Lemaitre-Sillère V, Meunier A, Hérubel A, Choquet M C
Psychiatr Enfant. 1989;32(1):161-208.
Our study, which was carried out using a representative sample of women from middle or upper-class social and economic backgrounds, confirms the high frequency of a depressive syndrome of low intensity and brief duration during the first three months after giving birth. We formulate the hypothesis of a "physiological turning point" in the relationship during the second or third month. The move toward the mother's depression provides the opportunity for the infant to play a more active role in the relationship while at the same time enabling him to sleep full nights and allowing his parents to resume the intimate part of their life together. The unexpected arrival of a clear dysharmony in the relationship seems to be the best indicator of the two individuals' suffering and of the intensity of the mother's internal psychic conflicts. This intensity precedes the appearance of a depressive syndrome for the mother. A close clinical study of the relationship would allow us to understand the range of the infant's reactions better, going from active "anti-depressant" behavior to reactions leading to the withdrawal of communication.
我们的研究以来自中上层社会经济背景的女性为代表性样本展开,证实了产后头三个月出现低强度、短持续时间的抑郁综合征的高频率。我们提出在第二个月或第三个月期间关系中存在“生理转折点”的假设。母亲走向抑郁为婴儿在关系中发挥更积极的作用提供了机会,同时使他能够整晚睡好觉,并让他的父母恢复他们共同生活中亲密的部分。关系中明显不协调的意外出现似乎是两人痛苦以及母亲内心心理冲突强度的最佳指标。这种强度先于母亲抑郁综合征的出现。对这种关系进行密切的临床研究将使我们能更好地理解婴儿反应的范围,从积极的“抗抑郁”行为到导致沟通中断的反应。