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<p>Although the idea of giving attention both to benevolent and adverse childhood experiences during perinatal psychotherapy was launched about 20&#xa0;years ago, the therapeutic work of integrating good and painful childhood memories remains understudied. This study explored experiences of retrieving “angel memories” through the Angels Interview conducted with 20 pregnant patients with adverse childhood experiences. A qualitative approach was chosen with the Angels Interview during pregnancy and a follow-up qualitative interview, retrospectively addressing the experience 4&#xa0;months after birth. Data were analyzed using ideal-type analysis. Four ideal types were constructed: “Happy you reminded me of the good things (15%),” “It was a mixed experience, but it was worth it (45%),” “It didn’t add much nor cause stress, but it was interesting” (30%), and “It was meant to be positive, but it wasn’t!” (10%). Our findings indicate that the Angels Interview can be a useful door opener into therapeutic work of integrating good and painful childhood memories during pregnancy. However, there is a need for tailoring the Angels Interview to attend to alliance insecurities, such as trust issues in the therapeutic relationship, address “ghost memories” during and after the interview, carefully handle lack of “angel memories,” and retrieve more complex and mixed emotional memories involving primary caregivers. Tailoring suggestions include introducing the Angels Interview as a potentially mixed experience, interviewing in a step-by-step manner, offering helpful probing and validation, and systematic follow-up of “ghost” and “angel” memories surfacing after the Angels Interview. Clinical trial registration: NCT 04528589.</p>

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“When You Open the Door to the Past, Anything Can Happen”—A Qualitative Study of Retrieving “Angel Memories” with Pregnant Women Who Have Experienced Adverse Childhood Experiences

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月15日

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  • Heidi Fjeldheim,
  • Vibeke Moe,
  • Helen Suizu Norheim,
  • Teija M. S. Anke,
  • Marianne Aalberg,
  • Line Indrevoll Stänicke

摘要

Although the idea of giving attention both to benevolent and adverse childhood experiences during perinatal psychotherapy was launched about 20 years ago, the therapeutic work of integrating good and painful childhood memories remains understudied. This study explored experiences of retrieving “angel memories” through the Angels Interview conducted with 20 pregnant patients with adverse childhood experiences. A qualitative approach was chosen with the Angels Interview during pregnancy and a follow-up qualitative interview, retrospectively addressing the experience 4 months after birth. Data were analyzed using ideal-type analysis. Four ideal types were constructed: “Happy you reminded me of the good things (15%),” “It was a mixed experience, but it was worth it (45%),” “It didn’t add much nor cause stress, but it was interesting” (30%), and “It was meant to be positive, but it wasn’t!” (10%). Our findings indicate that the Angels Interview can be a useful door opener into therapeutic work of integrating good and painful childhood memories during pregnancy. However, there is a need for tailoring the Angels Interview to attend to alliance insecurities, such as trust issues in the therapeutic relationship, address “ghost memories” during and after the interview, carefully handle lack of “angel memories,” and retrieve more complex and mixed emotional memories involving primary caregivers. Tailoring suggestions include introducing the Angels Interview as a potentially mixed experience, interviewing in a step-by-step manner, offering helpful probing and validation, and systematic follow-up of “ghost” and “angel” memories surfacing after the Angels Interview. Clinical trial registration: NCT 04528589.