Infant Research and Adult Treatment


Book Description

Infant Research and Adult Treatment is the first synoptic rendering of Beatrice Beebe’s and Frank Lachmann’s impressive body of work. Therapists unfamiliar with current research findings will find here a comprehensive and up-to-date overview of infant competencies. These competencies give rise to presymbolic representations that are best understood from the standpoint of a systems view of interaction. It is through this conceptual window that the underpinnings of the psychoanalytic situation, especially the ways in which both patient and therapist find and use strategies for preserving and transforming self-organization in a dialogic context, emerge with new clarity. They not only show how their understanding of treatment has evolved, but illustrate this process through detailed descriptions of clinical work with long-term patients. Throughout, they demonstrate how participation in the dyadic interaction reorganizes intrapsychic and relational processes in analyst and patient alike, and in ways both consonant with, and different from, what is observed in adult-infant interactions. Of special note is their creative formulation of the principles of ongoing regulation; disruption and repair; and heightened affective moments. These principles, which describe crucial facets of the basic patterning of self-organization and its transformation in early life, provide clinical leverage for initiating and sustaining a therapeutic process with difficult to reach patients. This book provides a bridge from the phenomenology of self psychological, relational, and intersubjective approaches to a systems theoretical understanding that is consistent with recent developments in psychoanalytic therapy and amenable to further clinical investigation. Both as reference work and teaching tool, as research-grounded theorizing and clinically relevant synthesis, Infant Research and Adult Treatment is destined to be a permanent addition to every thoughtful clinician's bookshelf.




The Origins of Attachment


Book Description

The Origins of Attachment: Infant Research and Adult Treatment addresses the origins of attachment in mother-infant face-to-face communication. New patterns of relational disturbance in infancy are described. These aspects of communication are out of conscious awareness. They provide clinicians with new ways of thinking about infancy, and about nonverbal communication in adult treatment. Utilizing an extraordinarily detailed microanalysis of videotaped mother-infant interactions at 4 months, Beatrice Beebe, Frank Lachmann, and their research collaborators provide a more fine-grained and precise description of the process of attachment transmission. Second-by-second microanalysis operates like a social microscope and reveals more than can be grasped with the naked eye. The book explores how, alongside linguistic content, the bodily aspect of communication is an essential component of the capacity to communicate and understand emotion. The moment-to-moment self- and interactive processes of relatedness documented in infant research form the bedrock of adult face-to-face communication and provide the background fabric for the verbal narrative in the foreground. The Origins of Attachment is illustrated throughout with several case vignettes of adult treatment. Discussions by Carolyn Clement, Malcolm Slavin and E. Joyce Klein, Estelle Shane, Alexandra Harrison and Stephen Seligman show how the research can be used by practicing clinicians. This book details aspects of bodily communication between mothers and infants that will provide useful analogies for therapists of adults. It will be essential reading for psychoanalysts, psychotherapists and graduate students. Collaborators Joseph Jaffe, Sara Markese, Karen A. Buck, Henian Chen, Patricia Cohen, Lorraine Bahrick, Howard Andrews, Stanley Feldstein Discussants Carolyn Clement, Malcolm Slavin, E. Joyce Klein, Estelle Shane, Alexandra Harrison, Stephen Seligman




The Mother-infant Interaction Picture Book


Book Description

An internationally known researcher presents a comprehensive, illustrated analysis of mother-infant interactions.




From Neurons to Neighborhoods


Book Description

How we raise young children is one of today's most highly personalized and sharply politicized issues, in part because each of us can claim some level of "expertise." The debate has intensified as discoveries about our development-in the womb and in the first months and years-have reached the popular media. How can we use our burgeoning knowledge to assure the well-being of all young children, for their own sake as well as for the sake of our nation? Drawing from new findings, this book presents important conclusions about nature-versus-nurture, the impact of being born into a working family, the effect of politics on programs for children, the costs and benefits of intervention, and other issues. The committee issues a series of challenges to decision makers regarding the quality of child care, issues of racial and ethnic diversity, the integration of children's cognitive and emotional development, and more. Authoritative yet accessible, From Neurons to Neighborhoods presents the evidence about "brain wiring" and how kids learn to speak, think, and regulate their behavior. It examines the effect of the climate-family, child care, community-within which the child grows.




Infant Research and Adult Treatment


Book Description

Infant Research and Adult Treatment is the first synoptic rendering of Beatrice Beebe’s and Frank Lachmann’s impressive body of work. Therapists unfamiliar with current research findings will find here a comprehensive and up-to-date overview of infant competencies. These competencies give rise to presymbolic representations that are best understood from the standpoint of a systems view of interaction. It is through this conceptual window that the underpinnings of the psychoanalytic situation, especially the ways in which both patient and therapist find and use strategies for preserving and transforming self-organization in a dialogic context, emerge with new clarity. They not only show how their understanding of treatment has evolved, but illustrate this process through detailed descriptions of clinical work with long-term patients. Throughout, they demonstrate how participation in the dyadic interaction reorganizes intrapsychic and relational processes in analyst and patient alike, and in ways both consonant with, and different from, what is observed in adult-infant interactions. Of special note is their creative formulation of the principles of ongoing regulation; disruption and repair; and heightened affective moments. These principles, which describe crucial facets of the basic patterning of self-organization and its transformation in early life, provide clinical leverage for initiating and sustaining a therapeutic process with difficult to reach patients. This book provides a bridge from the phenomenology of self psychological, relational, and intersubjective approaches to a systems theoretical understanding that is consistent with recent developments in psychoanalytic therapy and amenable to further clinical investigation. Both as reference work and teaching tool, as research-grounded theorizing and clinically relevant synthesis, Infant Research and Adult Treatment is destined to be a permanent addition to every thoughtful clinician's bookshelf.




Transforming the Workforce for Children Birth Through Age 8


Book Description

Children are already learning at birth, and they develop and learn at a rapid pace in their early years. This provides a critical foundation for lifelong progress, and the adults who provide for the care and the education of young children bear a great responsibility for their health, development, and learning. Despite the fact that they share the same objective - to nurture young children and secure their future success - the various practitioners who contribute to the care and the education of children from birth through age 8 are not acknowledged as a workforce unified by the common knowledge and competencies needed to do their jobs well. Transforming the Workforce for Children Birth Through Age 8 explores the science of child development, particularly looking at implications for the professionals who work with children. This report examines the current capacities and practices of the workforce, the settings in which they work, the policies and infrastructure that set qualifications and provide professional learning, and the government agencies and other funders who support and oversee these systems. This book then makes recommendations to improve the quality of professional practice and the practice environment for care and education professionals. These detailed recommendations create a blueprint for action that builds on a unifying foundation of child development and early learning, shared knowledge and competencies for care and education professionals, and principles for effective professional learning. Young children thrive and learn best when they have secure, positive relationships with adults who are knowledgeable about how to support their development and learning and are responsive to their individual progress. Transforming the Workforce for Children Birth Through Age 8 offers guidance on system changes to improve the quality of professional practice, specific actions to improve professional learning systems and workforce development, and research to continue to build the knowledge base in ways that will directly advance and inform future actions. The recommendations of this book provide an opportunity to improve the quality of the care and the education that children receive, and ultimately improve outcomes for children.




Case Studies in Infant Mental Health


Book Description

Case Studies in Infant Mental Health offers 12 real-life stories written by infant mental health specialists about their work with a young child and family. Each case study also reveals the supervision and consultation that supported the specialist, and the specialists interaction with the larger service system. Discussion questions at the end of each case study guide self-reflection or group study.




Rational Therapeutics for Infants and Children


Book Description

The Institute of Medicine's (IOM's) Roundtable on Research and Development of Drugs, Biologics, and Medical Devices evolved from the Forum on Drug Development, which was established in 1986. Sponsor representatives and IOM determined the importance of maintaining a neutral setting for discussions regarding long-term and politically sensitive issues justified the need to revise and enhance past efforts. The new Roundtable is intended to be a mechanism by which a broad group of experts from the public* and private sectors can be convened to conduct a dialogue and exchange information related to the development of drugs, biologics, and medical devices. Members have expertise in clinical medicine, pediatrics, clinical pharmacology, health policy, health insurance, industrial management, and product development; and they represent interests that address all facets of public policy issues. From time to time, the Roundtable requests that a workshop be conducted for the purpose of exploring a specific topic in detail and obtaining the views of additional experts. The first workshop for the Roundtable was held on April 14 and 15, 1998, and was entitled Assuring Data Quality and Validity in Clinical Trials for Regulatory Decision Making. The summary on that workshop is available from IOM. This workshop summary covers the second workshop, which was held on May 24 and 25, 1999, and which was aimed at facilitating the development and proper use of drugs, biologics, and medical devices for infants and children. It explores the scientific underpinnings and clinical needs, as well as the regulatory, legal, and ethical issues, raised by this area of research and development.




Ethical Conduct of Clinical Research Involving Children


Book Description

In recent decades, advances in biomedical research have helped save or lengthen the lives of children around the world. With improved therapies, child and adolescent mortality rates have decreased significantly in the last half century. Despite these advances, pediatricians and others argue that children have not shared equally with adults in biomedical advances. Even though we want children to benefit from the dramatic and accelerating rate of progress in medical care that has been fueled by scientific research, we do not want to place children at risk of being harmed by participating in clinical studies. Ethical Conduct of Clinical Research Involving Children considers the necessities and challenges of this type of research and reviews the ethical and legal standards for conducting it. It also considers problems with the interpretation and application of these standards and conduct, concluding that while children should not be excluded from potentially beneficial clinical studies, some research that is ethically permissible for adults is not acceptable for children, who usually do not have the legal capacity or maturity to make informed decisions about research participation. The book looks at the need for appropriate pediatric expertise at all stages of the design, review, and conduct of a research project to effectively implement policies to protect children. It argues persuasively that a robust system for protecting human research participants in general is a necessary foundation for protecting child research participants in particular.




Colic Solved


Book Description

For generations, doctors have been diagnosing babies with colic, offering little comfort and few solutions to worried, weary parents. But recent medical advances made through cutting-edge technology now reveal that many if not most cases of colic are actually caused by acid reflux. In this revolutionary book, Bryan Vartabedian, a noted pediatric gastroenterologist and the father of two babies with acid reflux, provides hands-on, practical advice about this hidden epidemic–and how to make your own baby happy again. • Recognize the seven signs of reflux in infancy. • Discover the role of milk protein allergy–the other colic. • Learn what, when, and how to feed an irritable baby and the best positions for sleep. • Recognize the role of formula, breast milk, bottle systems, burping, and pacificers in your baby’s fussiness, and irritability. • Understand when and why your baby may need testing for reflux. Weigh the pros and cons of available treatment options. Identify when a specialist is needed and where to find one. Complete with inspiring real-life cases of colic solved, plus tips, sidebars, and illustrations, this essential guide provides real answers to a problem that has been upsetting babies–and parents–for years. Help and hope are at hand! “This is the book for every parent whose young baby is a ‘bundle of misery,’ in pain, and hard to feed, and for that baby’s pediatrician, too.” –Laura Nathanson, M.D., F.A.A.P., author of The Portable Pediatrician “Great news for exhausted parents and for suffering babies! Colic Solved gets to the root of what is making many babies cry, and offers powerful, real-world solutions. This is a must-have book for desperate parents everywhere.” –Alan Greene, MD, FAAP, author of From First Kicks to First Steps and founder of DrGreene.com