Nonorganic Failure to Thrive: Maternal History and Current Maternal Functioning

Gorman, Jane; Leifer, Myra; Grossman, Gail

doi:10.1207/s15374424jccp2203_3

Cited by 19 publications

(11 citation statements)

References 29 publications

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“…Findings from this study suggest that nonbalanced WMCIs may place an infant at risk for FTT and perhaps for other clinical problems. In another study (not using the WMCI), mothers of infants with FTT were found to have more negative perceptions of their infants than mothers of infants without FTT (Gorman et al, 1993).…”

Section: Caregiver Representations Of the Infant (Wmci Classificationmentioning

confidence: 89%

“…* * * Failure to thrive (FTT) is a common problem of infancy and early childhood, estimated to affect 1-5% of hospitalized children (Berwick, 1980;Hannaway, 1976), 5 -10% of children seen in outpatient clinics (Altemeier, O'Connor, Sherrod, Yeager, & Vietze, 1985), 1.8% of infants in British inner cities (Skuse, Gill, Reilly, Wolke, & Lynch, 1995) and 10% of children living below the level of poverty in rural and urban American settings (e.g., Massachusetts; Geyer, Wehler, & Anderka, 1985). Although there is still much controversy surrounding its definition (Benoit, 1993a(Benoit, , 1993bMaggioni & Lifshitz, 1995), FTT is generally viewed as a syndrome characterized by: (1) weight-for-age at or below the fifth percentile on standardized growth charts, (2) weight less than expected for height, and (3) a deceleration in the rate of weight gain from birth to the present (weight decrease of at least two standard deviations on growth charts) (Altemeier, Vietze, Sherrod, Sandler, Falsey, & O'Connor, 1979;Benoit, Zeanah, & Barton, 1989;Drotar & Eckerle, 1989;Gorman, Leifer, & Grossman, 1993). In addition, FTT has been associated with varying degrees of developmental and medical sequelae (Bithoney & Rathbun, 1983;Drotar, 1991;Drotar & Sturm, 1987;Heffer & Kelley, 1994;Oates, Peacok, & Forrest, 1985;Pollitt, 1987;Pollitt et al, 1996;Puckering et al, 1995;Raynor & Rudolf, 1996;Reif, Beler, Villa, & Spirer, 1995;Singer, Drotar, Fagan, Devost, & Lake, 1983).…”

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confidence: 99%

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Failure to thrive: Risk for clinical disturbance of attachment?

Coolbear

Benoit

1999

Infant Ment. Health J.

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This study tests the hypothesis that infants with failure to thrive (FTT) are at risk for a clinical disturbance of attachment (defined as a combination of: (1) nonautonomous caregiver state of mind with respect to attachment, measured by the Adult Attachment Interview (AAI); (2) nonbalanced caregiver representation of the infant, measured by the Working Model of the Child Interview (WMCI); (3) problematic play interactions; and (4) problematic feeding interactions). Participants were 57 infants (30 FTT, 27 non‐FTT) and their primary caregivers, recruited from outpatient pediatric clinics. Caregivers were interviewed with AAI and WMCI and observed interacting with their infants during play and feeding. Results show that more infants with FTT than infants without FTT met some of the criteria for risk for a clinical disturbance of attachment —nonautonomous AAI and nonbalanced WMCI classifications, and less dyadic reciprocity during feeding. However, there were no group differences in play. Future directions for research are discussed.

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Section: Caregiver Representations Of the Infant (Wmci Classificationmentioning

confidence: 89%

mentioning

confidence: 99%

Failure to thrive: Risk for clinical disturbance of attachment?

Coolbear

Benoit

1999

Infant Ment. Health J.

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“…As one would predict, research suggests that social connectedness is a protective factor against many forms of child maltreatment, including physical abuse, neglect, and nonorganic failure to thrive, as well as a means of promoting prosocial behavior (Belsky et al, 2005;Caliso & Milner, 1992;Egeland, Jacobvitz, & Sroufe, 1988;Rak & Patterson, 1996;Travis & Combs-Orme, 2007;Chan, 1994;Coohey, 1996;Guadin et al, 1993;Hashima & Amato, 1994;Pascoe & Earp, 1984;Altemeier, O'Connor, Sherrod, & Vietze, 1985;Benoit, Zeanah, & Barton, 1989;Crnic, Greenberg, Robinson, & Ragozin, 1984;Gorman, Leifer, & Grossman, 1993). The number, quality, and stability of relational interactions matter to the child.…”

Section: Relational Mediation Of Major Developmental Experiencesmentioning

confidence: 99%

Examining Child Maltreatment Through a Neurodevelopmental Lens: Clinical Applications of the Neurosequential Model of Therapeutics

Perry

2009

Journal of Loss and Trauma

490

372

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This article provides the theoretical rationale and overview of a neurodevelopmentally-informed approach to therapeutic work with maltreated and traumatized children and youth. Rather than focusing on any specific therapeutic technique, the Neurosequential Model of Therapeutics (NMT) allows identification of the key systems and areas in the brain which have been impacted by adverse developmental experiences and helps target the selection and sequence of therapeutic, enrichment, and educational activities. In the preliminary applications of this approach in a variety of clinical settings, the outcomes have been positive. More in depth evaluation of this approach is warranted, and is underway.Over the last 30 years, key findings in developmental neurobiology have informed and influenced practice in several clinical disciplines, including pediatrics, psychology, social work, and psychiatry. Despite this influence, the capacity of these large clinical fields to incorporate and translate key neurobiological principles into practice, program, and policy has been inefficient and inconsistent. The purpose of this article is to present preliminary efforts to integrate core concepts of neurodevelopment into a practical clinical approach with maltreated children. This neurosequential model of therapeutics (NMT) has been utilized in a variety of clinical settings such as therapeutic preschools, outpatient mental health clinics, and residential treatment centers with promising results (Perry, 2006;Barfield et al., 2009).

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“…Subscales range from 0.86 -0.95. Content, concurrent, convergent and discriminant validity have also been established (Holden and Edwards, 1989;Rohner, 1991;Myers et al, 1992;Gorman et al, 1993). Response bias and social desirability have been tested with no evidence of their effects.…”

Section: Maternal Acceptance-rejectionmentioning

confidence: 99%

Early tactile experience of low birth weight children: links to later mental health and social adaptation

Weiss

Wilson

Seed

et al. 2001

Infant and Child Development

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The purpose of this study was twofold: to determine (1) the degree to which specific qualities of maternal touch may contribute to the low birth weight infant's emotional and behavioural problems as well as social adaptation, and (2) the relationship between maternal touch and a mother's other caregiving behaviour. The sample included 114 socioculturally diverse infants and their mothers who were videotaped during an infant feeding when the baby was 3 months old. This videotape was analysed to assess dimensions of mother-infant interaction, including maternal touch. Data on perinatal risk and the mother's acceptance versus rejection of the infant were also acquired. Social adaptation and emotional/behavioural problems were measured when the child was 2 years of age.Hierarchical regression analyses indicated that maternal touch accounted for 15% of the variance in the likelihood of a child having emotional/behavioural problems at age 2. Children who received more nurturing touch had significantly fewer internalizing problems (such as depression) while children receiving both more frequent touch and harsh touch had more externalizing problems (such as aggressive behaviour). Infants who were less responsive to their caregivers were especially at risk of developing aggressive/destructive behaviour as a result of frequent touch. But less responsive infants also appeared to benefit most from greater use of diverse types of maternal touch, accounting for 6% of the variance in superior adaptive behaviour at age 2. Nurturing touch was the only quality that showed even a modest relationship to other caregiving behaviour, suggesting

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Nonorganic Failure to Thrive: Maternal History and Current Maternal Functioning

Cited by 19 publications

References 29 publications

Failure to thrive: Risk for clinical disturbance of attachment?

Failure to thrive: Risk for clinical disturbance of attachment?

Examining Child Maltreatment Through a Neurodevelopmental Lens: Clinical Applications of the Neurosequential Model of Therapeutics

Early tactile experience of low birth weight children: links to later mental health and social adaptation

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