Emergence of amae crying in early infancy as a possible social communication tool between infants and mothers

Amae is defined as “wishing to be loved (Scheidlinger (1999). The Journal of the American Academy of Psychoanalysis, 27(1), p. 91)”. Amae crying is known as crying of infants when seeking intimate emotional communication with caregivers. The objective of this study was to delineate when and how amae crying emerges in early infancy. Crying episodes of four infants were observed bimonthly, in the natural context of their homes, from birth to 6 months of age, for approximately 60 min per session. Crying episodes (total = 275) as determined by two coders were analyzed with respect to several behavioral measures. Results indicated that amae crying emerged at the age of 2 months, and consistently accounted for 30–40% of the total crying episodes after the ages of 3 months. Amae crying could be accurately identified when infants were not in acute discomfort and had already got the attention of their mothers. At such times, infants did not shed tears, cried with a fussy voice, and frequently looked at their mothers. Mothers responded to amae crying more promptly than they did to other types of crying behaviors. It is concluded that 3 months of age, when infants probably begin to use crying as a social communication tool is a major turning point for crying behavior from the perspective of its biological and social roles. It is suggested that amae crying might play an important role in strengthening and encouraging mother–infant interactions.     

Crying in the Counselling Situation

Crying is a natural response which may be hindered by learned social inhibitions. The counsellor's embarrassment or uncertainty about how to respond may also be a block. If it is suspected that the crying is a diversion or manipulative act, this must be discussed. In general, however, expressing emotions openly may be an important learning experience. Requests to explain during crying are often unhelpful, and attempts atphysical comforting may be suppressive. The act of weeping may be an important stage for clients who are having to gain, or regain, contact with their own experience and feelings as they develop a proactive approach to managing their future.     

Can the distress-signal and arousal-reduction views of crying be reconciled? Evidence from the cardiovascular system

Theorists have staked out two ostensibly opposing views of human crying as either an arousing behavior that signals distress or a soothing behavior that reduces arousal after distress. The present study examined whether these views of crying might be reconciled by attending to physiological changes that unfold over crying episodes. Sixty female students watched neutral and cry-eliciting films while autonomic physiology, including respiratory sinus arrhythmia and pre-ejection period, was assessed. Crying participants exhibited heart rate increases that rapidly subsided after crying onset. Crying onset was also associated with increases in respiratory sinus arrhythmia and slowed breathing. All crying effects subsided by 4 minutes after onset. It is possible that crying is both an arousing distress signal and a means to restore psychological and physiological balance, depending on how and when this complex behavior is interrogated.     

What Makes Susie Cry? A Symptom-Context Study of Family Therapy

The aim of this investigation was to examine the context of recurrent crying episodes during family therapy sessions. We tested the relative contribution of social versus individual intrapsychic variables within a 10-session, videotaped, structural family therapy. Segments of therapy before crying episodes when compared with control (non-crying) segments were found to have higher levels of the following variables: involvement with others in the room, rejection, and concern about supplies. Two family variables were also higher before crying episodes: family discussion about patient, and patient receives hostility. A stepwise discriminant function analysis using these variables indicated that family discussion about the patient was most important in signaling onset of crying. The results are discussed in terms of individual and family theories of symptom formation as illuminated through this case study.     

Sequential treatment of a feeding problem using a pacifier and flipped spoon

Parents may be reluctant to treat the feeding disorder of a chronically ill child who exhibits distressed behavior during feeding. In this study, we identified a child with chronic medical problems and a feeding disorder who cried during feedings. We introduced treatment components sequentially to address parental concerns about crying. First, we used a pacifier to reduce crying, and then we used a flipped spoon to increase mouth clean. The results showed that a sequential approach to treatment can be effective for children with complex medical and behavioral problems.     

Toddlers' responses to the distress of their peers

Toddlers' spontaneous prosocial responses to their peer's crying distress were examined in this study. Forty-three children ranging in age from 16 to 33 months were observed as they interacted with their peers in day-care centers. Each child was observed for 16, 5-min periods. If a child cried, the response of the peer and the response of the teacher were recorded. Teachers independently identified peer friendships. Ninety-three percent of peer responses to cries were prosocial in nature. Children who responded more often prosocially to crying peers were the children who more often cried themselves. The response of the teacher to the child's own cry was related to that child's response to a peer. Children were more likely to respond to friends' cries than to cries of acquaintances.     

Communication and crying in newborns

Few studies have analysed newborns’ crying behaviour in relation to the communicative context. In the present study, duration, latency and dysphony of newborns’ cry were analysed in three different communicative conditions: absent, continuous and discontinuous tactile communication. Thirty newborns were randomly assigned to three tactile communicative procedures. Subsequently they were presented with two visual stimuli, face (social-stimulus) and square (non-social-stimulus). The study showed that newborns cried only during visual stimuli presentation both in absent and continuous communication conditions. Newborns with absent communication cried more, with shorter latency and more dysphony than newborns with continuous communication. No significant differences were found in duration, latency and dysphony of newborns’ cry between the two stimuli. Newborns in the discontinuous communicative condition did not cry either during tactile communication or during visual stimuli presentation. Different communicative contexts affected the newborns’ crying behaviour during stimuli presentation. Different interpretations are discussed here in order to explain the results.     

Treatment Engagement: Building Therapeutic Alliance in Home-Based Treatment with Adolescents and their Families

Client engagement is an essential yet challenging ingredient in effective therapy. Engaged clients are more likely to bond with therapists and counselors, endorse treatment goals, participate to a greater degree, remain in treatment longer, and report higher levels of satisfaction. This study explored the process of engaging high-risk youth and their parents in a unique home-based family therapy intervention. Qualitative interviews were conducted with 19 families who completed family therapy sessions that included a core component aimed at increasing treatment engagement. Parents’ and youths’ perceptions of engagement suggest the importance of developing therapeutic alliance with therapists, who facilitated building a shared alliance among family members. Implications for improving client engagement are discussed within the context of alliance building with the therapist and among family members.     

TEARS AND WEEPING AMONG PROFESSIONAL WOMEN: IN SEARCH OF NEW UNDERSTANDING

Crying among adult professional women is a phenomenon experienced far more often than it is studied or publicly discussed. Guided by Sherifs (1982) theoretical work on gender identity, socialization, reference groups, and power, the authors explore several factors central to the topic. Among them are: the origins of conflict between women's experience of emotional expression and "public" tears; gender-related differences in crying and responses to crying; the role of reference groups in conflicting attitudes toward crying; and power in the workplace as influencing the meaning of crying. The role of images and imagery during times of conflicted and heightened emotion is discussed. It is suggested that most imagery related to crying in adults derives from perceptions of crying in infancy and that most responses to adults who cry are linked to an understanding of appropriate responses to a crying infant or child. Lewin's construct of behavior as a person-environment transaction is employed as a means of exploring the images experienced by the crier and the observer when female crying occurs in a professional situation. New images to guide more productive approaches to emotional expression in the workplace are suggested.     

Crying threshold and intensity in major depressive disorder

Clinical lore suggests that depression is associated with frequent and intense crying. To test these postulations empirically, a standardized cry-evoking stimulus was presented to depressed and nondepressed participants, and their likelihood of crying and the magnitude of crying-related changes in their emotion experience, behavior, and autonomic physiology were compared. Unexpectedly, crying was no more likely in depressed than in nondepressed participants. Within the nondepressed group, participants who cried exhibited increases in the report and display of sadness and had greater cardiac and electrodermal activation than did participants who did not cry. There was less evidence of this crying-related emotional activation within the depressed group. The lack of emotional activation among clinically depressed participants who cried provides a tantalizing clue concerning how emotions are dysregulated in this disorder.     

Social reactions to adult crying: the help-soliciting function of tears

The authors investigated how people believe they respond to crying individuals. Participants (N = 530) read 6 vignettes describing situations in which they encountered a person who either cried or did not cry. Participants reported they would give more emotional support to and express less negative affect toward a crying person than a noncrying person. However, regression analyses revealed that participants judged a crying person less positively than a noncrying person and felt more negative feelings in the presence of a crying person than a noncrying person. The valence of the situation strongly moderated these reactions. Overall, results support the theory that crying is an attachment behavior designed to elicit help from others.     

Family context of infantile colic

Psychological factors in families with a colicky baby were studied. A total of 59 families who had enrolled on the basis of information received at the postpartum wards in the city of Turku, Finland, were included in this study. In addition, 58 families with age-matched infants were selected as a control group. These families kept a diary of the infant's crying. Thirty-six infants fulfilled the criteria for severe colic. Twenty-three families with a baby who cried excessively but did not fulfill the criteria were defined as the moderate colic group. A semistructured family interview was carried out to assess the structure, communcation patterns, functioning, and affective tone of the families. Mothers and fathers were younger in the moderate colic group compared with parents in the other groups. In the moderate colic families, the infant was more often the first child than in the control families. On the other hand, neither the infant's gender nor the education of the parents was related to infant's crying. Organized family structure and strong parental coalition were more often present in the severe colic and control groups than in the moderate colic group. Increased family chaos was noted in this group. The severe and moderate colic families had more enmeshed individual boundaries. Generational boundaries were enmeshed in the moderate colic families. Communication patterns did not differ between the groups. The families with a severely or moderately crying baby were less flexible, had decreased ability to cope with daily activities, and showed less energy and vitality than the control families. Both the severe and moderate colic families expressed more anxiety and conflict compared to the control families. In conclusion, an association between infantile colic and psychological characteristics of the family was found. Moreover, the families with a moderately colicky infant had specific psychological features that differed from both the control families and those with severely colicky infants.     

Weinen, ein Bindungsverhalten

Crying is an age-independent behavior of attachment of the (at that moment) weaker part, who cannot cope with a special experience alone. To cry because of anxiety, anger and mourning expresses helplessness and at the same time is an appeal to others to give help and comfort. Crying creates the chance to show relatedness. The considerate other person perceives himself at that moment to be the stronger one when he sees and hears the crying and usually feels the need to comfort and care. The crying of a newborn baby expresses fear to be abandoned, not to be protected and looked after which means to have to die. With growing experience about the reactions to crying the infant quickly learns which behavior is apt to bring the protecting attachment person closer to him. Crying is synchronized with the expectations of others even at the end of the first year of life, especially with those of the attachment person. Whether a child or an adult cries in a manner appropriate to the situation, or surprisingly does not cry or cries in an exaggerated dramatic manner, very much depends on the experiences made in attachment relationships with crying. In the same way, how effective the comfort can be and whether the other wants to care at all, depends on the experiences of both persons concerning crying and comforting in preceding relationships. If those experiences were reassuring then as adults they can also cry or care and comfort, but if crying even aggravates painful experiences then the adult will have difficulties to desire and to accept comfort from others or offer comfort to others himself.     

Building Alliances with (In)Voluntary Clients: A Study Focused on Therapists’ Observable Behaviors

This study aimed to compare therapists’ observable behaviors to promote alliances with involuntary and voluntary clients during brief family therapy. The therapists’ contributions to fostering alliances were rated in sessions 1 and 4 using videotapes of 29 families who were observed in brief therapy. Using the System for Observing Family Therapy Alliances, trained raters searched for specific therapist behaviors that contributed to or detracted from the four alliance dimensions: engagement in the therapeutic process, an emotional connection with the therapist, safety within the therapeutic system, and a shared sense of purpose within the family. The results showed that when working with involuntary clients, therapists presented more behaviors to foster the clients’ engagement and to promote a shared sense of purpose within the family. However, in the fourth session, the therapists in both groups contributed to the alliance in similar ways. The results are discussed in terms of (a) the therapists’ alliance‐building behaviors, (b) the specificities of each client group, and (c) the implications for clinical practice, training, and research.     

Social messages of crying faces: Their influence on anticipated person perception,emotions and behavioural responses

The present study examined the beliefs of people on how they respond to individuals with different kinds of facial expressions, including crying. A total of 104 participants viewed photographs of individuals posing crying, neutral, anger, and fear expressions. They indicated how they would judge the person, how they would feel in the presence of the person, and how they would respond to the person. Compared to individuals expressing other emotions, crying individuals were perceived as less emotionally stable and less aggressive. Participants reported more feelings of sadness in response to crying faces. Crying faces also reportedly evoked more emotional support and less avoidance behaviour. Indirect support was found for the idea that crying is an attachment behaviour designed to elicit empathy and support in others.     

Disentangling the Impact of Resistance and Ambivalence on Therapy Outcomes in Cognitive Behavioural Therapy for Generalized Anxiety Disorder

Resistance and ambivalence about change are increasingly recognized as important determinants of treatment outcomes. Moreover, resistance and ambivalence are thought to be theoretically related in that clients who are more ambivalent about change are more likely to demonstrate resistance to the process and tasks of treatment. In the context of cognitive behavioural therapy (CBT) for generalized anxiety disorder, the present study simultaneously examined early resistance and ambivalence using two observer-based coding systems in order to determine their inter-relationship and, importantly, to investigate their relative contributions to outcome. Resistance was also coded during mid-treatment in order to investigate possible mediation pathways. Early ambivalence (clients’ arguments against change or counter-change talk) was found to be no longer related to outcomes when early resistance was taken into account, suggesting that disharmony in the therapeutic relationship is more important to outcomes than ambivalence per se. Moreover, mid-treatment resistance partially mediated the relationship between early resistance and post-treatment worry severity. That is, higher early opposition to therapist direction is related to poorer outcomes, in part because it is associated with greater resistance during the working phase of CBT. The findings underscore the critical need for therapists to be sensitive to identifying resistance early and throughout treatment.     

Weinen

This contribution describes the present state of research concerning human crying, in particular the conditions that induce crying, the context and the intra-individual and inter-individual effects of shedding emotional tears. Crying is regarded not only as a psychobiological process with certain effects on the physical and mental well-being of the crying person, but also as a process which has a strong impact on the social environment. A comprehensive model of adult crying is presented, which not only accounts for these behavioral differences, but which also covers the reasons for crying, its social contexts, its consequences for the crying person and its inter-individual effects. In addition, the role of moderating variables is clarified. It is emphasized that there is no clear evidence in support of the hypothesis that crying brings relief and is healthy. It is suggested that the appropriate question is ?under which conditions can crying bring relief?” rather than ?does crying bring relief?” Furthermore, the impact of crying on the social environment is pointed out by which it facilitates the provision of social support and it may reduce aggression. Seen from a coping perspective, crying thus may both serve emotion-focused coping and problem-focused coping functions.     

Stop crying! The impact of situational demands on interpersonal emotion regulation

ABSTRACT

Crying is a common response to emotional distress that elicits support from the environment. People may regulate another’s crying in several ways, such as by providing socio-affective support (e.g. comforting) or cognitive support (e.g. reappraisal), or by trying to emotionally disengage the other by suppression or distraction. We examined whether people adapt their interpersonal emotion regulation strategies to the situational context, by manipulating the regulatory demand of the situation in which someone is crying. Participants watched a video of a crying man and provided support by recording a video message. We hypothesised that when immediate down-regulation was required (i.e. high regulatory demand), participants would provide lower levels of socio-affective and cognitive support, and instead distract the crying person or encourage them to suppress their emotions, compared to when there is no such urgency (i.e. low regulatory demand). As predicted, both self-reported and behavioural responses indicated that high (as compared to low) regulatory demand led to a reduction in socio-affective support provision, and a strong increase in suppression and distraction. Cognitive support provision, however, was unaffected by regulatory demand. When the context required more immediate down-regulation, participants thus employed more regulation strategies aimed at disengaging from the emotional experience. This study provides a first step in showing that people take the context into account when attempting to regulate others’ emotions.     

The integration of family therapy in a psychiatric day hospital

The clients, who present themselves at our psychiatric day hospital in Amsterdam, often have long-standing problems. These problems are usually of a complex nature, and the age of the clients plays an imporant role in this. Their age varies from seventeen to forty, with an average of twenty-eight.
Efforts were made over a long period to facilitate solutions to the clients' family conflicts. During this time an extensive range of problems within the family were presented of which the symptoms of the client represent just a part.
Working as a family therapist in a psychiatric day hospital, where clients are admitted individually, places the family therapist in a number of dilemmas, especially when many working in the hospital see the problems only as individual ones.     

Keeping connected: Family therapists' experiences of working online during the COVID-19 pandemic

For this qualitative study, eight family therapists were interviewed about their experiences of practising online during the pandemic. Findings are organised using a framework of problems, possibilities, resources and restraints (PPRR, Neden & Burnham, 2007). Despite variation in therapist confidence in online practice, all participants found new possibilities in this way of working, including connecting family members across distance, increased co-construction within therapeutic relationships and engaging clients who would not usually attend appointments. Therapeutic alliance was generally possible to establish online, though felt more challenging with whole families than individuals. Problems and restraints included therapist fatigue, risk and safety management, and attuning to nuanced expression of emotion. Implications for practice and future research are proposed. It is suggested that systemic practice has unique qualities to offer the field of online psychotherapy.