New Beginnings–an experience-based programme addressing the attachment relationship between mothers and their babies in prisons

Data about the quality of attachment between infants and parents in high-risk populations suggests that early intervention may be advantageous for positive developmental outcomes for the child. Mothers in prison represent a high-risk parenting population in terms of both attachment histories and economic and social risk factors. New Beginnings was constructed as a short term, experience-based programme for mothers and infants in the Mother and Baby Units of two UK women's prisons. It is based on the early intervention model developed at the Anna Freud Centre. The programme was piloted in 2004–5, with 27 participating dyads. This paper presents an overview of the pilot stage. Our aim is to introduce the thinking that went into the programme and to present initial observations concerning the effect of the programme. We describe the development of a framework for the programme and its preliminary evaluation using pre- and post-interview protocols concerning the mothers' thoughts and feelings about their babies. We used the Parent Development Interview, for both a qualitative analysis of the major themes in connection to child rearing and quantitative measures of reflective capacity in relation to the child on the part of mother-participants.     

Post-discharge outcomes for mothers and the mother–infant relationship following admission to a psychiatric Mother–Baby Unit

Mother–Baby Unit research has focussed on maternal psychopathology over the course of an admission. Less is known about the baby's well-being, the shared relationship, or the mother's recovery. In an initial sample of 45 women, we describe discharge and post-discharge outcomes for maternal psychopathology (using maternal report and the Global Assessment of Function, GAF) and the mother–infant relationship (using the Child and Adult Relational Experimental Index, CARE Index). Three months post-discharge, one third of women described themselves as “completely recovered,” one third were experiencing significant deterioration and 17% were readmitted to inpatient care. Poorer GAF scores were associated with a clinical diagnosis of comorbid personality disorder, antenatal presence of the index illness, partner illicit substance use, maternal perception of her bond, infant social withdrawal, and child protection concern. Post-discharge, the mother–infant relationship results were concerning. Only 17% were regarded as adequate. Improvement was observed across this period in 56% but relational deterioration occurred for 35%. Maternal and relational outcomes were weakly correlated at discharge (r² = 0.29, p = 0.07) but this was lost post-discharge (r² = 0.03, p = 0.89). The shared relationship and infant mental health should both be targets for intervention; both during MBU admission, and post-discharge.     

Measuring Shaken Baby Syndrome awareness: preliminary reliability of a caregiver attitudes and beliefs survey

Recent estimates of Shaken Baby Syndrome awareness suggest that approximately half of all American adults have not heard of the often devastating risks of shaking an infant. Using a sample of 288 undergraduate students, we developed a measure of attitudes around infant care practices. A total of 264 community participants completed a revised survey. Between-group comparisons, exploratory factor analyses, and internal consistency tests were employed to determine the directionality and reliability of any scale structure present in the data. A five factor structure fits the data reliably, and each of these factors seems to represent a unique dimension. Implications for using this measure clinically and preventatively are discussed.     

The impact of thin models in music videos on adolescent girls' body dissatisfaction

Music videos are a particularly influential, new form of mass media for adolescents, which include the depiction of scantily clad female models whose bodies epitomise the ultra-thin sociocultural ideal for young women. The present study is the first exposure experiment that examines the impact of thin models in music videos on the body dissatisfaction of 16–19-year-old adolescent girls (n = 87). First, participants completed measures of positive and negative affect, body image, and self-esteem. Under the guise of a memory experiment, they then either watched three music videos, listened to three songs (from the videos), or learned a list of words. Affect and body image were assessed afterwards. In contrast to the music listening and word-learning conditions, girls who watched the music videos reported significantly elevated scores on an adaptation of the Body Image States Scale after exposure, indicating increased body dissatisfaction. Self-esteem was not found to be a significant moderator of this relationship. Implications and future research are discussed.     

Aging,Agency, and Activism: Older Women as Social Change Agents

Current cohorts of older women are potential social activists, and their potential to contribute to social change is examined. It is argued that engagement in social action is positive and empowering for aging women. Older women both contribute to and benefit from social capital, connections among individuals in social networks, and norms of reciprocity (Putnam, 2000 Putnam , R. ( 2000 ). Bowling alone: The collapse and revival of American community . New York : Simon & Schuster .[Crossref] , [Google Scholar]). Recommendations are offered for organizations that wish to recruit and engage older women as members. A feminist therapy perspective is consistent with the empowerment of older women as social agents.     

Are children's faces really more appealing than those of adults? Testing the baby schema hypothesis beyond infancy

This study examined adults’ evaluations of likeability and attractiveness of children’s faces from infancy to early childhood. We tested whether Lorenz’s baby schema hypothesis (Zeitschrift für Tierpsychologie (1943), Vol. 5, pp. 235-409) is applicable not only to infant faces but also to faces of children at older ages. Adult participants were asked to evaluate children’s faces from early infancy to 6 years of age in terms of their likeability and attractiveness, and these judgments were compared with those of adult faces. It was revealed that adults judged faces of younger children as more likeable and attractive than faces of older children, which were in turn judged as more likeable and attractive than adult faces. However, after approximately 4.5 years of age, the baby schema no longer affected adults’ judgments of children’s facial likeability and attractiveness. These findings suggest that the baby schema affects adults’ judgments of not only infant faces but also young children’s faces. This influence beyond infancy is likely due to the fact that facial cranial growth is gradual during early childhood and certain crucial infantile facial cues remain readily available during this period. Future studies need to identify these specific cues to better understand why adults generally show positive responses to infantile faces and how such positive responses influence the establishment and maintenance of social relationships between young children and adults.     

纸质与视频补充材料对手术知情同意体验的影响：以腹腔镜胆囊切除手术为例

知情同意书在医患沟通中起着间接传递信息的重要作用。以159名大学生为被试,通过操纵不同的知情同意方式,考察了纸质或视频补充信息对患者知情同意满意度、理解程度以及患者信息需求的满足程度影响。结果发现,接受纸质补充知情同意或视频补充知情同意的被试对知情同意过程的满意度、对手术信息的理解程度与知情同意信息需求的满足程度显著高于接受普通知情同意的被试。同时,纸质补充知情同意使得“治疗信息需求的满足程度”最高。这表明,纸质补充知情同意更能满足患者对治疗信息的需求。     

And who thinks on the baby? Thoughts on the method of infant observation

Abstract

After the method of infant observation, as developed by Esther Bick, and its significance for psychoanalytic training have been outlined, the method is critically assessed. The suggestion is then made that infant observation should be supplemented by video-analytic infant observation. Finally, thoughts on modifications of the process of infant observation are presented.