For all who walk this path, we owe first and foremost a debt to our Mother of Matrescence, Dana Louise Raphael (1926–2016). We stand on the shoulders of others and must always acknowledge our foremothers, giving credit where credit is due.
During my years in Clinical Psychology, I was unable to find good explanatory models for the psychological transition to motherhood. I set out to find out everything I could from each related field from spirituality to cultural anthropology. With the help of my students, we also conducted an extensive literature review of all of the scientific studies in the past 25 years, in a variety of disciplines, including psychology, psychiatry, medicine, nursing and others. This revealed a strange neglect of focus on mothers themselves without the impact on their children, and the vast majority spoke about their risk for illness with few other positive perspectives.
I was encouraged by the maternal developmental theorists that existed, but it was in the writing of another Columbia-trained scholar that I found the answer and ultimately the conceptual basis of my own theoretical work as a burgeoning reproductive psychologist. Dana Raphael coined the term matrescence (and "doula") and I immediately recognized it as ahead of its time. My unique contribution was to extend its application— from anthropology to psychology—to maternal mental health to challenge conventional diagnostic thinking. This was not just a biosocial experience, but a psychological one too! Better yet a bio-psycho-social-spiritual one— a holistic change in the multiple domains of a mother’s experience in which no area of life is left untouched. Now it was time to get the word out and start researching both the universal aspects and individual differences among mothers.
Raphael deserved a revival and in 2010, "matrescence like adolescence" became my new mantra - or public health slogan - to build upon her original idea and quickly educate others both in and out of the classroom. I called for a developmental model of motherhood to normalize rather than pathologize the psychological transition women were experiencing, to ease suffering, and finally shift the paradigm! In October of 2016, I presented my argument at a pivotal NYC conference of the Women’s Mental Health Consortium, and on Mother's Day of 2017 it was popularized by Alexandra Sacks in the New York Times article: The Birth of a Mother and later TED talk.
Matrescence has since been mainstreamed from academia to the general public, traveled globally, and continues to be amplified by many more voices. Now anyone can learn the concept and welcome the whole spectrum of experience from stress to wellness---the possibility of resilience and even flourishing while mothering!
Today, I proudly pay Dana Raphael back with another emerging theory to add to her legacy of reproductive health education and activism: Reproductive Identity."
- Aurélie Athan, Ph.D.