Summary
The deficiencies in our present knowledge of postpartum psychosis seem to be due to the inadequate consideration which has been given to the fantasy structures which underlie the traumatic impact of childbirth.
Through the direct analysis of a schizophrenic woman with a postpartum psychosis, certain fantasies came to light which shed new light on the problem. Pregnancy had the significance to her of the final gratification of unresolved oral fantasies. The patient felt the increase in girth as caused by the body's filling up with semen, which was equated with milk. The delivery was then viewed as a sudden castastrophic loss of this gratification.
Such unconscious fantasies seem to account for many of the unexplained characteristics of postpartum disorders.
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References
Pasquarelli, B.: Psychotic reactions to pregnancy. In: Manic-Depressive Psychosis and Allied Conditions. L. Bellak, editor. Pp. 206–219. Grune & Stratton. New York. 1952.
Boyd, D. A.: Mental disorders associated with childbearing. Am. J. Obst. Gynec., 43:148–163, 335–349, 1942.
Davidson, G. M.: Concerning schizophrenic and manic-depressive psychosis associated with pregnancy and childbirth. Am. J. Psychiat., 92: 1331–1346, 1936.
Rosen, J. N.: Direct Analysis. Grune & Stratton. New York. 1953.
Fenichel, O.: The Psycho-Analytic Theory of Neurosis. Norton. New York. 1945.
Seidenberg, R., and Harris, L.: Prenatal symptoms in postpartum psychotic reactions.Psychiat. Quart., 23:715–719, 1949.
Grace, W. J., and Graham, D. T.: Relationship of specific attitudes and emotions to certain bodily states. Psychosom. Med., XIV: 243–251, 1952.
Silverberg, W. V.: Childhood Experience and Personal Destiny. Springer. New York. 1952.
Klein, Melanie: Contributions to Psycho-Analysis, 1921–1945. Hogarth. London. 1948.
Michel-Hutmacher, Rosalie: Das Körperinnere in der Vorstellung der Kinder. Schweiz. Z. Psychol. Anwend., 14:1–26, 1955.
Freud, S.: A case of successful treatment by hypnotism. Collected Papers. Vol. V. Hogarth. London. 1950.
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Rosberg, J., Karon, B.P. A direct analytic contribution to the understanding of postpartum psychosis. Psych Quar 33, 296–304 (1959). https://doi.org/10.1007/BF01575456
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DOI: https://doi.org/10.1007/BF01575456