mercer s theory 001

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    RAMONA MERCERS THEORY OF

    MATERNAL ROLE ATTAINMENT

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    Provide appropriate health care

    intervention for nontraditionalmothers

    Assist nontraditional mothers to

    attain a strong maternal identity

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    MATERNAL ROLE ATTAINMENT

    Primary Concept developmental andinteractional process occurs over a period oftime

    Mother bonds with infant, acquirescompetence in care taking tasks, enjoys andexpresses joy and pleasure in the role

    Maternal identity personal state of harmony,confidence and competence. End point ofmaternal role attainment

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    4 STAGES OF ACQUISITION

    1. Anticipatory: Social and

    psychological adaptation to role;

    learning expectations

    Fantasizes about the role. What

    to expect when you areexpecting?

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    2. Formal: Assumption of role at

    birth; behaviors are guided by

    others in social system/network.My mother always told me

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    3. Informal: Mother develops

    own ways of mothering; not

    conveyed by social system.

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    4. Personal: Joy of motherhood;

    harmony, confidence, andcompetence in maternal role.

    Im ready to have anotherone.

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    Rubins Theory of Maternal Role

    Attainment

    From onset to its destination,

    childbearing requires an

    exchange of a known self in aknown world for an unknown self

    in an unknown world.Reva Rubin

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    Development of Maternal Identity

    -The achievement of a firm concept oridentity of oneself as a mother, in thesense that she is comfortable in therole, occurs considerably later than the

    birth of the child

    -Maternal identity developmentis thewomans efforts aimed at becoming a

    mother

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    The Process of Maternal Role Taking

    1. Mimicry

    - woman searches the

    environment and her memory forother people who are or havebeen in the role she is working toattain, and then examines theirbehavior and imitates them

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    2. Role play

    - acting out what a person in

    the sought role actually does

    in particular situations.

    - the earliest form of role

    behavior

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    3. Fantasy

    - involves cognitively trying

    varieties of possible rolesituations

    - occurs by way of fears,dreams, and daydreams

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    4. . Introjection-projection-

    rejection/acceptance (IPR/A)

    takes in the behavior of others(introjection), and examines if it fitsher own role expectations; imagines

    herself performing in that way(projection) and makes a judgmentabout the behavior. If the fit is good,

    the behavior is accepted.

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    5. Grief work

    - giving up elements of

    the former self which

    would be in conflict with

    the new role

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    Maternal Tasks

    1. Seeking safe passage for self and

    baby

    - first trimester - pregnancy care;

    second trimester - for baby care;

    third trimester - for deliverycare.

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    2. Securing acceptance

    - condition necessary to produce

    and sustain the energy for all the

    other tasks - reworking of psychologic, social

    and physical space within the family

    to make a place for the coming child

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    3. Learning to give of self

    - inherent and pervasive part

    of being a mother, during both

    childbearing or childrearing

    - give to the child voluntarily on a

    day-to-day basis in order for thechild to survive

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    4. Binding-in to the unknown baby

    - dynamic process ofattachment and interconnection

    with the infant that begins in theprenatal period.

    - has two halves: binding-in tothe infant and binding-in to selfas mother of the infant

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    BEHAVIORS EXPECTANT MOTHERS

    GRIEF

    NARCISSISM

    INTROVERSION vs. EXTROVERSION

    BODY IMAGE AND BOUNDARY

    STRESS

    AMBIVALENCE

    FEAR AND ANXIETY

    UNCERTAINTY

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    NEEDS OF EXPECTANT MOTHERS

    Refer to slides on prenatal care

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    MOTHERING ROLE

    1. WORKS IN PARTNERSHIP WITH HUSBAND

    2. QUEEN OF THE HOME

    3. NURTURER

    4. COUNSELOR5. MOLDER OF CHARACTER

    6. EDUCATOR

    7. TRAINER

    8. NURSE

    9. ROLE MODEL

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    FATHERING ROLE

    HOUSEBAND HEAD OF FAMILY FIRM

    SPIRITUAL LEADER (PRIEST)

    TRAINER

    SUPPORTER COUNSELOR

    LAWMAKER

    ROLE-MODEL

    PROVIDER PROTECTOR

    COMPANION TO WIFE AND CHILDREN