubMed  Google Scholar 

  • Grossman, H. Y. (1990). The pregnant therapist: Professional and personal worlds intertwine. In H. Y. Grossman & N. L. Chester (Eds.), The experience and meaning of work in women’s lives (pp. 57–81). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Haight, W. L., & Taylor, E. H. (2013). Human behavior for social work practice: A developmental, ecological framework. Chicago, IL: Lyceum Books.

    Google Scholar 

  • Hjalmarsson, H. (2005). Transference opportunities during the therapist’s pregnancy: Three case vignettes. Psychoanalytic Social Work, 12(1), 1–10.

    Article  Google Scholar 

  • Hochschild, A. (1979). Emotion work, feeling rules, and social structure. American Journal of Sociology, 85(3), 551–575. http://www.jstor.org/stable/2778583.

  • Imber, R. (1990). The avoidance of countertransference awareness in a pregnant analyst. Journal of Contemporary Psychoanalysis, 26(2), 223–236.

    Article  Google Scholar 

  • Katzman, M. (1993). The pregnant therapist and the eating-disordered woman: The challenge of fertility. Eating Disorders: The Journal of Treatment and Prevention, 1, 17–30. doi:10.1080/10640269308248263.

    Article  Google Scholar 

  • Kofman, S., & Imber, R. (2005). Pregnancy. In S. F. Brown (Ed.), What do mothers want?: Developmental perspectives clinical challenges (pp. 151–170). New York: The Analytic Press Inc.

    Google Scholar 

  • Korenis, P., & Billick, S. (2014). The pregnant therapist: The effect of a negative pregnancy outcome on a psychotherapy patient. Psychiatric Quarterly, 85(3), 377–382. doi:10.1007/s11126-014-9298-2.

    Article  PubMed  Google Scholar 

  • Korol, R. (1996). Personal and professional aspects of being a pregnant therapist. Women & Therapy, 18(1), 99–108.

    Article  Google Scholar 

  • Lyndon, L. (2013). Pregnancy, motherhood, and career: Negotiating maternal desires and professional ambition. Doctoral dissertation. Retrieved from: ProQuest http://search.proquest.com/docview/1502155302.

  • Matozzo, L. (2000). Impact of the therapist’s pregnancy on relationships with clients: A comparative study. Doctoral dissertation. Retrieved from ProQuest dissertations and theses (MRB-WRI0279796).

  • McCoyd, J. (2009). Discrepant feeling rules and unscripted emotion work: Women coping with fetal anomaly. American Journal of Orthopsychiatry, 79(4), 441–451. doi:10.1037/a0010483.

    Article  PubMed  Google Scholar 

  • McGarty, M. (1988). The analyst’s pregnancy. Contemporary Psychoanalysis, 8, 197–223.

    Google Scholar 

  • Naparstek, B. (1976). Treatment Guidelines for the pregnant therapist. Psychiatric Opinion, 13(1), 20–25.

    Google Scholar 

  • National Association of Social Workers. (2006). Licensed workers in the US (supplemental material). Center for health workforce studies & NASW center for workforce studies, chapter 2. http://workforce.socialworkers.org/studies/natstudy.asp.

  • Raphael-Leff, J. (2004). Unconscious transmissions between patient and pregnant analyst. Studies in Gender and Sexuality, 5(3), 317–330. doi:10.1080/15240650509349253.

    Article  Google Scholar 

  • Suchet, M. (2004). Whose mind is it anyway? Studies in Gender and Sexuality, 5(3), 259–287.

    Article  Google Scholar 

  • Tinsley, J., & Mellman, L. (2003). Patient reactions to a psychiatrist’s pregnancy. American Journal of Psychiatry, 160, 27–31. http://dx.doi.org/10.1176/appi.ajp.160.1.27.

  • Toomey, J. (2011). Breaking boundaries: An exploration of the experience of the pregnant trainee therapist. Doctoral dissertation, Dublin Business School, Dublin, Ireland. http://esource.dbs.ie/bitstream/handle/10788/249/ba_toomey_j_2011.pdf?sequence=1.

  • Whyte, N. (2004). Review of the literature. Psychoanalytic Psychotherapy, 18(1), 15–26. doi:10.1080/14749730410001656499.

    Article  Google Scholar 

  • Wolfe, E. (2013). The therapist’s pregnancy and the client-therapist relationship: An exploratory study. Master’s thesis, Smith College School for Social Work. https://dspace.smith.edu/bitstream/handle/11020/24285/WolfThesisforLibrary91913%20(2).pdf?sequence=1.

  • Zackson, J. (2012). The impact of primary maternal preoccupation on the therapist’s ability to work with patients. Doctoral dissertation. Retrieved from: ProQuest Dissertations and Theses (UMI 3508739).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mary C. McCluskey.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

McCluskey, M.C. The Pregnant Therapist: A Qualitative Examination of the Client Experience. Clin Soc Work J 45, 301–310 (2017). https://doi.org/10.1007/s10615-016-0599-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10615-016-0599-9

Keywords

Navigation