Mental health in the United Kingdom
Agnes Hann of the National Childbirth Trust said, "These findings are shocking, and mean that thousands of women experiencing potentially serious perinatal mental health problems are not getting the support they need. Perinatal mental illness can have a severe and long-term impact on mothers, babies and families. In extreme circumstances, it can result in tragedy – suicide is a leading cause of maternal death." From roughly 10% to 20% of women giving birth experience some type of mental illness such as anxiety and depression or more complex problems like PTSD and psychosis. With about 665,000 births a year in England 66,500–133,000 women a year develop illnesses. In 2016, 13,000 women were treated by perinatal teams while 800 became inpatients. This means the majority were untreated.
Maternal deprivation
The quality of parental care was considered by Bowlby to be of vital importance to the child's development and future mental health. It was believed to be essential that the infant and young child should experience a warm, intimate, and continuous relationship with his mother (or permanent mother substitute) in which both found satisfaction and enjoyment. Given this relationship, emotions of guilt and anxiety (characteristics of mental illness when in excess) would develop in an organised and moderate way. Naturally extreme emotions would be moderated and become amenable to the control of the child's developing personality. He stated, "It is this complex rich and rewarding relationship with the mother in the early years, varied in countless ways by relations with the father and with siblings, that child psychiatrists and many others now believe to underlie the development of character and mental health."
The state of affairs in which the child did not have this relationship he termed "maternal deprivation". This term covered a range from almost complete deprivation, not uncommon in institutions, residential nurseries and hospitals, to partial deprivation where the mother, or mother substitute, was unable to give the loving care a small child needs, to mild deprivation where the child was removed from the mother's care but was looked after by someone familiar whom he trusted. Complete or almost complete deprivation could "entirely cripple the capacity to make relationships". Partial deprivation could result in acute anxiety, depression, neediness and powerful emotions which the child could not regulate. The end product of such psychic disturbance could be neurosis and instability of character. However, the main focus of the monograph was on the more extreme forms of deprivation. The focus was the child's developing relationships with his mother and father and disturbed parent–child relationships in the context of almost complete deprivation rather than the earlier concept of the "broken home" as such.