infant and early childhood mental health (iecmh) mh ppt.pdf · infant and early childhood mental...
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Infant and Early Childhood Mental Health(IECMH): Promoting resilience across a lifetimeAugust, 2019
Dorinda Silver Williams, PhD, LICSW
Georgetown University, Center for
Child and Human Development
Infant and Early Childhood Mental Health (IECMH)
What does that mean?
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Why the stakes are so high
• Extraordinary development
• Foundational• Comprehensive• Rapid
Photo credit: Shutterstock
Early development across multiple domains
Social emotional development
Language development
Cognitive development
Physical development
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Brain connections and plasticity
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The power of relationships
Photo credit: Shutterstock
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“There is no such thing as a baby.”Winnicott, 1964, p. 88
“There is no such thing as a baby.”Winnicott, 1964, p. 88
…if you set out to describe a baby, you will find you are describing a baby and someone
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Early relationships
http://www.bing.com/videos/search?q=still+face&view=detail&mid=6E971D60A22761B62BFF6E971D60A22761B62BFF&FORM=VIRE3
Attachment
Developing a relational templateAinsworth, 1978; Bowlby, 1988
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Secure attachment
– Secure base
– Contingent on parent’s physical and emotional
availability
– Secure base
– Internal working model
Ainsworth, 1978; Bowlby, 1988
Slade, Grienenberger, Bernbach, Levy, & Locker, 2005
Ainsworth, 1978; Bowlby, 1988
Other styles of attachment
Anxious attachment
Avoidant attachment
Disorganized attachment
Ainsworth, 1978;
Main & Solomon, as cited in Posada, Waters, Crowell, & Lay, 1995
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Reflective functioning
Reflective functioning
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Reflective functioning
Reflective functioning
Secure attachment
Reflective functioning
Secure attachment
Intergenerational resilience
Slade, Grienenberger, Bernbach, Levy, & Locker, 2005
Our to-do list for
parents
• Be emotionally present
• Be sensitive and attuned
• Respond contingently
• Foster routines and
predictability
• Co-regulate
• Experience joyful
interactions
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What parents/caregivers might
be, or have been, experiencing
• Social injustice
• Poverty
• Domestic violence
• Community violence
• Mental health challenges
• Developmental and/or complex trauma
• Limited social support
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Relationships reverberate
Home visitor
and parent/
caregiver
Creating a safe, trusting, and nurturing relationship with parents can help
parents create a safe, trusting, and nurturing relationships with their young
children
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Our to-do list for home
visitors
• Be emotionally present
• Be sensitive and attuned
• Respond contingently
• Foster routines and
predictability
• Co-regulate
• Experience joyful
interactions
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Relationships reverberate
Home visitor
and parent/
caregiver
Home visitor
and
supervisor
and/or peerPhoto credit: Pixabay
Creating a safe, trusting, and nurturing relationship with home
visitors can help home visitors to create a safe, trusting, and
nurturing relationship with parents, which can help parents create
a safe, trusting, and nurturing relationship with their young
children
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Thank you for all that you do on behalf of children and families P
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References
Ainsworth, M. D., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: Assessed in the strange situation and at home. Hillsdale, N.J.: Lawrence Erlbaum.
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. Basic Books.
Slade, A., Grienenberger, J., Bernbach, J., Bernbach, E., & Locker, A. (2005). Maternal reflective functioning, attachment, and the transmission gap: A preliminary study. Attachment & Human Development, 7(3), 283 – 298.
Winnicott, D. (1964) Further thoughts on babies as persons. In The child, the family, and the outside world (pp. 85-92). Harmondsworth, England: Penguin Books. (Original work published 1947)