Title:
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Mothers' and fathers' distress following childbirth : a discursive interactional perspective
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This study examines mother's and father's accounts of their experiences during the post-natal
period in an attempt to understand distress following childbirth within an interactional
framework. Four couples were recruited through the Meet-A-Mum Association and through
professional contacts. All the mothers had been given a diagnosis of post-natal depression by
their GPs. The fathers all reported experiencing distress since the birth of their child and one
had been given a diagnosis of depression by their GP. Each couple was interviewed using a
semi-structured interview format, first together and then separately. The participants' accounts
were analysed using a discourse analytic approach. The women's varied experiences of
distress were labelled by professionals as post-natal depression and explained within a biomedical
framework which precluded the consideration of alternative social, psychological or
political explanations. However, the women were able to identify a number of alternative
explanations for their difficulties. This, together with the finding that the fathers experienced
similar distress during the post-natal period, suggests that the bio-medical model of distress
following childbirth is too simplistic. Undermining discursive practices and negative cycles of
interaction, operating within the parental relationship, were identified in the participants'
accounts and implicated as significant factors in the development and maintenance of both the
mothers' and fathers' distress. The effects of the dominant constructions of parenthood,
depression, masculinity, and femininity on the participants' identity and experiences are
analysed. Lastly, the implications of the findings for future research and clinical practice are
discussed.
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