Visual-Motor Integration Problems in Low Birth Weight Infants

This paper represents a review of the research that focuses on a population of strong clinical interest on a national and international scale—infants born with low birth weight (LBW). Among the numerous developmental deficits commonly associated with this group, one of the most frequently cited problems is poor fine- and visual-motor integration. In addition to the direct perceptual-motor development concern, the literature provides a reasonable case that such deficits place this population at increased risk for subnormal academic performance and difficulties with specific daily living (self-help) activities. By assessing the infant at an early age and designing specific strategies for intervention, clinical psychologists can play a major role in improving fine- and visual-motor behavior in this population.     

Happiness Trends Under Democracy: Where Will the New South African

Five years after South Africa's first democratic elections in 1994, life satisfaction and happiness still reflect societal divides sowed by apartheid social engineering. The paper reports the indicators: life satisfaction, happiness and expectations for the future, from national surveys conducted between 1983 and 1999 for the South African Quality-of-Life Trends Project. Post-election euphoria, which saw all South Africans happy and satisfied with life for a brief moment in 1994, raises the question where the new set-level of subjective well-being will eventually come to rest. In 1999, in spite of some gains in living conditions, the level of life satisfaction of blacks has not risen above the mid-point and happiness is only slightly above the mid-point. Meanwhile, whites, who have forfeited their political dominance, continue to score above the mid-point on happiness and life satisfaction. The paper draws on the literature, particularly on quality-of-life trends in reunified Germany and paradoxical trends in African-American life satisfaction when discussing the dynamics underlying South African subjective well-being. It is argued that coping mechanisms may play an important role in determining levels of subjective well-being in the complex situation of South Africa.     

Infants' interactions with professional caregivers at 3 and 6 months of age: a longitudinal study

This study longitudinally investigated the quality and stability of 64 infants’ interactions with their professional caregivers in child care centers at 3 and 6 months of age, i.e., across the first 3 months after they entered child care. It was also examined whether the infants’ negative emotionality (as rated by the mother) predicted the quality of the caregiver–infant interaction. The interactive behavior of the professional caregivers (sensitivity, cooperation) and the infants (responsiveness, involvement) was rated from videotapes recorded in three different caregiving situations, lasting about 25 min in total. In contrast to our expectation, the quality of the caregiver–infant interaction did not significantly increase across the first 3 months in child care. As expected, significant rank order stability was found for the quality of the caregivers’ behavior over time. Also in accordance with our expectations, infants with higher negative emotionality scores experienced less sensitivity and cooperation in interactions with their primary professional caregivers at both ages.     

Recognizing the infant as subject in infant-parent psychotherapy

Drawing on Winnicott's view of infants as subjects entitled to an intervention in their own right, infants as the referred patient have been seen in infant-parent psychotherapy for 20 years at the Royal Children's Hospital, Melbourne, Australia. This is a radically different view of infant symptomatology than viewing it as only expressing an aspect of the mother's unconscious. The clinical pathway differentiates the therapy from much parent-infant psychotherapy. The author describes the theoretical model of a twofold approach to understanding the infant's experience through interactive dialogue between therapist and infant, and sharing this understanding with the parents, and illustrates it with cases of failure-to-thrive infants. She discusses two criticisms: first, that infant-parent psychotherapy may undermine the parents and, second, that brief parent-infant psychotherapy does not alter parents' insecure attachment status. Videotaped sessions often show rapid improvement; parents generally feel relieved. This approach potentially shapes not only parents' and infants' representations, but also their implicit knowledge of relationships-partly, it is suggested, through activating the mirror neuron system to bring about implicit memory change. Change may therefore be longer lasting than psychoanalytic theory presently conceives. The approach is relevant in an outpatient setting: gains were maintained long term in 90% of out-patient cases.     

Night waking in 6-month-old infants and maternal depressive symptoms

Relations between night waking in infants and depressive symptoms in their mothers at 6 months postpartum were examined using the data from the National Institute for Child Health and Human Development Study of Early Child Care. Although more depressive symptoms were only weakly correlated with a higher frequency of infant waking, longer wake times, and more total time awake, the rate of clinically significant depression scores was about double in mothers of chronically waking infants in comparison with mothers whose infants did not awaken during the night. The value of comparing subgroups to elucidate relations identified through correlations is discussed.     

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.     

Interethnic Factors as Predictors of the Subjective Well‐Being of Minority Individuals in a Context of Recent Societal Changes

Our research examined the impact of contextual intergroup variables on the subjective well‐being of ethnic Russians in Estonia (N = 190) who have experienced major social changes with the demise of the Soviet Union. A mediational model was tested where aspects of intergroup relations (i.e., relative deprivation, status legitimization, and temporal comparisons) acted as mediators of the influence of cultural identity and representations of history on subjective well‐being. Preliminary analyses indicated polemical representations of history in which Estonian historical narratives are established around the struggle for independence, and Russian representations of history are consolidated around victory in World War II. Mediation analyses demonstrated that the importance of Russian history increased the perceptions of relative deprivation, status delegitimization, and the frequency of temporal comparisons, which negatively affected life satisfaction. At the same time, the importance of Estonian history led to positive perceptions of the intergroup situation and, in turn, to greater subjective well‐being. The effect of Russian identity on well‐being was mediated by delegitimizing beliefs, but not by relative deprivation and temporal comparisons. Estonian identity did not exert a significant effect on the proposed mediators. The research demonstrates the salience of the effects of contextual intergroup factors on subjective well‐being, and the article discusses implications for the study of intergroup relations and subjective well‐being.     

The development of Japanese mother–infant feeding interactions during the weaning period

During the weaning period, infants are not skilled at self-feeding and caregivers play a prominent role in feeding. Solid feeding is therefore an inherently collaborative and interactive process between infants and caregivers. The present study examined how caregivers and infants coordinate their solid feeding interactions, based on naturalistic longitudinal observations of three Japanese mother–infant dyads. The main results were as follows. Four or five months after weaning (about 10–11 months of age), children's mouth movements and mothers’ arm movements became more synchronized, and the success or failure of coordinated feeding became independent on children's gaze behavior. During this same period, both mothers’ and children's body movements accelerated. Specifically, children's food-intake motions and mothers’ food-carrying movements became faster together, although before 10–11 months fluctuations of these motions were not as correlated. Finally, at 9–11 months of age rhythmic body movements became frequent. From the first day of weaning, all three mothers swayed their bodies rhythmically while feeding, and about 2–3 months later their children also began to sway as they ate, at first infectiously but later spontaneously. These observations indicate how specific behavioral development contributes to mother–infant coordination in feeding.     

Early interactive behaviours in preterm infants and their mothers: Influences of maternal depressive symptomatology and neonatal birth weight

The study evaluated the quality of preterm infant–mother interactions, considering severity of birth weight (ELBW and VLBW) and maternal depression, compared to full term babies. 69 preterm infants (29 ELBW and 40 VLBW) and 80 full-term (FT) infants and their mothers were recruited. At 3 months of corrected age, the quality of mother–infant interaction was evaluated through Global Rating Scales; moreover, infant level of development and maternal depression were assessed through Griffith Development Mental Scales and Edinburgh Postnatal Depression Scale. Results showed adequate sensitivity in preterm infants’ mothers and higher involvement with their infants, compared to full term mothers, but ELBW ones exhibited an intrusive interactive pattern and a higher prevalence of depressive symptoms. The study underlined the relevance of paying special attention to both ELBW infants and their mothers, in order to support the parenting role and the co-construction of early interactions.     

Investigating Maternal Touch and Infants' Self‐Regulatory Behaviours during a Modified Face‐to‐Face Still‐Face with Touch Procedure

Maternal touch and infants' self‐regulatory behaviours were examined during a modified Still‐Face with Touch (SF + T) procedure. Mothers and their 5½‐month‐old infants participated in one period of Normal interaction followed by three SF + T periods. Maternal functions of touch, and infants' self‐regulatory behaviour, affect, and attention were evaluated. Contrary to a typical SF procedure, the amount of smiling remained high while fretting remained low. High levels of maternal touching and variations in the functions of maternal touch were observed across periods. Playful touch remained high while there was an increase in nurturing touch and a decrease in attention‐getting touch from the Normal to all SF + T periods. Similar amounts of self‐regulatory behaviours were observed across periods with the exception of a decrease in bidirectional exchanges during the SF + T periods. Finally, across periods, maternal touch and infants' self‐regulatory behaviours were found to be temporally organized with infants' affect and attention. Examining how mothers use touch when other forms of communication are absent increased our understanding of the role of touch in infants' emotion regulation. Copyright © 2014 John Wiley & Sons, Ltd.