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ON THE VICISSITUDES OF EARLY PRIhIARY HARRY T. HARDIN. M.D. SURROGATE h4 OT H E K I N G N IWACTICE: AND SUIW~VISION, I L)E(:AME aware of certain char- I acteristics in some patients who, as infants, had primary care- takers other than their biological mothers. These observations led to the discovery of a similar history of the early lives of a significant number of niy patients. During a five-year span end- ing Hay, 1982,3 1 of 102 new patients I examined hadsurrogate mothers who provided their primary care from a time before beginnin@ emotional object constancy. In addition, five patients in psychoanalytic treatment with me during that time had this kind of early experience. The majority of these surrogate mothers were maids. Only four were nurses, akin to the British “nanny.” Six were relatives, usually grandmothers or aunts. Two of the biological mothers were totally absent during the time of the others’ care; seven worked away from home. Primary surrogates mothered these patients for periods ranging from a few months to twenty years. For some reason psychoanalysts have little interest in their patients’ experience of substitute caretakers. This contrasts with the frequency of surrogate mothering found in my
Journal of the American Psychoanalytic Association – SAGE
Published: Jun 1, 1985
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