Developing an early intervention programme to prevent child maltreatment

This paper describes the development and implementation of a programme to prevent child maltreatment in a multicultural, inner city community setting with very high rates of physical abuse and neglect. The rationale and philosophy underpinning the prevention programme is outlined. It has a unique approach, combining several features present to varying degrees in other home visiting programmes within a well‐structured framework. This includes the identification of vulnerable parents during the antenatal period, the use of generic health professionals (health visitors) in identification and intervention with families, an ‘active engagement’ strategy, the development of specialist non‐stigmatizing clinics for parents and the creation of a consultation service for generic workers. A variety of interventions are briefly described which are used to support vulnerable families. These include antenatal parenting workshops; baby massage; dedicated crying, sleeping and feeding clinics; and clinics to help parents manage toddler behaviour.Evaluation over the first 5 years of these clinics shows almost 75% of cases have successful outcomes. Copyright © 2001 John Wiley & Sons, Ltd.     

A transactional model of infant still‐face response and maternal behavior during the first year

The present study takes a transactional approach to extend understanding of temporal relations between parenting behaviors and infant response to the face‐to‐face still‐face, a widely used method assessing infants’ affective and behavioral response to a violation of social expectations. A low‐income, urban sample of 180 mothers and infants participated when infants were 4 and 6 months old. Directional relations between infants’ still‐face response (i.e., change in affect and gaze from interaction to still face) and three parenting dimensions were examined using cross‐lagged structural equation models. Infant still‐face response predicted later parenting behavior, while the reverse association was not significant. Specifically, infants with a greater reduction in positive affect from interaction to still face had parents with more positive parenting and less negative parenting behaviors 2 months later, controlling for prior parenting and concurrent infant behavior. Furthermore, infants who increased gaze to mother from interaction to still face had mothers who used more mental state talk 2 months later. Findings underscore the importance of examining transactional relations between infant and parent behaviors, and in particular highlight the influence of infants on parents. Acknowledging these infant‐effects is critical to the development and implementation of interventions targeting parent‐infant interactions.     

Linking maternal psychopathology to children's excessive crying and sleeping problems in a large representative German sample—The mediating role of social isolation and bonding difficulties

Attaining self-regulation is a major developmental task in infancy, in which many children show transient difficulties. Persistent, clinically relevant difficulties in self-regulation include excessive crying or sleeping disorders. Many families with affected children are burdened with multiple psychosocial risk. This suggests that regulatory problems are best conceptualized as the maladaptive interplay of overly burdened parents and a dysfunctional parent–child interaction. The current study examines whether social isolation and bonding difficulties function as mediating mechanisms linking maternal psychopathology to (1) children's excessive crying and (2) sleeping problems. The sample comprised N = 6598 mothers (M = 31.51 years) of children between zero to three years of age (M = 14.08 months, 50.1% girls). In addition to socio demographic data, the written questionnaire included information on maternal depression/anxiety, isolation, bonding, and children's regulatory problems. Hypotheses were tested with a mediation model controlling for psychosocial risk and child characteristics. As expected, maternal symptoms of depression/anxiety were linked to infants‘ excessive crying and sleeping problems. Social isolation and bonding difficulties mediated this association for excessive crying as well as for sleeping problems, but social isolation was a single mediator for sleeping problems only. The findings provide important insights in the mediating pathways linking maternal psychopathology to children's regulatory problems.     

Separation and Post‐Separation Parenting within Lesbian and Gay Co‐parenting (Guild Parented) Families

Gay men and lesbian women have a long history of jointly creating families and co‐parenting their children together. This qualitative study aims to explore the experiences of separation and post‐separation parenting within same‐sex parented families. This involved semi‐structured in‐depth interviews with 22 separated same‐sex parents in Adelaide, Melbourne, Sydney, Brisbane, and regional Victoria. An adaptive theory approach was used for the collection and analysis of the data. The paper explores data from a cohort of six participants who came from three different multi‐parent families who had experienced a separation – either their own, or that of other parents in their parenting group. The term ‘co‐parenting families’ was found to be confusing due to the different connotations within separation/divorce and same‐sex parent literature. Consequently, the term ‘guild parented families’ was created to describe these families. Participants from these multi‐parent families had very different experiences of family formation and separation compared to others within the wider separated same‐sex parent study. Separation of one or more of the parent couples within these families complicated their original plans and kinship ideals. Each of the families resolved this differently in their post‐separation arrangements. After separation, whole family narratives and/or the role of individual parents, were either questioned or revised as a way of resolving the complexity of their new kinship situation. Following separation, parents often relied on Western kinship norms that privilege biological kinship and the dual‐parent family to construct their post‐separation kinship arrangements. More awareness of families that begin with more than two parents is needed within separation research and amongst separation services and service providers.     

Infants' Transitions out of a Fussing/Crying State Are Modifiable and Are Related to Weight Status

Currently, about 10% of infants have a weight for length greater than the 95th percentile for their age and sex, which puts them at risk for obesity as they grow. In a pilot obesity prevention study, primiparous mothers and their newborn infants were randomly assigned to a control group or a Soothe/Sleep intervention. Previously, it has been demonstrated that this intervention contributed to lower weight‐for‐length percentiles at 1 year; the aim of the present study was to examine infant behavior diary data collected during the intervention. Markov modeling was used to characterize infants' patterns of behavioral transitions at ages 3 and 16 weeks. Results showed that heavier mothers were more likely to follow their infants' fussing/crying episodes with a feeding. The intervention increased infants' likelihood of transitioning from a fussing/crying state to an awake/calm state. A shorter latency to feed in response to fussing/crying was associated with a higher subsequent weight status. This study provides preliminary evidence that infants' transitions out of fussing/crying are characterized by inter‐individual differences, are modifiable, and are linked to weight outcomes, suggesting that they may be promising targets for early behavioral obesity interventions, and highlighting the methodology used in this study as an appropriate and innovative tool to assess the impact of such interventions.     

Beyond Behaviour — The Importance of Communication and Connection in Parenting ‘Defiant’ Children: Pilot Study and Program

Parents of children with defiant behaviour are frequently encouraged to establish clear behavioural expectations and consistency. Yet parental exhaustion, the constancy of the child's demands, and the child's push for control may compromise the success of the behavioural approach, leaving the family and therapist to search for other methods. This paper introduces parenting strategies developed as part of the ‘C Plus C — K Program’ for parents of primary school aged children (age range 5–12 years) with major behavioural problems. The program encourages parents to utilise relationship‐building parenting strategies. It is anticipated that over time, the child will develop self‐regulatory ability in situations of stress, leading to a reduction in problem behaviour. Preliminary data suggests that the program may be effective in achieving this aim. C Plus C strategies are illustrated with a fictional vignette based on common parenting situations.     

Management of Night-Waking in Young Children

Regular waking at night is one of the most common problems encountered by parents of young children. In a family counselling programme in Auckland, a night-waking programme has been used with 208 children referred during a two year period. The programme involved organized bed-time routines, procedures for settling the child and non-reward of crying, calling out and getting out of bed. Programme introduction was followed by daily phone calls to parents in which appropriate parent behaviours were prompted and reinforced. Further face to face sessions were held after one week and then if needed. Parent reports show high rates of parent implementation of procedures and rapid change of child sleep behaviour with improvements being maintained at follow up. In a survey of 48 of the parents, positive changes in the daytime behaviour of children were reported as coinciding with improved sleep habits. Also there was an absence of negative side effects, and generally, parent satisfaction with the programme was high.     

Does Child Sex Moderate Vulnerability to Postpartum Risk among Infants of Mothers at Risk for Psychopathology?

Early childhood behavior problems may indicate risk for subsequent psychopathology (Shaw, Gilliom, Ingoldsby, & Nagin, Developmental Psychology, 39, 2003, 189). There is some evidence to suggest that boys and girls may be differentially susceptible to postpartum risk factors that predict problem behaviors in early childhood (Kochanska, Coy, & Murray, Child Development, 72, 2001, 1091; Martel, Klump, Nigg, Breedlove, & Sisk, Hormones and Behavior , 55, 2009, 465). The main aim of this study is to examine whether child sex moderates the effect of infant and maternal predictors of toddler problem behaviors in a unique sample of high‐risk mother–child dyads. Analyses were based on data collected for 198 mother–child dyads (52% male offspring) followed longitudinally from birth to 18 months. Maternal and infant variables, including maternal PTSD and depression symptoms, maternal maltreatment history, observed maternal parenting quality, demographic risk, and infant negative emotionality and night waking, were used to predict toddler behavior problems. Although boys and girls displayed similar levels of total problem behaviors at 18 months overall, the specific set of infant and maternal variables that predicted toddler problems varied by child sex. The significant predictor for boys was maternal PTSD symptoms, whereas significant predictors for girls were infant negative emotionality and sleep problems. Results suggest that sex‐differentiated transmission of risk can be identified as early as 18 months postpartum. These differences suggest a gender‐specific biological sensitivity to maternal psychopathology, or alternatively, a gender‐specific reporting bias among mothers with childhood maltreatment histories.     

Toddlers’ Responses to Infants’ Negative Emotions

Early developments in toddlers’ responses to adults’ distress have been extensively examined, but less work has been directed to young children's responses to other children in distress. In the current study, we examined 12‐, 18‐, and 24‐month‐old children's (N = 71) behavioral and affective responses to a crying infant (doll) present in the room with the child. A comparison condition included a contented, neutral infant to contrast with the crying infant so as to disambiguate social interest from distress‐specific responding. Results showed that 12‐month‐olds were neither particularly interested in nor concerned about the infant, although they did discriminate between conditions. In contrast, 18‐ and 24‐month‐olds were socially interested and attentive to the infant, but 24‐month‐olds exhibited greater affective concern to the crying infant than did 18‐month‐olds. Children at all three ages were also mildly distressed themselves by the infant's crying, and this did not decline over the second year. Both girls and children without siblings were more interested in the infant; no effects were found for gender, daycare experience, or siblings on affective concern.     

Parents and Peers in Relation to Early Adolescent Problem Behavior

Concurrent and prospective associations between parent‐youth dyadic hostility and adolescent externalizing and internalizing problem behavior were examined in a sample of 416 families. Parenting control, parents’ well‐being, and youths’ affiliation with deviant peers were included as integral covariates. Information from multiple sources was analyzed using structural equation modeling. Concurrently, youth externalizing problems were associated with dyadic hostility, deviant peers, inadequate parenting control, and fathers’ well‐being (inversely). Internalizing problems were associated with inadequate parenting control and lower levels of fathers’ well‐being. Prospectively, some of these relations continued over 2 years, with a few new associations emerging. A process model is proposed in which parent‐youth dyadic hostility during early adolescence influences parenting, peer relations, and parents’ well‐being over time.     

What do parents feel they need? Implications of parents' perspectives for the facilitation of parenting programmes

This paper is based upon in‐depth interview studies with a range of parents and explores their beliefs, expectations and experiences of parenting support. Three dominant ways in which parents viewed parenting education are identified. The implications of these conceptual categories or ‘models’ of parenting support are discussed in terms of their impact on parents' approaches to parenting education and the quality of the outcomes. These interpretations raise questions about the nature and impact of parenting support. As such, they have significant implications for the development and delivery of future parenting provision.     

The family culture of negotiation—a result of changing parent‐child relationships

Case studies of parent‐child relations in three different European regions—West Germany, East Germany and the Netherlands—offer material for the comparative analysis of the ongoing intra‐familial process of modernization and civilization in post‐war West European societies. The data are drawn from extended narrative interviews with twelve‐year‐olds and from parallel but separate semi‐structured ‘mirrored’ interviews with the same children and their parents. The results of the analysis show that family relations in general, and parent‐child relations in particular, are increasingly marked by a familial ‘culture of negotiation’. This suggests that the balance of intergenerational power relations is currently in the process of change. To a greater or lesser extent, contemporary family relations are characterized by situationally grounded processes of negotiation between parents and children.     

Child Abuse and Sudden Infant Death

In times past, parents were usually blamed when an infant died suddenly and unexpectedly. A more caring attitude evolved with the adoption of the term ‘cot death’ or ‘sudden infant death syndrome’ (SIDS). Recent research looking at the factors responsible for SIDS has focused on aspects of child care and parental behaviour. Epidemiological studies confirm that several risk factors associated with child maltreatment are also to be found in many families who experience a sudden infant death. Social deprivation and other well-known associated features linked to maltreatment are correlated with sudden death in infancy. It is suggested that both physical abuse (suffocation is the most usual mechanism proposed) and neglect (failure to thrive, failure to recognize and treat illness) are important mechanisms. Infanticide (filicide) has existed widely over past centuries and its continuation in modern times is reflected in the highest murder rates of all age groups in infancy. However, much fatal abuse and neglect remains hidden, as demonstrated from the results of detailed fatality reviews. The evidence linking child abuse and neglect with sudden unexpected death in infancy is reviewed.     

Experiencing parenthood,care and spaces of hospitality

Drawing on research conducted in Australia and the United Kingdom, this paper explores how parenting and care provision is entangled with, and thus produced through, consumption in hospitality venues. We examine how the socio‐material practices of hospitality provision shape the enactment of parenting, alongside the way child‐parent/consumer‐provider interactions impact upon experiences of hospitality spaces. We argue that venues provide contexts for care provision, acting as spaces of sociality, informing children's socialization and offering temporary relief from the work of parenting. However, the data also highlight various practices of exclusion and multiple forms of emotional and physical labour required from care‐providers. The data illustrate children's ability to exercise power and the ways in which parents’/carers’ experiences of hospitality spaces are shaped by their enactment of discourses of ‘good parenting’. Finally, we consider parents’/carers’ coping behaviours as they manage social and psychological risks associated with consumption in such public spaces of leisure.     

Maternal intrusiveness predicts infants’ event‐related potential responses to angry and happy prosody independent of infant frontal asymmetry

Infants’ social‐cognitive skills first develop within the parent–infant relationship, but large differences between parents exist in the way they approach and interact with their infant. These may have important consequences for infants’ social‐cognitive development. The current study investigated effects of maternal sensitive and intrusive behavior on 6‐ to 7‐month‐old infants’ ERP responses to a socio‐emotional cue that infants are often confronted with from an early age: emotional prosody in infant‐directed speech. Infants may differ in their sensitivity to environmental (including parenting) influences on development, and the current study also explored whether infants’ resting frontal asymmetry conveys differential susceptibility to effects of maternal sensitivity and intrusiveness. Results revealed that maternal intrusiveness was related to the difference in infants’ ERP responses to happy and angry utterances. Specifically, P2 amplitudes in response to angry sounds were less positive than those in response to happy sounds for infants with less intrusive mothers. Whether this difference reflects an enhanced sensitivity to emotional prosody or a (processing) preference remains to be investigated. No evidence for differential susceptibility was found, as infant frontal asymmetry did not moderate effects of sensitivity or intrusiveness.     

Keeping Mum: Characteristics and Family Dynamics of Mothers Who Are Liable to Pay Child Support in Australia

In recent decades, changes in post‐separation parenting arrangements in Australia have led to an increase in the small but significant group of mothers liable to pay child support to fathers. The present study uses data from the Child Support Reform Study, a national random sample of separated parents in Australia registered with the Child Support Agency (CSA) in 2008. In total, 185 mothers with a child support liability were identified. Drawing on reports from separated mothers and fathers liable to pay child support in 2008, the study found that 43% of liable mothers had shared or more time. Few liable mothers reported spending no time with their child in the previous 12 months. Unlike liable fathers, mothers with a child support liability tended to be more ‘fearful’ of their former partner; have a resident child in their household; work fewer hours in paid employment; and have older children. Liable mothers were also more likely than other separated mothers to describe the relationship with their former partner as ‘fearful.’ Gendered expectations of parenting mean that liable mothers and liable fathers may adopt different behavioural responses to their roles. The implications of these findings for family therapists are briefly discussed.     

Mental disease postpartum and parent‐infant interaction—evaluation of videotaped sessions

In order to investigate the influence of maternal mental illness postpartum on mother‐infant and father‐infant interaction, infants of 14 mentally ill women admitted to hospital within 6 months after delivery were compared to infants of 22 women who had been somatically ill. Videotaped sessions when the infant was 10 months old revealed that mothers in the psychiatric sample showed less sensitivity in comparison to mothers in the somatic sample. When the infant was 2 years old, mothers in the psychiatric sample showed less positive affect and less link‐infant follow (stimulation dimension) as compared to the somatic mothers. However, there were no differences between fathers in the psychiatric sample and fathers in the somatic sample in any of the interaction variables. In the psychiatric sample, fathers showed more warmth as compared to mothers. In the somatic sample, fathers scored higher than mothers on autonomy but lower than mothers on link‐infant follow (stimulation dimension). A possible interpretation of our data was that the mental illness of the mothers may lead to a more active parenting role of the father in order to buffer the deficit in the mother‐infant relation. Copyright © 2001 John Wiley & Sons, Ltd.     

Managing ‘Spoiled Identities’: Parents’ Experiences of Compulsory Parenting Support Programmes

While recent years have seen a rapid growth of research exploring the usefulness of parenting support programmes, no empirical research to date has specifically explored experiences of compulsory parenting support. The present study examines the narrative accounts of 17 parents who, through a Parenting Order, were made to participate in such programmes. Findings suggest that the particular nature of court‐sanctioning, and the ‘spoiled identity’ it produces, shapes how parents subsequently experience their parenting support. It concludes that government rhetoric should not use findings from voluntary attendance to support extending the use of compulsory parenting support programmes.     

Battling the Tiger Mother: Pre‐School Reform and Conflicting Norms of Parenthood in Singapore

This article explores pre‐school reform and shifting norms of parenthood in Singapore. Whereas current education reforms in many Western countries focus on improving academic performance, pre‐school reform in Singapore de‐emphasises academic learning and urges parents to adopt ‘relaxed’ parenting practices. Analysing the position of parents in this process, we show, however, that the outcomes of this reform project are highly ambivalent. Reform makers view parents’ mindset as the main obstacle to reform, while parents experience pre‐school reform itself as prompting inconsistent messages. To account for the disorientation that this creates among parents, we draw on Bateson's concept of double bind.     

The ‘First Three Years’ Movement and the Infant Brain: A Review of Critiques

This article reviews a particular aspect of the critique of the increasing focus on the brain and neuroscience; what has been termed by some, ‘neuromania’. It engages with the growing literature produced in response to the ‘first three years’ movement: an alliance of child welfare advocates and politicians that draws on the authority of neuroscience to argue that social problems such as inequality, poverty, educational underachievement, violence and mental illness are best addressed through ‘early intervention’ programmes to protect or enhance emotional and cognitive aspects of children's brain development. The movement began in the United States in the early 1990s and has become increasingly vocal and influential since then, achieving international legitimacy in the United States, Canada, New Zealand, Australia, the UK and elsewhere. The movement, and the brain‐based culture of expert‐led parent training that has grown with it, has been criticised for claiming scientific authority whilst taking a cavalier approach to scientific method and evidence; for being overly deterministic about the early years of life; for focusing attention on individual parental failings rather than societal or structural problems, for adding to the expanding anxieties of parents and strengthening the intensification of parenting and, ultimately, for redefining the parent–child relationship in biologised, instrumental and dehumanised terms.