This study is interested in investigating discursive practices in early mother-infant interactions in diverse cultural settings and relating them to prevalent cultural models of child care. It examines mother-infant interactions from two cultural contexts previously described as prototypically independent (German white middle class families in the city of Muenster) and interdependent (farming Nso families in the Western Grassfields of Cameroon). The data corpus consists of video material and transcriptions of 20 Nso and 20 Muenster mother-infant dyads at the infant s age of 12 weeks. The data are analyzed using strategies from discourse analysis, conversation analysis and documentary method. Systematically different patterns of co-constructing mother-infant interactions were found: whereas the Münster mother-infant interactions comprise (1) co-operative, (2) narrative-biographical, (3) individual-centered repertoires, the Nso interactions are characterized by (1) hierarchical, (2) rhythmic synchronous, (3) socially oriented discursive strategies. The results point to the possibility of innate characteristics of protoconversation as well as culture-specific manifestations of their phenotype. The results are discussed with regard to the specificities of the relevant local socio-cultural contexts and possible implications for the development of culture-specific world views and self-construals. The thesis concludes by arguing that infants narrative envelope is a powerful medium to transmit cultural knowledge, even in interactions with pre-verbal infants. Main implications of the study s findings for theory and practice are discussed. It is suggested that what is healthy and pathological development needs to be (re-)defined for each specific cultural context. Further studies from socio-cultural contexts that have so far been neglected in academic research are needed that systematically relate infant-care practices with cultural models of child care.

Studies suggest that adoptees are at risk for a number of psychopathological behaviors. To understand the etiology of this risk, 150 socially housed rhesus macaques were studied, including 107 infants reared with their biological mothers and 43 infants reared with unrelated adoptive mothers. Mother-infant behaviors were recorded across the first 6 months of life. Analyses were performed using a hierarchical linear mixed model. All reported results were tested at p<0.05. Adopted infants were observed on average to approach and leave their mothers more frequently, explore the environment and locomote longer, exhibit more anxiety-like behavior, spend less time being held to their mother's breast, and were rejected by their mothers more when compared to nonadopted infants, indicating they are more likely responsible for maintaining the relationship. They also direct and receive more noncontact aggression on average to other social group members, and showed evidence of higher anxiety exhibiting high levels of anxiety-like self-directed behavior when compared to nonadopted infants. Also, results indicate that adopted infants have significantly lower levels of the CSF serotonin metabolites 5-hydroxyindoleacetic acid when compared to nonadopted infants.

This study examined the relationship between 6-month old infants' orienting response to maternal arm-restraint (as measured by bradycardia), the quality of mother-infant communication at 6 and 9 months (as measured by the Relational Coding System) and attachment at 12 months (as measured by the Strange Situation Procedure). As positive mother-infant communication increases, the chances the infant will experience bradycardia increases. As negative mother-infant communication increases, the chances that the infant will experience bradycardia decreases. For mothers and infants who have more positive communication patterns, orienting response to the maternal arm-restraint suggests that maternal disruption of infant activity was a novel experience for them. This study suggests that mother infant interactions create an expected pattern of behavior for infants. When these expectations are violated, the infant has a physiological reaction that suggests increased attention to the disrupted interaction. Bradycardia at 6 months was not related to attachment at 12 months; however, considering both the physiology and environment of the infant, dyadic positive and negative interactions affect the quality of the mother-infant relationship several months later.

A m-opioid receptor (OPRM1) single-nucleotide-polymorphism, found in both humans and rhesus macaques mediates the mother-infant attachment bond. Because mothers treat their sons and daughters differently, it is somewhat surprising that the role of infant sex has not been assessed in the context of a maternal-OPRM1-genotype-by-infant-sex interaction. The present study investigates the effect of maternal-OPRM1-genotype and infant sex on mother-infant behaviors. Over the first six months of offspring life, mother-infant behavioral data assessing attachment quality was collected twice weekly from a large number of rhesus monkey mother-infant pairs (N=161 dyads; n=64 female infants, n=97 male infants). Mothers were genotyped for OPRM1 variation. Factor analysis of the observed behaviors showed two factors: Attachment (maternal-infant cradling, rejections, and infant approaches and leaves), and Maternal Restraints (mother restrains infant, preventing exploration). Further analyses showed a two-way, maternal-genotype-by-infant-sex interaction for both factors. For Attachment, mothers with the CC genotype cradled and restrained (Maternal Restraints) their female infants more and rejected them less, when compared to female infants of CG mothers. Perhaps as a consequence, female infants of CC genotype mothers approached and left their mothers less often, when compared to female infants of CG mothers, likely an indication that female infants from mothers with CG genotype play a greater role in maintaining the mother-infant bond than do female infants from CC genotype mothers. This finding may also indicate a more secure attachment in infants from CC genotype mothers. Unlike female infants, on average, the mother-infant relationship of dyads with a male infant was largely undifferentiated by maternal genotype. These findings suggest that, in contrast to female infants from CG mothers, CC mothers and their female infants appear to have a closer mother-infant relationship which may portend close life-long bonds, as mothers and female offspring remain together throughout life. Male offspring appear to have a more aloof mother-infant bond regardless of OPRM1-genotype. The results of this study indicate that maternal-OPRM1 variation mediates mother-infant attachment behaviors for female infants and has less effect for male infants. This suggests that offspring sex should be included in studies investigating the effect of maternal-OPRM1 genotype on the mother-infant attachment relationship.

No description available.

Research emphasises the importance of the mother-infant relationship for infants’ well-being. To benefit interventions, the current research, using a critical realist lens, investigates an area that research has neglected, which is the subjective experience of the mother-infant relationship, including experiences of moments of connection. Bourdieu’s ‘thinking tools’ enables exploration of mechanisms that may affect the mother-infant relationship. How the study’s results can inform health visiting practice is considered. Six mothers were interviewed, four of whom participated in a video of their mother-infant interaction. Two focus groups, each with six health visitors, discussed their practice in the context of supporting the mother-infant relationship. Interpretative phenomenological analysis and thematic analysis were employed. This research indicated a high arousal state, referred to as Vigilantia, was experienced by mothers and infants. Vigilantia appeared to support mothers’ drive to make sense of their young infants but also seemed associated with mothers’ reliance on a discourse of the ‘traditional baby’, which stressed instrumental care and omitted the relational infant. The mothers found it difficult to make sense of the “bizarre” relational connection they felt for their infants. Health visitors described obstacles to supporting the mother-infant relationship associated with their service’s design and their role. Health visitors also seemed to identify with some mothers and in doing so could overlook the infants. Neoliberal values discount the relational and these values affect the experience of the mother-infant relationship. Ideas for improving practice are suggested, as well as acknowledgment of the need for social structural changes.

Contexte : Les personnes atteintes de trouble de personnalité limite (TPL) présenteraient un déficit de mentalisation, soit la capacité de percevoir et interpréter les états mentaux chez soi et chez l’autre. Dans le cadre de la relation mère-bébé, un tel déficit est susceptible d’entraîner des perturbations relationnelles ayant des conséquences néfastes sur le développement de l’enfant. L’orientation mentale se mesure par le biais des verbalisations du parent au sujet des états mentaux de son enfant et constitue donc un reflet de la mentalisation du parent durant cette interaction. Toutefois, aucune étude n’a encore investigué l’orientation mentale chez des mères avec TPL durant l’interaction avec leur bébé. Objectif : Le but de cette étude était d’évaluer l’orientation mentale de 38 mères en interaction avec leur enfant âgé de 12 mois, incluant 10 mères atteintes de TPL et 28 sans diagnostic psychiatrique. Méthode: L’orientation mentale maternelle fut évaluée à partir de vidéos d’interaction mère-enfant dans un contexte de jeu libre. Le TPL a été identifié à l’aide du Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Résultats: Les mères atteintes de TPL ne se sont pas distingué concernant la fréquence de commentaires faisant référence aux états mentaux de leur bébé. Toutefois, les commentaires mentaux des mères souffrant de TPL se sont avérés être 4.7 fois plus fréquemment jugés non-appropriés à l’état mental de l’enfant comparés à ceux des mères sans diagnostic psychiatrique. Conclusions : Les commentaires mentaux des mères atteintes de TPL semblent plus fréquemment empreints d’erreurs d’interprétation des états mentaux de leur enfant, ce qui pourrait poser un risque pour le développement de l’enfant. / Background. Mothers with Borderline Personality Disorder (BPD) have been theorized to have decreased mentalization ability, which is the capacity to perceive and interpret mental states. This could potentially increase the risk for troubled relationships with their infants and therefore have adverse consequences on the social and emotional development of the child. Mind-mindedness (MM), assessed through the mother’s references to her infant’s mental states during an interaction, is one aspect of maternal behavior that relies heavily on the mother’s mentalizing ability. However, research has yet to examine MM in mothers with BPD. Aims. Our objective was to assess the MM ability of 38 mothers during interactions with their 12 month-old infants, including 10 with BPD and 28 without a psychiatric diagnosis. Method. Trained observers assessed maternal MM from 2 minutes of videotaped mother-infant free play. BPD was assessed by the Structured Clinical Interview for DSM-III-R-Personality Disorders (SCID-II). Results. Mothers with and without BPD did not differ in the frequency of comments referring to infant mental states. However, the mind- related comments made by mothers with BPD were 4.7 times more frequently judged as non- attuned to her infant’s mental state by a trained observer compared with those of controls without a psychiatric diagnosis. Conclusions. Mothers with and without BPD appear equally likely to envision and refer to mental states in their infants. However, mothers with BPD appear more likely to misread the mental states of their infants. This could put the child at risk for adverse developmental outcomes.

No description available.

O vínculo afetivo mãe-bebê, que se cria desde as primeiras interações, afeta o desenvolvimento emocional da criança. A depressão pós-parto (DPP) é um transtorno de humor que pode prejudicar a qualidade destas interações. Sendo o primeiro ano de vida um período em que o bebê está especialmente suscetível aos estímulos externos e totalmente dependente de cuidados, o objetivo da pesquisa relatada na dissertação de mestrado foi verificar o impacto da DPP no desenvolvimento neuropsicomotor em uma amostra representativa de crianças moradoras de uma região urbana da cidade de São Paulo, Brasil. Este estudo faz parte de um Projeto Temático FAPESP que teve por objetivo investigar os fatores de risco relacionados à DPP e sua influência no desenvolvimento das crianças ao longo de três anos. A Escala de Depressão Pós-parto de Edinburgh (EDPE) foi aplicada aos quatro e oito meses e o desenvolvimento neuropsicomotor dos bebês foi avaliado aos quatro (N=144), oito (N=127) e doze meses de vida (N=94), por itens baseados nos Testes Gesell e Amatruda, M-Chat, Denver e IRDI. Foram consideradas informações sobre a gestação, condições do parto e a avaliação neonatal obtidas nos prontuários do Hospital Universitário. A razão sexual no nascimento foi viesada no sentido de maior nascimento de meninas, o que é compatível com a Teoria de Trivers e Willard de viés da razão sexual por condições adversas. Aplicou-se uma análise de Regressão Logística aos dados de desenvolvimento, considerando-se no modelo a depressão pós-parto, o sexo, a idade e a frequência de creche. Os resultados mostraram que a depressão pós-parto materna foi um fator que prejudicou o desenvolvimento infantil nas avaliações realizadas aos oito e doze meses, mas não aos quatro meses. O sexo do bebê mostrou-se uma variável significativa. Aos oito meses os bebês do sexo masculino mostraram pior desempenho neuropsicomotor quando comparados aos bebês do sexo feminino. A literatura tem apontado nesta direção, evidenciando maior prejuízo dos meninos em função da depressão materna. Ao contrário do esperado, aos 12 meses as crianças que frequentavam creche mostraram pior desempenho quando comparadas às crianças que não frequentavam. A prevalência de DPP na amostra foi alta (26,7%) e os resultados sobre o desenvolvimento, preocupantes, apontando para a necessidade de políticas públicas de prevenção e intervenção precoce. Mesmo em condições adversas, podem surgir soluções criativas de grande impacto, a exemplo do método canguru. Além disso, os resultados desta investigação contribuem para o esforço multidisciplinar, relevante para o enfrentamento da questão da DPP / The mother-infant bond, created from the earliest dyadic interactions, affects the infant emotional development. The postpartum depression (PPD) is a depressive disorder that can impair the quality of these interactions. During the first year of life the infant is particularly susceptible to external stimuli and totally dependent on parental care. The goal of the research reported in the dissertation was to investigate the impact of PPD on psychomotor development in a sample of children living in an urban area of the city of Sao Paulo, Brazil. This study is part of a FAPESP Thematic Project which aimed to investigate the risk factors related to Postpartum Depression (PPD) and its influence on children\'s development over the first three years of life. Mothers mental state was assessed by the Edinburgh Postpartum Depression Scale (EPDS) at four and eight months after delivery and neurodevelopmental milestones were evaluated at four (N = 144), eight (N = 127) and twelve months (N = 94) through items based on Gesell and Amatruda, M-Chat, Denver and IRDI. Information was also collected about pregnancy, birth and neonatal evaluation from University Hospital reports. The sex ratio was biased at birth in favor of girls, consistent with Trivers and Willard Theory that harsh environmental conditions affects sex-ratio. Data were analyzed through logistic regression, considering the influence of postpartum depression, sex, age and day-care support. The results showed that child development was negatively affected by maternal postpartum depression at eight and twelve months, but not at four months. The baby\'s sex was also significant. At eight month male babies had worse psychomotor performance when compared to female, in accordance with literature showing that boys of PPD mothers are at greater risk of poor development. Unlike expected, at 12 months children attending day-care service showed poorer performance when compared to children who stayed at home. The high prevalence of PPD in this population (26,7%) and the results of the developmental evaluation are worrying, pointing to the need for mental health public policies and early intervention. Even in adverse conditions high impact solutions can be created, as Kangaroo care method. Furthermore, the results of this research can contribute to a multidisciplinary effort, relevant to address issues related to depression

Made available in DSpace on 2015-03-05T19:37:25Z (GMT). No. of bitstreams: 0 Previous issue date: 30 / Nenhuma / No mundo inteiro, visitas domiciliares têm sido utilizadas em programas de promoção do desenvolvimento infantil, visando à melhoria das condições de saúde e de desenvolvimento, sobretudo na gestação e nos primeiros anos de vida da criança, especialmente voltados para famílias em situação de vulnerabilidade. Vários estudos têm sido desenvolvidos com o intuito de avaliar tais programas, a partir de evidências sobre os resultados e os efeitos das intervenções, que se manifestam anos mais tarde, utilizando principalmente metodologia quantitativa. Poucos estudos têm utilizado uma abordagem qualitativa, e focalizado as percepções acerca dos programas, tanto por parte dos visitadores quanto dos beneficiários. O objetivo deste estudo foi analisar as percepções maternas sobre as visitas domiciliares, no Programa Primeira Infância Melhor, durante a gestação e o primeiro ano de vida do bebê. Esse Programa foi implantado no Rio Grande do Sul em 2003 e, anos mais tarde, deu origem a uma Lei Estadual com o mesmo escopo. Fo / Home visiting has been used worldwide in early childhood development programs, aiming at the improvement of both health and development conditions, especially during pregnancy and the early years of the child’s life, and mainly for families living in vulnerable conditions. A number of studies have been developed for the purpose of assessing such programs, based on the evidence on results and effects of interventions that will be made known years later, mainly using quantitative methodology. Few studies use a qualitative approach and focus on perceptions on the programs, either by the visitors or the beneficiaries. The present study aims at analyzing maternal perceptions on home visiting under the Programa Primeira Infância Melhor (A Better Early Childhood Program) during pregnancy and the infant’s first year of life. This Program was introduced in Rio Grande do Sul in 2003, and inspired, years later, a State Law with the same goal. A qualitative exploratory transversal study was carried out, based on the Mult