Presentation of a Research Article Lestia Reese John Lynch Psychology of Adjustment March 03, 2013 1The purpose of the article of descriptive phenomenological study was to identify and describe the essential meaning structure in the experience of postpartum depression (PPD). 2They interviewed four women diagnosed with major depression and analyzed the data with Giorgi’s descriptive phenomenological method. Their analysis revealed two essential meaning structures of PPD. The first structure describes the mother as throw into a looming, dangerous world, coupled with a restricted, heavy body that hindered her attunement to her baby.
Tormented by anxiety, guilt and shame, she tried to deal with her pain by analytical reflection and social isolation. The second structure describes sudden lapses into intense feelings of alienation from the self, the baby, and from the social and material world. With a distorted primordial self-awareness, the mother no longer felt that she existed as herself in the world. 1PPD involves a temporary collapse of fundamental structures of consciousness, that is, how they experience self, body, the social world, and time.
These structures become more or less deformed, reorganized in a new interconnected gestalt, which sustains and strengthens itself if not identified and treated. Their subjects lived their postpartum depression in different ways and in different contexts. One essential meaning structure encompassed three participants. The data presented by the fourth subject lent itself to a second structure. These two structures contain several interrelated constituents which can be separated for the sake of further analysis and presentation. In order to help the mother, they had to understand how she exists in her world. The primary goal of clinical intervention is to recognize and validate the mother’s way of existence, or being in the world. 3Postpartum depression can be described as a lack of attunement to the baby and to the world. In line with Fuchs (2005; 2001), they believe that treatment for depression should involve activities that aid the patient. Activities that promote attunement to the baby, physical contact, baby massage, etc. , could be part of the therapeutic process.
Also, planned activities over the course of the day involving social contact with others, especially other mothers, can help restore the synchronicity to the social world and give necessary direction and purpose in the mothers’ lives. However, it is important that this rehabilitation process is gradual and adjusted to the patients’ present mode of existence. Also, given the degree of guilt and shame experienced by the mothers, a therapeutic atmosphere of openness, trust and assurance of confidentiality is crucial.
These principles for therapeutic action are important with respect to both meaning structures. However, mothers with a deformation of primordial my-ness might benefit more from pharmacological treatment directed towards restoring synchronization at a biological level. Their unbearable anxiety puts them at high risk for committing suicide, thus it is important to assess possible suicidal ideation and plans. Hospitalization is likely necessary for a period of time. It is essential to inform the patient of the nature of her depression and to provide hope of future recovery.
They recommended that the mother participates in active therapeutic action aimed at resynchronization as soon as her anxiety has become tolerable. I think that this would be appropriate to fund this research with publicly-funded grants. I say that because this could help many women that deal with this illness and save lives. We can definitely generalize from the study participants to the general population, and the methods employed have validity. 4This condition occurs in about 10%-20% of women, usually within a few months of delivery.
The findings of this study will generalize to other people and/or situations. If I was a lab assistant to the researchers that wrote this article I would suggest that all women experiencing PPD go through the physical activities therapy treatment first, to try to avoid pharmaceutical treatments. I would like to see if these methods helped resynchronize them with their lives prior to the birth of their children by continuing the clinical study on these women and other women that experience PPD. Journal of Phenomenological Psychology 42 (2011) 174–194 Two Ways of Living through Postpartum Depression,Idun Roset, Telemark Hospital, Skien, Norway 2Giorgi, A. (2009). The descriptive phenomenological method in psychology: A modified Husserlian approach. Pittsburgh, PA, US: Duquesne University Press. 3Fuchs, T. (2005). Corporealized and disembodied minds: A phenomenological view of the body in melancholia and schizophrenia. Philosophy, Psychiatry, & Psychology, 12(2), 95–107. doi: 10. 1353/ppp. 2005. 0040 4http://www. emedicinehealth. com/postpartum_depression/article_em. htm