Are sensorimotor experiences the key for successful early intervention in infants with congenital brain lesion?

Living with a congenital brain lesion may have detrimental effects on the ability to do everyday activities, but contrary to acquired brain lesions, people and in particular children, with congenital brain lesions may have limited or no experience of how their bodies work. This absence of experience gives rise to challenges for habilitation of sensorimotor abilities and derived cognitive abilities. How can motor and cognitive abilities be achieved and trained in an individual with no experience of potential abilities? In this article, we aim to review the existing knowledge about the development of sensorimotor integration. Further, we will discuss this knowledge in the light of two neurocognitive theories: embodied cognition and predictive coding. Moreover, using developmental knowledge and theory in combination, we will argue that early sensorimotor development serves as a foundation for later cognitive development. Finally, we try to use these elements in a strategy to make interventions as early as possible, with the purpose of improving sensorimotor and cognitive abilities in children with congenital brain lesions.     

Adaptation of the Mullen Scales of Early Learning for use among infants aged 5‐ to 24‐months in rural Gambia

Infants in low‐resource settings are at heightened risk for compromised cognitive development due to a multitude of environmental insults in their surroundings. However, the onset of adverse outcomes and trajectory of cognitive development in these settings is not well understood. The aims of the present study were to adapt the Mullen Scales of Early Learning (MSEL) for use with infants in a rural area of The Gambia, to examine cognitive development in the first 24‐months of life and to assess the association between cognitive performance and physical growth. In Phase 1 of this study, the adapted MSEL was tested on 52 infants aged 9‐ to 24‐months (some of whom were tested longitudinally at two time points). Further optimization and training were undertaken and Phase 2 of the study was conducted, where the original measures were administered to 119 newly recruited infants aged 5‐ to 24‐months. Infant length, weight and head circumference were measured concurrently in both phases. Participants from both phases were split into age categories of 5–9 m (N = 32), 10–14 m (N = 92), 15–19 m (N = 53) and 20–24 m (N = 43) and performance was compared across age groups. From the ages of 10–14 m, Gambian infants obtained lower MSEL scores than US norms. Performance decreased with age and was lowest in the 20–24 m old group. Differential onsets of reduced performance were observed in the individual MSEL domains, with declines in visual perception and motor performance detected as early as at 10–14 months, while reduced language scores became evident after 15–19 months of age. Performance on the MSEL was significantly associated with measures of growth.     

Breaking bread: spirituality,food and early childhood education

The spiritual aspect of early childhood education is supported by the early childhood curriculum in Aotearoa New Zealand, Te Whāriki. Research in three different early childhood settings presents new perspectives on the everyday experiences of children in terms of spirituality. Each setting formed a case study that included the voices of children, parents and teachers. Focusing on the practices that surround food and eating, this narrative account takes the sharing of food as a starting point for analysing the spiritual experiences of young children and the metaphor of ‘breaking bread’ is used. It is proposed that the concept of everyday spirituality informs the practice of teachers in each context and working with young children involves considering issues of equity, culture and well‐being.     

Form is easy,meaning is hard: resolving a paradox in early child language

A developmental paradox is discussed: studies of infant processing of language and language-like stimuli indicate considerable ability to abstract patterns over specific items and to distinguish natural from unnatural English sentences. In contrast, studies of toddler language production find little ability to generalize patterns over specific English words or constructions. Thus, infants appear to be abstract auditory or language processors whereas toddlers appear to be non-abstract, item-specific language users. Three resolutions are offered to this paradox. The first, that no resolution is necessary because only the toddler findings come from language use in a communicative context and so only the toddler findings are relevant to linguistic knowledge, is rejected. The second, that the contradictions are rooted in the differing methodologies of the two sets of studies (comprehension vs. production), is found to explain important aspects of the contradictory findings. The third, that the contractions come from the differing content of the stimuli in the studies, is also found to be explanatory and is argued to carry greater weight. Resolution 3 suggests that the patterns that infants extract from their linguistic input are not yet tied to meaning; thus, toddlers do not lose these earlier-abstracted forms but their use of them is limited until they have been integrated with meaning. It is argued that in language acquisition, learning form is easy but learning meaning, and especially linking meanings and forms, is hard.     

Effects of multilingualism on Australian infants’ language environments in early childhood education centers

This study investigates differences in the language environments experienced by multilingual and monolingual infants in early childhood education and care (ECEC) settings. The Language Environment Analysis (LENA) technology was used to collect day-long audio-recordings from 181 one-year-old infants (age range from 12 to 21 months). We examined whether infants’ multilingual status predicts the amount of educators’ language input (adult word count, AWC), child vocalizations (CVC) and conversational turns (CTC), as well as interaction effects on AWC, CVC and CTC of infants’ multilingual status and other infant, home and ECEC characteristics. Multilevel mixed effects models revealed no main effect of infants’ multilingual status on the language environment outcome variables. Instead, infant gender significantly predicted adult word count, with female infants hearing more words from educators than male infants. There was a significant interaction effect between the infants’ multilingual status and both their age and length of time in an ECEC setting on child vocalizations. While monolingual infants produced more vocalizations as their age increased, multilingual infants did not show this increase in vocalizations with age. Further, the difference between monolingual and multilingual children’s vocalizations decreased as the length of time in ECEC increased. There were no significant predictors of conversational turns. Findings from this study suggest that early childhood educators do not adjust their talk according to the multilingual status of the infants. However, multilingual infants do not increase their vocalizations as their age increases to the same extent as do their monolingual peers. The interaction effect between multilingualism and the length of ECEC attendance also implies that ECEC environments may be particularly beneficial for supporting multilingual infants’ vocalizations. This study highlights the need to provide pedagogical support to educators to help them to encourage multilingual infants’ vocalizations in ECEC settings.     

Family-level factors of early childhood development: Evidence from rural China

Family-level factors that characterize the home environment are critical inputs to early language and cognitive development, and potential mechanisms for improving developmental outcomes in vulnerable populations. Many studies conducted in high-income and Western settings highlight stimulating parenting, the home language environment, and parental self-efficacy as possible mechanisms of early development, though less is known about how these family-level factors impact child development in low- or middle-income settings. Even less is known about these family-level factors and early childhood development in rural China, where rates of cognitive and language delay in children aged 0–3 years are as high as 45% and 46%, respectively. Using data collected from 77 rural households with children aged 18–24 months in Southwestern China, this study examines the associations between stimulating parenting, the home language environment, and parental self-efficacy, and early cognitive and language development. The results indicate that stimulating parenting was significantly associated with cognitive, language, and overall development; the home language environment was only significantly associated with language development; and parental self-efficacy was not significantly associated with any developmental outcomes. The implications of such findings reveal mechanisms for supporting healthy child development in rural China.     

Maternal depression and the timing of mother–child dialogue

Turn-taking in dialogue is an essential part of communication and early language experience. The prevalence of utterances and the timing of responses in dialogue were examined at 14 and 36 months of age in 104 mother–child dyads from the Early Head Start Research and Evaluation Project (EHSREP). Mothers varied in their level of depression risk (measured with the Center for Epidemiological Studies-Depression scale; CES-D). Although maternal utterance rate did not vary significantly across any factors, the latency of mothers' responses to their children decreased with development (12 ms/month) and was significantly related to that of their own children (i.e., slow-responding children had slow-responding mothers). Mothers with higher levels of depressive symptoms were 11% slower in responding to their children than mothers with low depression risk, suggesting that the interactive timing of speech to children may be particularly sensitive to maternal depression, modifying the contingent properties of children's early language experience.     

Educational Success in High-Risk Settings: Contributions of the Chicago Longitudinal Study

I provide an overview of the Chicago Longitudinal Study. This prospective study traces the educational and social success of a large sample of low-income children (over 90% of whom are African American) from high-poverty neighborhoods in the Chicago Public Schools. In 1985–1986, the sample participated in the Child–Parent Centers and other early childhood programs. The four studies reported in this special issue highlight the contributions of school mobility, parent involvement, educational expectations, and other family and school experiences in preventing learning problems and promoting educational success.     

Archetypal defenses in the clinical situation: a vignette

Critical moments along the path of an analysis are presented in order to illustrate how dreams portray archaic and typical (archetypal) defenses against the re-experience of unbearable affect as it emerges. Inner defensive 'objects' functioning as a 'self-care system' threaten to uproot, kill or destroy the connections between the dream ego and various images of vulnerability as these emerge in response to healing life events or transference feelings. Over a series of dreams, transformations within this self-care system are observed, ending in a final healing dream which marks the patient's achievement of a 'depressive position' in relation to her otherwise persecutory anxieties.