Beside the point: Mothers’ head nodding and shaking gestures during parent–child play

Understanding the context for children's social learning and language acquisition requires consideration of caregivers’ multi-modal (speech, gesture) messages. Though young children can interpret both manual and head gestures, little research has examined the communicative input that children receive via parents’ head gestures. We longitudinally examined the frequency and communicative functions of mothers’ head nodding and head shaking gestures during laboratory play sessions for 32 mother–child dyads, when the children were 14, 20, and 30 months of age. The majority of mothers produced head nods more frequently than head shakes. Both gestures contributed to mothers’ verbal attempts at behavior regulation and dialog. Mothers’ head nods primarily conveyed agreement with, and attentiveness to, children's utterances, and accompanied affirmative statements and yes/no questions. Mothers’ head shakes primarily conveyed prohibitions and statements with negations. Changes over time appeared to reflect corresponding developmental changes in social and communicative dimensions of caregiver–child interaction. Directions for future research are discussed regarding the role of head gesture input in socialization and in supporting language development.     

Effects of an early intervention on maternal post-traumatic stress symptoms and the quality of mother–infant interaction: The case of preterm birth

Preterm birth may represent a traumatic situation for both parents and a stressful situation for the infant, potentially leading to difficulties in mother–infant relationships. This study aimed to investigate the impact of an early intervention on maternal posttraumatic stress symptoms, and on the quality of mother–infant interactions, in a sample of very preterm infants and their mothers. Half of the very preterm infants involved in the study (n = 26) were randomly assigned to a 3-step early intervention program (at 33 and 42 weeks after conception and at 4 months’ corrected age). Both groups of preterm infants (with and without intervention) were compared to a group of full-term infants. The impact of the intervention on maternal posttraumatic stress symptoms was assessed 42 weeks after conception and when the infants were 4 and 12 months of age. The impact of the intervention on the quality of mother–infant interactions was assessed when the infants were 4 months old. Results showed a lowering of mothers’ posttraumatic stress symptoms between 42 weeks and 12 months in the group of preterm infants who received the intervention. Moreover, an enhancement in maternal sensitivity and infant cooperation during interactions was found at 4 months in the group with intervention. In the case of a preterm birth, an early intervention aimed at enhancing the quality of the mother–infant relationship can help to alleviate maternal post-traumatic stress symptoms and may have a positive impact on the quality of mother–infant interactions.     

Comparison of trunk muscle reflex activation patterns between active and passive trunk flexion–extension loading conditions

The aim of the present study was to determine the effects of trunk flexion–extension loading on the neuromuscular reflexive latencies and amplitude responses of the trunk musculature. Eighteen male and female subjects (18–27 yrs) participated in active and passive trunk flexion extension, performed ∼7 days apart. Subjects performed 60 trunk flexion–extension repetitions. Surface electromyography (EMG) was collected bilaterally from paraspinal and abdominal muscles. In the active condition, subjects volitionally moved their trunks, while in the passive condition the dynamometer controlled the movements. The trunk was perturbed before and immediately after 30 repetitions. Latency of muscle onset, latency of first peak, latency of maximum peak, and peak EMG amplitude were evaluated. No differences between conditions, sides, or perturbation session were apparent. Overall latencies were shorter in females (p < .05) and abdominal muscles compared to paraspinals (p < .05). Thoracic paraspinal muscle amplitudes were greater than all other muscles (p < .05). Based upon the present results, the neuromuscular system engages trunk flexor muscles prior to the paraspinals in order to provide possible stabilization of the trunk when flexor moments are generated. Overall, the results indicate no difference in response of the neuromuscular system to active or passive repetitive loading.     

Liberation as a Correlate of Religiosity: a Christian–Muslim Perspective on Fundamental Trust

This article explores the dialectical relationship between liberating trust in reality and religious faith in God, interpreted from a Christian–Muslim perspective. An underlying conviction is that liberation constitutes a necessary mutual correlate of a “true” religiosity, i.e. liberation is to be conceived as both prerequisite for and realization of a genuine religiosity, and vice versa. As opposed to a “true” religiosity, born from liberating trust and finding its fulfilment in prophetic action aimed at liberation of human realities, religious belief and practice that stem from fundamental mistrust are likely to deteriorate into either religious fundamentalism or indifferentism. The article focuses on fundamental trust in reality as capable of evoking the liberating and uniting force of religious theory and praxis. It aims to render explicit the religious and ecumenical potential (hitherto not fully realized) of the theological–ethical considerations of Hans Küng, in particular within a Christian–Muslim framework. The first part of the article, more conceptual in character, examines Küng's views on fundamental (mis)trust and its religious implications. The second part seeks to identify theological insights that shed light on the specifically Christian and specifically Muslim interpretations of liberating trust. My hope is that this study may contribute to a truly global ecumenism whose objective is to render religion an instrument of liberation, not oppression.     

Is it time for Hippocrates and Freud to have a joint consultation? MUS patients – A reflection from the front line

Patients with ‘medically unexplained symptoms’ (MUS) remain an ongoing challenge to medical practitioners using conventional approaches to diagnosis and treatment. This challenge often creates tensions and defensive enactments in the doctor–patient relationship. In this viewpoint article, a personal reflection from current clinical practice is presented as a catalyst for further dialogue. In particular, psychoanalytic thinking around the issue of MUS is advocated as bringing a valuable focus by looking at ‘meanings’ behind symptoms. Medical practitioners may benefit considerably by working jointly with psychoanalytical practitioners. This could improve the care of patients with MUS and in addition bring beneficial understanding to the dynamics of the patient relationship.     

Levels of change in parent–infant psychotherapy

This paper offers a way of thinking about the process of parent–infant psychotherapy. I start by outlining some ideas as to what can go awry in troubled parent–infant relationships, and then a way of working with parents with pre-verbal babies. I suggest a model for understanding three interlaced levels at which change might occur if a psychodynamic, systemically sensitive, therapeutic intervention is offered. I describe a particularly challenging clinical case in which a mother and I also worked with video material of her and her son.