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Mandy’s Story Part 2 A true teaching story about infant depression

Last time in this space I told Mandy’s Story about the depressed 8-month old who transformed over the course of one week of simple everyday interactions.
 
The story illustrates the scientific work of Bowlby and Robertson on the stages children move through when separated from their mothers due to hospitalization.
 
Mandy was well beyond the first stage in a child’s response to separation: Protest.  This stage is marked by wailing and sobbing in confusion, fear, grief at being abandoned.
 
She was also beyond Stage 2: Despair. The child becomes more hopeless and apathetic. She withdraws. Like Mandy. This going quiet is not settling in. It is giving up and shutting down.
 
Mandy was well into Stage 3: Detachment (or Denial). She had suppressed all emotion, including - maybe especially, feelings for her mother. She hardly noticed when her mother left. She was so withdrawn that she sought no mothering at all.  Now, i would recognize that as a sign of major psychological trauma.
 
There are many lessons in Mandy’s story. More on that next time. s
 
Reference
For a history of attachment theory and the stages of separation, plus a good bibliography,  see Van Der Horst, FCP & Van Der Veer, R. (2009). Separation and Divergence: The untold story of James Robertson’s and John Bowlby’s Theoretical Dispute on Mother-Child Separation. Journal of the History of the Behavioral Sciences, Vol. 45(3), 236–252. Published online in Wiley Interscience (www.interscience.wiley.com). DOI 10.1002/jhbs.20380 © 2009 Wiley Periodicals, Inc.
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