Vie affective, désir d’enfant et parentalité chez les personnes avec schizophrénie

Abstract

While many people with schizophrenia consider intimate relationships and parenting as central parts of their lives deeply affecting well-being and recovery, others report multiple challenges in these domains (e.g. stigma, social isolation, low self-esteem, emotional dysregulation, sexual dysfunctions, separation/divorce and domestic violence, low treatment adherence, perinatal complications, parenting difficulties, alteration of the quality of early parent-infant interactions, interruptions to the parenting role and custody loss). However, these domains are often overlooked in routine clinical practice and in psychiatric rehabilitation. It is therefore crucial to discuss these topics more systematically (e.g., desire to become involved in a relationship or to become a parent, representation of self as a prospective partner, parent or future parent, sexual dysfunctions, family planning) to improve patients’ outcome, well-being, and quality of life. In addition to the existing service provision, this paper presents discussions of individual and group-based psychiatric rehabilitation interventions (e.g., informed decision-making and shared-risk taking, group cognitive behavior therapy, metacognitively oriented psychoeducation) that were developed to improve outcomes for patients, infants, and relatives.