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Treating Opioid Use Disorder in Peripartum Mothers: A Look at the Psychodynamics, Neurobiology, and Potential Role of Oxytocin
- Source :
- Psychodynamic Psychiatry. 49:48-72
- Publication Year :
- 2021
- Publisher :
- Guilford Publications, 2021.
-
Abstract
- The peripartum period (pregnancy and postpartum) is a unique time filled with psychodynamic and biological changes that are critical in affecting the lives of mother and baby. Attachment, the biologically based emotional connection between a caregiver and infant, is critical to the development of the child. The early interactions in an infant's life shape their reward neuro-circuitry and the development of their internal working models and styles of attachment. Opioid use disorders in the mother affect the psychodynamics and neurobiology of attachment. There is significant overlap between the neurobiology of attachment and that of opioid use disorders. In this article, we hope to describe how opioid use disorders affect mother-infant attachment and how psychodynamic psychotherapy that is informed by attachment theory may be a potential treatment for mothers with opioid use disorders. Further, oxytocin plays a role in the attachment process and may function abnormally in mothers with opioid use disorders. As oxytocin affects attachment, administration of oxytocin during postpartum mother-infant interactions in the setting of psychotherapy may facilitate bonding and promote recovery from opioid use disorders in the peripartum population.
- Subjects :
- Population
Mothers
Oxytocin
Affect (psychology)
03 medical and health sciences
0302 clinical medicine
Pregnancy
Peripartum Period
Attachment theory
medicine
Humans
Child
education
Psychodynamic psychotherapy
education.field_of_study
Infant
Opioid use disorder
General Medicine
Opioid-Related Disorders
Psychodynamics
medicine.disease
Object Attachment
Mother-Child Relations
030227 psychiatry
Female
Psychotherapy, Psychodynamic
Psychology
Neuroscience
030217 neurology & neurosurgery
medicine.drug
Subjects
Details
- ISSN :
- 21622590
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Psychodynamic Psychiatry
- Accession number :
- edsair.doi.dedup.....7b9058ef2100bf76267ac0e59d46253a