Persistent crying and parenting: Search for a butterfly in a dynamic system

The risks and causes of persistent crying in early infancy are discussed on the basis of a study of 61 infants referred to the Munich Interdisciplinary Research and Intervention Program for Fussy Babies for persistent crying between 1 and 6 months of age, and of a community sample of 51 infants of the same age. Particular attention was paid to pre-verbal parent-infant communication, the development of which was interpreted in terms of a dynamic interactional system including both regulatory and communicative predispositions in infants and intuitive competence for supporting infant predispositions in parents. Neither a gut problem nor any other single causal factor was identified for persistent crying in the majority of cases. In contrast, persistent crying was significantly associated with multiple biological and psychosocial risk factors for both parents and infants. Neurological immaturity, difficult temperament and sleep problems in infants, and impaired psychological conditions, limited resources and failures of intuitive competences in mothers were found to threaten the developmental process in infants and give rise to ‘vicious circles’ which were destabilizing the interactional systems. Increased attention to intuitive parental competences is recommended as one effective model for therapeutic interventions.     

Infants' sensitivity to arbitrary object-odor pairings

The ability of 4-month-old infants to learn the arbitrary relationship between an object and a distinctive odor was assessed. Infants were familiarized with two objects while one of them was paired with a cherry odor. Results indicated that only female subjects showed evidence of matching. They increased their looking to the target object in the presence of the odor but not in the absence of the odor, relative to baseline levels.     

Communication in preterm infants: Why is it different?

The present paper selectively reviews the literature which compares full-term and preterm infants' communication with their mothers in the first year of life. The review is focused not only on what differences are found between full-term and preterm infants, but also why such differences exist. Particular emphasis is placed on the importance of interpreting the findings in the light of the developmental phase of the infants, the heterogeneity of the preterm population and the situation in which communication is studied. Most studies were not designed to consider these issues in any detail. Differences with respect to these factors can be found between studies, however, which may have contributed to the often contradictory findings. Consequently, comparisons between these studies provide clues about the effects of these factors on communicative development. The ultimate goal of this review is to point to important directions for future research on early communication in preterm infants.     

From visual-motor anticipation to conceptualization: Reaction to solid and hollow objects and knowledge of the function of containment

This research investigates the development of visual-manual coordination during infancy with respect to the spatial property of concavity and the development of the capacity to expect or understand that a hollow object affords specific manual behaviors. Tumblers closed at the top by a plexiglas plate were used: They seemed to be open but resisted introduction of the hand. Infants' behavior towards these deceptive objects was compared with their behavior towards identical objects that looked and felt closed or open. The results show that from the 8th month infants exhibit to the deceptive objects an anticipatory visuomotor behavior and from ninth month they exhibit exploratory behavior that suggests that they are trying to understand the discrepancy between the objects' visual and tactile properties. It can therefore be concluded that a rudimentary conceptualization of containment appears to be elaborated by infants from ninth month.     

Is monkey maternal abuse of offspring aggressive behavior?

This study was intended to probe the aggressive nature of monkey infant abuse by comparing the morphology of abusive behavior patterns with that of patterns allocated to both aggression and other categories of behavioral repertoires of macaques. This morphological analysis indicated that most abusive patterns should not be classified in the aggression category as they, at the motor end, differ greatly from macaque aggressive acts. In contrast, they perfectly resemble behaviors that monkeys usually display while manipulating inanimate objects. The implications of this finding for the pathogenic study of monkey infant abuse are discussed.     

Back to sleep: Teaching adults to arrange safe infant sleep environments

There are over 3,000 sleep related infant deaths each year in the United States. Attempts to teach medical personnel and parents safe infant sleep practices in the infant sleep training literature have demonstrated mixed results. Thus, strategies to teach arrangements of safe infant sleep environments warrant further investigation. Behavioral skills training (BST) is an evidence-based teaching strategy shown to successfully teach various safety skills to children and adults. The current study evaluated the effectiveness of behavioral skills training to teach safe infant sleep practices to typically developing adults. Specifically, differential responding was assessed across multiple environmental arrangements typical of contexts parents may be exposed to when putting an infant to sleep. BST significantly improved appropriate arrangement of a safe sleep environment for infants for all 8 participants.     

Infant positioning: A brief review

The American Academy of Pediatrics (2016a) has made several recommendations regarding the safe positioning of infants by caregivers, including placing infants in a supine position for sleep and in prone for supervised periods of tummy time. However, caregivers may have difficulty adhering with these recommendations. A small, but growing, number of behavior analytic studies have examined these infant safety recommendations and strategies for increasing adherence. This review describes behavior analytic research on infant positioning and provides suggestions for future research.     

A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents’ perspectives

A child's emotional and social development depends on the parents’ provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents’ experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists’ technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.     

Cerebral blood flow in 5‐ to 8‐month‐olds: Regional tissue maturity is associated with infant affect

Infancy is marked by rapid neural and emotional development. The relation between brain function and emotion in infancy, however, is not well understood. Methods for measuring brain function predominantly rely on the BOLD signal; however, interpretation of the BOLD signal in infancy is challenging because the neuronal‐hemodynamic relation is immature. Regional cerebral blood flow (rCBF) provides a context for the infant BOLD signal and can yield insight into the developmental maturity of brain regions that may support affective behaviors. This study aims to elucidate the relations among rCBF, age, and emotion in infancy. One hundred and seven mothers reported their infants' (infant age M ± SD = 6.14 ± 0.51 months) temperament. A subsample of infants completed MRI scans, 38 of whom produced usable perfusion MRI during natural sleep to quantify rCBF. Mother‐infant dyads completed the repeated Still‐Face Paradigm, from which infant affect reactivity and recovery to stress were quantified. We tested associations of infant age at scan, temperament factor scores, and observed affect reactivity and recovery with voxel‐wise rCBF. Infant age was positively associated with CBF in nearly all voxels, with peaks located in sensory cortices and the ventral prefrontal cortex, supporting the formulation that rCBF is an indicator of tissue maturity. Temperamental Negative Affect and recovery of positive affect following a stressor were positively associated with rCBF in several cortical and subcortical limbic regions, including the orbitofrontal cortex and inferior frontal gyrus. This finding yields insight into the nature of affective neurodevelopment during infancy. Specifically, infants with relatively increased prefrontal cortex maturity may evidence a disposition toward greater negative affect and negative reactivity in their daily lives yet show better recovery of positive affect following a social stressor.