The effects of polydrug use with and without cocaine on mother-infant interaction at 3 and 6 months

The face-to-face interactions of 43 polydrug-with-cocaine-using mothers and their infants at 3 and 6 months were compared to 17 non-cocaine-but other-drug-using mothers and 21 mothers who used no drugs during their pregnancy. Coders blind to mothers' drug use status scored 3 min of face-to-face interactions for 16 measures of maternal and infant interactive behaviors. A principal component of 7 behaviors formed a measure of maternal attentiveness; a principal component of 5 behaviors formed a measure of mother-infant dyadic organization; and a principal component of 4 behaviors formed a measure of infant readiness to interact. A measure of maternal interruption was computed as the mean standard score of 3 additional interruptive behaviors. At 3 and 6 months, polydrug-with-cocaine-using mothers were less attentive to interactions, and polydrug-with-cocaine-using mothers and their infants engaged in fewer dyadic interactions than either non-cocaine or non-drug-using mothers. Compared to 3 months, polydrug-with-cocaine-using mothers at 6 months were less attentive to interactions and more frequently interrupted interactions by looking away, redirecting the infant, or withdrawing, whereas non-cocaine-using and non-drug- using mothers showed no change or an improvement in attentiveness to interactions and a decrease in interruptions. No differences emerged in the interactive behaviors of the infants of polydrug- with-cocaine-using, non-cocaine-using, or non-drug-using mothers. Cocaine use represents a significant risk for diminished parental attentiveness and responsiveness to infants and for diminished interactiveness in infants.     

A demonstration of gaze following in 3- to 6-month-olds

An adult, with a puppet held at shoulder height on either side (within the infant's visual field), interacted with 3- to-6-month-olds, turning her head intermittently to talk to a puppet. Seventy- three percent of infants' first eye-turns were in the direction of the adult head-turn.     

Patterns of mother-infant interaction and attachment: A cluster-analytic approach

This study examined stability and change in patterns of mother-infant interaction between 5 and 10 months and their relation to attachment security at 18 months. Cluster analysis was used to identify patterns of dyadic interaction. There was significant, but not substantial, stability in cluster membership from 5 to 10 months. For females, being in the most optimal cluster at 5 months related to subsequent attachment security, regardless of the 10-month pattern of interaction. For males, who were significantly more likely to be insecure than females, insecure attachment was predicted by negative change from 5 to 10 months (moving from a more optimal to a less optimal cluster).     

Enhanced gaze‐following behavior in Deaf infants of Deaf parents

Gaze following plays a role in parent–infant communication and is a key mechanism by which infants acquire information about the world from social input. Gaze following in Deaf infants has been understudied. Twelve Deaf infants of Deaf parents (DoD) who had native exposure to American Sign Language (ASL) were gender‐matched and age‐matched (±7 days) to 60 spoken‐language hearing control infants. Results showed that the DoD infants had significantly higher gaze‐following scores than the hearing infants. We hypothesize that in the absence of auditory input, and with support from ASL‐fluent Deaf parents, infants become attuned to visual‐communicative signals from other people, which engenders increased gaze following. These findings underscore the need to revise the ‘deficit model’ of deafness. Deaf infants immersed in natural sign language from birth are better at understanding the signals and identifying the referential meaning of adults’ gaze behavior compared to hearing infants not exposed to sign language. Broader implications for theories of social‐cognitive development are discussed. A video abstract of this article can be viewed at https://youtu.be/QXCDK_CUmAI     

Face detection in 2‐ to 6‐month‐old infants is influenced by gaze direction and species

Humans detect faces efficiently from a young age. Face detection is critical for infants to identify and learn from relevant social stimuli in their environments. Faces with eye contact are an especially salient stimulus, and attention to the eyes in infancy is linked to the emergence of later sociality. Despite the importance of both of these early social skills—attending to faces and attending to the eyes—surprisingly little is known about how they interact. We used eye tracking to explore whether eye contact influences infants' face detection. Longitudinally, we examined 2‐, 4‐, and 6‐month‐olds' (N = 65) visual scanning of complex image arrays with human and animal faces varying in eye contact and head orientation. Across all ages, infants displayed superior detection of faces with eye contact; however, this effect varied as a function of species and head orientation. Infants were more attentive to human than animal faces and were more sensitive to eye and head orientation for human faces compared to animal faces. Unexpectedly, human faces with both averted heads and eyes received the most attention. This pattern may reflect the early emergence of gaze following—the ability to look where another individual looks—which begins to develop around this age. Infants may be especially interested in averted gaze faces, providing early scaffolding for joint attention. This study represents the first investigation to document infants' attention patterns to faces systematically varying in their attentional states. Together, these findings suggest that infants develop early, specialized functional conspecific face detection.     

The Cross-Modal Coordination of Interpersonal Timing: Six-Week-Olds Infants' Gaze with Adults' Vocal Behavior

The purpose of this study was to examine the hypothesis that 6-week-old infants are capable of coordinated interpersonal timing within social interactions. Coordinated interpersonal timing refers to changes in the timing of one individual's behavior as a function of the timing of another individual's behavior. Each of 45, first-born 6-week-old infants interacted with his or her mother and a stranger for a total of 14 minutes. The interactions were videotaped and coded for the gaze behavior of the infants and the vocal behavior of the mothers and strangers. Time-series regression analyses were used to assess the extent to which the timing of each of the infants' gazes was coordinated with the timing of the adults' vocal behavior. The results revealed that (a) coordinated timing occurs between infants and their mothers and between infants and strangers as early as when infants are 6 weeks old, and (b) strangers coordinated the timing of their pauses with the infants to a greater extent than did mothers. The findings are discussed in terms of the role of temporal sensitivity in social interaction.     

Infants perceiving and acting on the eyes: tests of an evolutionary hypothesis

It has been hypothesized that an evolutionarily ancient mechanism underlies the ability of human infants to detect and act upon the direction of eye gaze of another human face. However, the evidence from behavioral studies with infants is also consistent with a more domain-general system responsive to the lateral motion of stimuli regardless of whether or not eyes are involved. To address this issue three experiments with 4-month-old infants are reported that utilize a standard face-cueing paradigm. In the first experiment an inverted face was used to investigate whether the motion of the pupils elicits the cueing effect regardless of the surrounding face context. In the second experiment pupil motion and eye gaze direction were opposed, allowing us to assess their relative importance. In a third experiment, a more complex gaze shift sequence allowed us to analyse the importance of beginning with a period of mutual gaze. Overall, the results were consistent with the importance of the perceived direction of motion of pupils. However, to be effective in cueing spatial locations this motion needs to be preceded by a period of direct mutual gaze (eye contact). We suggest that evolution results in information-processing biases that shape and constrain the outcome of individual development to eventually result in adult adaptive specializations.     

The Relation Between Coordinated Interpersonal Timing and Maternal Sensitivity in Four-Month-Old Infants

The relation between mother–infant coordinated interpersonal timing, an automated microanalytic measure of dyadic vocal coordination, and maternal sensitivity was explored. Thirty-five mothers and their developmentally normal 4-month-old infants were audio-recorded during a 20-min laboratory vocal interaction session, that was later analyzed for degree of vocal coordination. Maternal Sensitivity ratings (Ainsworth & Bell, 1969) were based on a video-taped 45-min unstructured laboratory interaction period. A significant curvilinear relation between the degree to which mother coordinated her noninterruptive co-occurring speech to that of her infant was found and revealed that mothers highest in sensitivity were characterized by moderate levels of coordination. Examining mother-infant interaction at the specific behavioral level, while incorporating tests of nonlinear trends, may provide important information about the nature of sensitive parenting.     

The ‘Medical Body’ As Philosophy's Arena

Medicine, as Byron Good argues, reconstitutes thehuman body of our daily experience as a medical body,unfamiliar outside medicine. This reconstitution can be seen intwo ways: (i) as a salutary reminder of the extent to which thereality even of the human body is constructed; and (ii) as anarena for what Stephen Toulmin distinguishes as theintersection of natural science and history, in which many ofphilosophy's traditional (and traditionally abstract) questionsare given concrete and urgent form.This paper begins by examining a number of dualities between themedical body and the body familiar in daily experience. Toulmin's epistemological analysis of clinical medicine ascombining both universal and existential knowledge is thenconsidered. Their expression, in terms of attention,respectively, to natural science and to personal history, isexplored through the epistemological contrasts between themedical body and the familiar body, noting the traditionalphilosophical questions which they in turn illustrate.     

Mothers’ attuned responses to infant affect expressivity promote earlier achievement of language milestones

To investigate infants’ affective expressivity and maternal attuned responsiveness to infant expressivity in relation to early language achievement, 77 dyads were visited in their homes at 9 and 13 months, and mothers were interviewed about their children’s language between 9 and 21 months. Maternal responses that were attuned to infant affect, by selectively matching either the gradient features or the valence of infants’ affective expressions, were more predictive of children’s language achievement than maternal nonmatching responses; and maternal matching responses at 9 months were more predictive of children’s language achievements than maternal responses at 13 months. Moreover, maternal matching responses at 9 months predicted second-year language achievements over and above infant affect expressivity at 9 and 13 months, and over and above maternal matching responses at 13 months. Infants’ affective expressivity per se was not predictive.