Interactions between mothers and their mentally retarded children: Integration of research findings

Research findings from 20 observational studies of interactions between mothers and their retarded infants and/or young children are brought together to provide a summary picture of: (1) differences in interaction patterns between mother-non-retarded child interactions. Several conceptual and methodological issues are raised: the need to bridge the gap between our current conceptualization of the dyadic interaction process and the methodology for its study and analysis; the importance of including both CA- and MA-match comparisons to reduce confounding of results; and the place of naturalistic observations in sampling interaction pattern as targets for modification in home-based intervention programs. The review indicates that generally, mothers and their retarded children exhibit a number of problems in their interactions. It is suggested that a sound observational data base is required to facilitate the development of interventions into problematic interactions.     

Influences on responsiveness: Interactions between mothers and their premature infants

The responsiveness of mothers to their infants has been found to make an important contribution to children's development. Mothers' cognitive ability, emotional state, and life stresses may influence their responsiveness, as may the medical condition of their infants. The patterns of influence may vary between groups of children with different biological risk conditions and should be examined carefully to determine intervention points for different groups. Forty mothers and their 3-month-old (corrected age) infants with intraventricular hemorrhage (IVH) were observed in free play. Mothers' depressive symptoms, cognitive skills, and the degree of infants' IVH were assessed and expected to be influences on mothers' responsiveness. Results indicated that mothers' depressive symptoms and cognitive skills were associated with their responsiveness, but that depressive symptoms were the stronger predictor. Post hoc analyses suggested that socioeconomic status and depressive symptoms may have related effects on mothers' behavior.     

Interactions between depressed and nondepressed Latina mothers and their premature infants

The impact of depression upon mother–infant interaction was studied longitudinally in a sample of very low income, immigrant Latina mothers with premature, very low birth weight infants. Both maternal characteristics and infant characteristics were examined using a rating scale which measured feeding interactions. Results indicate that mothers who were depressed at one month did not interact differently with their premature infants than nondepressed mothers. In addition, infants of mothers who were depressed at one month did not interact differently with their mothers than infants of nondepressed mothers. There were no differences between groups of mothers who remained depressed across the one-year period and groups whose scores reflected no depression or changes in depression levels. These findings challenge previous assumptions about interactions between depressed mother–infant dyads. Results indicate the need to broaden study attention to include socioeconomic, cultural, and life circumstances of families that may have greater impact on child outcomes than single assessments of maternal depression. Such studies may lead to changes in the way services are delivered and the types of interventions provided to non-mainstream families. © 1997 Michigan Association for Infant Mental Health     

Interactions between mothers and infants: impact of maternal anxiety

The aim of the study was to examine the impact of anxiety in the postnatal year on maternal contribution to mother-infant interaction. Participants were 32 mothers with high anxiety and 32 mothers with low anxiety, when their infants were aged 10-14 months. Mother-infant interaction was videotaped during a standardized play situation and coded blind to group status. High trait anxiety mothers showed less sensitive responsivity (p<.05) and reduced emotional tone (p<.05) during interaction. When participants scoring high in depressive symptomatology were removed for a subgroup analysis, the same pattern of results was obtained, suggesting that the observed differences in mother-infant interaction were due to group differences in anxiety.     

Interactions between mothers and infants showing food refusal

This study examined the interactional patterns of mothers and their infants who showed food refusal (N = 24) and of mothers and infants in a control group (N = 24) during feeding and play. The observations revealed significant group differences in both infant and maternal behavior. Infants in the case group rejected food more often and showed less clear communication signals than control infants, and mothers of case infants were less sensitive, less cooperative, and had more verbal teaching/control behavior than the control group. These differences pertained to both feeding and play situations. The findings have implications for the development of appropriate and efficient intervention strategies for infants showing food refusal.     

Vocal imitation between mothers and infants

The aim of the present mixed cross-sectional and longitudinal study was to observe and describe some aspects of vocal imitation in natural mother-infant interaction. Specifically, maternal imitation of infant utterances was observed in relation to the imitative modeling, mirrored equivalence, and social guided learning models of infant speech development. Nine mother-infant dyads were audio-video recorded. Infants were recruited at different ages between 6 and 11 months and followed for 3 months, providing a quasi-longitudinal series of data from 6 through 14 months of age. It was observed that maternal imitation was more frequent than infant imitation even though vocal imitation was a rare maternal response. Importantly, mothers used a range of contingent and noncontingent vocal responses in interaction with their infants. Mothers responded to three-quarters of their infant's vocalizations, including speech-like and less mature vocalization types. The infants’ phonetic repertoire expanded with age. Overall, the findings are most consistent with the social guided learning approach. Infants rarely imitated their mothers, suggests a creative self-motivated learning mechanism that requires further investigation.     

Games fathers and mothers play with their infants

Both fathers and mothers successfully engaged their infants one to six months of age in interactive games in a laboratory play situation. Both parents played almost one game per minute with their infants. Mother played more conventional limb movement games and more distal, visual, attention maintaining games while fathers played more proximal, arousing, idiosyncratic limb movement games with their infants. Interactive games with parents even during the first six months of infancy provide differential experiences for the infant. These games may have developmental significance in selectively facilitating the acquisition of social and cognitive skills.     

Risks and realities: dyadic interaction between 6-month-old infants and their mothers in opioid maintenance treatment

A number of studies point to methadone exposure in utero as a possible risk factor in the developing mother–infant relationship in the first year of life. This study is part of a larger, national follow-up of 38 infants prenatally exposed to methadone or buprenorphine and 36 comparison, low-risk infants. The aim of the present paper is to assess the quality of mother–infant relationship when the infants are 6 months old. Videotaped mother–infant interactions were rated in a global scale (NICHD). Maternal and infant contributions collapsed into the variables “infant style” and “maternal style” showed that the only factor making significant contribution to the outcome measure “dyadic mutuality” was maternal style. The importance of group membership (exposed versus non-exposed), was reduced when controlling for maternal drug use prior to opioid maintenance treatment (OMT), maternal depression and parenting stress as well as infants’ developmental status and sensory-integrative functions. This suggests that prediction of dyadic mutuality should be based on individual characteristics rather than group characteristics. These results support previous research findings that methadone and buprenorphine use per se does not have direct influence on the quality of early mother–infant relationship, but tailored follow-up procedures targeting drug-free pregnancies and parenting support are beneficial for women in OMT and their children.     

The timing of verbal/vocal communications between mothers and their infants: a longitudinal cross-cultural comparison

Early dialogues between parent and child constitute an important factor for the acquisition of culture and hence verbal interaction is considered to be a universal parenting system. Parenting strategies and socialization practices are strongly influenced by the cultural conception of the self, prototypically defined as the model of independence and interdependence. Our study focuses on the temporal organization of spontaneous verbal/vocal behavior of 20 German middle-class and 28 Cameroonian Nso mother–infant dyads. The infants and their mothers were observed weekly in a 5 min free-play interaction scene from 0 to 3 months of age. We hypothesized to find different amounts of vocalization time, synchronous vocalizations, and contingent maternal responses in the verbal/vocal patterns of the two samples. The findings indicate cross-cultural differences in the temporal structure of verbal/vocal interactions already during the first three months of life, reflecting underlying differences in the culture-specific modes of verbal interaction.     

The functional concern of mothers for their infants

The Functional Maternal Concern of mothers for their infants was assessed (with an Index derived from Caldwell's Home Observation for the Measurement of the Environment.) when 36 children, heterogeneous with respect to social status, were 6- and 18-months-old. Scores on this Index were related to the mother's IQ and education, as well as to certain temperamental characteristics of the children: cooperativeness and happiness. The Index proved stable over the time period of 6 to 18 months and yielded better predictability of Stanford Binet scores at 48 months than the Bayley Infant test scores. Moreover, there appears to be a minimal level of maternal concern needed to facilitate the child's development which seems to be especially important for the second year of life.     

Interactions between mothers and children: impacts of maternal and child anxiety

This study, an expansion of an earlier study of parenting behaviors of anxious mothers, examined the relationship of both mother and child anxiety disorders to mother behavior in parent--child interactions. Participants were 68 mother--child dyads with children ranging in age from 7 to 15 years. Mothers and children completed diagnostic evaluations and engaged in conversational tasks; behaviors were rated by coders who were blind to diagnosis. Mothers of anxious children, regardless of their own anxiety, were less warm (p <.05) toward their children. They also granted less autonomy (p <.01). There was an interaction between mother and child anxiety in predicting maternal catastrophizing (p <.01), with anxious mothers and nonanxious mothers of anxious children likely to catastrophize. Theoretical and research implications are discussed.     

Fatherhood in different decades: Interactions between German fathers and their infants in 1977 and 2001

The present study about fatherhood in Germany addresses the issue of changing paternal behaviour in the German middle class between 1977 and 2001. Against the background of the ongoing phase of individualization in Germany, videotaped interactions between fathers and their 3-months-old infants are analysed. The results reveal a shift towards more autonomy and independence in the fathers' behaviour. This can be seen in increases and decreases of particular paternal behaviour patterns, which are related to either independence and autonomy or interdependence and relatedness. In sum, between the two points in time the fathers show an increase in the frequencies of object stimulation and contingent responses to infant signals in the face-to-face-context on the one hand and a decrease in the frequencies of body contact and interactional warmth on the other.     

Self-disclosure and liking: An integration theory approach

Integration theory models predict that sequences increasing or decreasing in intimacy should have less impact on attraction than constant intimate or nonintimate disclosures. Male and female subjects (N= 159) conversed with a videotaped confederate. Each confederate relayed six disclosures in one of five intimacy sequences: increasing, constant high, decreasing, constant low, and random. The confederate either had a choice of topics and sequence or they were imposed. Substantial support was found for integration theory models. The constant high disclosers by choice were liked more than their no-choice controls and the constant low disclosers by choice were disliked more than their no-choice controls. The mixed sequences (increasing, decreasing, and random) produced no significant differences.     

Preventive group psychotherapy for at-risk infants and their mothers

There is increased evidence that infants who receive poor quality social stimulation from their primary caregiver are at risk for later developmental difficulties. This paper describes a preventive intervention for mother-infant dyads exhibiting impaired patterns of social interaction. An impaired relationship with the primary caregiver has been found to be associated with social and emotional deficits in early childhood as well as with significant psychopathology in adulthood. The intervention consisted of group treatment of mothers and their infants. Each group session has 4 subsections which, together, were directed towards improving the mothers' ability to relate in a stimulating and nurturant manner to their children. Types of intervention included didactic instruction, modeling, and interpretation of the infant's behavior. Qualitative data suggested that the group intervention has positive effects on the mother-infant dyads.     

Threat interpretation in anxious children and their mothers: comparison with nonclinical children and the effects of treatment

Interpretation biases towards threat play a prominent role in cognitive theories of anxiety, and have been identified amongst highly anxious adults and children. Little is known, however, about the development of these cognitive biases although family processes have been implicated. The current study investigated the nature of threat interpretation of anxious children and their mothers through (i) comparison of a clinic and non-clinic population, (ii) analysis of individual differences; and (iii) pre- and post-treatment comparisons. Participants were 27 children with a primary anxiety disorder and 33 children from a non-clinic population and their mothers. Children and mothers completed self-report measures of anxiety and indicated their most likely interpretation of ambiguous scenarios. Clinic and non-clinical groups differed significantly on measures of threat interpretation. Furthermore, mothers' and children's threat interpretation correlated significantly. Following treatment for child anxiety, both children and their mothers reported a reduction in threat interpretation.