Abstracts
Résumé
Contexte : Le programme STEP est une intervention prénatale de groupe destinée aux femmes enceintes ayant vécu des traumatismes interpersonnels au cours de leur enfance tels que la maltraitance. La présente étude vise à décrire l’expérience des participantes de leur participation au programme.
Méthodologie : Des entretiens individuels ont été réalisés auprès de 21 participantes ayant complété le programme afin de sonder leur appréciation de l’intervention, l’adéquation entre le contenu et leurs attentes, les points forts et les points faibles, la sensibilité à leur réalité personnelle, familiale et culturelle ainsi que l’importance qu’elles attribuent aux différents thèmes abordés.
Résultats : Les participantes se représentent le programme STEP comme une occasion unique d’exploration de soi à titre d’individu et de mère et considèrent que le programme favorise un sentiment subjectif de mieux-être. Trois dimensions ont été identifiées au coeur de cette expérience : (1) le contenu du programme est perçu comme étant sensible, équilibré, concret et progressif, (2) le collectif/entre-mères favorise la socialisation de la maternité, la prise de recul, les échanges et la validation de soi et (3) le cadre d’animation sécurisant est perçu par le biais de la bienveillance de l’équipe d’animation, sa compétence, sa cohésion et la réciprocité dont elle fait preuve dans sa relation avec les participantes.
Discussion : Les résultats soutiennent que les femmes enceintes ayant vécu une forme de traumatisme interpersonnel perçoivent que le programme STEP répond à leurs besoins et que ses composantes favorisent une expérience plus profonde et sereine de leur grossesse ainsi qu’une meilleure disposition à accueillir leur enfant.
Mots-clés :
- grossesse,
- maltraitance,
- prévention,
- mentalisation,
- qualitative
Abstract
Background: The STEP program is a prenatal group intervention for pregnant women who experienced childhood interpersonal traumas such as child abuse or neglect. The study aims to document participants’ experience of their participation in the program.
Methods: Individual interviews were conducted with 21 participants who had completed the program in order to assess their appreciation of the intervention, the match between the content and their expectations, the strengths and weaknesses of the program, its sensitivity to their personal, familial and cultural realities, and the importance they attributed to the various themes addressed.
Results: Participants perceived the STEP program as a unique opportunity for self-exploration as an individual and as a mother, and considered that the program promoted a subjective sense of well-being. Three dimensions were identified as being at the heart of this experience: (1) the content of the program was perceived as sensitive, balanced, concrete and progressive, (2) the collective of mothers promoted the socialization of motherhood, perspective-taking, exchanges and self-validation, and (3) the secure intervention framework was perceived through the benevolence, competence, and cohesion of the facilitators as well as through the reciprocity established between the facilitators and the participants.
Discussion: Pregnant women who have experienced childhood interpersonal traumas perceived that the STEP program met their needs and that its components promoted a deeper, more serene experience of their pregnancy and a better readiness to welcome their child.
Keywords:
- pregnancy,
- maltreatment,
- prevention,
- mentalization,
- qualitative
Appendices
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