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. âTo Be a 'Good Enough' Parentâ: 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 âGood Enough Parentingâ into the Well-Baby Centers in Israel. From its beginnings, the conception was that it would be an âongoingâ program, in line with its mission, as it is related to the heart of what âgood enoughâ parenting is all about. The conception emerged without having been clearly planned or âspelled outâ. 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 âjoint ventureâ. What seems particularly appropriate and relevant in this program is that it is in line with the developmental ideas related to âgood-enough parentingâ, rather than paying attention to âproblem solvingâ, like eating difficulties or sleeping disorders. By not addressing these latter problems we were able to introduce the âlearning from successâ 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 âlearning from successâ, which was bound to further their capacity of being âgood enoughâ (Winnicott, 1953). In addition, âlearning from successâ enabled them to pave their own way for âongoing learningâ, which is likely to fashion their becoming and being âgood enoughâ.
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-Ã -vis the rotating heads of the Well-Baby Center Services. At our monthly meetings, the nurses were asked to present situations where they had âgiven upâ on a family or parent, i.
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