The development of the family alliance from pregnancy to toddlerhood and children outcomes at 18 months

This paper presents a longitudinal study of the development of family interactions from pregnancy to toddlerhood. Family interactions are increasingly acknowledged as a predictive factor for children's psychopathological outcomes. We used an observational setting, the Lausanne Trilogue Play, to evaluate the ‘family alliance’, namely, the quality of interactive coordination between family members. Families participated at the 5th month of pregnancy, and at 3‐ and 18‐months after birth. The sample (N=39) consisted of non‐referred primiparous families. Results show that (i) family alliance is stable during the first two years for most families: the quality of prenatal interactions between parents and a baby doll is thus predictive of the subsequent interactions with the actual child; (ii) there are links, but only a few, between family interactions and children outcomes reported by parents. Methodological issues (observation versus self‐reported questionnaires) are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

Interaction between mother and pre-term infant at 34 weeks post-conceptional age

The impact of premature birth and perinatal medical status on early mother–infant interaction was assessed in 75 dyads with pre-term infants divided into three groups. Infants' gestational age at birth and need for neonatal intensive care intervention differentiated the groups: group 1, 23–31 weeks with intensive care; group 2, 32–35 weeks with intensive care; group 3, 32–35 weeks with no intensive care. The methodological approach was based on observations of the dyads performed when the infant reached a post. conceptional age of 34 weeks (4 weeks before estimated due date of delivery). The observations were conducted in the neonatal nursery during cleaning, face-to-face and feeding interactions. Significant group differences were found in infant distress, maternal sensitivity to the infant and dyadic behaviours of positive interaction. Group 1 dyads showed higher scores or more desirable performance than dyads of group 3. Group 2 dyads usually achieved intermediate scores and performed better than dyads of group 3, especially during the feeding situation. We suggest that, in addition to a possible emergence of maternal compensatory mechanisms in the higher-risk groups, the amount of dyadic experience after birth affects the quality of mother–infant interaction at this early stage.     

Investigating Maternal Touch and Infants' Self‐Regulatory Behaviours during a Modified Face‐to‐Face Still‐Face with Touch Procedure

Maternal touch and infants' self‐regulatory behaviours were examined during a modified Still‐Face with Touch (SF + T) procedure. Mothers and their 5½‐month‐old infants participated in one period of Normal interaction followed by three SF + T periods. Maternal functions of touch, and infants' self‐regulatory behaviour, affect, and attention were evaluated. Contrary to a typical SF procedure, the amount of smiling remained high while fretting remained low. High levels of maternal touching and variations in the functions of maternal touch were observed across periods. Playful touch remained high while there was an increase in nurturing touch and a decrease in attention‐getting touch from the Normal to all SF + T periods. Similar amounts of self‐regulatory behaviours were observed across periods with the exception of a decrease in bidirectional exchanges during the SF + T periods. Finally, across periods, maternal touch and infants' self‐regulatory behaviours were found to be temporally organized with infants' affect and attention. Examining how mothers use touch when other forms of communication are absent increased our understanding of the role of touch in infants' emotion regulation. Copyright © 2014 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.     

Early maternal stimulation and the development of cognitive competence and attention of preterm infants

The aim of the study was to investigate the relationship between several dimensions of maternal interactive behaviours, and cognitive development and attention in preterm infants. Of special interest was the question of whether high levels of maternal stimulation and activity may have negative consequences for the development of preterm infants. Sixty-six preterm infants and their mothers were followed longitudinally and videotaped in interaction situations at home, at the infant age of 6, 9 and 12 months. Mothers behaviours were scored on involvement, sensitive responsiveness, non-intrusiveness and level of activity. Moreover, infant cognitive status was assessed at 6, 12 and 24 months of age, using the Bayley Scales of Infant Development. Infant ability in problem solving and attention were assessed in two problem solving tasks at 18 and 24 months of age. The results showed that infant cognitive status at 12 and 24 months was best predicted by maternal involvement and infant responsiveness. No significant relationships were found between maternal interactive behaviours and infant ability in problem solving and attention. More importantly, there was no indication that high levels of maternal stimulation or intrusiveness may have a negative impact on later cognitive development and attention in preterm infants. © 1998 John Wiley & Sons, Ltd.     

Attachment and sensitivity in family context: the roles of parent and infant gender

This study examined the role of child gender in fathers' and mothers' sensitivity to and attachment relationships with their infants from a family systems perspective. Eighty‐seven 1‐year‐olds participated in the Strange Situation with each parent. Parental sensitivity was examined during a competing demands task. Results indicated that fathers and mothers were equally sensitive to sons, but fathers were less sensitive than mothers to daughters, and mothers were more sensitive to daughters than to sons. Although mothers and fathers within the same families were similarly sensitive to daughters and sons, daughters' attachment security with fathers and mothers was similar whereas sons' was not. Further analyses revealed that fathers were more sensitive to sons with an insecure relationship with their mothers. Results of this investigation suggest that child gender is relevant for parent–infant, especially father–infant, attachment relationships. Copyright © 2006 John Wiley & Sons, Ltd.     

Observer Influences on Fathers and Mothers: An Experimental Manipulation of the Structure and Function of Parent – Infant Conversation

From studies over the past 20 years four contrasting hypotheses can be made about the nature of parent–infant communication: (1) mothers and fathers display similar skills to their infants and do not exert a differential influence on their development; (2) fathers are less sympathetic to their infants' level of development and therefore inadvertently stretch the child's development more than mothers; (3) both parents differentially socialize their sons' and daughters' early communicative skills; (4) any apparent differences between parents reflect their expectations about being observed. To examine these hypotheses together, this experiment records the communication of 10 mother–infant and 10 father–infant dyads in two conditions: when an observer was present or absent. The analysis revealed two patterns. Firstly, in keeping with most research on parent–child communication, mothers and fathers both simplified their speech to their infants in similar ways. Secondly, both the structure and function of parental communication showed differences between the two conditions and many of these differences were moderated by interactions between condition and sex of parent or child. The data thus provide more support for the first and fourth hypotheses cited above. It is suggested that analyses of parent–infant interaction should move away from simple assumptions about parental ‘influences’ upon children's development to consider the subtleties of different parental styles in different settings.     

Attachment,Behavioral Inhibition,and Anxiety in Preschool Children

This study examined the association between insecure attachment, behavioral inhibition, and anxiety in an at risk sample of preschool children. The relationship between maternal anxiety and child anxiety was also assessed. Participants were 104 children aged 3–4 years who were assessed for behavioral inhibition and mother–child attachment (using the Strange Situation procedure). DSM-IV criteria were used to assess childhood anxiety disorders. Insecure attachment and behavioral inhibition were both independently associated with child anxiety, even after controlling for the effect of maternal anxiety. Maternal anxiety was also associated with child anxiety. This study identified both constitutional and environmental factors associated with the expression of anxiety in young children. Furthermore, the highest levels of anxiety were shown by children who were behaviorally inhibited and insecurely attached and whose mothers were also anxious.     

The co‐construction of joint action between mothers and 2–4‐month‐old infants: the mother's role

The purpose of this longitudinal study was to describe object‐centred interactions between mothers and their 2–4‐month‐old infants, before and during the emergence of reaching and grasping movements. We hypothesized that when reaching movements emerge at around 3 months, mothers alternate between attention stimulation and reaching stimulation, before joint actions between mother and infant develop around objects. Twelve dyads were recorded when infants were 2 months, 3 months and 4 months. The interactive sessions lasted 5 min. Three age‐appropriate toys the infant could handle were available to the mother. A principal component analysis (PCA) was performed on verbal and non‐verbal maternal behaviours, motor infant behaviours and co‐occurrences of those behaviours. The developmental course of prehension in infants when playing with their mother follows similar pathways, as was described when they are observed alone. Mothers appeared to early scaffold prehension skills by verbal and non‐verbal means. Moreover, maternal behaviours change according to the infant's behaviour, and conversely, infant's behaviours influence maternal behaviours: mother plays first an active part in joint action, while later on, the infant achieves joint action when motor skills develop. Copyright © 2000 John Wiley & Sons, Ltd.     

Maternal depression and dyadic interaction: the role of maternal attachment style

Maternal mental health and the contents of her representational world are important determinants of early parent–child relationship. We examined, first, the role of prenatal and postnatal depressive symptoms and maternal attachment style in predicting the quality of mother–child interaction. Second, we analysed whether the secure‐autonomous attachment style can protect the dyadic interaction from the negative effects of maternal depression. The participants were 59 mother–infant pairs examined during pregnancy (T1), 4–5 months postpartum (T2) and when the children were approximately 14 months old (T3). Maternal attachment style was assessed with a modified Adult Attachment Interview ‐procedure, depressive symptoms with Edinburgh Postnatal Depression Scale, and observed mother–child interaction with Care Index. The results show that autonomous mothers were more sensitive and responsive and their children more co‐operative than dyads with dismissing maternal attachment style. As hypothesized, mothers with the combination of both prenatal and postpartum depressive symptoms were highly unresponsive in their dyadic interaction. Further, prenatal depressive symptoms had a stronger impact on maternal unresponsiveness than postnatal symptoms. As hypothesized, mother's autonomous attachment style protected the mother–child interaction from the negative impact of maternal postnatal depressive symptoms, whereas dyads with preoccupied mothers were especially at risk for interaction problems when mothers had postpartum depressive symptoms. Copyright © 2010 John Wiley & Sons, Ltd.     

Knowing in advance: the impact of prior event information on memory and event knowledge

We examined the influence of newly acquired information on children's memory and general representation of a personally experienced event. Thirty-five children between the ages of 5 and 7 years participated in the novel event (Visiting the Pirate). The day before participating, children were: (1) provided with new information specific to the up-coming event; (2) engaged in a discussion generally related to the event topic based on existing knowledge; or (3) discussed an unrelated topic. Advance information specific to the event led to better recall and, in particular, to better integration of the experience into a general event representation both soon after the event and at a follow-up interview 4 months later, whereas general discussion of the topic without the event specific information neither enhanced memory reports nor facilitated the integration of event information. Providing information in advance can have significant effects on memory and knowledge acquisition although many variables, including those relating to the specific content of the information, will affect this relation.     

The Bonds that Remind Us: Maternal Reminiscing for Bonding Purposes in Relation to Children's Perceived Competence and Social Acceptance

The present study investigated the relation between characteristics of mother–child reminiscing and children's perceived competence and social acceptance. We focused specifically on conversations for bonding purposes (i.e., conversations that serve the function of maintaining or strengthening the relationship between the child and the mother) as bonding may be a particularly salient context for the development of self‐views. Fifty‐two mothers and their 4‐year‐old children engaged in a past‐talk conversation where mothers were instructed to try to bond with their children. Children's perceived cognitive and physical competence and maternal and peer acceptance, along with language, were measured. Our results indicated that characteristics of maternal talk, particularly maternal support of child's autonomy and child‐centred content, were strongly related to children's perceived social acceptance. Although weaker, there were also associations between maternal talk and children's perceived competence. Results are discussed in light of theories arguing in favour of parent–child discourse as a mechanism for self‐development. Copyright © 2014 John Wiley & Sons, Ltd.     

Socialization and cognition in children between the age of 18 and 24 months

A cross-cultural study of mother–child dyads was set up to test the hypothesis that sociocultural differences, mediated by variations of maternal intervention, influence the way in which the child manipulates objects and, thereby, his cognitive and social competences. Two series of observations were conducted with three groups of children aged 18–24 months (15 from the American middle class, 15 from French families and 15 from North African families—the last two groups both underprivileged): (a) ‘naturalistic’ observations of two systems of interaction (child–mother and child–children interaction) showed that each child is characterized by one type of object manipulation (protected, induced, activated or autonomous) and that maternal intervention varies with the sociocultural background; assessment of the child's behavioural sequences unravelled his strategies for solving and avoiding conflicts with his peers; (b) observations of the child with a standardized material permitted an evaluation of his cognitive competences for spontaneous problem-solving. Regarding the assumptions of our hypothesis, the results furnish the following conclusions: (1) social and cognitive competences are related to the object manipulation type. In all samples, children characterized by ‘activated’ and ‘autonomous’ manipulation obtain the better results; (2) maternal intervention differs among the samples depending on the sociocultural background; these differences (limitation and physical contact) do not correspond to differences in types of manipulation; (3) type of manipulation is an interactive construction; it characterizes the functioning of the mother–child dyad and its prevailing dynamics between permanence and change. ©1997 by John Wiley & Sons, Ltd.     

Mother–Toddler Affect Exchanges and Children's Mastery Behaviours during Preschool Years

This study examined the longitudinal relations of mother–child affect exchanges at 18 months with children's mastery motivation at 39 months. Observation and questionnaire data were collected from mother–child dyads when children were 18 months; 43 mothers again rated their children's mastery motivation at 39 months. Results suggested that after controlling for gender and the corresponding 18‐month mastery aspect, positive affect exchanges had long‐term positive relationships with children's persistence and competence, whereas dismissed affect exchanges had long‐term negative relationships with children's persistence and independent mastery. Findings suggest that children's autonomous mastery‐oriented endeavours have deep roots in their early mother–child affective interactions. Copyright © 2013 John Wiley & Sons, Ltd.     

Bound to remember: Infants show superior memory for objects presented at event boundaries

Following Event Segmentation Theory (EST) adult memory is enhanced at event boundaries (EB). The present study set out to explore this in infancy. Sixty‐eight 21‐month‐olds watched a cartoon with one of two objects (counterbalanced) inserted for 3s either at EB or between EB. Ten minutes later they watched both objects (familiar and novel) in a 10s Visual Paired Comparison (VPC) test while being eye‐tracked. Furthermore, they were asked to point to the previous object. Based on EST, we hypothesized that objects inserted at EB would be processed more fully, resulting in improved memory compared to objects inserted between EB. Only infants with objects at EB exhibited memory evidenced by a transient familiarity preference for the first 3s of the test. Only 18 infants completed the pointing test, but all infants presented with objects at EB (10/10) pointed to the correct (familiar) object, which was not the case for the infants presented with objects between EB (5/8).     

Expression of negative affect during face‐to‐face interaction: a double video study of young infants' sensitivity to social contingency

The purpose was to assess infants' sensitivity to social contingency, taking affective state into account, during face‐to‐face interaction with the mother in a double video set‐up. Infants' behaviour during three sequences of live face‐to‐face interaction were compared to two sequences where the interaction between the infant and the mother was set out of phase, by presenting either the infant or the mother with a replay of their partners' behaviour during earlier live interaction. We found a significant negative correlation between the infant's degree of negative affect and the average time of looking at the mother during the live sequences. A median split was calculated to separate the infants into a high‐negative‐affect group and a low‐negative‐affect group on the basis of their emotional responses during the experiment. The low‐negative‐affect infants looked significantly more at their mothers than other foci during the live but not the replay sequences, while the high‐negative‐affect infants did not show this difference. The results suggest that 2–4‐month old infants are able to distinguish between experimental distortion of contingent aspects in live and replay sequences, but that this effect of the replay condition may not be shown by moderate to highly distressed infants. Our findings underline the importance of taking infants' emotional state into account in experiments intended to assess their capacity for intersubjective communication. Copyright © 2006 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.     

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.