EARLY PARENTING SUPPORT AND INFORMATION: A CONSUMER PERSPECTIVE

The transition to parenthood is a period of both joy and challenge for most parents. There is a recognized need to support parents during this period, yet existing interventions have shown limited evidence of efficacy. This study takes a consumer‐focused approach to examine the needs and preferences of parents both prenatally (n = 77) and postnatally (n = 123) for parenting support. The study used a cross‐sectional design with a purpose‐built online survey. Parents were recruited via online forums, Facebook and parenting blogs, childcare centers, and playgroups. In general, all parents were satisfied with their current levels of both formal and informal support, and about one fourth of parents had accessed a parenting intervention. Parents expressed a moderate level of interest in additional parenting information, and parents expecting their first baby indicated preferences for information about basic baby care needs whereas postnatally, parents expressed more interest in topics around self‐care and behavior management. The implications for developing interventions and engaging families are discussed.     

FACTS, FANTASIES AND THE FUTURE OF CHILD CARE IN THE UNITED STATES

Psychologists in both family practice and developmental research may be puzzled about the scientific status of research on child care as it affects children, parents, and caregivers. What conclusions can be reached about mothers in the labor force, about the advisability of various child care arrangements, about their short and long-term consequences, and what advice do we as psychologists have to offer in the public interest to parents of infants and young children? In this article, we review research on child care, and discuss its implications for the nation and for psychology as a research enterprise and a helping profession.     

How New Knowledge About Parenting Reveals the Neurobiological Implications of Intersubjectivity: A Conceptual Synthesis of Recent Research

Observations of early mother–infant interactions have shown that intersubjectivity is a primary motivation and have underscored the importance of maternal competencies in this development. In our paper we propose a conceptual overview of the different perspectives according to which parental caregiving has been formulated. Psychoanalytical theory has fundamentally promoted the exploration of maternal and paternal intrapsychic constellation, by stressing the role of unconscious processes in parental attitude as well as in infant development. In contrast with psychoanalytical theory, the conceptual framework of attachment has mostly considered real interactions between parents and infant, underlining parental abilities in providing the infant with a secure base. Finally, infant research has explored the complexity of communicative system between parents and infants, which appears already active from the birth of the baby. Recently, these different viewpoints have been broadened by neurobiological research, which has begun to explore maternal brain functioning and structure, by means of new scientific instruments such as fMRI techniques. From these perspectives, we provide an overview of motherhood, underlining both neurobiological and psychological transformations, which begin from pregnancy and run through the first year of the infant, when the mother–infant intersubjective matrix is built. This matrix influences the construction of the infant's Self and support the development of the sense of “we,” a sort of connective net, which ties the baby to parents, letting him feel as a part of the familiar world.     

Cognitive and motor development of infants coping with cancer: Longitudinal observations

The prognosis for infants diagnosed with cancer before the age of 12 months continues to be generally dismal. Consequently, these babies receive very aggressive treatment and regularly endure many events that cause distress. This study followed a cohort of six infants diagnosed with cancer from the onset of treatment utilizing repeated assessments of cognitive and motor development. The purpose of the study was to evaluate systematically the impact of stressful life events and the protective effects of parents' remaining with their children during repeated hospitalizations. Across lengthy and aggressive treatments with chemotherapy, these infants demonstrated no signs of developmental lags or abnormalities, and parents reported generally positive effects for their marriages when remaining in the hospital with their baby. Results are discussed within a framework of coping with stressful life events and the protective effects for infants associated with encouraging parents to remain with their sick children as much as possible during hospitalizations.     

The Influence of Gender and Parental Attitudes on Preschool Children's Interest in Babies: Observations in Natural Settings

This paper reports on two studies of parents'observations of their preschool children's interactions with infants. In Study 1 parents observed 69 3- and 5-year-old white children with three nonsibling infants whom the children encountered during their daily lives. In Study 2 parents observed 46 3- to 6-year-old primarily white children with three nonsibling infants and completed measures of their own gender-related child-rearing attitudes.Consistent with findings from previous laboratory research, this research in naturalistic settings found girls to show more interest in, more nurturance toward,and more interaction with babies than did boys. In Study 2, children whose parents had traditional gender-stereotyped attitudes were more likely to show this gender difference than children whose parents had more egalitarian child-rearing attitudes.     

Preimplantation Genetic Diagnosis: Understanding What Parents Plan to Tell Their Children About Their Conception

Over 10,000 babies have been born by PGD and PGS worldwide (Simpson, Prenatal Diagnosis 30(7): 682–695 2010). The experience of parents who have undergone this procedure and their children’s well-being are documented, but no research to date has explored whether parents intend to tell their children how they were conceived and whether this raises special issues for them. PGD practitioners recommend research in this area as parents of children born by PGD increasingly ask questions pertaining to disclosure. We conducted 30 in-depth interviews with couples who have had a baby conceived by PGD. We explored what couples plan to tell their children about how they were conceived, when they plan to do this, and issues they anticipate may arise. The couples had a family history of a monogenic disorder or chromosome rearrangement. Six themes emerged which highlight key issues: (1) To tell or not to tell? (2) Primary reason for undergoing PGD, (3) The ideal time to tell, (4) Situations which may warrant earlier disclosure, (5) Words which parents might choose, and (6) Issues which parents anticipate may arise. We conclude that parents are likely to inform their children about PGD because there is an affected sibling or relative about whom they ask questions, and/or their children are carriers of a condition their parents feel obliged to tell them about. Parents felt they would benefit from access to a genetic counsellor at the time of disclosure and are optimistic about the future of reproductive technology for their children.     

Perceptions of infant boys' behavior and mental health: Relation to infant attachment

Two studies were conducted to determine the impact of infants' attachment classifications and behaviors on naive adults' impressions of their behavior and mental health. In Study 1, three groups of 44 adults viewed a videotape of episode 8 of the Strange Situation for either an avoidant, a resistant, or a secure male infant. After viewing the videotape, they made judgments about aspects of the infant's mental health. Adults viewed the resistant baby as less socially competent and more negative in affect than the other two babies and the secure baby as the least independent of the three babies. Parents rated babies as more intelligent than did nonparents. In Study 2, 15 parents were matched on race and gender with 15 nonparents. All adults viewed a videotape of the reunions of two secure, two avoidant, and two resistant male infants. Avoidant babies were viewed as more socially competent and independent than secure babies and the C2 baby was viewed as the least intelligent, least independent, least socially competent, and most affectively negative of the infants. Results are interpreted as underscoring the need to educate parents and paraprofessionals about the importance of infant distress and physical contact with parents.     

Didactic adjustments in fathers' and mothers' speech to their 3-month-old infants

Vocal dialogues of 3-month-old infants with their mothers and fathers were recorded during dyadic interactions in the laboratory. Six-minute speech samples were analyzed for syntacticlexical and temporal-melodic features. Both parents adopted strikingly similar speech registers. Segmentation, reduction in syntactic complexity, repetitiveness, and slow tempo were more marked than reported for parental speech to children above 1 year. However, rather than providing proper linguistic models, parents utilized simplified patterns of expressive melodic contours as the most salient units of speech. This tendency is interpretable as age-specific adjustment to infants' integrative capacities. Structural similarities between maternal and paternal baby talk by far outweighed a few quantitative differences. The intuitive nature of recourse to basic nonverbal properties of vocal communication, together with universality across sex, favors the assumption that baby talk is a part of species-specific didactic support to infant communicative development.     

Early interactions and the socioemotional development of deaf infants

Studies of the early face-to-face interactions and later attachment behaviours between infants and their caregivers are reviewed, with a particular focus on implications for deaf infants. Since the majority of deaf infants are born to hearing parents, it is to be expected that many parental responses will rely on vocalizations which are inaccessible to the deaf infant. Are other sensory modalities enhanced or used in a compensatory manner by hearing parents so as to make their communication with a deaf infant more effective? Is the deaf infant's heightened need for visual and tactile input adequately met during normal interactions with their caregivers? Does the deaf infant develop the same strategies for signalling distress and coping with separation as does the hearing infant? Although the research literature on this population is sparse, there are beginning to be more reports addressing these questions as early identification becomes increasingly possible. Therefore, this paper will cover issues of the role of eye contact and mutual coordination in early interactions, compensatory parenting behaviours from the perspective of the ‘intuitive parenting’ model, and precursors to later attachment behaviours in deaf infants.     

A pediatric screening instrument to detect problematic infant–parent interactions: Initial reliability and validity in a sample of high‐ and low‐risk infants

The purpose of this study was to determine the initial reliability and validity of a screening instrument developed to detect problematic interactions between infants and parents as part of a pediatric well‐baby exam. Participants included 117 infant–mother dyads (57 preterms and 60 full terms) assessed when infants were 6 to 9 months old. Mothers and infants were observed playing an interactional game such as peek‐a‐boo during the course of the pediatric exam. The game was scored for degree of interactional reciprocity using the Pediatric Infant Parent Exam (PIPE). Acceptable levels of interrater reliability were achieved. As predicted, higher risk infants and their mothers exhibited more problematic interactions than lower risk infants and their mothers. Results indicated that the PIPE was a reliable means of screening for interactional difficulties, that was sensitive to, but not synonymous with, neonatal health indices. ©2001 Michigan Association for Infant Mental Health.     

Inexpensive video cameras used by parents to record social communication in epidemiological investigations in early childhood-A feasibility study

We tested the feasibility of parents recording social interactions with their infants using inexpensive camcorders, as a potential method of effective, convenient, and economical large scale data gathering on social communication. Participants were asked to record two short video clips during either play or a mealtime, and return the data. Sixty-five video clips (32 pairs) were returned by 33 families, comprising 8.5% of families contacted, 44.6% of respondents and 51.6% of those sent a camcorder, and the general visual and sound quality of the data was assessed.Audio and video quality were adequate for analysis in 85% of clips and several social behaviours, including social engagement and contingent responsiveness, could be assessed in 97% of clips. We examined two quantifiable social behaviours quantitatively in both adults and infants: gaze direction and duration, and vocalization occurrence and duration. It proved difficult for most observers to obtain a simultaneous clear view of the parents and infant's face.Video clips obtained by parents are informative and usable for analysis. Further work is required to establish the acceptability of this technique in longitudinal studies of child development and to maximize the return of usable data.     

The controversy over pastoral care of parents after a stillbirth

Studies published in the last few years have suggested that the current practice in hospital obstetric units of encouraging parents to spend time with, hold, and even care for their stillborn fetus or baby may be deleterious to them. Rather than helping to allay grieving and successfully bring mourning to closure, mothers who had increasing levels of contact with the body of their stillborn baby were incrementally more likely to suffer depression and symptoms of post-traumatic stress disorder in their next pregnancy and to have difficulty with attachment to their next child. These findings parallel observations from meta-analyses that question the efficacy of single-session debriefing (Critical Incident Stress Debriefing) after psychological trauma in preventing the later emergence of symptoms of post-traumatic stress disorder. Although not conclusive, these initial studies support the urgent need for further research to allow evidence-based pastoral care for those whose pregnancies end in stillbirth and loss. Given this much uncertainty about the risks posed by contact with her stillborn baby, mothers who do not chose to see their dead infants should not be persuaded to do so on the grounds of beneficence.     

Attentiveness of mothers and fathers to their baby's cries

Thirty-two mother-father-infant triads participated in a study to examine whether parents' responsiveness to their own infant's distress was affected by the infant's birth order and gender. After separating from their 10- to 11-month-old baby, one parent from each family (16 mothers and 16 fathers) was selected to hear cries that were attributed to the child. Consistent with previous findings regarding physiological reactions to crying and observations of caretaking behavior, first-time parents gave quicker and more frequent attention to their infants than did multiporous parents. Speedy intervention was related to the amount of caretaking responsibilities that parents reported they assumed and to the age at which parents believed that their infant first recognized them. The results demonstrate the importance of caretaking for promoting parental sensitivity to infant signals.     

Triangular Interactions of Unmarried African American Mothers and Fathers with their 3-Month-Old Infants

We examined the responsivity of unmarried African American fathers to bids from their 3-month-old infants during the Lausanne Trilogue Play (LTP), and the responses of mothers subsequent to father-baby exchanges. Twenty mother-father-infant triads (75% noncoresidential) with parents between the ages of 14 and 53 took part in the investigation. All fathers and the majority of mothers were African American with reported incomes at least 200% below the U.S. poverty line. All participants had previously completed a prenatal intervention study examining formation of coparenting alliances across their transitions to parenthood and were observed while playing together in videotaped LTP sessions at 3-months postpartum. We microanalyzed infants’ gaze orientation toward their fathers and the sequence of parent behaviors after babies’ bids to fathers. Father responses to bids from the infant were characterized as withdrawal, nonwithdrawal but failure to adapt behavior he had been showing prior to the baby’s bid, or affective and/or behavioral adjustment in response to the baby’s bid. Maternal reactions to the father-baby exchange were coded as either reinforcing, opposing, or neutral. Analyses revealed that fathers showed substantial evidence of intuitive parenting and matching behavior, and mothers overwhelmingly supported, rather than interfered with or disrupted, baby-father exchanges. Results are discussed in contradistinction to deceptive commonplace depictions of African American families that focus largely on deficits rather than strengths, and recommendations for family research and practice are offered.     

What do parents talk about to infants?

The content of parents' talk is studied here as expressing their conception of their developing infant, from the initial symbiotic fusion to an individual situtated in space, time and society. The topics parents introduce in their speech to their infant reflect the perception and expectations they have of their baby. The social and parental status of fathers and mothers, and the anticipated role and status of the child- and adult-to-be, and in particular the age and gender of the infant, mediate the choice of topics. Parents' spontaneous speech to 3-month- and 9-month-old infants was studied during a diapering episode, before leaving the day-care centre. Five minutes of such a speech was recorded, and each utterance was assigned to a semantic category (e. g. greetings, comments on diapering, on mood). Sex-typing is already noticeable as early as 3 months of age: comments on the present situation and state are more frequent for girls, and comments about absent persons or events more frequent with boys. Both parents contribute to this effect, fathers more than mothers. With age parents become less concerned with immediate problems and more aware of the infant's own performances. First names are used more for boys than for gilrs. As a whole, boys are considered as individuals earlier than girls.     

Student volunteer social support and infant intervention: A case study

The emphases in infant mental health have been in the three areas of supporting the mother-infant dyad through education, psychotherapy to help parents resolve emotional conflicts that interfere with the parent-infant interaction, and support during the acute crisis that follows an abnormal birth. The case described herein involves a child with a genetic defect born to competent parents, a chronic stressful situation that does not fit these categories. It became apparent in the first few months after the birth that both the child and parents were in need of some help in coping with the situation. An intervention was designed to help provide both the necessary stimulation for the baby and the needed emotional support for the family, while it acknowledged their skill and competencies as parents. This was done through the help of college student volunteers, who assisted the mother in the home. Developmental data recorded at birth, 7 months, 12 months, and 39 months indicate that the child is severely multiply handicapped. Interview data with the parents at those times document their personal and family difficulties, the eventual resolution as a family in dealing with this problem, and the importance of the volunteer help during that process.     

Parental decision-making: infant engagement with smartphones

Smartphones have become a ubiquitous part of life, and as a result, many children are engaging with smartphones beginning in infancy. Little is known regarding the thought processes used by parents in deciding when and how to allow their infants to engage with smartphones. Using a sample of twelve parents with infants younger than one year, this qualitative study examines parental smartphone use, their perspectives regarding use by their young children, and what sources informed their decision-making about allowing their infants to use a smartphone. Results found that the smartphone has become such a common part of everyday life that choices to use a smartphone around, and with, infants has become one that is nearly automatic. These research data showed that most parents are largely unaware of guidelines for childhood screen time provided by the American Academy of Pediatrics and the World Health Organization. Given our current knowledge that smartphone use can have a significant impact on the cognitive development of young children, this topic is an important area of future research.     

Perspectives on infant mental health from israel: The case of changes in collective sleeping on the kibbutz

Collective sleeping of infants and young children on the Israeli kibbutz, which involved separations between young children and their parents at bedtime as well as unavailability of parents during the night, has been in practice for many decades until the recent past. Collective sleeping departed markedly from sleeping arrangements common in most cultures and violated well-accepted child-rearing norms. This article reviews research that points to collective sleeping of infants and young children as a risk factor in terms of the security of their attachments to their mothers and the intergenerational transmission of attachment. The broader infant mental health implications of the communal sleeping “story” are discussed, with a special emphasis on cultural “blind spots” regarding practices concerning infants, the central place of attachment-related protection and survival themes in the recent abandonment of collective sleeping, and implications for research. © 1998 Michigan Association for Infant Mental Health     

Does texting interrupt imitation learning in 19-month-old infants?

Observed disruptions to parent-child interactions during parental media use, such as texting, have been termed technoference. For example, when a language learning interaction was disrupted by a phone call, toddlers were less likely to acquire the word. Other studies demonstrated that parents often exhibit a still face while silently reading information on their cell phones. In the present study, the effect of a text interruption on infant imitation learning was examined. Parents demonstrated three target actions to their infants and then infants were given the opportunity to repeat those interactions. The actions were demonstrated four times. Text interruptions occurred before or between demonstrations. Performance of these groups was compared to a baseline control group where the infant did not see a demonstration of the target actions and a no-interruption group where the parents demonstrated the target actions four times without interruption. Parents were randomly assigned to three conditions, interruption-first condition, one-interruption condition, or three-interruptions condition. Infant behavior was measured during the interruptions. Across text interruption groups parents exhibited high levels of still face during the interruptions (77 %). However, infants in all 3 interruption groups performed significantly above the baseline control indicating learning despite the interruptions. Higher reported maternal reliance on the smartphone was related to poorer imitation performance overall. In contrast, when parents reported that they found it easier to multi-task infant imitation rates were higher. These findings indicate that infants can learn under conditions of brief technoference and that individual differences in family media ecology are associated with learning.