The article addresses clinical, neurodevelopmental, and psychological experiences of pregnant parents to build the case for shifting therapeutic approaches to promote the earliest possible connections between parents and their infant. The article emphasizes the rationale for therapeutic interface with families in pregnancy as it relates to stress…

Infants are born primed to develop attachment relationships. However, when infants are hospitalized in the neonatal intensive care unit at birth, the stress and trauma associated with the highly specialized medical environment can threaten the development of a nurturing and secure caregiving relationship. Infant mental health is an evidence-based…

The Community-Based Family Administered Neonatal Activities (C-B FANA; Cardone, Gilkerson, & Wechsler, 2005) offers home visitors and expectant parents a new way to be together during the unfolding months before birth. Adapted from the hospital-based Family Administered Neonatal Activities (FANA; Cardone & Gilkerson, 1990), the C-B FANA…

This article describes efforts of an Australian tertiary maternity hospital to translate infant mental health research into preventive perinatal and early parenting practice. Clinical practice confirms what is known in the literature: For expectant parents, there can be myriad obstacles to adapting successfully to parenthood and forming a…

Becoming a mother in a foreign land can be challenging and demanding for immigrant women and their families, and also for the professionals who support these families. In addition to the typical demands associated with raising a newborn, mothers who are immigrants confront other issues that professionals must keep in mind: a unique understanding…

Pregnancy is a time of heightened risk for domestic violence and of increased vulnerability to traumatic events. In this article, the authors explain how the experience of domestic violence during pregnancy threatens the newborn's healthy development as well as the parent-child relationship. San Francisco General Hospital's Perinatal Child-Parent…

Women with severe psychiatric illness face numerous risks and challenges during pregnancy and as parents. Mental health professionals can help these mothers and their infants by supporting the attachment relationship and by providing the external supports that are necessary for successful parenting. The authors describe a hospital-based…

A case study is reported in which early "autistiform behavior" in a 4-week-old baby was reversed through intensive mothering. The baby, who had been developing normally, was bottlefed by "strangers" for 2 days and then began to avert her eyes from all people, an autistiform behavior which persisted and grew worse as the mother tried to…

This study examined the development of maternal roles in seven mothers of medically fragile, premature infants in the neonatal intensive care unit (NICU) of an urban, teaching hospital using data sources such as interviews, observations, and document review. Mothers gradually assumed caregiving roles of worrier, novice, learner and expert and…

A hospital-based transitional care medical program for infants discharged from a neonatal intensive care unit is described. Family involvement is emphasized, as is interdisciplinary teamwork. Concerns that the program would encourage unnecessary hospitalization and increase vulnerability to infection have been proven unjustified. (Author/DB)

Outlines the difficulties parents face in the first year after childbirth and describes a postpartum intervention program. Obstacles faced by the program due to cultural prohibitions against acknowledging parental ambivalence to a newborn child are also discussed. (Author/DB)

Provides an overview of the development of the Brazelton Neonatal Behavioral Assessment Scale (NBAS), the nature of the instrument and conditions for its proper administration, and issues underlying the use of the NBAS in research (e.g., reliability). The first in a series of articles in a single monograph assessing the NBAS. (BH)

This speech addresses the "What,""Why," and "How" of Brazelton Neonatal Assessment Training for school psychologists. "What" concerns the Brazelton Neonatal Behavioral Assessment Scale, its administration, and what it assesses. Based on the best performance, the infant's score on this scale is scored in the…

Describes the Brazelton Neonatal Behavioral Assessment Scale, which is used to assess infants' competence in organizing their states of consciousness, interactive capacities, physiological responses, and environmental responsiveness. Various projects which have used the scale are reported. The predictive value and clinical uses of the scale are…

Discussed are attempts made by staff at the Community Mental Health Center of the New Jersey School of Medicine to develop an ongoing working relationship with pediatric neonatologists, house staff, and nursing staff in order to promote their attunement to mental health needs and obtain access to their expertise. After a description of the center…