“…When the stress is internal to the family as in the case of maternal depression, it may be more difficult for family members to remain connected and feel supported through the challenges they face. Supplementing family stress theory is over 20 years of empirical research on maternal depression (Downey & Coyne, 1990; Goodman & Gotlib, 1999; Lewinsohn et al, 1994; Malia, 2007; Radke-Yarrow, 1998; Timko et al, 2002) that has consistently shown that when a mother is depressed, the family may experience diminished communication, lack of parental warmth, inconsistent discipline, decreased pleasant activities, heightened family stress, and maternal withdrawal, among others. These changes may foster misunderstanding about the mother’s behavior, and resentment, self-blame, and worry.…”