Young infants' triangular communication with their parents in the context of maternal postpartum psychosis

With increasing data on the dynamics of normative couples as they transition to parenthood and become a triad, the need for greater understanding of the impact of parental psychopathology on this transition has become clear. The goal of the current article is to begin exploring this area that has received little attention to date, by describing case examples from a study of clinical families as they transitioned to parenthood. Four representative cases were selected from a pool of 13 mother–father–baby triads, for whom the mother had been hospitalized conjointly with her infant due to a psychotic episode during the postpartum period. The families were observed as part of a clinical consultation that included a semistructured play paradigm known as the Lausanne Trilogue Play (LTP; E. Fivaz‐Depeursinge, & A. Corboz‐Warnery, 1999). Interactions were scored using standardized measures as well as clinical impressions. All families from the clinical sample were noted to struggle and frequently failed to achieve the goals of play. The impact on the infants in terms of their developing sense of self as well as their defensive strategies in this context are discussed, with clinical implications explored

Developmental psychology · Normative · Postpartum period · Pregnancy · Psychiatry · Psychoanalysis · Psychopathology · Psychosis · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Infant Health and Development · Maternal Mental Health During Pregnancy and Postpartum · Psychology

• Does the portal of entry determine our view? Interfaces between dyadic and three‐way assessment of a clinical family transitioning to parenthood

  Open Access•Diane A Philipp, Marie‐Joelle Hervé et al.•Infant Mental Health Journal•2008

  Añadir item

• Infants of Depressed Mothers Show "Depressed" Behavior Even with Nondepressed Adults

  Tiffany Field, Brian Healy et al.•Child Development•1988

  Añadir item

• The relations among depression in fathers, children's psychopathology, and father–child conflict

  Open Access•Peter Kane, Judy Garber•Clinical Psychology Review•2004

  Añadir item

• Interparental Conflict and Parent–Child Relationships

  Open Access•Martha J Cox, Blair Paley et al.•Interparental Conflict and Child…•2001

  Añadir item

• The parent–infant dyad and the construction of the subjective self

  Open Access•P Fonagy, George Gergely et al.•Journal of Child Psychology and…•2007

  Añadir item

• The Infant's Response to Entrapment between Contradictory Messages in Face-to-Face Interaction

  Open Access•Edward Z Tronick, Edward Tronick et al.•Journal of the American Academy…•1978

  Añadir item

• Paternal depression in the postnatal period and child development

  Open Access•Paul Ramchandani, Alan Stein et al.•The Lancet•2005

  Añadir item

• Parent–infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions

  Open Access•Rachel Feldman, Ruth Feldman•Journal of Child Psychology and…•2007

  Añadir item

• And Daddy Makes Three

  K Alison Clarke‐stewart, K Alison Clarke-Stewart•Child Development•1978

  Añadir item

• Pseudo-Mutuality in the Family Relations of Schizophrenics

  Lyman C Wynne, Irving M Ryckoff et al.•Psychiatry•1958

  Añadir item

• Detection of Postnatal Depression

  Open Access•J L Cox, J M Holden et al.•The British Journal of Psychiatry•1987

  Añadir item

• Coparenting, parenting, and early emotional development

  Open Access•J Belsky, Sam Putnam et al.•New Directions for Child and…•1996

  Añadir item

• The Effect of Father–Toddler and Mother– Toddler Role Reversal on the Development of Behavior Problems in Kindergarten

  Open Access•John Macfie, Jenny Macfie et al.•Social Development•2005

  Añadir item

• Four‐month‐olds Make Triangular Bids to Father and Mother During Trilogue Play with Still‐face

  Open Access•Élisabeth Fivaz-Depeursinge, E Fivaz‐Depeursinge et al.•Social Development•2005

  Añadir item

• When infants grow up in multiperson relationship systems

  Open Access•James P Mchale•Infant Mental Health Journal•2007

  Añadir item

• Six‐week postpartum maternal depressive symptoms and 4‐month mother–infant self‐ and interactive contingency

  Open Access•Beatrice Beebe, Joseph Jaffe et al.•Infant Mental Health Journal•2008

  Añadir item

• Does the portal of entry determine our view? Interfaces between dyadic and three‐way assessment of a clinical family transitioning to parenthood

  Open Access•Diane A Philipp, Marie‐Joelle Hervé et al.•Infant Mental Health Journal•2008

  Añadir item

• Pathological Defenses in Infancy

  Selma Fraiberg•The Psychoanalytic Quarterly•1982

  Añadir item

• Paradoxes, Double Binds, and Reflexive Loops

  Open Access•Vernon E Cronen, K M Johnson et al.•Family Process•1982

  Añadir item

• Toward a theory of schizophrenia

  Open Access•Gregory Bateson, Don D Jackson et al.•Systems Research and Behavioral…•2007

  Añadir item