This paper investigates the link between maternal representational pat
terns and postpartum depression. A clinical case illustrates how (1) a
young mother's negative attachment to her own mother distorted memori
es of childhood experience, (2) a ''regulator'' orientation to the mat
ernal role, and (3) failure to reconcile the ''reality'' infant with t
he ''fantasy'' infant prevented her from initiating an adaptive rappor
t with the infant. A treatment protocol designed to enhance both the m
other's representational skill and the dyadic interaction is presented
. Specifically, treatment focused on identifying the source of the mot
her's negative representations, as well as on instilling adaptive skil
ls in the infant and re-invigorating the dyadic interaction.