From Exclusion to Reciprocity by Rosenfeld Jona M.;Defromont Jean-Michel;Rosenfeld Jona M.;

From Exclusion to Reciprocity by Rosenfeld Jona M.;Defromont Jean-Michel;Rosenfeld Jona M.;

Author:Rosenfeld, Jona M.;Defromont, Jean-Michel;Rosenfeld, Jona M.;
Language: eng
Format: epub
Tags: undefined
Publisher: Hamilton Books
Published: 2012-08-15T00:00:00+00:00


6. “To Be a 'Good Enough' Parent”: How Nurses

in Well-Baby Centers in Israel Implement

a Learning Program Addressing Early

Childhood Neglect if not Abuse (Rosenfeld, 2010)[8]

This section expands upon my initial five years of work with nurses (Rosenfeld and Levy, 1997) in Well-Baby Centers in Jerusalem, originating in the early 1950s. Building on that earlier exploratory study, the present project was started about twenty years ago with the explicit goal of introducing the idea and the concept of “Good Enough Parenting” into the Well-Baby Centers in Israel. From its beginnings, the conception was that it would be an “ongoing” program, in line with its mission, as it is related to the heart of what “good enough” parenting is all about. The conception emerged without having been clearly planned or “spelled out”. This may not have been entirely by choice, since the program is like the pattern established between parents and children from the beginning of their “joint venture”. What seems particularly appropriate and relevant in this program is that it is in line with the developmental ideas related to “good-enough parenting”, rather than paying attention to “problem solving”, like eating difficulties or sleeping disorders. By not addressing these latter problems we were able to introduce the “learning from success” methodology that calls for reflection-based learning. To do so accords with the exploration of actions that had been effective in the past and can, as such, provide a basis for introducing ideas for use in the present and thus for the future. In turn, this was enabled by the avoidance of seeing this work as based on moving beyond crises. This permitted the work of nurses and families to jointly accompany the development of the relations between parents and children at the beginning of life. It also offered them an introduction to “learning from success”, which was bound to further their capacity of being “good enough” (Winnicott, 1953). In addition, “learning from success” enabled them to pave their own way for “ongoing learning”, which is likely to fashion their becoming and being “good enough”.

I had much of this in mind twenty years ago when I initiated the program together with the (at the time) Head of Well-Baby Centers, the late Bat-Sheva Levy. It began with two-to-three hour learning sessions twice a month with the nurses in Bet-Shemesh, a small town near Jerusalem. As it turned out, those who were in charge of the dissemination of the program were not the regional supervisors, who attended only a few of these sessions. Its disseminators were nurses from different nearby centers who used to attend all or most meetings and thus became partners to learning and who took it upon themselves to be the self-appointed disseminators of the program.

These learning sessions provided the nurses with the basis for our work with the local head nurses, who had become the promoters of the program vis-à-vis the rotating heads of the Well-Baby Center Services. At our monthly meetings, the nurses were asked to present situations where they had “given up” on a family or parent, i.



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