Infant‐holding biases in mothers and affective symptoms during pregnancy and after delivery

Several authors have reported that participants have a leftward bias when holding a newborn or young infant. Our study of mothers met before and after their infant's birth sought to ascertain whether particular combinations of affective symptoms (depression, anxiety) and holding positions (horizontal versus vertical) were related to holding‐side biases. Our results showed that (a) mothers displayed a significant leftward (71%) holding bias, (b) mothers with affective symptoms held their newborn on the right side and more frequently in the vertical position, and (c) hemispheric specialization for perceiving visual emotions had no significant effect on the holding‐side biases of new mothers. These results suggest that maternal affective symptoms have a dominant effect on the determination of holding‐side preferences, when associated with a particular holding position. Copyright © 2008 John Wiley & Sons, Ltd.     

What can make the difference? Premature birth and maternal sensitivity at 3 months of age: the role of attachment organization, traumatic reaction and baby's medical risk

The influence of prematurity and maternal attachment organization on sensitivity was investigated in 40 mother–infant dyads. Results show a main effect of attachment and an interaction between attachment and prematurity. Sensitivity was differently associated with medical risk and mothers’ traumatic reaction, depending on the quality of attachment.     

婴儿视觉自我认知的微观发生研究

本研究采用微观发生设计,对大连市15名婴儿在15个月时用摄像追踪观察至23个月,每周观察一次.目的在于探讨婴儿视觉自我认知的具体发生时间和个体差异,以及视觉自我认知各指标的发生顺序.结果表明:(1)婴儿视觉自我认知在15～23个月间发生,随年龄增长而提高;(2)婴儿视觉自我认知一般发生于17.25个月;(3)视觉自我认知并非突然出现,而是从不稳定到稳定的渐进发展过程,在发生过程中存在个体差异;(4)视觉自我认知各指标相继发生,镜像自我认知是视觉自我认知最早出现的标志,随后是客体定向能力、照片自我认知.     

EXPANDING INFANT MENTAL HEALTH TREATMENT SERVICES TO AT‐RISK PRESCHOOLERS AND THEIR FAMILIES THROUGH THE INTEGRATION OF RELATIONAL PLAY THERAPY

The expansion of infant mental health (IMH) to at‐risk preschoolers and their families has contributed to the integration of relational play therapy (RPT) into IMH treatment services for this population. Integrating RPT allows access to specialized play and expressive techniques specific to preschool and family development, which improves the clinical ability to meet the multiple and complex needs of at‐risk parent–child dyads and their families. This article will examine the RPT literature and explore the similarities and differences between IMH and RPT. In addition, two case studies will highlight a five‐phase, integrative clinical‐treatment process and provide insight into how IMH clinicians are integrating RPT models and maintaining adherence to the IMH treatment approach.     

Using psychoanalytic concepts to inform interpretations and direct interventions with a baby in working with infants and parents

Abstract

How can some classical Freudian concepts such as defense, transference, infantile sexuality, and the role of the body ego and superego in the first year of life be applied to help the analyst working with parent–infant dyads? The case of a newborn that could not look at her mother, who did not feel empathy towards this child conceived as a result of an egg donation, was understood using Winnicott’s notion of early superego and the lack of libidinal pleasure. The notion of defenses towards primitive anxiety and the role of unconscious maternal functioning were helpful in helping the child as well as the parents to regulate their interactions.     

Coordination of Emotions in Mother–Infant Dialogues

Eleven infant–mother dyads in Crete were videod during spontaneous interactions at home, from the second to the sixth month of life. Micro‐analysis was used to investigate‘coordination'and ‘non‐matching’ of facial expressions of emotion. ‘Emotional coordination’ was evaluated with four measures: matching of facial expressions, completion when one responded to the other with ‘pleasure’ or ‘interest’, synchrony by matching frequency of change or rhythm of emotional expressions, and attunement when shifts of emotional intensity of the two partners were in the same direction.‘Emotional non‐matching'was coded when neither the infant nor the mother showed interest in interacting with the other. In emotional coordination or non‐matching between mother and infant, who performed first was also recorded. We obtained evidence of emotional matching, synchrony, and attunement. Importantly, the probability of emotional non‐matching by the infant was higher than the probability of emotional matching and completion, indicating a tendency for thoughtful attention or playful rivalry in the responses of infants, who also initiated emotional matching, completion, and non‐matching more frequently than mothers. The probability of expression of emotional matching, completion, and non‐matching changed with age. Both mothers and infants act to obtain sympathetic complementarity of feelings and co‐operative inter‐synchrony of actions. Copyright © 2016 John Wiley & Sons, Ltd.     

'Dialectical process' and 'constructive method': micro-analysis of relational process in an example from parent-infant psychotherapy

Jung defined experience that takes place between therapist and patient as 'dialectical process', achieved through 'constructive method'. Perspectives from attachment theory, neurobiology, cognitive science, systems thinking and infancy research confirm and extend his view of the centrality of relational process in the development of self. Interactional experiences are embedded within the history of the primary parent-infant relationship and structure within the mind implicit patterns of relating. These patterns influence capacities for managing a whole lifetime of affective relational experience within the self and with others. This paper shows how parent-infant psychotherapy seeks to intervene during the formation of disturbed relational patterns. I offer detailed micro-analysis of the moment-to-moment 'dialectical process' that a mother, her four-month-old infant and myself 'constructed' together.     

The Infant–Toddler Social and Emotional Assessment (ITSEA): Factor Structure, Reliability, and Validity

In this paper the refinement and psychometric properties of the Infant–Toddler Social and Emotional Assessment (ITSEA) are described. Results from a sociodemographically diverse birth cohort sample of 1,235 parents of children between the ages of 12 and 36 months are presented. Confirmatory factor analyses supported the hypothesized Internalizing, Externalizing, Regulatory, and Competence domains as well as the 17 individual scales that comprise the ITSEA. Findings for 3 additional indices useful in identifying significant psychopathology are presented. Subgroup analyses revealed structural invariance and expected mean level differences across both child sex and 6-month age bands. Child sex differences emerged for some problem and most competence scales, with boys rated as higher on Activity–Impulsivity and girls rated higher on Anxiety and most Competence scales. All competence scores increased across age groups. Problem behaviors showed a more mixed developmental pattern. Test–retest and interrater reliability were acceptable. Associations between the ITSEA and independent evaluator ratings and parental ratings of child behavior problems, temperament, and parental distress support the validity of the instrument.