Watching,waiting, and wondering: Applying psychoanalytic principals to mother-infant intervention

There is general acceptance that the intergenerational repetition of relational patterns is transmitted within the interactions between mother and infant. The highly invested nature of the mother-infant relationship makes it a prime arena for the playing out of unresolved relational conflicts of the mother. This occurs through the mother's responses to her infant in which she projects into the infant certain disavowed but highly invested positive or negative attributes. This leads to the interactional re-creation of a whole relational system reflecting the mother's current and past relationship experiences. When a mother's conflictual past is unresolved and unmitigated by current relationships, her interactions with her infant are more driven by such perceptions than by real appraisal of the infant's actual attributes. The sleeping, eating, and behavioral management problems of infancy are often manifestations of such situations. A deceptively simple set of instructions to the mother, to become a nonintrusive observer of her infant and only interact at the infant's initiative, allows a role for the infant's initiative in changing interactions and thus potentially changing a relational system.     

Watch,wait, and wonder: Testing the effectiveness of a new approach to mother–infant psychotherapy

This research compared two forms of psychodynamic psychotherapeutic interventions for 67 clinically referred infants and their mothers. One was an infant‐led psychotherapy delivered through a program called Watch, Wait, and Wonder (WWW). The other was a mother–infant psychotherapy (PPT). Infants ranged in age from 10 to 30 months at the outset of treatment, which took place in weekly sessions over approximately 5 months. A broad range of measures of attachment, qualities of the mother–infant relationship, maternal perception of parenting stress, parenting competence and satisfaction, depression, and infant cognition and emotion regulation were used. The WWW group showed a greater shift toward a more organized or secure attachment relationship and a greater improvement in cognitive development and emotion regulation than infants in the PPT group. Moreover, mothers in the WWW group reported a larger increase in parenting satisfaction and competence and decrease in depression compared to mothers receiving PPT. Both WWW and PPT were successful in reducing infant ‐presenting problems, decreasing parenting stress, and reducing maternal intrusiveness and mother–infant conflict. Some potential reasons for the differential treatment effects and the theoretical, clinical, and methodological implications from the findings are discussed. ©1999 Michigan Association for Infant Mental Health.     

Characterizing the Linguistic Chameleon: Personal and Social Correlates of Linguistic Style Accommodation

Linguistic style accommodation between conversationalists is associated with positive social outcomes. We examine social power and personality as factors driving the occurrence of linguistic style accommodation, and the social outcomes of accommodation. Social power was manipulated to create 144 face‐to‐face dyadic interactions between individuals of high versus low power and 64 neutral power interactions. Particular configurations of personality traits (high self‐monitoring, Machiavellianism and leadership, and low self‐consciousness, impression management and agreeableness), combined with a low‐power role, led to an increased likelihood of linguistic style accommodation. Further, greater accommodation by low‐power individuals positively influenced perceptions of subjective rapport and attractiveness. We propose individual differences interact with social context to influence the conditions under which nonconscious communication accommodation occurs.     

Five-months-olds' attention and affective responses to still-faced emotional expressions

Mothers posed happy, sad, or neutral still-faces (SFs) between periods of normal interactions. Lowered infant attention and affect and increased grimacing occured during SF regardless of emotional expression posed during the SF period. Different static expressions elicited differential smiling; infants smiled slightly but significantly more to happy SFs. Greater differences occured with changes in contingent aspects of interactions.     

Speech rate and the development of short-term memory span

Two experiments are reported which examine the effects of word duration on memory span in subjects of different ages. The same linear function relating recall to speech rate (assessed by the speed of repeating words) fits the results of subjects ranging in age from 4 years old to adulthood. It is concluded that developmental increases in short-term memory span can be explained in terms of increases in speech rate and that there is no evidence for an increase in short-term memory capacity. Analyses of the children's speech suggests that increases in speech rate with age reflect increases in the speed of articulation of individual words, rather than any change in the duration of pauses between successive words or changes in coarticulation between words.     

Implications of Contemporary Social Science for the Field of Guidance

Since the mid-19th century, a dominant trend in the social sciences has been the development of a rigorous technique for devising predictive models of empirical social systems. Central to this development has been the assumption that unexplained variation is simply error in a given model, rather than the generally held view that human beings have a special capacity for acting independently of the universe of empirioals. The increasing predictive accuracy resulting from this axiom of determinism has, in turn, tended to stimulate the interest of applied fields. A predictable side-effect of such interest, however, appears to be an intra-field re-examination of its own philosophical foundations. It is suggested that the field of guidance has reached this juncture, that the resulting internal conflict has emerged, and that the strategic value of prediction will insure a continued transition from an art to an applied science.     

FHR Digitizer: A HyperCard tool for scoring fetal heart rate records

A HyperCard tool has been designed to support research on human fetal heart rate responses to extrauterine auditory and tactile stimuli. This system allows an operator to digitize a standard graphic heart rate strip recording simply by tracing it. In our application, the software produces a listing of fetal heart rate in beats per minute at 1-sec intervals and a variety of summary statistics, which can be saved on disk and printed. This tool has the advantages that it permits rapid and accurate manual scoring and allows for operator judgments concerning artifacts, a flexibility missing from automated systems. This tool can be generalized to allow scoring of any graphic strip recording.     

Six‐month follow‐up of two mother–infant psychotherapies: Convergence of therapeutic outcomes

Fifty‐eight mothers and infants participating in two infant–mother psychotherapeutic interventions in a comparative infant–mother clinical intervention study were followed six months after treatment ended. One treatment was an infant‐led psychotherapy, Watch, Wait, and Wonder (WWW). The other was a more traditional mother–infant psychodynamic psychotherapy (PPT). Infants ranged in age from 10 to 30 months at the outset of treatment, which took place in weekly sessions over approximately five months. Results indicated that positive effects observed from the beginning to the end of treatment in both treatment groups in infant symptoms, parenting stress, and mother–infant interaction were maintained or improved further at six‐month follow‐up. Additionally, decreased maternal depression, gains in infant cognitive development and emotion regulation, and improved infant–mother attachment security or organization had been observed posttreatment only in the WWW group. Interestingly, between the posttreatment to follow‐up period the PPT group also showed such gains. Thus, for these variables it would be more accurate to say that the outcomes were similar for the two treatment groups but change emerged at a different pace. Nevertheless, an advantage persisted in the WWW group in relation to mothers' comfort dealing with infant behaviors and their ratings of parenting stress which improved more in this group from the end of treatment to follow‐up. The direct inclusion of the infant as an initiator in WWW was set forth as an explanation of differentially timed treatment effects. ©2002 Michigan Association for Infant Mental Health.