Our understanding of postnatal depression (PND), and in particular the emotional world of mothers who experience this, and the relational processes involved remain today quite limited. Indeed, what has been called “PND,” likely as explored here a catch-all term for a variety of composite states of mind, seems quite prevalent and likely too has a significant impact on both mother and baby, as well as on the wider figures and systems that are involved. This study used a psychoanalytically informed research method to access material that emerged around women's postnatal depressive experiences. Each of the six participants engaged in three interviews. The main themes that emerged were the following: (a) Starting on a bad note: difficult experiences in birth and breast-feeding; (b) Support falling away: the absence of mother's support at key times in pregnancy and birth; (c) No space for mother's mind: the absence of space for processing experience in systems around women; and (d) Unwelcome familiar feelings: the contradictory responses evoked in motherhood. These themes are discussed in relation to their significance for our thinking about supports for mothers in the period prior to and following birth. Also discussed here is whether the technology of birth, important in safeguarding baby, may have reduced the space for mother's emotional well-being in our systems of care.

中文翻译：

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母亲的思想没有空间：一项以精神分析为导向的定性研究，对被诊断为产后抑郁症的女性的经历

我们对产后抑郁症 (PND) 的理解，尤其是经历过这种情绪的母亲的情感世界，以及所涉及的关系过程在今天仍然非常有限。事实上，所谓的“PND”，可能正如这里所探讨的，是各种复合心理状态的统称，似乎相当普遍，并且可能对母亲和婴儿以及更广泛的人都有重大影响所涉及的数字和系统。这项研究使用了一种精神分析知情的研究方法来获取围绕女性产后抑郁经历出现的材料。六名参与者中的每一个都进行了三次采访。出现的主要主题如下： (a) 从一个糟糕的开始：分娩和母乳喂养的艰难经历；(b) 支持脱落：母亲的缺席 在怀孕和分娩的关键时刻提供支持；(c) 没有母亲的思想空间：在围绕妇女的系统中缺乏处理经验的空间；(d) 不受欢迎的熟悉感觉：母性引起的矛盾反应。讨论了这些主题，讨论了它们对我们思考在分娩前后的母亲支持方面的意义。这里还讨论了在保护婴儿方面很重要的分娩技术是否可能在我们的护理系统中减少了母亲情绪健康的空间。讨论了这些主题，讨论了它们对我们思考在分娩前后的母亲支持方面的意义。这里还讨论了在保护婴儿方面很重要的分娩技术是否可能在我们的护理系统中减少了母亲情绪健康的空间。讨论了这些主题，讨论了它们对我们思考在分娩前后的母亲支持方面的意义。这里还讨论了在保护婴儿方面很重要的分娩技术是否可能在我们的护理系统中减少了母亲情绪健康的空间。