Tuesday, October 20, 2009

Psychology Today - Raising Baby: What You Need to Know (Attachment Theory)

This is an older article (from 2000 originally) but it touches on attachment theory, a not so new (see John Bowlby and Mary Ainsworth) neo-Freudian and highly influential understanding of how the infant is socialized by the primary care-givers. There is substantial neuroscientific support for attachment theory. Most importantly, it supported Winnicott's concept of the "good enough" mother - parents don't need to be perfect to generate secure attachment they just need to be good enough.

One of the leaders in this field has been Allan Schore, who is included in this article. Schore's field is perhaps better labeled as affective neuroscience, since it covers a wide range of neuroscientific implications of interpersonal connections.

Raising Baby: What You Need to Know

Bookstore shelves are crammed with titles purporting to help you make your baby smarter, happier, healthier, stronger, better-behaved and everything else you can imagine, in what I call a shopping-cart approach to infant development. But experts are now beginning to look more broadly, in an integrated fashion, at the first few months of a baby's life. And so should you.

Psychological theorists are moving away from focusing on single areas such as physical development, genetic inheritance, cognitive skills or emotional attachment, which give at best a limited view of how babies develop. Instead, they are attempting to synthesize and integrate all the separate pieces of the infant-development puzzle. The results so far have been enlightening, and are beginning to suggest new ways of parenting.

The most important of the emerging revelations is that the key to stimulating emotional and intellectual growth in your child is your own behavior—Parental behavior what you do, what you don't do, how you scold, how you reward and how you show affection. If the baby's brain is the hardware, then you, the parents, provide the software. When you understand the hardware (your baby's brain), you will be better able to design the software (your own behavior) to promote baby's well-being.

The first two years of life are critical in this regard because that's when your baby is building the mental foundation that will dictate his or her behavior through adulthood. In the first year alone, your baby's brain grows from about 400g to a stupendous 1000g. While this growth and development is in part predetermined by genetic force, exactly how the brain grows is dependent upon emotional interaction, and that involves you. "The human cerebral cortex adds about 70% of its final DNA content after birth," reports Allan N. Schore, assistant clinical professor of psychiatry and biobehavioral sciences at UCLA Medical School, "and this expanding brain is directly influenced by early environmental enrichment and social experiences."

Failure to provide this enrichment during the first two years can lead to a lifetime of emotional disability, according to attachment theorists. We are talking about the need to create a relationship and environment that allows your child to grow up with an openness to learning and the ability to process, understand and experience emotion with compassion, intelligence and resilience. These are the basic building blocks of emotional success.

Following are comparisons of researchers' "old thinking" and "new thinking." They highlight the four new insights changing the way we view infant development. The sections on "What To Do" then explain how to apply that new information.

1. FEELINGS TRUMP THOUGHTS

It is the emotional quality of the relationship you have with your baby that will stimulate his or her brain for optimum emotional and intellectual growth.

OLD THINKING: In this country, far too much emphasis is placed on developing babies' cognitive abilities. Some of this push came out of the promising results of the Head Start program. Middle-class families reasoned that if a little stimulation in an underendowed home environment is beneficial, wouldn't "more" be better? And the race to create the "superbaby" was on.

Gone are the days when parents just wished their child were "normal" and could "fit in" with other kids. Competition for selective schools and the social pressure it generates has made parents feel their child needs to be "gifted." Learning exercises, videos and educational toys are pushed on parents to use in play with their children. "Make it fun," the experts say. The emphasis is on developing baby's cognitive skills by using the emotional reward of parental attention as a behavior-training tool.

THE NEW THINKING: Flying in the face of all those "smarter" baby books are studies suggesting that pushing baby to learn words, numbers, colors and shapes too early forces the child to use lower-level thinking processes, rather than develop his or her learning ability. It's like a pony trick at the circus: When the pony paws the ground to "count" to three, it's really not counting; it's simply performing a stunt. Such "tricks" are not only not helpful to baby's learning process, they are potentially harmful. Tufts University child psychologist David Elkind makes it clear that putting pressure on a child to learn information sends the message that he or she needs to "perform" to gain the parents' acceptance, and it can dampen natural curiosity.

Instead, focus on building baby's emotional skills. "Emotional development is not just the foundation for important capacities such as intimacy and trust," says Stanley Greenspan, clinical professor of psychiatry and pediatrics at George Washington University Medical School and author of the new comprehensive book Building Healthy Minds. "It is also the foundation of intelligence and a wide variety of cognitive skills. At each stage of development, emotions lead the way, and learning facts and skills follow. Even math skills, which appear to be strictly an impersonal cognition, are initially learned through the emotions: 'A lot' to a 2-year-old, for example, is more than he would expect, whereas 'a little' is less than he wants."

It makes sense: Consider how well you learn when you are passionate about a subject, compared to when you are simply required to learn it. That passion is the emotional fuel driving the cognitive process. So the question then becomes not "what toys and games should I use to make my baby smarter?" but "how should I interact with my baby to make him 'passionate' about the world around him?"

WHAT TO DO: When you read the baby "milestone" books or cognitive development guides, keep in mind that the central issue is your baby's emotional development. As Greenspan advises, "Synthesize this information about milestones and see them with emotional development as the central issue. This is like a basketball team, with the coach being our old friend, emotions. Because emotions tell the child what he wants to do--move his arm, make a sound, smile or frown. As you look at the various 'milestone components' motor, social and cognitive skills--look to see how the whole mental team is working together."

Not only will this give you more concrete clues as to how to strengthen your emotional relationship, but it will also serve to alert you to any "players" on the team that are weak or injured, i.e., a muscle problem in the legs, or a sight and hearing difficulty.

2. NOT JUST A SCREAMING MEATLOAF: BIRTH TO TWO MONTHS.

It's still largely unknown how well infants understand their world at birth, but new theories are challenging the traditional perspectives.

OLD THINKING: Until now, development experts thought infants occupied some kind of presocial, precognitive, preorganized life phase that stretched from birth to two months. They viewed newborns' needs as mainly physiological--with sleepwake, day-night and hunger-satiation cycles--even calling the first month of life "the normal autism" phase, or as a friend calls it, the "screaming meatloaf" phase. Certainly, the newborn has emotional needs, but researchers thought they were only in response to basic sensory drives like taste, touch, etc.

THE NEW THINKING: In his revolutionary book, The Interpersonal World of the Infant, psychiatrist Daniel Stem challenged the conventional wisdom on infant development by proposing that babies come into this world as social beings. In research experiments, newborns consistently demonstrate that they actively seek sensory stimulation, have distinct preferences and, from birth, tend to form hypotheses about what is occurring in the world around them. Their preferences are emotional ones. In fact, parents would be unable to establish the physiological cycles like wake-sleep without the aid of such sensory, emotional activities as rocking, touching, soothing, talking and singing. In turn, these interactions stimulate the child's brain to make the neuronal connections she needs in order to process the sensory information provided.

WHAT TO DO: "Take note of your baby's own special biological makeup and interactive style," Greenspan advises. You need to see your baby for the special individual he is at birth. Then, "you can deliberately introduce the world to him in a way that maximizes his delight and minimizes his frustrations." This is also the time to learn how to help your baby regulate his emotions, for example, by offering an emotionally overloaded baby some soothing sounds or rocking to help him calm down.

3. THE LOVE LOOP: BEGINNING AT TWO MONTHS.

At approximately eight weeks, a miraculous thing occurs--your baby's vision improves and for the first time, she can fully see you and can make direct eye contact. These beginning visual experiences of your baby play an important role in social and emotional development. "In particular, the mother's emotionally expressive face is, by far, the most potent visual stimulus in the infant's environment," points out UCLA's Alan Schore, "and the child's intense interest in her face, especially in her eyes, leads him/her to track it in space to engage in periods of intense mutual gaze." The result: Endorphin levels rise in the baby's brain, causing pleasurable feelings of joy and excitement. But the key is for this joy to be interactive.

OLD THINKING: The mother pumps information and affection into the child, who participates only as an empty receptacle.

THE NEW THINKING: We now know that the baby's participation is crucial to creating a solid attachment bond. The loving gaze of parents to child is reciprocated by the baby with a loving gaze back to the parents, causing their endorphin levels to rise, thus completing a closed emotional circuit, a sort of "love loop." Now, mother (or father) and baby are truly in a dynamic, interactive system. "In essence, we are talking less about what the mother is doing to the baby and more about how the mother is being with the baby and how the baby is learning to be with the mother," says Schore.

Read the rest of this article.


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