ABSTRACT
In a Senegalese family, the role of the eldest, i.e. the one who must lead the way, is particularly difficult. The eldest is the only one required to excel and wield power in the family. To ensure his status and maintain his identity, the elder must be acknowledged as such by the father, mother, and younger siblings. The purpose of this report is to describe a case demonstrating the psychological frailness associated with elder status. The patient developed depressive breakdown when his mother dismayed by his professional failure ceased to acknowledgement his status and implicitly disqualified him. Discussion includes the psychopathological dimension revolving mainly around an Oedipal relationship with the father.
Subject(s)
Birth Order/psychology , Depression/etiology , Family Relations , Age Factors , Humans , Male , SenegalABSTRACT
INTRODUCTION: The postpartum depression is a frequent puerperium psychiatric disorder. The authors study the clinical, therapeutic and evolutionary aspects of the postpartum depression among eleven Senegalese women. MATERIAL AND METHOD: They examined the medical reports and hospital registers of eleven patients belonging to a sample of 52 women presenting psychic disorders of the puerperality. The diagnosis was made by using the International Classification of the Diseases. RESULTS: The symptoms of depression were irritability, bad concentration, multiple somatic complaints, of insomnia of drowsiness, loss of the usual interests. All the patients profited from psychotherapy and have received chemotherapy with antidepressant treatment associated tranquillizing in six cases. They improved from 29 to 43 days after their admission. CONCLUSION: The pregnancy and the childbirth, the parity, personal history of the patient, their social environment and the cultural representations of maternity are factors of depression of the postpartum. The antidepressant is always essential in the treatment.
Subject(s)
Depression, Postpartum , Adolescent , Adult , Antidepressive Agents/administration & dosage , Antidepressive Agents/therapeutic use , Depression, Postpartum/diagnosis , Depression, Postpartum/drug therapy , Depression, Postpartum/psychology , Depression, Postpartum/therapy , Female , Humans , Parity , Pregnancy , Psychotherapy , Senegal , Time Factors , Tranquilizing Agents/administration & dosage , Tranquilizing Agents/therapeutic useABSTRACT
Introduction : La depression du post-partum occupe une place importante parmi les accidents psychiatriques de la puerperalite. Les auteurs rapportent les differents aspects cliniques; therapeutiques et evolutifs de la depression du post-partum dans une serie de onze cas senegalais. Materiel et methode : Il s'agit d'un travail mene a partir des observations medicales et des registres d'hospitalisation d'une serie de 11 patientes appartenant a un echantillon de 52 femmes presentant des troubles psychiques de la puerperalite. Le diagnostic a ete fait en utilisant la classification internationale des maladies. Resultats : Sur le plan clinique les symptomes de depression etaient constitues principalement d'irritabilite; de troubles de la concentration; de plaintes somatiques multiples; d'insomnie d'endormissement; de perte des interets habituels. Pour la prise en charge; toutes nos patientes ont beneficie d'une psychotherapie de soutien et d'un traitement antidepresseur; associes a un traitement tranquillisant dans six cas. L'evolution a ete favorable au bout de 29 a 43 jours d'hospitalisation. Conclusion : Le vecu de la grossesse et de l'accouchement; la parite; l'histoire personnelle de la patiente; son environnement et les representations culturelles de la maternite sont des facteurs de depression du postpartum. Le traitement antidepresseur est dans tous les cas indispensable
