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Impact of Immediate Peripartum Psychopathology and Parental Psychiatric Disorders

  • Marc Poget
  • Marie-Camille Genet
  • Gisèle Apter
Chapter

Abstract

Psychiatric illness is pervasive in the peripartum. Psychiatric disorders can be described as either preexisting conditions or de novo disorders. Both of these circumstances will be studied here with parenthood, parent-infant interactions, and infant emotional development in mind. We will review recent literature in the context of parenthood and the peripartum, on maternal mental illness such as schizophrenia and bipolar disorder and mood and affective disorders. Personality disorder, substance abuse, and eating disorders will also be included.

From a clinical perspective, it could be hypothesized that children are influenced by their mother’s mental health condition through disturbances of mother-baby interaction. A psychiatric disorder is in itself a risk factor for environmental instability, leading to negative interactive loops. Particular attention must thus be paid to all the negative elements that may hinder parental interactions and lead to poorer interactions, where the most deleterious consequence is neglect and child abuse. A description of very early signs of emotional deprivation through neglectful interactions will be provided. We will conclude with some directions for care after assessing parenting disorders and interactive disorders independently from psychiatric pathology.

Keywords

Perinatal psychiatric disorders Parenthood Parent-infant interaction Severe mental illness Infant neglect System-oriented therapeutic approach 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Marc Poget
    • 1
  • Marie-Camille Genet
    • 2
  • Gisèle Apter
    • 3
  1. 1.Centre Hospitalier de la Polynésie françaiseTahitiFrench Polynesia
  2. 2.Formatrice COPES, Unité Aubier, EPS ErasmeAntonyFrance
  3. 3.Groupe Hospitalier du Havre, Université de Rouen NormandieRouenFrance

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