Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-13T07:11:53.974Z Has data issue: false hasContentIssue false

11 - Schizophrenia and motherhood

from Part III - Specific disorders: the impact on parent–child relationships

Published online by Cambridge University Press:  09 August 2009

Mary V. Seeman
Affiliation:
Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada
Michael Göpfert
Affiliation:
Webb House Democratic Therapeutic Community, Crewe
Jeni Webster
Affiliation:
5 Boroughs Partnership, Warrington
Mary V. Seeman
Affiliation:
University of Toronto
Get access

Summary

In the first edition of this book, I used case examples to illustrate how women with schizophrenia, because of illness, have difficulty with tasks of parenting such as nurturing independence, establishing intimacy, enhancing growth through stimulation, modelling appropriate social habits and communicating effectively (Seeman, 1996). Since then, much new research has emerged and broader questions can now be addressed:

  1. How many women with schizophrenia become parents? How many actually bring up their children? In other words, what are the dimensions of the potential problems that the conjunction of motherhood and schizophrenia poses?

  2. What is the subjective experience of these mothers? How important is the parenting role to them as individuals and how do they perceive the assistance they receive in fulfilling that role?

  3. What determines parenting capacity and how and when should assessments be done?

  4. What are the mental health outcomes in children of mothers with schizophrenia, whether reared with or reared away from their mothers?

  5. What is the subjective experience of these children?

  6. Does schizophrenia impact differently at different stages of a child's life and/or at different phases of the mother's illness?

  7. How can psychiatric services best assist mothers with schizophrenia?

Scope

Van Bussel undertook a survey of the total population of a community inner city programme for schizophrenia in Toronto, Canada (Van Bussel, pers. comm.). Fifty-one women attended the programme. Seventeen were interviewed and information about the others was obtained from their case managers. Twenty-seven of the women (53%) had had at least one full-term birth.

Type
Chapter
Information
Parental Psychiatric Disorder
Distressed Parents and their Families
, pp. 161 - 171
Publisher: Cambridge University Press
Print publication year: 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barkla, J., Byrne, L., Hearle, J., Plant, K., Jenner, L. & McGrath, J. (2000). Pregnancy in women with psychotic disorders. Archives of Women's Mental Health, 3, 1–4Google Scholar
Bennesden, B. E., Mortensen, P. B., Olesen, A. V. & Henriksen, T. B. (1999). Preterm birth and intra-uterine growth retardation among children of women with schizophrenia. British Journal of Psychiatry, 175, 239–45Google Scholar
Caton, C. L. M., Cournos, F., Felix, A. & Wyatt, R. J. (1998). Childhood experiences and current adjustment of offspring of indigent patients with schizophrenia. Psychiatric Services, 49, 86–90CrossRefGoogle Scholar
Caton, C. L., Cournos, F. & Dominguez, B. (1999). Parenting and adjustment in schizophrenia. Psychiatric Services, 50, 239–43Google Scholar
Chernomas, W. M., Clarke, D. E. & Chisholm, F. (2000). Living with schizophrenia: the perspectives of women. Psychiatric Services, 51, 1517–21CrossRefGoogle Scholar
Currier, G. W. & Simpson, G. M. (1998). Antipsychotic medications and fertility. Psychiatric Services, 49, 175–6Google Scholar
Dincin, J. & Zeitz, M. (1993). Helping mentally ill mothers. Hospital and Community Psychiatry, 44, 1106–7Google Scholar
Dunn, B. (1993). Growing up with a psychotic mother: a retrospective study. American Journal of Orthopsychiatry, 63, 177–89CrossRefGoogle Scholar
Gamache, G., Tessler, R. C. & Nicholson, J. (1995). Child care as a neglected dimension of family burden. Research in Community and Mental Health, 8, 63–90Google Scholar
Goodman, S. H. (1987). Emory University project on children of disturbed parents. Schizophrenia Bulletin, 13, 411–23Google Scholar
Goodman, S. H. & Brumley, H. E. (1990). Schizophrenic and depressed mothers: relational deficits in parenting. Developmental Psychology, 26, 31–9CrossRefGoogle Scholar
Hearle, J., Plant, K., Jenner, L., Barkla, J. & McGrath, J. (1999). A survey of contact with offspring and assistance with child care among parents with psychotic disorders. Psychiatric Services, 50, 1354–6Google Scholar
Higgins, J., Gore, R., Gutkind, D. et al. (1997). Effects of child-rearing by schizophrenic mothers: a 25-year follow-up. Acta Psychiatrica Scandinavica, 96, 402–4CrossRefGoogle Scholar
Hipwell, A. E. & Kumar, R. (1996). Maternal psychopathology and prediction of outcome based on mother-infant interaction ratings (BMIS). British Journal of Psychiatry, 169, 655–61CrossRefGoogle Scholar
Jacobsen, T., Miller, L. J. & Kirkwood, K. P. (1997). Assessing parenting competency in individuals with severe mental illness: a comprehensive service. Journal of Mental Health Administration, 24, 189–99CrossRefGoogle Scholar
Joseph, J. G., Joshi, S. V., Lewin, A. B. & Abrams, M. (1999). Characteristics and perceived needs of mothers with serious mental illness. Psychiatric Services, 50, 1357–9CrossRefGoogle Scholar
Kelly, R. H., Danielsen, B. H., Golding, J. M., Anders, T. F., Gilbert, W. M. & Zatzick, D. F. (1999). Adequacy of prenatal care among women with psychiatric diagnoses giving birth in California in 1994 and 1995. Psychiatric Services, 50, 1584–90CrossRefGoogle Scholar
Miller, L. J. & Finnerty, M. (1996). Sexuality, pregnancy, and childbearing among women with schizophrenia-spectrum disorders. Psychiatric Services, 47, 502–5CrossRefGoogle Scholar
Mirsky, A. F., Kugelmann, S., Ingraham, I. J., Frenkel, E. & Nathan, M. (1995). Overview and summary: twenty-five-year follow-up of high-risk children. Schizophrenia Bulletin, 21, 227–39Google Scholar
Mowbray, C. T., Oyserman, D. & Ross, S. (1995a). Parenting and the significance of children for women with a serious mental illness. Journal of Mental Health Administration, 22, 189–200Google Scholar
Mowbray, C. T., Oyserman, D., Zemencuk, J. K. & Ross, S. R. (1995b). Motherhood for women with serious mental illness: pregnancy, childbirth, and the postpartum period. American Journal of Orthopsychiatry, 65, 21–38Google Scholar
Nicholson, J., Sweeney, E. M. & Geller, J. L. (1998a). Mothers with mental illness: I. The competing demands of parenting and living with mental illness. Psychiatric Services, 49, 635–42Google Scholar
Nicholson, J., Sweeney, E. M. & Geller, J. L. (1998b). Mothers with mental illness: II. Family relationships and the context of parenting. Psychiatric Services, 49, 643–9Google Scholar
Parker, G. (1989). The Parental Bonding Instrument: psychometric properties reviewed. Psychiatric Developments, 4, 317–36Google Scholar
Parnas, J., Cannon, T. D., Jacobsen, B., Schulsinger, H., Schulsinger, F. & Mednick, S. A. (1993). Lifetime DSM–III–R diagnostic outcomes in the offspring of schizophrenic mothers. Results from the Copenhagen High-Risk Study. Archives of General Psychiatry, 50, 707–14Google Scholar
Riordan, D., Appleby, L. & Faragher, B. (1999). Mother–infant interaction in post-partum women with schizophrenia and affective disorders. Psychological Medicine, 29, 991–5Google Scholar
Ritsher, J. E. B., Coursey, R. D. & Farrell, E. W. (1997). A survey on issues in the lives of women with severe mental illness, Psychiatric Services, 48, 1273–82Google Scholar
Sacker, A., Done, D. J. & Crow, T. J. (1996). Obstetric complications in children born to parents with schizophrenia: a meta-analysis of case-control studies. Psychological Medicine, 26, 279–87CrossRefGoogle Scholar
Sameroff, A., Seifer, R., Zax, M. & Barocas, R. (1987). Early indicators of developmental risk: Rochester longitudinal study. Schizophrenia Bulletin, 13, 383–94CrossRefGoogle Scholar
Sands, R. G. (1995). The parenting experience of low-income single women with serious mental disorders. Journal of Contemporary Human Services, 76, 86–96Google Scholar
Seeman, M. V. (1996). The mother with schizophrenia. In Parental Psychiatric Disorder: Distressed Parents and their Families, ed. M. Göpfert, J. Webster & M. V. Seeman, pp. 190–200. Cambridge: Cambridge University Press
Seeman, M. V. (1998). Narratives of twenty to thirty years of schizophrenia outcome. Psychiatry, 61, 249–61Google Scholar
Seeman, M. V. & Cohen, R. (1998). A service for women with schizophrenia. Psychiatric Services, 49, 674–7Google Scholar
Snellen, M., Mack, K. & Trauer, T. (1999). Schizophrenia, mental state, and mother–infant interaction: examining the relationship. Australian and New Zealand Journal of Psychiatry, 33, 902–11Google Scholar
Stromwall, L. K. & Robinson, E. A. R. (1998). When a family member has a schizophrenic disorder: practice issues across the family life cycle. American Journal of Orthopsychiatry, 68, 580–9CrossRefGoogle Scholar
Warner, R. (2001). The prevention of schizophrenia: What interventions are safe and effective?Schizophrenia Bulletin, 27, 551–62Google Scholar
Yoshida, K., Marks, M. N., Craggs, M., Smith, B. & Kumar, R. (1999). Sensorimotor and cognitive development of infants of mothers with schizophrenia. British Journal of Psychiatry, 175, 380–7Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Schizophrenia and motherhood
    • By Mary V. Seeman, Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada
  • Edited by Michael Göpfert, Webb House Democratic Therapeutic Community, Crewe, Jeni Webster, 5 Boroughs Partnership, Warrington, Mary V. Seeman, University of Toronto
  • Book: Parental Psychiatric Disorder
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543838.013
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Schizophrenia and motherhood
    • By Mary V. Seeman, Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada
  • Edited by Michael Göpfert, Webb House Democratic Therapeutic Community, Crewe, Jeni Webster, 5 Boroughs Partnership, Warrington, Mary V. Seeman, University of Toronto
  • Book: Parental Psychiatric Disorder
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543838.013
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Schizophrenia and motherhood
    • By Mary V. Seeman, Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada
  • Edited by Michael Göpfert, Webb House Democratic Therapeutic Community, Crewe, Jeni Webster, 5 Boroughs Partnership, Warrington, Mary V. Seeman, University of Toronto
  • Book: Parental Psychiatric Disorder
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543838.013
Available formats
×