Consistency in infant sleeping arrangements and mother–infant interaction

This study examined the association between infant sleeping arrangements (i.e., habitual co‐sleeping, inconsistent co‐sleeping, and non‐co‐sleeping) and quality of mother–infant interaction during play in a sample of mothers, each with a typically developing infant (N=70). Mother–infant dyads who experienced consistency in infant sleeping arrangements in a typical week at 6 months (i.e., habitual co‐sleeping or non‐co‐sleeping) were characterized by more positive maternal and infant behavior and dyadic quality of interaction at 9 months compared with dyads who experienced inconsistency in sleeping arrangements. Additionally, a greater amount of co‐sleeping per week was associated with an increased duration of breastfeeding, mothers working fewer hours, less infant temperamental intensity, and less maternal depression. This study underscores the advantages of empirically based studies that consider consistency in infant sleep experience as a factor that is associated with more positive mother–child interaction.     

Young adults’ reactions to infant crying

An infant's optimal development is determined to a great extent by the adequate and sensitive responses of the caregiver. The adequacy and sensitivity of a reaction to an infant in distress (i.e. crying) will partly depend on the causal attributions of the crying and on the individual's sympathy for the infant. Being female, prior caring experiences, and multiparity have shown to be linked to more sympathetic, tolerant and less hostile emotional responses to crying. However, little is known about other factors explaining inexperienced future caregivers’ reactions to infant crying. The present paper's goal is to shed more light on the subject by looking at how personality factors, caregiving interest, sex, promptness of the reaction, and gender identity are related to emotional reactions and causal attributions to crying in a population of young adults without children.     

Transferences in parent–infant psychoanalytic treatments

In parent–infant treatments, babies sometimes exhibit symptoms such as screaming, clinging, and fearful gaze avoidance of the analyst. The paper investigates if such phenomena may be regarded as transference manifestations, and if so, if they appear both in younger and older infants. Based on three case presentations, it is concluded that some babies are capable of forming both brief and enduring transferences. The term “indirect infant transference” refers to when a baby reacts emotionally to the analyst as long as the parent's transference remains unresolved. “Direct transference” refers to when a baby reacts in a non‐mediated way to the analyst. The necessary tool of investigation for discovering these phenomena is a psychoanalytic method with an explicit, though not exclusive, focus on the baby. Discerning them in the clinical encounter may help us understand the baby's predicament and when and how to address the baby or the parent. These treatments constitute an empirical field awaiting more extensive clinical and theoretical investigation. Already now, they suggest that transference may be rooted in, and may appear during, very early developmental stages. The paper's positions are compared with those put forward by other parent‐infant clinicians.     

Changing patterns of infant behavior and mother–infant interaction: Intra- and interindividual variability

Mother–infant dyads were observed weekly at their homes for a 15-month period. In this way longitudinal data about the infants’ crying, fretting/fussing, smiling and different types of physical contact with the mother were collected. The subject of this study concerns the variability and stability in macroscopic patterns of associations between these behaviors. Different types of associations were found between the behaviors, and most of them changed considerably as the infant developed. Individual differences in the nature of the associations and in the changes they underwent over time predominated, but in a limited number of cases the infants shared the same developmental trajectories of behavioral associations. The results show how the use of intensive time series designs can be advantageous in clarifying issues of long-term variability and stability in human behavior. They also support the notion of changing patterns of behavior being a normal feature of early development.     

The effects of an interdisciplinary infant stimulation—parent education intervention program upon infant development

An eight month infant-stimulation/parent-education program was presented to mother-child dyads participating in one of three types of classes: a structured twenty-two session group, an unstructured twenty-two session group, or a structured eleven session group. Infants (2–15 months) in all intervention groups as well as those from a control group were tested three times (pre-test, mid-test, post-test) during the course of the program using the Bayley Mental Test of Infant Development and the Uzgiris-Hunt Ordinal Scales of Psychological Development. Results tend to indicate that the intervention strategy was an effective method of parent education in enhancing infant gains on developmental indices. The results are discussed in relation to a preventative psychotherapeutic model.     

The effect of different soothing interventions on infant crying and on parent–infant interaction

Conducted in the home environment, this study examines the effects of three complementary soothing techniques on the duration of infant crying and on caregiver–infant interaction. In one group, the caregivers apply massage; in another, they provide supplemental carrying to their infants, and in the last, the caregivers both massage and provide supplemental carrying. Measurements, for the one control and three treatment groups took place prenatally (third trimester) and in the first 16 weeks postpartum for parental perception of infant temperament, parental sense of competence, parent–infant interaction, and the duration of infant crying. Whereas analyses indicate no statistically significant differences between groups in reducing infant crying, results approached significance (p ≤ .06) in favor of the combined supplemental carrying/massage group. These results challenge accepted beliefs that tactile stimulation and/or supplemental carrying enhance parental sense of competence, positive parental perceptions, and interactions with infants. Practitioners can apply these conclusions when counselling parents on the advisability of selecting any one complementary soothing technique. ©2002 Michigan Association for Infant Mental Health.     

Breastfeeding and the mother–infant relationship—A review

A positive effect of breastfeeding on the mother–infant relationship is often assumed in the scientific literature, but this has not been systematically reviewed. This review aims to clarify the role of breastfeeding in the mother–infant relationship, which is conceptualized as the maternal bond toward the infant and infant attachment toward the mother. Our findings indicate that theoretical mechanisms through which breastfeeding may enhance the maternal bond or infant attachment (i.e., endocrine and sensory factors involved in breastfeeding) can be found in both humans and animal models. However, the few empirical studies investigating this association have not found convincing support for a relation between breastfeeding and the quality of the mother–infant relationship. We therefore conclude that assumptions on a positive role of breastfeeding on the mother–infant relationship are not supported by empirical evidence, and recommendation of breastfeeding should solely be based on its well-documented positive effects on infant and maternal health.     

Neonatal imitation in a mother–infant setting

Imitation of tongue protrusions and mouth openings was investigated in 18 newborn infants using a procedure differing in three ways from previous laboratory studies: the mother presented the target gestures, she was permitted to adjust to the infant's reactions, and the infant's baseline response rate was assessed during face-to-face interaction. This procedure was assumed to facilitate infant imitation. Compared with baseline responses in face-to-face interaction, both tongue protrusions and mouth openings were imitated in the two conditions. No imitation, however, was found when the responses in the two imitation conditions were compared. These results are less convincing than those found in strictly controlled laboratory experiments. A less restrictive procedure did not, therefore, promote imitation. The mixed results could be explained by too short an exposure to the target gesture. If repeated and insistent gesturing is a crucial condition, neonatal imitation might be understood to be the result of instruction and teaching, rather than a means of mutual communication. © 1998 John Wiley & Sons, Ltd.     

Word‐form familiarity bootstraps infant speech segmentation

At about 7 months of age, infants listen longer to sentences containing familiar words – but not deviant pronunciations of familiar words (Jusczyk & Aslin, 1995). This finding suggests that infants are able to segment familiar words from fluent speech and that they store words in sufficient phonological detail to recognize deviations from a familiar word. This finding does not examine whether it is, nevertheless, easier for infants to segment words from sentences when these words sound similar to familiar words. Across three experiments, the present study investigates whether familiarity with a word helps infants segment similar‐sounding words from fluent speech and if they are able to discriminate these similar‐sounding words from other words later on. Results suggest that word‐form familiarity may be a powerful tool bootstrapping further lexical acquisition.     

Parent–infant co‐sleeping: fathers' roles and perspectives

Dyadic co‐sleeping (mother–baby) is a common strategy for night‐time infant care in the majority of world cultures. Triadic co‐sleeping (mother–father–baby) is less common, although still widely practised cross‐culturally. This paper examines triadic co‐sleeping in an opportunistic sample of parents from the North Tees region of England, and explores fathers' expectations and experiences of sleeping with their babies. Using a prospective study design, 36 sets of parents, pre‐ and post‐natally, were interviewed about infant care strategies, particularly at night. Although they did not anticipate sleeping with their infants at the pre‐natal interview, the majority of fathers (81%) had done so by the time of the second interview. First‐time fathers were afraid that they would squash or suffocate the baby in their sleep, and some were concerned that the infant's presence would adversely affect their own sleep. Fathers used a variety of strategies to help overcome their initial fears of co‐sleeping. Among those for whom triadic co‐sleeping became a regular night‐time infant care strategy, the pleasures of prolonged intimate contact with their infant were clearly apparent. It is suggested that the experience of sleeping with their infant ameliorates some of the distancing effects felt by fathers outside the breast‐feeding relationship, and helps encourage paternal involvement in night‐time infant care‐giving. Copyright © 2000 John Wiley & Sons, Ltd.     

Infant irritability and early mother–infant reciprocity patterns

This study investigated how various forms of neonatal irritability (at 3 days) and irritability at 10 weeks are related to reciprocal interactions between mothers and their infants. Fifty‐six fullterm, first‐born male infants were examined using the Neonatal Behavioral Assessment Scale (NBAS‐K) at 3 days postpartum. Each infant was rated for irritability to aversive stimuli, general irritability, consolability and responsiveness to visual–auditory stimuli. At 10 weeks of age, during a home visit, mother–infant reciprocity was scored for gaze, smile, vocalization and hold behaviors. Based upon maternal reports and behavioral observations, infant irritability was scored at 10 weeks using the NBAS‐K scoring system. Findings revealed that: (1) there were two distinct forms of reciprocity: social and physical; (2) general irritability at 3 days was negatively related to reciprocal hold interaction and positively related to reciprocal social interaction at 10 weeks, and (3) neonatal irritability to aversive stimuli (at 3 days) was positively related to subsequent reciprocal social interaction. Regression analyses showed that neonatal variables were the foremost predictors of reciprocal hold at 10 weeks. Findings are discussed in terms of (1) the need to differentiate between social and physical behavioral patterns, and (2) time‐lag effects with respect to mother–infant interactions. Copyright © 1999 John Wiley & Sons, Ltd.     

Perceived mother‐infant relationship difficulties in postnatal depression

Postnatal depression has been associated with mother–infant relationship difficulties, but there has been less research in clinical populations. This study aims to identify characteristics of reported mother–infant relationship difficulties in mothers with postnatal depression who had been referred to a tertiary Mother and Baby Service. Forty‐one mothers with postnatal depression completed self‐report and interview measures with regards to their mental state, social adversity, and perceptions on their relationship with their infants. Almost one‐third of mothers (31.7%) reported severe difficulties, including rejection of the infant and maternal pathological anger. A low birth weight and maternal dissatisfaction towards their social role were found to be significantly related to perceived mother–infant interaction difficulties. Self‐reports correlated satisfactorily with interview schedules. A significant proportion of mothers reported difficulties in relating to their infants which can be reliably identified by means of the self‐report measures used. Copyright © 2004 John Wiley & Sons, Ltd.     

The function of language in parent‐infant psychotherapy

Parent‐infant psychotherapy, a rather new field in psychoanalysis, raises questions of how to conceptualize the clinical process. Previous publications have used semiotic concepts to account for the therapist's non‐verbal communication and investigated the countertransference, including what the baby might grasp of its variations. The present paper focuses on another argument for using verbal interventions to a baby in therapy; they present him with a symbolic order that differs from that of the parent. The qualitative difference between the parent's and the analyst's address is conceptualized by Dolto's term parler vrai. The therapeutic leverage is not the analytic interventions' lexical content but their message that words can be used to expose conflicts. Thereby, one can transform warded‐off desires into demands that can be negotiated with one's objects. The reasons why this address catches the baby's attention are discussed. A prerequisite for such attention is that the infant brain is prewired for perceiving words as a special communicative mode. Relevant neuroscientific research is reviewed in regard to this question. The presentation relies on concepts by Dolto, Lacan and Winnicott and findings from neuroscience and developmental psychology. It also briefly discusses Chomsky's linguistic concepts in relation to these therapies.     

Infant touching behaviour during mother–infant face‐to‐face interactions

The study of infant communication during mother–infant interactions has largely focused on infants' distal behaviours, while neglecting their more proximal behaviours, such as touch. Yet, touch is an important modality through which infants and mothers communicate; it is also a vital means through which infants self‐regulate and explore their surroundings. The present study was designed to investigate the touching behaviours of 44, 51/2‐month‐old, healthy, full‐term infants during face‐to‐face mother–infant interactions. A still‐face (SF) procedure was used in order to examine differences in the types and locations of infant touch across normal and perturbed interaction periods, when mothers exhibit changes in their emotional availability. Results revealed that infant touch varied with changes in maternal availability. During the SF period, when mothers were unavailable, infants used more active, soothing, and reactive tactile behaviours (stroke, finger, pat, and pull), and they spent more time touching themselves. In contrast, infants used mostly passive touch (static) during the Normal periods, when their mothers were available. They also spent a significant portion of time touching their mothers. The variations in infant touch across periods suggest that infants communicate their affective states through touch. The findings also support the regulatory and exploratory roles of infant touch, especially during periods of maternal unavailability. Copyright © 2007 John Wiley & Sons, Ltd.     

Maternal substance use and mother–infant feeding interactions

The purpose of this study was to examine the impact of maternal polydrug cocaine use during pregnancy and associated risk factors such as maternal psychopathology and negative infant temperament on the quality of mother–infant feeding interactions at 2 months of infant age. Participants were 45 mother–infant dyads (19 cocaine‐exposed and 26 nonexposed) who were recruited at birth and assessed again 2 months of infant age. Mother–infant interactions during feeding were videotaped and coded with regard to dyadic reciprocity, maternal noncontingency, and dyadic conflict. Results indicated that maternal cocaine use was associated with higher dyadic conflict. Moreover, cocaine‐using mothers were also more likely to use marijuana and alcohol, and use of such substances was associated with lower dyadic reciprocity and higher maternal noncontingency during interactions. Results also suggested that one pathway to higher dyadic conflict during interactions among cocaine‐using mothers was through the impact of cocaine on infant risk conditions like lower gestational age and negative temperament (e.g., higher distress to novelty). Interventions focusing on promoting the quality of mother–infant interactions in combination with substance abuse treatment may be especially promising for this population. ©2001 Michigan Association for Infant Mental Health.     

Mother—infant psychotherapies: A widening scope in technique

Evidence-based practice in psychotherapy is gaining ground, but we are in great need of more detailed study concerning some basic aspects: the interrelationships between nonspecific and specific factors and their impact on outcome and the precise observation of what goes on between therapist and patient. A comparison of two forms of mother–infant psychotherapy reveals an important gap between what therapists believe and what they actually do. We describe several components of processes: the contribution of the infant, the treatment of affect, the construction of an interpretative focus, and the relationships between cognitive and emotional contributions. These observations indicate the need for a more realistic appraisal of what goes on in technique applications, as well as for a widening of the definition of technique. © 1998 Michigan Association for Infant Mental Health     

Kangaroo mother care and mother‐premature infant dyadic interaction

The aim of this study was to investigate the psychological impact of Kangaroo Mother Care (KMC) on mother‐infant bonding in cases of premature delivery. Examined variables were mother‐infant relationships, maternal anxiety levels, and infant interactive signals. The KMC method requires that babies be undressed and held upright between their mother's breasts for a minimum of 1 hr a day, from birth until they are discharged from hospital. The present study examined 40 premature infants and their mothers, with 21 dyads experiencing KMC and 19 receiving traditional care (TC). Maternal emotional stress was assessed with the Parent Stress Index‐Short Form questionnaire (Abidin, 1990), and mother‐newborn interactive style was assessed with the Nursing Child Assessment Feeding Scale (Barnard, 1975). Results revealed a better mother‐infant interactive style, a significant decrease in maternal emotional stress, and better infant ability to make requests and respond to parental interactive style in the KMC group.     

Brief mother–infant treatment: Psychoanalytically informed video feedback

Specific patterns of interactive regulation documented by microanalytic methods of infant research can be applied to clinical interventions with mothers and infants. A brief treatment model is described that includes face‐to‐face split‐screen videotaping (one camera on each partner) and therapeutic observation of the videotape with the parent. The intervention uses “video feedback” informed by a psychoanalytic approach, including positive reinforcement, modeling, and information giving, as well as interpretation, while watching the videotape. Specific interactions in the areas of attention, arousal, affect, and timing regulation are evaluated. The psychoanalytic intervention links the “story” of the presenting complaints, the “story” seen in the videotape, and the “story” of the parent's own upbringing. An attempt is made to identify specific representations of the baby that may interfere with the parents's ability to observe and process the nonverbal interaction. The mother's powerful experience of watching herself and her baby interact, and our joint attempts to translate the action‐sequences into words, facilitates the mother's ability to “see” and to “remember,” stimulating a rapid integration of the mother's procedural and declarative modes of information‐processing. One treatment case, involving six contacts, is presented to illustrate the approach. By applying the specificity of interactive regulation identified by microanalysis of videotape into the psychodynamic treatment of mother–infant pairs, basic research can be translated into clinical practice. ©2003 Michigan Association for Infant Mental Health.     

Quantitative evaluation of infant behaviour and mother–infant interaction: An overview of a japanese interdisciplinary programme of research

This paper provides an overview of an interdisciplinary programme of research started more than 20 years ago at the University of Tokyo. A major aim of this programme was (and still is) to develop methods and related forms of quantitative analysis that provide rigorous evaluations of infant behaviour from a particular theoretical perspective. In one part of the programme telethermography is used to measure emotional changes in young infants. Contrary to the accepted view in attachment theory, infants as young as 2–3 months showed evidence of stress following separation from the mother (as indexed by a drop in the skin temperature of the infant's forehead). In another part, we established the presence of interpersonal synchrony between arm movements of the newborn and the speech of the mother and other adults, using computer assisted pattern recognition techniques. On the basis of this finding, we have proposed a simulation model of mother-infant interaction from the perspective of system information theory. In general, our programme of research provides a theoretically driven set of techniques and analytical approaches that may provide deeper insights into early development and parenting.