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Blue

A History of Postpartum Depression in America

A powerful look at the changing cultural understanding of postpartum depression in America.
 
New motherhood is often seen as a joyful moment in a woman’s life; for some women, it is also their lowest moment. For much of the twentieth century, popular and medical voices blamed women who had emotional and mental distress after childbirth for their own suffering. By the end of the century, though, women with postpartum mental illnesses sought to take charge of this narrative. In Blue: A History of Postpartum Depression in America, Rachel Louise Moran explores the history of the naming and mainstreaming of postpartum depression. Coalitions of maverick psychiatrists, psychologists, and women who themselves had survived substantial postpartum distress fought to legitimize and normalize women’s experiences. They argued that postpartum depression is an objective and real illness and fought to avoid it being politicized alongside other fraught medical and political battles over women’s health.

Based on insightful oral histories and in-depth archival research, Blue reveals a secret history of American motherhood, women’s political activism, and the rise of postpartum depression advocacy amid an often-censorious conservative culture. By breaking new ground with the first book-length history of postpartum mental illness in the twentieth century, Moran brings mothers’ battles with postpartum depression out of the shadows and into the light.

304 pages | 12 halftones | 6 x 9 | © 2024

Gender and Sexuality

History: American History

Psychiatry

Women's Studies

Reviews

"In the 1980s and 1990s, activists were determined to ditch the dismissive and demeaning 'baby blues' lingo. They eventually settled on the term postpartum depression . . . [incorporating] anxiety, OCD, and in rarer cases, psychosis. In Blue: A History of Postpartum Depression in America [Moran], an associate professor of history at the University of North Texas, explores how this catchall language came to be. [Moran's] book tells the story of the activists who fought for the suffering of those experiencing postpartum mental illness to be recognized and made legible to legal and medical authorities."

The Baffler

"Moran’s deeply researched and well-written examination of postpartum depression in the United States reveals how both the medical profession and society’s understanding changed over the past century from a dismissive depiction of it as “baby blues” to the current awareness of it as a medical condition that can be treated . . . Moran breaks new ground with this invaluable first-of-its-kind history."

Library Journal

"I would like to encourage listeners to read the book. I found it fascinating anyway. I always enjoy political history, but it also made me reflect a lot on my own postpartum experiences and the expansive definition of what depression can mean. . . . [Moran], thank you so much for speaking with me today, and thank you for writing this book now."

Unsung History

"In a narrative that sparkles with vivid oral histories, Moran offers a nuanced, perceptive and empathetic history of postpartum mental health activism. Analyzing the delicate and savvy balancing act of activists working to rally broad support for women’s mental health in a polarized culture, Blue offers a case study critical to our current moment."

Lara Freidenfelds, author of 'The Myth of the Perfect Pregnancy: A History of Miscarriage in America'

"Rachel Moran’s powerful and groundbreaking book explores how women’s activism and professional advocacy brought about increased recognition of postpartum mental illness in post-war America. Drawing on a wealth of research, particularly oral history, it highlights the complexities of this process against a backdrop of changing ideas of motherhood and family values, diagnostic confusion, and tensions between biomedical and social explanations and responses. This study is indispensable not just for historians but for anyone interested in women’s health today."

Hilary Marland, author of 'Dangerous Motherhood: Insanity and Childbirth in Victorian Britain'

"Dr. Rachel Moran has written the first all-encompassing account of the complexities and long history of postpartum mental illness. It is monumental, definitive and accurate. I recommend it as required reading for everyone." 

Jane Honikman, author of 'Postpartum is Forever: Social Support from Conception through Grandparenthood'

"There was a real need for this book, and we are lucky that Moran has answered it so ably. Written with clarity and flair, Blue uses a wide range of sources, moving deftly between the changing medical science, shifting political landscapes, and popular culture. Moran resists the impulse to simplify complex stories. As she teases out the ambiguities, she also makes those stories vivid, as the human faces of clinicians, patients, and activists are always kept in view."

Jonathan Sadowsky, Case Western Reserve University

"An important book with much to offer readers about the public recognition of PPMDs and the evolving categories of pathology and mental illness."

Science

Table of Contents

Introduction
1. Baby Blues and the Baby Boom
2. A Feminist Postpartum
3. Psychiatric Foundations
4. Supermoms and Support Groups
5. A Different Kind of Women’s Health Movement
6. The Problem of Diagnosis
7. The Postpartum Professional
8. Talk Shows, Tell-Alls, and Postpartum Awareness
9. A New Generation of Activism
10. It Is Not a Political Issue
Conclusion

Acknowledgments
Notes
Index

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