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We argue that it is now time to change this focus and to invest greater funding to support clinical and research effort in \u2018high-risk\u2019 caregivers and their infants. We define high-risk caregivers as those who are likely to have attachment and relationship difficulties with their infant as a result of their own developmental experiences, personality difficulties and\/or trauma-related mental disorders, often complicated by substance abuse, depression and anxiety. We propose that early intervention with such caregivers, focussing on both maternal mental health and on the needs of the infant for responsive and sensitive interaction and emotional care, would contribute to prevention of infant developmental disorders, with real gains to be made in breaking the transgenerational cycle of development of severe personality disorder.<\/jats:p>","DOI":"10.1177\/0004867417741553","type":"journal-article","created":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T07:21:20Z","timestamp":1510816880000},"page":"112-116","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["Time for a new zeitgeist in perinatal mental health"],"prefix":"10.1177","volume":"52","author":[{"given":"Fiona","family":"Judd","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia"},{"name":"Tasmanian Health Service, Child and Adolescent Mental Health Services\u2013South, Hobart, TAS, Australia"},{"name":"Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise Kathryn","family":"Newman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia"},{"name":"Centre for Women\u2019s Mental Health, The Royal Women\u2019s Hospital, Melbourne, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela A","family":"Komiti","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia"},{"name":"Centre for Women\u2019s Mental Health, The Royal Women\u2019s Hospital, Melbourne, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,11,16]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"Clinical Practice Guidelines for Depression and Related Disorders \u2013 Anxiety, Bipolar Disorder and Puerperal Psychosis \u2013 in the Perinatal Period. 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