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Human Infants
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The Behavior of
Human Infants
Edited by
Alberto Oliverio
University of Rome
Rome, Italy
and
Michele Zappella
Regional Hospital-Siena
Siena, Italy
v
vi PREFACE
Infant Signals 1
D. Csermely and D. Mainardi
vii
viii CONTENTS
Index 295
INFANT SIGNALS
Istituto di Zoologia
Universita di Parma
Parma, Italy
INTRODUCTION
But adults are not always willing to provide parental care for
the young. In order for infant signals to be recognized and to evoke
the appropriate response, specific signals must be present. Tinbergen
(1969) found that herring gulls (Larus argentatus) completely ignore
or even eat a herring gull egg if the egg is presented to an indi-
vidual which is not breeding. However, the same egg will release
parental behavior if it is offered just prior to egg-laying. In
other cases, it is probably the presence or sight of the young that
triggers off parental response (Noirot, 1964a,b,c, 1965; Carlier and
Noirot, 1965; Gandelman, 1973). An extreme example of this is ma-
ternal imprinting in sheep: ewes recognize and accept their lambs
only after they have learnt their odor (Hafez, 1975).
The young have evolved the ability to produce signals that evoke
recognition by adults and block aggression, probably also because
they are almost completely unprotected from adults (for example,
species with altricial young). The signals produced by the infants
not only increase the survival rate of the young who happen to en-
counter strange adults, but also raise the fitness of their parents.
This provides the basis for adoption, a highly developed behavior,
especially in rodents. An infant that has inadvertently become
separated from its parents not only blocks the aggressive behavior of
the adults that meet him, but also evokes a tendency to retrieving
and adoption. Infant signals, then, serve as releasing mechanisms.
1 3 4 2 2
2 3 3 2 2
3 3 3 2 2
4 3 3 2 2
5 3 4 2 2
6 3 3 2 2
7 6 6 2 2
8 6 6 2 2
9 6 6 2 2
10 6 6 2 2
11 10 10 1 1
12 10 10 1 1
13 10 10 2 2
14 12 10 1 1
15 8 10 1 1
16 8 10 1 1
100
90
80
70
60
50
,/
I
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 days
inside and outside the nest. The females of one of the groups were
tested with newborns, while the females of the second group were
tested with 6 day old pups. When the pups were outside the nest, the
females accepted none of the newborns and only 23% of those aged 6
days. When the test pups were inside the nest, the females accepted
15% of the newborns and 70% of the 6 day old pups. Presumably, this
difference depends on the fact that the young mouse in the nest
absorbs the odor of the litter and consequently can conceal his
species. Once again, it is demonstrated that 6 day old mice rep-
resent a better stimulus for eliciting a maternal response in ham-
ster, than newborns.
Group A 60 25 24 11 1*
(41.7%) (40.0%) (18.3%)
Group B 80 23 43 8 6
(28.8%) (53.8%) (10.0%) (7.5%)
Group C 128 63 34 5 4 22
(49.2%) (26.6%) (3.9%) (3.9%) (17.2%)
*Mouse killed immediately after the hamster.
For each pair, a record was kept of which pup was retrieved first.
The results indicate that the mother did not respond selectively to
the pups. This happened both within the Swiss strain and in cross-
tests with one Swiss and one C57 BL/6 pup. Similar results were
obtained when the female was tested on the 1st and on the 10th day
postpartum. Because the female did not appear to discriminate
between the pups, another experiment was undertaken, to determine
whether age is an important factor in releasing maternal preference
(Favoriti et al., 1979). Using the same procedure as the previous
experiment, 22 lactating females were tested for response to newborn
and to 8-10 day old pups. Although some females did not chose a
single pup, on the whole they showed a clear cut preference for pups
aged 1 day (X 2 = 23.33, p<O.Ol). Comparison between these results
and those obtained by Mainardi and co-workers (1973) reveals that the
mothers responded differently to homo- and heterospecific pups. In
fact, while hamster females preferred 6 day old pups versus 1 day old
ones, the reverse was true for mice females. The effect of the
signal, therefore, depends on the receiver.
Fig. 2. Two young mice belonging to the strain carrying the "cn"
mutation. On the left a 16 day old normal, on the right
an achondroplastic sibling (cn/cn).
INFANT SIGNALS 9
. --
~-. --------~---
- .. --- -- -- --
~ -~
----- ----- ------- -- --. - -. ----
Fig. 3. Lorenz's "baby schema". Note the floppy ears of the adult
gun dog.
10 D. CSERMELY AND D. MAINARDI
In man, Lorenz's idea (loc. cit.) that infant Gestalt may serve
as an innate releasing mechanism has been confirmed by Fullard and
Reiling (1976), who found a difference in the preference for slides
depicting infants versus adults. The preference begins at puberty
and, as Hess has already observed in adults (loc. cit.), it differs
in males and females, appearing earlier and stronger in the latter.
One possible explanation for this fact could be the superimposition
of social factors upon an innate predisposition. Because in many
societies parental care is an exclusive duty of females, these may
have become more effective than males in identifying the fundamental
physiological and psychological states that underlie crying in babies
(Vuorenkoski, 1975). Another explanatory factor could be experience.
In fact, multiparous mothers recognize better, and are more sensitive
than primiparous mothers to be signals given by the child during
lactation in the early hours of life (Thoman, 1975).
ACKNOWLEDGEMENTS
REFERENCES
INTRODUCTION
21
22 A. OLIVERIO AND C. CASTELLANO
Neencep ha lic
instnune.ntal functions
.
.
EVES ....
OPEN
EARS ....
OPEN
. •
BAR ....
HOLDING
HAIR
GROW
....
VIBR ISSAE
PLACING • ....
CLIFF .....
5 10 15
ted that some form of recovery takes place in early operated SEC
mice, while in C57 mice, which are less precocious, the functions of
the damaged area are not compensated for.
The results show that brain and body growth patterns were only
slightly affected in mice born from females fed EFA-deprived diets
during pregnancy. However, a number of reflexes, for example, the
placing reflex, appeared later in the EFA group than in control mice;
similarly, grasping and bar holding were also delayed by 2 to 3 days,
as in mice malnourished during the suckling period (Castellano and
Oliverio, 1976; Oliverio et al., 1975). The reflexes delayed in
their maturation (righting, placing, grasping, and bar holding re-
flexes) were those involving motor abilities normally evident during
the first 2 weeks after birth, suggesting that the administration of
an EFA-deprived diet affects the myelinization of the nervous motor
system tracts.
The EcoG recordings also showed a clear cut delay in the matura-
tion of brain electrical activity of EFA-deprived mice, compared with
the controls. However, the ECoG of control and EFA-deprived animals
was similar, starting from the third week of age. Using this type of
malnutrition, it was also possible to show that the avoidance-
-learning ability was impaired after 2 months of rehabilitation in
mice fed by females that were EFA deprived during pregnancy. The
selective deprivation of fatty acids seems therefore to affect the
patterns of brain development permanently (D'Udine and Oliverio,
1976; Galli et al., 1975). A morphological analysis of brain matura-
tion has indicated that in the animals fed EFA-deprived diets there
is a delay of myelination processes in a number of myelinated struc-
tures that may result in long-lasting effects on learning ability
(Gozzo and D'Udine, 1977).
REFERENCES
Alleva, E., D'Udine, B., and Oliverio, A., 1981, Effet d'une
experience olfactive precoce sur les preferences sexuelles de
deux souches de souris consanguines, Biology of Behaviour,
6:73.
Altman, J., 1966, Organic Foundations of Animal Behavior, Holt
Rinehart and Winston, New York.
Aschoff, J., 1960, Exogenous and endogenous components in circadian
rhythms, Symp.Quant.Biol.(Cold Springs Harbor), 25:11.
36 A. OLIVERIO AND C. CASTELLANO
Jay S. Rosenblatt
Suckling and its development in the newly born rat has been the
subject of a burst of research activity in which several investi-
gators in my own laboratory have played an important role. In this
article I want to review this research because I believe it is rel-
evant to the study of behavioral development among all mammalian
newborn. Although mammals are classified by the possession of mam-
mary glands they could equally well be classified by the capacity for
suckling possessed by the young. The development of this capacity
and its decline are principal features of infancy among mammalian
young and playa central role in their behavioral development.
Suckling is initiated by the newly born rat pup during the final
phase of parturition and in the early post-partum period when the
mother lies with her litter, resting after the rigors of the lengthy
parturition. During the first two weeks the mother initiates nurs-
ing sessions by entering the nest licking the young, adopting a
nursing posture draped over them or lying on her side with her
39
40 J. S. ROSENBLATT
ventrum facing the pups, the nipples, in two rows of six each, ac-
cessible for suckling. To suckle, during this period, the young must
locate and grasp a nipple: once grasped the nipple is sucked but the
pup receives milk only at intervals that may be as long as 15 minutes
or as short as 3-4 minutes. 3 The ejection of milk, caused by the
release of oxytocin, is signaled in the young by the stretch response
in which they pull strongly against the nipple with their legs out-
stretched and their backs arched and is indicated in the mother by a
sudden rise in her intramammary pressure.
equal to those of deprived pups during the first 10 days and the same
proportion of each group attached to nipples during the first of
three daily tests. The response to recent feeding changed after the
10th day and from the 11th-13th day on fewer pups attached to nipples
and their latencies increased to 4 minutes of the 5-minute test.
Latencies of the suckling-deprived pups continued to decline during
the second and third weeks and the proportion of pups that attached
increased to 100 percent by the 14th day. It appeared, therefore,
that after an early period during which nutritional state plated no
apparent role in the initiation of suckling (and in the duration of
suckling since at all ages pups that attached to nipples remained
attached to the end of the test) there was a period, starting after
the 10th day in which the initiation of suckling increasingly came
under the control of the pups nutritional state. Nutritional state
was not altered during tests with the anesthetized mother because
there was no milk ejection in these females. We will return to these
observations at a later point.
test does not inhibit dry suckling. It was, therefore, not the
gastric loading but rather the oral stimulation which inhibited
suckling during the test. As expected in this study when 21-23 hour
deprived 20-day old pups ate food pellets one hour before a suckling
test their suckling was not inhibited in any manner.
Five days without suckling between 15 and 20 days did not reduce
suckling of either the deprived or the nondeprived pups but it had a
strong effect when suckling was prevented between days 20 and 25.
Even deprived pups suckled for less than 10 minutes of the 30 minute
test. When both intervals were spent in isolation (days 15 to 25)
then pups hardly suckled at all on day 25.
awake mother their intake is regulated and they ingest about 6 per
cent of their body weight. It has been shown recently that there is
a crude form of intake control during suckling in 5-, 10- and IS-day
old pups suckling from an anesthetized mother that is given 10
oxytocin injections at 4 min intervals. The pups had been deprived
0, 6 or 24 hr and at each age those deprived longest ingested twice
as much milk as those that were nondeprived and those deprived of
milk intake for 6 hr were intermediate. When pups of the same age
were suckling-deprived for 12 hr and were given an unlimited number
of milk ejections, at 5 and 10 days they no longer could control
their intake and overloaded themselves until they could not hold on
to the nipples. At all ages, therefore, pups can directly control
the rate of milk ingestion during suckling but control over the
volume of their intake appears to be indirect.
The altricial status of the newly born rat dictates that its
searching, locating and grasping of the nipple for suckling are under
the control of proximate sensory systems, namely, tactile, thermal,
and 01factory-gustatory .l8 It is, by now, well-established that of
these systems, olfaction plays the most important role from the
beginning. Very early it was shown that anosmia produced by olfac-
tory bulbectomy or intranasal lavage or zinc sulfate as early as 2
days after birth and at any age within the first two weeks results
in a severe disturbance of suckling, with a consequent loss of weight
and a resultant high mortality within a few days among the younger
pups but less so among the older ones.l 9 ,20 Detailed observations
of anosmic pups reveal that by contrast with their intact siblings
contact with a nipple does not elicit nipple grasping in them.
At an earlier age, near birth, it has been shown that the first
suckling by newborn is in response to amniotic fluid that has been
deposited on the nipples during parturition. 23 This initial nipple
grasping and suckling is specific to amniotic fluid and does not
occur if other substances that might later be attractive to the pup,
having distinct odors, are applied to the washed nipple. Saliva from
the mother and amniotic fluid itself are the most effective suckling
stimuli but later pup saliva is also effective. This has been estab-
lished by washing the nipples before the first sucking, applying
these fluids to the nipples and comparing the pups' responses to
these fluids with their response before the nipple is washed or after
the wash has been distilled and distillate has been applied to the
nipple. 9
be the same system that sub serves suckling but is patterned and
regulated like the feeding system of adult rats."(40, p.754)
REFERENCES
Patrick Bateson
University of Cambridge
Sub-Department of Animal Behaviour
Madingley, Cambridge, England
INTRODUCTION
57
58 P. BATESON
tional thought and, at the end of their book devoted to examining the
available evidence, stated that virtually no behavioral deficit
induced by early experience was irreversible. Rutter (1980) agreed
that the notion of fixed and absolute "critical periods" no longer
warranted serious consideration with respect to human behavioral
development. However, he also pointed out that the notion of periods
of heightened responsiveness during development had obvious validity
in certain cases. If the child is too old, rehabilitation of certain
deficits could be difficult.
IMPRINTING
The evidence for some internal control over the ending of the
sensitive period is much less satisfactory. By contrast, the power-
ful influence of external experience affecting behavior in specific
ways is compelling (Bateson, 1979). It should be remembered that
imprinting is a pre-emptive self-terminating process in the sense
that it narrows social preferences to that which is familiar, and
therefore tends to prevent fresh experience from further modifying
those social preferences. Moreover, while some experiences are such
more effective in restricting social preferences than others, birds
can eventually form preferences for the static cages in which they
have been isolated. It follows that if some birds are reared with
attractive stimuli such as their siblings, and some are reared in
isolation, it should be possible to imprint the isolated birds with
a novel object at an age when the socially reared birds escape from,
or are unresponsive to, new things. This has been demonstrated in
chicks and ducklings (Guiton, 1959; Sluckin and Salzen, 1961;
Asdourian, 1967; Smith and Knott, 1970). Furthermore, when a bird's
visual experience of patterned light is reduced or it is drugged, the
age at which it will respond socially to novel objects can be greatly
extended (Moltz and Stettner, 1961; McDonald, 1968). The influence
of external events on the ending of the sensitive period is, there-
fore, hard to deny. Experimenters have difficulty in getting older
birds to respond socially to an object at least in part because the
birds have developed a preference for something else. The first
preference to be formed is protected from disruption by subsequent
experience as a result of the animal being indifferent to novel
objects or, more especially, escaping from them. However, the escape
from a novel object can be habituated by repeatedly exposing the
animal to that object (Bateson, 1964; Ratner and Hoffman, 1974).
What is more, chicks that have developed a preference for, say, a
blue cloth ball, can be induced to change their preference by a
sufficiently long period of exposure to a green cloth ball (Salzen
and Meyer, 1968). In some conditions, then, the initial preference
is not completely stable and irreversible.
THE INTERPRETATION OF SENSITIVE PERIODS 61
Similarly, I have been told that some unsocialized adult dogs can be
induced to form strong attachments to humans by means of traumatic
discipline. Clearly, one should not base a theory on somewhat
dubious anecdotes. Nevertheless, they set off a train of thought
about what may be the permissive conditions for such dramatic changes
in behavior in adults. One obvious candidate is stress or extreme
alarm. Here, I should like to consider the links between this possi-
bility and two very different bodies of knowledge. One is with a
colorful, but not uninteresting, area of "brain-washing". The other
is with the neurophysiology of plastic change in the nervous system.
In his book Battle for the Mind, Sargant (1957) drew on a wide
variety of examples ranging from military brain-washing and police
interrogation through to religious conversions and psychotherapy.
It was perhaps unfortunate that Sargant attempted to explain all of
these phenomena in terms of an unconvincing theory derived from
Pavlov. Critics were able to discredit the explanation and, by a
familiar academic trick, simultaneously to dispose of the evidence
(Watson, 1978). However, Sargant's less speculative points should,
I feel, be taken seriously and are relevant to the issue of adult
plasticity. He noted the importance of creating great fear and
excitement in the process of religious conversion. John Wesley, for
instance, would paint a terrifying picture of external damnation as
part of the softening-up preparatory to actual conversion. In modern
revivalist meetings in the American bible-belt, a state of hysteria
is sometimes enhanced by passing round extremely frightening objects
like live poisonous snakes. Once the state has been induced, Sargant
argued, humans are enormously suggestible.
64 P. BATESON
"For the first few months I was able to feel nothing but
increasing anxiety, humiliation and guilt. Nothing about
my past lift seemed satisfactory and more, and all my old
ideas about myself seemed to be contradicted. When I got
into a completely hopeless state, he (Freud) then seemed to
start to restore my confidence in myself, and piece every-
thing together in a new setting." (Sargant, 1957 p 57).
CONCLUSIONS
SUMMARY
ACKNOWLEDGEMENTS
REFERENCES
Hohmann, A., and Creutzfeldt, O. D., 1975, Squint and the development
of binocularity in humans, Nature 254:613-614.
Horn, G., 1981, Neural mechanisms of learning: an analysis of
imprinting in the domestic chick, Proc.Roy.Soc.B. in press.
Horn, G., Rose, S. P. R., and Bateson, P. P. G., 1973, Experience and
plasticity in the central nervous system, Science 181:506-514.
Hubel, D. H., and Wiesel, T. N., 1970, The period of susceptibility
to the physiological effects of unilateral eye closure in
kittens, J.Physiol. 206:419-436.
Immelmann, K., 1969, Uber den Einfluss Fruhkindlicher Erfahrungen auf
die geschlechtliche Objektfixierung bei Estrildiden. Z.
Tierpsychol. 26:677-691.
Immelmann, K., 1979, Genetical constrains on early learning: A
perspective from sexual imprinting in birds, pp 121-133 in:
"Theoretical Advances in Behavior Genetics," J.R. Royce and L.
Mos, eds., Sijthoff and Noordhoff, Alphen ann den Rijn,
Netherlands.
Immelmann, K., and Suomi, S. J., 1981, Sensitive phases in
development, pp 395-431 in: "Behavioral Development," K.
Immelmann, G.W. Barlow, ~ Petrinovich and M. Main, eds.,
Cambridge Univ. Press, New York, in press.
Itakura, T., Kasamatsu, T., and Pettigrew, J. D., 1981,
Norepinephrine-containing terminals in kitten visual cortex:
laminar distribution and ultrastructure, Neurosci. 6:159-175.
Kovach, J. K., 1970, Critical period or optimal arousal? Early
approach behavior as a function of stimulus, age, and breed
variables in chicks, Dev.Psychobiol. 3:73-77.
Landsberg, J-W., 1976, Posthatch age and developmental age as a
baseline for determination of the sensitive period for im-
printing, J.Comp.Physiol.Psychol. 90:47-52.
Landsberg, J-W., and Weiss, J., 1976, Stress and increase of the
corticosterone level prevent imprinting in ducklings, Behavior
57:173-189.
Lenneberg, E. H., 1967, "Biological Foundations of Language," Wiley,
New York.
MacDonald, G. E., 1968, Imprinting: drug-produced isolation and the
sensitive period, Nature 217:1158-1159.
Martin, J. T., 1975, Hormonal influences in the evolution and
ontogeny of imprinting behavior in the duck, pp 357-366 in:
"Hormones, Homeostasis and the Brain. Progress in Brain--
Research Vol. 42," W.H. Gispen, T.B. van Wimersma Greidanus,
B. Bohns and D. de Wied, eds., Elsevier, Amsterdam.
Martin, J. T., and Shutz, F., 1974, Arousal and temporal factors in
imprinting in Mallards, Dev.Psychobiol. 7:69-78.
Mineka, S., 1979, The role of fear in theories of avoidance learning,
flooding, and extinction, Psychol.Bull. 86:985-1010.
Moltz, H., and Stettner, L. J., 1961, The influence of patterned-
light deprivation on the critical period for imprinting,
J.Comp.Physiol.Psychol. 54:279-283.
70 P. BATESON
Stephen J. Suomi
INTRODUCTION
71
72 S. J. SUOMI
succeeding weeks. When away from their mothers, young rhesus monkeys
increasingly come into contact with other monkeys in their social
group, especially peers and older siblings. Social relationships
with these other monkeys develop rapidly, so that by 5 or 6 months of
age most infants spend more of their waking hours interacting with
peers than with their mothers (Suomi, 1979a).
rhesus monkey mothers play a crucial role in the early social devel-
opment of their offspring. Not only do they provide nourishment and
protection in the earliest months of life, but also they provide a
source of warmth, comfort, and security, a base from which the in-
fants can begin to explore their physical and social environment. It
is no accident that a rhesus monkey infant's first sustained social
relationship is invariably with its own mother. While this relation-
ship is unique in many respects (Hinde and Spencer-Booth. 1967;
Suomi. 1979b). it also can provide a general blueprint or style for
the many additional social relationships the infant will establish
with other monkeys as it grows older (Sroufe and Waters, 1977).
These examples serve to emphasize the point that the actions and
status of an infant's mother can have a major influence on its social
development within its natal troop. Mothers who differ in their
relationships with their infants, as well as in their relationships
with other group members, are likely to contribute substantially to
differences in how their respective infants grow up. Individual
differences among mothers may lead to ontogenic consequences that
continue long after the infants have become largely independent of
maternal care.
Mothers are not the only individuals with whom young rhesus
monkeys form social relationships. Others in the social group play
increasingly important roles in the infants' social development as
they grow older and their mothers become involved with new offspring.
Because a young monkey typically forms different types of social
relationships with various others in its social group, e.g., peers,
older siblings, and nonrelated adolescents and adults (Suomi, 1979b),
the availability of these various others as partners for social
interactions can be an important factor in a given infant's pattern
of social development.
SOCIAL DEVELOPMENT IN RHESUS MONKEYS 77
For example, consider the case of two rhesus monkey infants both
having mothers that reject them at unusually high rates, but who
differ considerably with respect to their relative tolerance for
stressful stimulation, including rejection by their mothers. The
infant that responds to mild stress with marked fearfulness and
wariness may experience a rise in anxiety whenever it is rejected,
and if its mother indeed rejects it at a high rate, it may grow up in
an almost chronic state of anxiety. In contrast, the infant with a
high threshold for response to stress may be relatively unaffected by
frequent rejection by its mother; for this infant the adverse conse-
quences of being reared by a high-rejecting mother would likely be
minimal. On the other hand, if both infants were reared by mothers
that almost never rejected or punished their offspring, any tempera-
ment differences they might have could well be masked and they would
likely have similar patterns of social development, assuming they had
otherwise similar experiences. Thus, the consequences of temperament
differences depend on what kind of mothers infant monkeys have, and
vice versa.
when they were 1 month old yielded some striking findings in terms of
the stability of individual differences. These comparisons are sum-
marized in Table 1, which presents the intercorrelation matrix for
22-day cortisol, 28-day ~HR, 18-month basal cortisol, l8-month peak
cortisol (after the 2-hour activity test), and l8-month activity
scores for the 12 monkey subjects. As can_be seen from the table,
individual differences among subjects for AHR, 22-day cortisol, and
l8-month peak cortisol scores were strongly intercoErelated, while
activity scores were significantly correlated with ~HR and 18-month
peak cortisol scores, and the l8-month basal cortisol scores failed
to correlate significantly with any of the other measure. Thus, sub-
jects that displayed high levels of cortisol at 22 days of age when
they were moved out of incubators showed the greatest KHR scores
during subsequent conditioning sessions, and they also displayed the
highest cortisol levels 1 1/2 years later immediately following an
"activity test" but not immediately before. These findings suggest
that the tendency to exhibit extreme autonomic reactions to mildly
stressful events is highly stable throughout long periods of develop-
ment but may well be masked in the absence of environmental stress-
ors.
Self-directed
disturbance 3 mo. .30 .65* -.19 .24 .07
6 mo. .46 .41 .25 -.15 .01
9 mo. -.61* .13 -.04 .04 -.17
Self-directed
disturbance 3 mo. .67** .91*** -.24 .54* -.24
6 mo. .63* .70** .03 .55* -.35
9 mo. .54* .59* -.33 .58* -.50*
ACKNOWLEDGEMENTS
REFERENCES
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Lindburg, D. G., 1973, The rhesus monkey in North India: An ecolog-
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Psychosom.Medic. 30:2.
Mineka, S., and Suomi, S. J., 1978, Social separation in monkeys,
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Missakian, E. A., 1972, Genealogical and cross-genealogical dominance
relations in a group of free-ranging rhesus monkeys (Macaca
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Natelson, B. J., Krasnegor, N., and Holaday, J. W., 1976, Relations
between behavioral arousal and plasma cortisol levels in
monkeys performing repeated free-operant avoidance sessions,
J.Comp.Physiol.Psychol., 90:598.
Parke, R. D., and Suomi, S. J., 1981, Adult male-infant relation-
ships: human and nonhuman primate evidence, in Behavioral de-
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Main, eds, Cambridge University Press, New York.
Rosenblum, L. A., 1971, The ontogeny of vertebrate behavior,"
Moltz, ed., Academic Press, New York.
Ruppenthal, G. C., Harlow, M. K., Eisele, C. D., Harlow, H. F., and
Suomi, S. J., 1974, Social development of infant monkeys
reared in a nuclear family environment, Child Develop., 45:
670.
Rutter, M., 1981, Stress, coping, and development: Some issues and
some questions, J. Child Psychol.Psychiat., 22:323.
Sackett, G. P., 1978, "Observing behavior, Vo. 2," University Park
Press Baltimore.
Sade, D. S., 1967, Determinants of dominance in a group of free-
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primates," S. Altmann, ed., University of Chicago Press,
Chicago.
Scallet, A. C., 1981, Adrenocortical, B-endorphin, and behavioral
responses to controlled stressful conditions: A comparative
approach in rhesus monkeys and rats. Unpublished doctoral
dissertation, University of Sisconsin-Madison.
Smith, P. K., 1981, Does play matter? Functional and evolutionary
aspects of animal and human play, Behav.Brain Sciences, in
press.
Snowdon, C. T., and Suomi, S. J., 1981 (in press), Paternal behavior
in primates, in "Child nurturance, Vo. 3, "H. E. Fitzgerald,
J. A. Mullins, and P. Gage, eds., Pleum Press, New York.
Spence, K. W., 1964, Anxiety (drive) level and performance in eyelid
conditioning, Psychol.Bull., 61:129.
Spencer-Booth, Y., 1968, The behavior of group companions toward
rhesus monkey infants, Anim.Behav., 16:541.
92 S. J. SUOMI
INTRODUCTION
The question of whether the fetus (or even for certain sensory
modes, newborn) sees, hears, tastes and feels, has been under dis-
cussion for many years, but only recently has actual experimentation
on the subject been carried out.
93
94 M.-C. BUSNEL AND C. GRANIER-DEFERRE
Even though, the link between such research on fetal and newborn
sensory development and a better knowledge of infant needs, is not
usually expressed, it undoubtedly underlies many research projects.
Such results will be of help in resolving a number of questions
concerning early perceptive and cognitive processes.
Not only is the fetus subjected to sounds coming from the out-
side, as we will see below, but there is also a noisy environment due
to the mother and to itself. Such sounds as heart beat, blood flow,
intestinal gurgling and the swish due to its own movements in the
amniotic fluid are constantly present. This has been measured, for
instance, by Walker, Grimwade and Wood (1971); Murooka et al. (1976).
dB
90
70
60
150
dB
90
2 0 200 2 000 Hz
What signals the fetus ear can pick up brings us to the dis-
cussion of his prenatal acoustical capability. But if and when he
becomes capable of hearing, it is now sure that the sound of his
mother's voice, the sound of music and most loud noises from the
outside environment are present in the uterus to be heard.
AND WHAT OF FETAL AUDITION? 97
dB
o Intrauterine noise
II EmerqinQ maternal voice
60
50
40
A B c
kHz
3
2
IC .,-'~I···~.;'It1Vll'l.rrn
.•- I' _1I.Ia.& II ., 1n
01234560123456 o "2
1 3 4 5 6-5-
Anatomical Development*
* Many authors do not state precisely whether they are writing about
postconceptional age, measured at supposed conception time or, as
obstetricians do, from the last menstrual period. There might
therefore be, at times a 2 weeks discrepancy in fetal age
notations.
But as we shall see now, both on the fetus and premature, the
picture is far from being as simple as it appears in this short
resume. Cardiac responses to sound are very intricate and depend
both on age and physiological state, as well as on state of arousal
of infants, physical characteristics of stimuli, and their relevance
to the subject.
Until a few years ago, it was thought that, in the first few
months after birth, responses to simple stimuli changed from accel-
o
N
Table 1. Fetal Heart Rate (F.H.R.) Changes and Movements After an Acoustic Stimulation, in the Human
Fetus. (Studies published between 1955 and 1981).
(0)
DWORNI CKA, B. 32 38-42 5" pure F.H.R. accelera- '" 7 at 1000 Hz negli- unspec.
JASIENSKA, A. weeks tones: tion in most '" 11 at 2000 Hz gible ~
H
SMOLARZ, W. - 1000 Hz cases, but 2 t>1
WAWRYK, R. - 2000 Hz fetuses reacted Mean duration: ::0
I
100 dB (at by deceleration. CI
(1963) '" 5-15 sec t>1
':I:j
the abdominal Quick habituation. t>1
wall)
~
JOHANSSON, B. 10 35-40 I" pure F.H.R. accelera- unspecified unspec. present S;
t:j
WEDENBERG, E. weeks tone: tion.
WESTIN, B. - 3000 Hz
(1964) 110 dB ~
(measured 0
I'1j
in utero) I'1j
t:r:J
1-3
WEDENBERG, E. un- 22 and I" pure F.H.R. accelera- unspecified unspec. unspec. ~
(1965) spec. 26 tone: tion at 26 weeks
weeks - 3000 Hz No response at ~
t:j
110 dB 22 weeks H
1-3
(measured H
in utero) ~
."
BENCH, R.J. 12 34-37 2,5,10 F.H.R. accelera- unspecified 5 sec. present
MITTLER, P.J. weeks and IS" tion, no response
SMYTH, C.N. pure observed with a
VASS, A. tones: 60 dB level.
(1967-1970) - 3000 Hz Habituation of
- 4000 Hz response has
60 dB been observed
- 500 Hz after stimulus
105 and repetition.
60 dB (at the
abdominal wall)
TANAKA, Y. 134 6-9 5" pure F.H.R. accelera- :::: 20-30 negli- either in
ARAYAMA, T. months tones: tion in 124 gible terruption
(1969) 500 Hz fetuses (nothing or enhance-
( 2 at 6 months) - 1000 Hz before 7 months): ment.
( 9 at 7 " ) - 2000 Hz 100% + at 500 Hz Nothing
( 23 at 8 " ) 90 dB (at 97% + at 1000 Hz before 7
(100 at 9 " ) the abdominal 86% + at 2000 Hz months. 0
w
wall) •
Table 1. (continued) 0
.po
SONTAG, L.W. 17 37-42 a 10" musical Very small F.H.R. '" 4-5* neg li- present
(1969-1972) weeks sequence pre- decelerations gible but non-
fered by the followed by a gradu- signifi-
mother. ally increasing cant.
65-110 dB acceleration with a
peak after 2'.
GOUPIL, F.l 69 33-42 low frequencies ......•.••.... Not studied ....•.•.• 70% positive
LEGRAND, H. (121 weeks 10" duration Habituation
BREART, G. tests) l' apart studied. Great
LE HOUZEC, R. 10 to 20 stimuli variability
SUREAU, C. on fetal head
(1975)
lSismographie et reactivite foetales. 5emes Journees Nationales de Medicine Perinatale.
O. DUBOIS et R. RENAUD, eds, Arnette, Paris, 1976.
o
V'1
Table 1. (continued) o
0'
PEREIRA LUZ, N. 151 during** 5 pulses of .F.H.R. accelera- :::: 10* negli- present in
PEREIRA LIMA, C. labor 2" pure tone tion: 98% (.initial gible 84% of the
HECKER LUZ, C. (1" interval): (mean duration= increase = fetuses:
LUCIA FELDENS, V. - 1500 Hz 224" 21) mild or
(1980) 125 dB (at .Very rare F.H.R. (.maximal intense,
the abdominal deceleration increase the latter
wall) beginning before 29) followed
acceleration by an in-
crease in
fetal
activity :.::
I
(')
QUERLEU, D. 27 23-40 5" noises: .F.H.R. accelera- :::: 15 negli- present t:J:j
RENARD, x. weeks - white noise tion gible or c::::
til
CREPIN, G. - narrow band duration: 15 to a few sec. Z
tz:!
(1981) noise 30 sec. I:"'
centered at: .Long term varia- S;
1000, 1500, bility of more t::I
2000, 3000 Hz than 5 bpm (')
* Nelson, M.N., Clifton, R.K., Down, J.M., Appleton, T., and Little,
A., 1976, Heart rate and sucking responses to tones in neonates:
New state controls suggest a possible explanation for previous
failures to obtain orienting responses. Psychophysiol. 13(4):
161-162.
108 M.-C. BUSNEL AND C. GRANIER-DEFERRE
But is this the whole story? Bench and Mentz (1975) explaining
the cardiac decelerations obtained in 37 to 42 weeks fetuses, theor-
ize that newborns may be subjected to temporary inhibitions of a
number of nervous functions. Graham et ale (1978) conclude in the
same manner that, since lower brain structures are functionally
sufficient for differential responses according to stimulus charac-
teristics, cortical immaturity produces descending inhibitory effects
on subcortical activities. Although this hypothesis is enticing, it
would warrant further research as, it now appears evident that no
definite agreement can be attained until fetal reactions to sound are
correlated with type of stimulus, age of the fetus (and health con-
dition*), arousal state and the possible effect of fetal movements.
between the call of an ur.~:nown hen and either their own mother's call
or a hen call heard while still in ovo, they choose one of the two
latter, but not the unheard one.
The mother's own voice travels both through the body and, as
someone else's, through aerial channels. Fig. 3 shows that the
maternal voice emerges by 12,5 dB from background noise at 200 Hz,
116 M.-C. BUSNEL AND C. GRANIER-DEFERRE
CONCLUSIVE REMARKS
This chapter began with the question: can the fetus hear in the
uterus? It ends by asking: does he discriminate some phonetic
features? The gap between these two questions indicates both the
amount of knowledge acquired in the last 20 to 25 years and the
amount still to acquire.
bouts, if and when the mother recognizes the signs of demand (facial
mimicry, eye contact, movements and so on). But one must be aware of
their existence to perceive them. And what does the fetus do? He
reacts, every mother knows it, by kicking and/or, moving about to
unpleasant, or simply, to strong stimulations. If future mothers
were to pay attention to these reactions, and change the acoustic
environment when the baby kicks, instead of simply remarking on it,
we think that the same type of relationships that establishes itself
between mother and infant by mutual attention (after birth) could
also occur between fetuses and mothers-to-be.
REFERENCES
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movements, Am.J.Obstet.Gynecol., 136(2):239-242.
Ando, Y. and Hattori, H., 1970, Effects of intense noise during fetal
life upon postnatal adaptability, J.Am.Soc.Ac., 47:1128-1130.
Ando, Y. and Hattori, H., 1977, Effects of noise on sleep of babies,
J.Acoust.Soc.Am., 62(1):199-204.
Armitage, S. E., Baldwin, B. A. and Vince, M. A., 1980, The fetal
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Bast, T. H. and Anson, B. J., 1949, The temporal bone and the ear,
Springfield, Ill., Thomas, ed.
Bench, R. J., 1968, Sound transmission to the human fetus through the
maternal abdominal wall, J.Gen.Psychol., 113:85-87.
Bench, R. J., Mittler, P. J. and Smyth, C. N., 1967, Changes of heart
rate in response to auditory stimulation in the human fetus
(abstr.), Bull.Brit.Psychol.Soc., 20, 14A.
Bench, R. J., Anderson, J. H. and Hoare, M., 1970, Measurement system
for fetal audiometry, J.Acoust.Soc.Am., 47:1602-1606.
Bench, R. J. and Vass, A., 1970, Fetal audiometry, Lancet, 1:91-92.
Bench, R. J. and Mentz, D. L., 1975, On the measurement of human
fetal auditory responses, in "Sound Reception in Mammals",
R.J. Bench, A. Pye and J.D-.-Pye, eds., Acad. Press, New York,
23-40.
Berg, K. M., Berg, W. K. and Graham, F. K., 1971, Infant heart rate
response as a function of stimuli and state, Psychophysiol.,
8(1):30-44.
Bertoncini, J. and Mehler, J., 1980, La perception du langage chez Ie
nourrisson : quelques observations, Reprod.Nutr.Develop.,
20,3B, 859-869.
Bertoncini, J. and Mehler, J., 1981, Quelques remarques a propos de
la perception chez Ie nouveau-n~, Rev. Praticien , Paris,
Foetologie, 31(5):387-396.
Birnholtz, J. C., 1981, The development of human fetal eye movement
patterns, Science, 213(4508):679-681.
Brackbill, Y., 1973, Continuous stimulation reduces arousal level:
stability of the effect over time, Child Develop., 44:43-46.
Brackbill, Y. and Fitzgerland, H. E., 1969, Development of the
sensory analysers during infancy, in "Advances in Child
AND WHAT OF FETAL AUDITION? 121
Carmine Faienza
Since the human being is the most dependent on adults for its
survival such dependence, which is almost complete at the beginning
of its life, brought us to believe that its behavior should scarcely
be considered organized at birth.
127
128 C. FAIENZA
Prechtl has in fact confirmed again and again the op~n~on that
such states must not only be considered as a descriptive behavior
classification, but as a distinct mode of brain activity (Prechtl,
1974).
In the neonatal period such research meets with two main ob-
stacles:
1. the weight of gestational age on the EEG pattern;
2. a remarkable interindividual variability.
a D ,
I
I
,
b Di
c
f
~ ____________~\t~____~
C B 2 3 9 10 yoera
state takes place directly through an active sleep phase (REM). This
modality is maintained in the first weeks after birth only; towards
the end of the first month of life, suddenly the baby passes from
waking state on to quiet sleep.
C, - o, ........._~......
C. - O2 ________--'"
--------------------------------~-------
0 , - T, _ - ----...Jo-
O2 - r4 _ _ _ _ _ t-----._________________ ~ ____ -------
RESP
EKG .1 .1 • f
f .4
f 1, ,d ' "
f , d
4 , .I d ' , ,
! , I+ .J
! , I I J"f I I • , , I , J f • J • I
LEOG __~~~~----~------~~~~~~~
REOG __~__~~~---r'-~__--
EMG -, " ..
eye,cimed jaw jerks
F1C3 '-~~~~~'-~-v~~----~~
C301 __~~--~--~~~~~~
F1T3
T301
F2 C4 ~-r-"'\j 4' - _ , . , - . . . . , , -_ _
C402 ~-A~~~~
F2 T4
T402
C3 CZ _~,"",r- _______","","-'""'-~---'~r--..-----"""..
CZC4
Fig. 3. Normal infant. 28 weeks conceptional age. (From Werner et
al., 1977) .
136 C. FAIENZA
fOI'l\419'
!f-.:;1W)"y
I ,.c.. •. 14~9
> , I
~ . · ,~t: , .- .,
i"t.. LI
' .
I
"~ OI
, I I
..po ...,
F) - During the first months of life EEG changes are less rapid than
in the premature baby. We can summarize these changes in four points:
d) From the 6th month during the first stage of sleep (we can
now use the term drowsiness) a high amplitude theta activity (4 Hz,
100-200~V), termed hypnagogic hypersynchrony, appears firstly
described by Gibbs and Gibbs (1950).
Some other changes occur later but they are very slight and slow
in comparison to those in the first year of life, and not so import-
ant.
140 C. FAIENZA
REFERENCES
Anders, T., Emde, R., and Parmelee, A., 1971, A manual of standard-
1zed terminology, techniques and criteria for scoring of
states of sleep and wakefulness in newborn infants, UCLA Brain
Information Service, Los Angeles.
Akiyama, Y., Schulte, F. J., Schultz, M. A., and Parmelee, A. H., Jr.
1969, Acoustically evoked responses in premature and full term
newborn infants, Electroenceph.Clin.Neurophysiol. 26:371-380.
Bernet, A. B., Friedman, S. L., Weiss, I. P., Ohlrich, E. S., Shanks,
B., and Lodge, A., 1980, Vep development in infancy and early
childhood, A longitudinal study, Electroenceph.Clin.Neuro-
physiol. 49:476-489.
Bergstrom, R. M., 1969, Electrical parameters of the brain during
ontogeny, in: "Brain and Early Behavior," R.J. Robinson, ed.
pp.15-36, Academic Press, London.
Bower, T. G. R., 1974, "Development in Infancy," W.H. Freeman & Co.,
San Francisco.
Bronson, G., 1974, The postnatal growth of visual capacity, Child
Develop. 45:873-890.
Dement, W. C., 1972, Sleep deprivation and the organization of the
behavioral states, in: "Sleep and the Maturing Nervous
System," C.D. Clements, D.P. Purpura, F.E. Mayer, eds.,
Academic Press, New York.
Desmedt, J. E., and Manil, J., 1970, Somatosensory EPs of the normal
human neonate in REM sleep, in slow wave sleep and in waking,
Electroenceph.Clin.Neurophysiol. 29:113-126.
Desmedt, J. E., Manil, J., Chorazyna, H., and Debecker, J., 1967,
Potential evoque cerebral et conduction corticipete pour une
olee d'influx somesthesique chez le nouveau-ne normal,
C.R.Soc.Bioi. (Paris), 161:205-223.
Dittrichova, J., and Paul, K., 1975, Stability of individual
differences during paradoxical sleep in infants, Act.Nerv.
Super. 17:49.
Dreyfus-Brisac, C., 1966, The bioelectrical development of the
central nervous system during early life, in: "Human Develop-
ment," F. Falkner, ed., pp. 286-305, Saunders, London.
Dreyfus-Brisac, C., 1967, Ontogenese de sommeil chez Ie premature
humain: etudes polygraphiques a partir de 24 semaines d'age
conceptional, in: "Regional Maturation of the Brain in Early
Life," A.Minkowski, ed. pp. 437-4':J7, Blackwell, Oxford.
Dreyfus-Brisac, C., 1968, Sleep ontogenesis in early human
prematurity from 24 to 27 weeks of conceptional age, Dev.
Psychobiol. 1: 162-169. --
Dreyfus-Brisac, C., Curzi Dascalova, L., 1975, The EEG during the
first year of life, in: "Handbook of EEG and Clinical Neuro-
physiology," vol. 6 ""B,"" pp. 6-23, Elsevier, Amsterdam.
Dreyfus-Brisac, C., 1979, Ontogenesis of brain bioelectrical
activity and sleep organization in neonates and infants, in:
"Human Growth - 3" Neurobiology and Nutrition," F. Falknerand
J.M. Tanner, eds., pp. 157-182, Bailliere Tindall, London.
142 C. FAIENZA
Watanabe, K., Iwase, K., and Hara, K., 1973, Visual evoked responses
during different phases of quiet sleep in preterm infants,
Neuropadiatrie 4:427-433.
Weitzman, E. D., Fishnein, W., and Graziani, L. J., 1965, Auditory
evoked responses obtained from the scalp electroencephalograms
of the full term human neonate during sleep, Pediatrics 35:
458-462.
Weitzman, E. D., and Graziani, L. J., 1968, Maturation and topography
of the auditory-evoked response of the prematurely born
infant, Developmental Psychobiology 1:79-89.
Werner, S. S., Stockard, J. E., and Bickford, R. G., 1977, "Atlas of
Neonatal Electroencephalography," Raven Press, New York.
Wolff, P. H., 1959, Observations on newborn infants,
Psychosomatic Medicine 21:110-118.
INTERPERSONAL ABILITIES OF INFANTS AS GENERATORS
Colwyn Trevarthen
Department of Psychology
University of Edinburgh
ABSTRACT
Towards the end of the first year, game playing, which mothers
ritualize in action songs and chants, is changed by the baby showing
active interest in the mother's directives and referential actions.
Coventional uses of artifacts are acquired simultaneously with aware-
ness of messages in speech.
145
146 C. TREVARTHEN
INTRODUCTION
For most of this century the dominant theory has been that
infants, at least those under six months of age, are neither aware of
other persons as beings like themselves nor capable of having the
emotions which regulate interpersonal communication. The social
signals of babies have been thought to be ruled by organic needs and
their encounters with caretakers limited to management of a physio-
logical dependence. There has been a kind of tabu on the idea that
infants could have complex interpersonal responses. Indeed the
prevailing philosopy, upheld by both Freud and Piaget, has thought
young infants to be incapable of representing anything in the outside
world separate from their bodies*.
("")
>-3
fg
Fig. 1. Above: Full-term infants, Scotland. Left, intent regard of mother, 30 days; Right,
watching face, smile, vocalization and gesticulation, 35 days. Below: Dutch infant, 2
months, intent regard, smiling, gesticulations, vocalization, tonguing. (Photographs,
Saskia van Rees). z
~
INTERPERSONAL ABILITIES OF INFANTS 153
,~J
.,
a CLOTH
SCRE EN
100r------------------,
A
100 r - - - - - - - - - - - - - - - - , C
E/ P
Vl
50
z
Q
Vl
Vl ,;_ _ _ _ _ J'
w
'" ..-
'"0
100
w
~ B
;:: r ,,
I R ,
0 I
,
, I
I
w I \ I
\)
~
50
.......:r. .\ / ,
\
I
I
Z
w
F
~
w
c..
ACE-
16 WEEKS 20 WEEKS
Fig. 3. Infant behaviours over the first year and mothers' responses,
from a longitudinal study, Edinburgh. A. Infants look at
mother's face (F) or hands (H) and look-away to explore or
manipulate (E/P) when the mother attempts face-to-face play.
INTERPERSONAL ABILITIES OF INFANTS 157
Fig. 4. Mothers tease 36- to 41-week-olds with the ball. Top: Infant
smiles at reflection in camera window.
Fig. 3. (continued)
B. Looking at the mother's face (F), tracking (T) or reaching
(R) when the mother presents a ball. C. Mother's playfulness
with infant, face-to-face (Pch) and with suspended ball (Pb)
and mother's spontaneous presentation of nursery games (G).
Below: Girl at 16 weeks and 20 weeks avoiding mother to
explore the room, and reaching for a ball.
158 C. TREVARTHEN
When able to reach and grasp, the baby may grab the mother's
body, pulling or pinching her nose, mouth or hair and the act may be
gentle, accompanied by smiling and laughter or be forceful and ag-
gressive with a 'hard' expression (frown and forward set jaw).
Infant play behavior often combines positive affection and aggressive
attack as does play of young carnivores or monkeys (Aldis, 1975).
Both mother and infant use eye contact and 'smiling' to invite the
other to take part in what becomes a dynamic balance of approach and
avoidance. Happy play appears to reinforce the affectionate re-
lationship between the mother and her infant, while permitting var-
iety in practice of complying with or resisting initiatives.
, ~ b ~ ~ ,tJ'"
.- E g "'fJ 0::' ~ ;; . , ." 0
0:" .~ ."
o o
~
oC"~Q)
0 _ I) _~ 1..0
.. ..,
0, J: J:
+_.L .+_ . L + + l. l .. L_ +
A Jet. _
~luuLA."""" MICROPHONE
<:
~ I
"l> I "
"l> .. 0.
.) ~ , ." 0 C .. o Q. ~.s .,
..,c ;;"
~ " ." .) " ."
. 0
...." e }! .f:1 .- <:"l> 0
. ..,
o " ..c 0 ,-0 0:; _ .... 0'" .<:
,: I .)
co ,0
~ J: CJ
"'" '"
>-3
2 3 4 5 6 7 8 9 10 11 12 13 14 15 sec gg
Fig. 5. Girl, 20 weeks, playing with mother. A. Mother strokes right hand of infant, 'walks' up ~
arm and tickles to a traditional rhyme~ Long vocal sounds (dash) with stress (arrow), ~
gj
and short connecting sounds (dot) in regular temporal pattern. Infant's reaction shown z
in photograph. ~. Mother chants while infant moves fingers over mother's open palm.
INTERPERSONAL ABILITIES OF INFANTS 161
From the third month the infant gains more marked and more
varied facial expressions as well as a richer variety of vocaliz-
ations. Positive vocalizations develop into babbling as motor skills
for articulation of well-voiced utterances mature. At the same time
variation from moment to moment in the configuration of the vocal
apparatus of larynx and mouth cavity is controlled with increasing
reliability to express interpersonal feelings. There is, as yet, no
systematic description of varieties of voice expression in infant
utterances that accompany play. A variety of communicative motives,
or feelings about actions, are expressed in systematic changes of
pitch contour, loudness and voice quality by six months.
familiar persons who liked to play with the baby. Fathers, siblings,
uncles and aunts, grandparents or family friends could replace the
mother though their play could be different. During this period most
of the infants we studied showed increasing mistrust of a stranger
who sat down in front of them and attempted to talk to them in a
friendly way for a few minutes. A friendly stranger may succeed to
play with a six month old and keep the baby happy, but the game is
not so certain as those that develop with a familiar person. Often
the infant withdraws or cries (Figure 6).
Fig. 6. Left: Fear and crying with stranger; boy above, girl below,
40 weeks. Right: Girl, 41 weeks, expresses suspicion with a
stranger, then cries angrily when her mother returns.
164 c. TREVARTHEN
they are left with him or her. The child's reaction is one of watch-
ful doubt or sadness, with insecure frowning, avoidance of gaze and
self-directed or nervous behaviors (e.g., handling own clothes,
scratching at surfaces, placing hands on head or in front of the
face). (Figure 6). After confronting a stranger with fear, infants
may greet the mother with angry distress on her return.
DEVELOPMENT OF SELF-CONSCIOUSNESS
Fig. 7. Teasing and joking. Top line: Comical face and smile while
watching own reflection; mother required to keep her face
immobile. Nine months. Second line: Comical face to
reflection and to mother while playing with a toy. Nine
months. Third line: Touching mother's tongue and laughing at
her. Twelve months. Bottom line: Joining in a 'dance' and
peering at own reflection. Twelve months.
INTERPERSONAL ABILITIES OF INFANTS 167
the infant has voluntarily grasped her purpose and attempted to add a
matching or complementary act (Hubley and Trevarthen, 1979). Again,
a six-month-old will reach and grasp for a preferred object or one
placed on a surface in front of it. But the baby will not hand over
an object to the mother in compliance with her 'asking' and holding
out her hand. For this to occur a new form of awareness which re-
presents the mother as a partner in use of objects must develop.
Hubley (Hubley and Trevarthen, 1979) has shown that the reluct-
ance or inability to comply with instructions concerning object use
described above changes at about 40 weeks after birth at which age
the infant develops a positive interest or willingness to take part
in the task which the mother is presenting. We confirm Hubley's
findings (Figure 9) and we observe that this age-related change has a
marked effect on the way the mother speaks to her child.
upon some development in the infant that causes the mother to change
her behavior. The change in the mother's attitude evidently facili-
tates development of cooperative awareness, but it does not cause it.
It would appear that the one-year-old infant has gained not only
some awareness of words, but a conception of sharing in a task and a
willingness to engage in exchange of language-like messages or in
constructive acts that have been chosen by the mother as part of a
task to be done. Awareness of her communicative potential has been
transformed in the infant, and this causes the change in her speech.
%
40
30
PERCENTAGE OF
ILLOCUTIONARY
ACTS OR
COMPLIANCE 20
.... ", J
••••••
... ....
; '-- ____ ATTRACT
10
•••••• STATEMENT
•••••• .. • .. OUESTION
16 24 32 40
AGE IN WEEKS
The infants' utterances were rarely clear words, but the proto-
language was fluent with well-controlled intonation, pitch contour,
loudness, prosody and quality variations to convey intended communi-
cations. Many gestures, attitudes and facial expressions were made
indicating the direction of interest, excitement, serious concen-
tration, amusement, imitation, etc. In this communication the
mother's familiar presence and her habitual forms of communication
were clearly important. The infant was incapable of this level of
inventiveness and enjoyment in the presence of another adult.
time on a given item. With the mother's help the child carried out
consecutive steps in a task (putting doll to bed, then feeding it,
taking clothes off doll to bath it, sitting the doll or dog in the
chair and brushing its hair). Often the child seeks approval from
the mother for his/her own ideas and listens well to the mother's
speech which is more elaborate and clearly very well comprehended. A
conversation may develop around a continuous sequence of actions with
the objects. Their interrogations concern the relation of the things
present to things known habitually. Thus the recognition of conven-
tional objects with meaning is enriched by the labelling of a more
comprehensive language with many verbal contributions from the child.
At three years, the child has made such strides in language that
genuine dialogue accompanies the play with toys. Many references are
made to absent persons, situations and experiences. There is richer
imagination about the intentions brought to life in speech and mean-
ingful actions. The efficiency of this communication is greatly
supported by the mother's comprehension of imperfectly pronounced
words, incomplete sentences, references to items of mutual habitual
knowledge. Some of the child's language is playful, inventive and
baffling to the mother. The mother may deliberately, and sometimes
facetiously, use language far above the child's comprehension, making
allusions for her own entertainment.
They talk about the taxi ride to the laboratory, father at work,
home, the other room.
When we asked the mother to teach three new games ('Snap!' with
picture cards and 'Hide and Find', a red wooden top being hidden in
one hand while both hands were held behind the back) and to present a
simple Piagetian conservation of number task, the children joined
enthusiastically with the games the mother was trying to teach them
and showed much willingness to learn the 'rules' of behavior which
are appropriate. The conservation task, although still concentrated
upon, does not offer the same scope for mutual enjoyment. One child
managed the task perfectly, and the rest were seen to vary in per-
formance despite some ingenious presentations of the task by their
mothers. One infant summed up her position succinctly when during
the task she turned to her mother and said with revealing introspec-
tion, 'I can't do this; I'm too young to do this'.
CONCLUSIONS
ACKNOWLEDGEMENTS
REFERENCES
CROSS-CULTURAL PERSPECTIVE
Irenaus Eibl-Eibesfeldt
human nature into consideration, until Bowlby (1958, 1969) and Spitz
(1965) pointed out certain needs of the child which had to be ful-
filled if he was to develop a healthy personality. In particular a
reference person should be available to allow the child to bond with.
Only in such a relation, they argued, could the child develop the
basic trust which constitutes the cornerstone of any healthy person-
ality. They pointed to the fact that hospitalized children, who were
deprived of the opportunity to establish such an intimate personal
relationship, experienced serious distortions in the development of
their personality.
Thus two theories oppose each other, both serving as a basis for
educational experiments on a large scale. Environmentalists argue
that our form of family life is the result of economic developments,
involving the acquisition of property and accompanying rules of
inheritance. Prior life is assumed to have been structured on a
collective basis, representing the original state of man, which
accords to his nature. Children therefore should be liberated from
parental dominance in favor of collective education and grow up free
trom frustration. Guidelines for teaching in Hessian schools
recently went as far as to promote Wilhelm Reich's ideas on the need
for the sexual liberation of the child. Others consider these ideas
to be harmful and inadequate for the developmental stage of child-
hood. Furthermore they emphasize that there are also certain psycho-
logical needs of children and parents which must be taken into con-
sideration, in particular the fact that man is, by nature, a familial
being.
PATTERNS OF PARENT-CHILD INTERACTION 179
stating that there exists no strong emotional tie between mother and
child on Samoa, and, at the same time, he pointed at a crying toddler
who had to be held back from following his mother on her fishing
excursion. This separation protest is familiar to us in our society
and well-known to the Samoans as well. Thus, in Samoa too, the baby
singles out mother as the most favorite person, and indeed a strong
emotional tie exists between mother and child. Once Derek Freeman
had opened my eyes to the nontriviality of such a seemingly trivial
event, I kept them open and, so far, have encountered no culture in
which Bowlby's "monotropy" did not manifest itself. I might add that
the term monotropy is perhaps misleading, since a child can be bonded
to several reference persons in various degrees, especially his
father. But since the term is meant to describe the baby's unique
predisposition to bond primarily with his mother, it is adequate, as
long as one keeps in mind the fact that the baby bonds to other
people as well.
(1) Derek Freeman just informed me by letter that his book: "On
Coming of Age in Samo: The Nemesis of an Anthropolocical Myth", is
now in print at the Oxford University Press in New York.
(2) Baby No. 1 486 minutes, baby No. 2 542 minutes, both during
daylight hours.
PATTERNS OF PARENT-CHILD INTERACTION 181
babies are found. Klaus and Kennell, who evidently expected cont-
inuing differences in the mother-child bond, sound a bit disappointed
as their results appear to support the opinion of those who consider
natural birth a romantic fad without real significance. However, I
think this is too hasty a conclusion and would promote the thesis
that mother-child contact immediately following natural birth has
promoted attachment in a critical phase of development in the past,
and thus might be still of great survival value, particularly for
children who were unwanted for socio-economic reasons. One could
investigate this matter among mothers who wish to give their babies
up for adoption, looking at what percentage of mothers, who deliver
by natural child birth with immediate mother-child contact after
birth, stick to their decision in comparison with mothers who deliver
according to the usual clinical routine. I would predict that more
of the former than the latter would change their minds. Although
bond formation is enhanced by immediate contact after natural child-
birth, the system appears to be flexible. The mere presence of a
baby will ensure the growth of strong maternal attachment even at a
much later stage and after prolonged mother-child separation. As is
the case with many biological systems in many other mammals, we have
a number of insurance mechanisms which back each other up in the
event of one failing. It is the initial acceptance of the child
which is assured by mother-child contact after birth. Should for
some clinical reasons such a contact not be possible, a strong bond
will nonetheless grow, but it will take more time to achieve equal
strength.
(1) Mothers decide whether a child shall live or not. Healthy baby-
girls may be killed if the mother already has a girl. in such a case
she decides before birth. The baby then will be wrapped in fern
leaves and the parcel discarded in the bush. (see SchienfenhBvel, G.
and W. 1978).
PATTERNS OF PARENT-CHILD INTERACTION 185
a)
b)
c)
d)
Fig. 2 (cont.) The patterns sometimes superimpose each other but also
alternation can be observed.
(From a film sequence taken with 25 frames/s by the
author).
188 I. EIBL-EIBESFELDT
visually fixating, even before he has good visual abilities. Reflec-
toric smiling also occurs in the newborn, and mothers respond to
these signals as if they were signs of affection, interpreting these
and many other utterances as acts of intended communication, comment-
ing and answering them and stimulating further utterances. Later in
the baby's life the mother will respond largely to vocal and finally
to verbal utterances. According to Stern, (1977) two types of inter-
action occur from the start, which he labelled coaction and alterna-
tion. During coaction both mother and children engage in the same
type of activity, while during alternation both take turns as in a
dialogue. Stern emphasizes that the latter does not derive from the
former, but rather that both patterns exist simultaneously from early
age. Coaction occurs when both mother and baby are having fun in
play and thus are strongly emotionally engaged. It demonstrates
unity and, in this respect, it appears also in adult rituals such as
love-duetting in opera, hymns, march music and other activities
(Stern 1977). Alternation is characteristic for situations in which
the mother instructs. I would add, however, that it can also be
another from of demonstrating unity comparable to the antiphonic
duetting which bonds birds.
When both mothers and fathers speak to their babies their voices
change and the intonation level becomes raised approximately one
octave (figure 6,7,8,9). Mothers talk higher, in a softer voice and
with simpler vocabulary than in ordinary speech: in other words, in
baby-talk. Ferguson (1964) found the same principal patterns of
baby talk in five European cultures. I can add that even in cultures
as remote from our own as the Eipo, Himba or Yanomami, mothers engage
in this sort of baby talk. The subject is presently being investi-
gated by R. Eggbrecht.
PATTERNS OF PARENT-CHILD INTERACTION 189
a)
b)
c)
d)
Fig. 3 (cont.) (c) When she finally shows readiness to accept him, he
responds with a clear cut off. Then he will continue to
protest and finally will allow his mother to take him.
(From a l6mm film taken by the author with 2S frames/s.)
PATTERNS OF PARENT-CHILD INTERACTION 191
Fig • 4. Young Eipo woman (West New Guinea) addressing a baby with
a smile and an eyebrow flash in typical face-to-face
orientation. This will be followed by verbalization and
face-to-face contact. (Film sequence taken by the author
with 25 frames/s.)
WAlKA : MAN--OOG
BT NS
- 2000
~ttI- IOOO
- 200 Hz
,...
"".''''.
° Hz - - --
- ~ .,.
Fig. 6-8.Examples for baby talk (BT) and normal speaking (NS),
Top: Yanomami male (upper Orinoko) addressing a baby
(BT) and normal speech (NS).
Middle: Yanomami male addressing a dog (BT) and normal
speech (NS).
Bottom: Eipo (West Newguinea) child (girl) addressing a
baby (BS) and her normal speech (NS).
The sound spectrographs were made by R. Eggebrecht from
tapes taken by the author.
194 I. EIBL-EIBESFELDT
OCTA
5
4
HALF-1 3
TONES 2
1
NS ----4 n.89 n=17 n=10 n=19 n=14
Fig. 9. The difference between normal speaking and baby talk in five
cultures. The sound level is raised by about one octave.
From a published work from R. Eggebrecht.
is the response of the baby who seeks to hold his mother. The baby's
hands, in this case, seek a firm hold and grasp. It is a protection-
seeking response and occurs in man and non-human primates as self-
clasping during spells of lonely despair.
196 I. EIBL-EIBESFELDT
Fig. 12. Kiss feeding in the !Ko Bushmen: a young woman kiss feeding
her baby-halfsister to comfort her. The baby responds with
acceptive gaping, the woman pushes with her tongue a small
piece of melon in the babies mouth.
(From a 16mm film taken by the author with 50 frames/s).
Fig. 13. Yanomami girl kiss feeding her baby sister with saliva.
(From a film sequence taken by the author with 25 frames/s.)
occurs in babies who are only 34 hours old, and is probably innate.
It is in fact an expression of "sympathy" in its earliest manifesta-
tion. Individuals have a crying pattern which is universal. It is
composed of an expiratory sound of .6 - 1.4 seconds, followed by a
pause of .2 seconds, then an inspiratory whistle of .1 - .2 seconds
duration, a pause of .2 sec. and again an expiratory sound. The
fundamental frequency is 400 Hz beginning with 300-350 (.2 sec.)
rising to 500 for .2 sec. and dropping to 300 or 200 for .2 sec. The
utterance is loud, 80 decibels at 30cm from the mouth. Hunger, pain,
and birth cries are variations on a basic theme, signalling differ-
ences in experienced discomfort. A rising and falling melody was
found to be associated with hunger cries, any melody other than a
rising and falling one with a length of more than 1.5 sec. associated
with pain, and a similar one with shorter intervals with birth. The
basic pattern is recognizable in different cultures, but cultural
styles also occur. Caudill and Weinstein (1969) found pronounced
differences in the crying Japanese and American babies at the age of
PATTERNS OF PARENT-CHILD INTERACTION 199
Fig. 14. While drinking, babies manipulate the free breast with one
hand. Top: !Ko-Bushmen Bottom: Himba (Photographs by the
author).
own baby slept at the breast, or when it was still quite young. In
older babies it released often violent responses from her own baby.
Play Dialogues
taken hold. In order for the partner to let go, the receiver must
act in a way as to express respect for the norm of possession, that
is, he should not try to take the object away before it is released.
The majority of infrahuman primates is evidently not capable of
passing on objects with the hand. A baboon, who wants an object from
PATTERNS OF PARENT-CHILD INTERACTION 205
another baboon, will simply make a threat face and try to grab and
run away. Situations of giving in most mammals and birds are re-
stricted to very specific situations of parental feeding and court-
ship, although chimpanzees and gorillas can pass on objects in the
manner described above.
(1) The emphasis early psychoanalysis has put upon toilet training,
and its importance for the development of character traits of the
adult is expressed in their terminology. To characterize the phase
where a baby starts to acquire language, walks, explores his environ-
ment as the "anal phase" is, to put it mildly, grotesque.
208 I. EIBL-EIBESFELDT
Spiro (1979) found that girls raised with boys, under a strict
egaliteran scheme in traditional Kibbutz communities, nonetheless
played differently from boys. Among other things, girls preferred
women as models, but of the many female models available, they only
mimicked the nurturant models. In nonliterate cultures children grow
up within an intricate network of individualized relations. Those
outside the family being of particular importance for the development
of social skills. Of particular importance are children's play
groups. Among the Bushmen children, from three to puberty, spend
most of the day in the company of other children, joining or with-
drawing from play group as they please. These groups are sometimes
composed of children of both sexes and all ages, and sometimes of a
few children all of the sam sex. In Bushman play groups there exists
a rank order with older children usually holding the higher rank
positions (Hold 1980). They organize games, comfort the younger
children in distress, scold boys who misbehave, encourage sharing,
interfere in aggressive encounters (Sbrzesny 1976). Adults rarely
interfere with their children's activities, but children rather work
out their problems on their own. Children in many societies have
their own children's culture with traditions being passed on from
older children to the younger ones. The older teach the rules of the
games, the riddles and rhymes - and thus make the children culture
continue.
form a biological unit and, may we add, together with the father a
biological triad. In all cultures studied by us, the mother also
provides the secure basis from which the child ventures to explore
his world, and to where it returns to find security. In all tribal
cultures babies grow up in a very protective environment. They enjoy
much body contact with the mother, sleep with their mother, and are
nursed for a long time. This is one of the most striking differences
with Western culture where babies sleep alone in their cribs. This
is often criticized as causing traumatic experiences, but we should
not be too hasty in condemning child rearing practices as "unnatural"
before having looked into the possibility that we are dealing with
culture-specific adaptations. Furthermore we should not simply
equate separation of mother and child during sleeping with love
deprivation. CHildren adapt to it in society, provided that contact
and love are otherwise provided. Of course there are signs indicat-
ing that sleeping alone is experienced difficult for children to
adapt to, and consequently special rituals for saying good night have
evolved in our cultures as coping strategies. In addition, children
accept substitute objects like pacifiers - a breast substitute - and
security blankets or dolls with which they huddle while sleeping.
Children become bonded to these objects emotionally, as if they were
social partners. In fact I know of a young lady and mother who is
still bonded to a green croccodile made of cloth, which served her as
a companion in childhood. She is passing this habit on to her son,
and interesting example of the build-up of family-specific tradi-
tions, which may give raise to a "croccodile clan".
REFERENCES
Bowlby, J., 1958, The nature of the child's tie to his mother. Int.J.
Psychoanalysis, 39, 350-373.
Bowlby, J. 1969, Attachment and loss. Vol. 1. Attachment. The Int.
Psyco-Analytical Library, Hogarth Press) 79 London.
Brazelton, T. (1962) Crying in infancy. Pediatrics, 29, 597-588.
Caudill, W., and Weinstein, H., 1969, Maternal care and infant
behavior in Japan and America. Psychiatry, 32, 12-43.
Clarke-Stewart, K. A., 1978, And Daddy makes Three: The Father's
impact on Mother and young child. Child Development, 49,
466-478.
Draper, P., 1972, !kung Bushman Childhood. Unpublished doctoral
dissertation, Harvard University.
Draper, P., 1976, Social and economic constraints on child life among
the ! kung , in:"Kalahari Hunter-Gatherers," R. B. Lee, & 1.
DeVore, eds~ (Harvard U. P.) Cambridge/Mass. & London,
199-217.
Eibl-Eibesfeldt, l., 1968, Zur Ethologie des menschlichen
Grussverhaltens. I. Zeitschr. Tierpsychol., 25, 727-744.
Eib1-Eibesfe1dt, I., 1971, Zur Etho1ogie des menschlichen Gruss-
verha1tens. II. Das Grussverha1ten und einige andere Muster
freund1icher Kontaktaufnahme der Waika (Yanoama). Zeitschr.
Tierpsycho1., 29, 196-213.
Eibl-Eibesfeldt, I., 1972, Die !Ko-Buschmanngese11schaft:
Aggressions-kontrolle und Gruppenbindung. Monographien z.
Humanethologie 1., Muncher (Piper).
Eibl-Eibesfeldt, I., 1973a, The expressive behaviour of the
deaf-and-blind-born, in: "Social Communication and Movement."
M.V. Cranach and T. Vine, eds., Academic Press, London,
163-194.
Eibl-Eibesfeldt,l., 1973b, Der vorprogrammierte Mensch. Das Ererbte
als bestimmender Faktor im mensch1ichen Verha1ten. Vienna
(Molden) dtv 4177 (1976).
Eibl-Eibesfeldt, l., 1974, !Kung-Busch1eute (Kungve1d, Sijdwestafrika)
- Geschwisterriva1itat, Mutter-Kind-lnteraktionen. Humane-
thol. Filmarchiv der Max-Planck-Gesellschaft HF 41.
Homo, 24: 252-260.
Eib1-Eibesfeldt, I., 1976, Menschenforschung auf neuen Wegen. Vienna
(Molden) .
Eibl-Eibesfeldt, l., 1977, Patterns of greeting in New Guinea, in:
"New Guinea Area, Languages and Language Studies 3, Language,
Culture, Society and the Modern World, Fascicle 1, Division 6,
Non-Verbal-Communication", S. A. Wurn, ed.,209-247. Pacific
Languages Series C-Nr. 40.
Eibl-Eibesfeldt, I., 1979a, Ritual and Ritualization from a
Biological Perspective, in: "Human Ethology: claims and limits
of a new discipline".M. ~ Cranach, K. Foppa, W. U. Lepenies,
D. Ploog, eds. Maison des Sciences de l'Homme & Cambridge U.
P., 3-93.
Eibl-Eibesfeldt, I., 1979b, The Biology of Peace and War. (Thames &
Hudson) Great Britain.
214 I. EIBL-EIBESFELDT
Developmental Psychobiology
Max-Planck Institute for Psychiatry
Munich, F. R. Germany
INTRODUCTION
Jan Amos Comenius was the bishop of the Moravian Brothers and
one of the leading personalities of the reformatory movement in
Central Europe during the Age of Reason in the XVIIth century. His
extensive education, devotion to noble humanistic principles, and
lively contacts with leading scholars in most European countries led
him to intensive engagements at the Royal Academies in both England
and France. John Harvard attempted to make Comenius the President of
his university in New England and could not succeed only because of
Comenius's obligations concerning the reformation of the educational
system in Sweden.
219
220 H. PAPOUSEK AND M. PAPOUSEK
rental care, and (2) that education, both preschool and scholastic,
should be carried out playfully. "Schola Ludus" (1657) was the title
of one of his works important in this regard, whereas "0r bis Pictus",
the first picture book for children offering a fundamental rational
knowledge and a vocabulary in Latin and in the main European lan-
guages, quickly became the first international educational bestsell-
er. The current revival of interest in playful activities for young
and old, and the enthusiasm for didactic programs for the first year
of life hopefully justify reminding the reader of recommendations
made two-and-a-half centuries ago.
Now, the third point which is of utmost relevance for the ques-
tion of parental didactic capacity has gone far beyond the scope of
the preceding set of theoretical arguments. Rather, it indicates
where we have to catch up in our analysis and gives us a chance to
augment our effort by considering empirical findings.
times in a session and before doing so, asked mothers whether they
would allow us to do this and whether they would recommend how to do
it without discomforting babies. Although according to our own
observations these mothers used to interrupt breastfeeding themselves
several times without difficulties, they could not give us any recom-
mendations. Having rechecked their experience in this regard with
increased conscious attentiveness, they were able to confirm that it
was easy to interrupt breastfeeding. However, in most cases they
gave us misleading explanations as to how to prevent protests from
babies. We had to detect the simple principle ourselves: if the
mother pulls out the nipple from the infant's mouth during a pause
between bursts of sucking movements, the infant remains quiet; other-
wise, it is very difficult to pullout the nipple at all, certainly
not without protest.
verbal feedback from the infant on the didactic effect, and we have
less time for conscious rational control of any communication with
the infant.
Hutt (1966), has perhaps been the most systematic in the experi-
mental analysis of the play of preschool children; she elicited
various perceptual and cognitive functions with an artificial toy
displaying visual and auditory feedbacks in controlled combinations.
Directing much more attention to affective predispositions and diffi-
culties resulting in children from severe problem situations, play
was employed as both a diagnostic and a therapeutic tool by Winnicot
(1971), Erikson (1963) and others. In spite of their important
contributions, the above studies have not focussed upon the earlier
ontogenetic and phylogenetic developmental roots of play or its
counterpart in parenting.
Let us now consider where the infant can find the first toys
that would support the development of integrative competence, and
moreover, toys that would be so universally available and so early
applicable so as to point to the path of the evolutionary past of
234 H. PAPOUSEK AND M. PAPOUSEK
During the first trimester, the infant mainly explores new vocal
capacities and first has to learn how to modify and expand the length
of expirations, the pitch range, or the intensity of elementary
sounds. Only with the increasing integration of component functions
can a higher competence enable more complex variations or combina-
tions of previous elements in new patterns. Signs of pleasant expe-
rience more distinctly start simultaneously to accompany similar
vocal activities and give them a character of vocal play. The signs
of pleasure observable during infant monologues belie the presence of
either boredom or stress due to the "unknown", and thus permit the
assumption that the infant can already successfully avoid both kinds
of stressful states by operating on the higher level of integration,
including playful operations.
PSYCHOBIOLOGY OF THE FIRST DIDACTIC PROGRAMS 235
In a detailed single-case observation (Papousek and Papousek,
1981), we have shown that during the second trimester, the modifica-
tions of repetitive segments appeared and were followed by facial
signs of pleasure. Modifications involved melodic, temporal or
intensity features of musical elements in vocalizations, i.e., fea-
tures controlled by the lower coval tract, which is believed to have
functioned earlier during evolution than the upper vocal tract
(Myers, 1968). With the development of cortical control over the
upper vocal tract, which is necessary for syllabic articulation, the
repertoire of vocal play expands to new dimensions in the third tri-
mester. Syllabic sequences, among others, enable displays of new
patterns of rhythm and accent, and the emergence of new forms of
articulation, for instance, in connection with dentition, stimulates
increased vocal exploration.
ACKNOWLEDGEMENTS
REFERENCES
AUTISTIC CHILDREN
John Richer
Paediatrics Department
John Radcliffe Hospital
Oxford, England
241
242 J. RICHER
"Guilt" factors. The majority of parents of handicapped children
feel guilty enough, where there is no clear "organic" cause, their
guilt is often increased. Some of the early autism literature further
compounded this guilt by seeming to "blame" maternal handling for a
child's condition (Bettelheim, 1967; Ferster, 1961). This may partly
account for why it often takes several months for some parents to
describe certain factors e.g. marital discord, surrounding their
child's early life. This adds to the unreliability of retrospective
data.
SAMPLE CHILDREN
METHODOLOGY
Causation
1976). Given this low threshold it has been shown that avoidance is
less likely and approach more likely when an autistic child is not
gazed at (Hutt and Ounsted, 1970; Richer and Coss, 1975) or not reacted
to with intense smiles, talking, and other strong social signals
(Richer and Richards, 1975). The situation is not quite as simple
as that for there are times when autistic children react with further
approach to being looked at, smiled at, and so on. This is often In
vigorous physical play or very quiet, slow, simple interactions.
Communication
Consequences
Ontogeny
This brings us to the second and more difficult of the two onto-
genetic questions posed earlier, namely how did the child develop to
become so predominantly avoidance motivated? First, let me summarise
the factors so far discovered which at least correlate with autism.
lower than average in the autistic group (Links et aI, 1980). Although
not found in earlier studies, more recent studies find that maternal
age is higher than average (Links, 1980).
Where does this leave us? It seems that the approach comparing
static factors in groups of autistic children and control groups,
though useful, has not yielded a clear picture. An additional approach
is needed. The one I propose is simple and familiar in ethology.
I propose to examine the ontogenies of individuals and look for cornmon
processes. These processes may not be influenced by exactly the same
factors in different individuals although the effect on the process
may be similar. I shall start from the end point of the autistic
child's behaviour and try and work back to discover processes which
could lead to it (cf Clancy and McBride, 1969, 1975). Unfortunately
because of all the difficulties involved in this developmental question
and in particular because these processes are lost in the past of each
child, direct data is rarely possible to obtain. Two approaches will
be used. Firstly, there exist a number of reports of processes leading
to avoidance and other "autistic behaviour" and these will be described.
Secondly, data will be analysed from individual children's histories
and early home movies (Massie, 1978a) to see if any of these processes
seem relevant.
Two sets of results are relevant. The first comes from the work
of ~1ain (1975) carried out within the framework of attachment theory.
The findings of interest here are that there is a small percentage
of home reared, normal, one year old children who, after a couple of
brief separations of only a few minutes each from their mothers, show
for a short period strong avoidance behaviour of their mothers upon
their return which is very similar to the avoidance of autistic
children. Such avoidance is also seen in most children after prolonged
separation as the early studies of the Robertsons and Bowlby showed
(Bowlby, 1969). After reunion, this avoidance later gives way to much
clinging, crying, attention seeking and other intense attachment
behaviours. Main finds that her avoidance prone babies are also more
254 J. RICHER
the family went on holiday to the seaside. After this his autistic
behaviour was well established and his language and social development
virtually stopped for over two years until he started school.
Case II. A severely retarded autistic boy was the first child
of his mother's second marriage, she having had four normal children
by her previous marriage. He was said to develop normally up to 11
months when he was taken ill one evening and rushed to hospital. The
nurse insisted mother leave immediately. The ward was dark. The boy
remained in hospital for the next week with only daily visits from
his parents. His behaviour started to deteriorate markedly. At 18
months the family moved from their previous home and stayed with the
maternal grandparents for two months before moving to their new house.
During this period the boy was in a road traffic accident and trapped
face down between the front and back seats of the car for some time.
During the period from 11 to 20 months his behaviour deteriorated
until he was severely autistic. However, a definite diagnosis was
not made until he was 41 months although the family had been receiving
help before that. At 48 months the child suffered some "blank spells"
and the possibility of seizures is currently being investigated.
THERAPY
We may also see the high and low intrusion approaches in behaviour
therapy terms, they correspond to the two methods of treating phobias,
namely flooding and desensitisation. Here, however, the object or
situations avoided are not spiders or heights or being unaccompanied
out of the house, the situations being avoided are aspects of social
interactions.
REFERENCES
Brazelton, T. B., Koslowski, B., and Main, M., 1974, The origins of
reciprocity, in: The Effect of the Infant on its Caregiver.
M. Lewis and ~ A. Rosenblum, ed., Wiley-Interscience. New York.
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APPENDIX
Social avoidance: Move away, turn away, gaze avert, hang head,
on periphery, face wall, relinquish, fear grin, voice rising in pitch
at the end, defensive postures e.g. arm over face or head, chin in,
hunch.
PARENTAL AFFILIATION AS A KEY REFERENCE IN THE TREATMENT OF
INFANTILE AUTISM
Michele Zappe11a
267
268 M. ZAP PELLA
A valid reference point on this subject stems from the Ancient Greeks
and their concept of "natural law". It is constantly defined in their
tragedies, imposing on parents protection of offspring, provision of
what is necessary for their growth and introduction to the social
world around them and its culture. "Natural law" mayor may not agree
with "ordinary law": Agamennon, for example, by ordinary law ought
to have put his daughter Iphigenia to death, but by doing this he vio-
lated "natural law". The result of his action was in fact the starting
point of a number of tragic events. An ultimate ethic, stating which
are the basic reciprocal rights and duties of parents and children,
is necessary in order to define the limits of their behaviour. This
is perhaps even more true in a culture like ours where values are often
confused. For example, an autistic child aged four drinks only milk:
is his mother entitled to force him to feed on solid food? Is it
violence or is it her duty?
The case of George, a child also aged six when I first met him,
is rather different. He was affected by a congenital disease affec-
ting foveal vision only, but preserving peripheral vision as well as
most of the others eNS abilities. His development had been normal
up to the beginning of his second year of life when, already able to
walk and say his first words, he began to deteriorate, going so far
back as to lose his speech abilities and even autonomous walking.
When I first met him, he had a prevalent gaze and hearing aversion,
was not able to utter a word, standing most of the time apart, sitting
or lying down, involved with a number of stereotypes. He was there-
fore at that time on a much lower level of intellectual and emotional
maturity than Antonino.
In his case I asked his mother to hold him firmly in her arms
and to resist his attempts to run away from her. This suggestion,
which is the core of M. Welch's technique, was well accepted by her.
She kept holding her child for long periods of time in spite of his
complete resistance, screaming and biting. I asked her to continue
holding him every day at home which she did, but in spite of regular
meetings between this family and myself no relevent changes in the
child's conditions could be registered after three months. At that
point I visited their home and saw immediately that the mother's
schedule was devoted most of the time to cleaning and driving her
children to their various activities. Staying with them I was able
to allow several suggestions to come up about the different ways of
PARENTAL AFFILIATION: TREATMENT OF INFANTILE AUTISM 273
dealing with problems and finding means of letting the mother relax
more and have more time with her affected son.
The change came when, a few sessions later, the mother told me
that a few days before she had brought her son to a barber's shop
and the child had made as usual a great fuss: she had had an explosion
of anger and took his face very close to her face, asking him to be
quiet and to behave properly. He then suddenly behaved well and sub-
sequently, when she brought him home, she continued to order him
firmly, obtaining from him a type of behaviour activities that she
had never obtained before. I asked the mother to repeat this sequence
and then to involve herself with him with all her energy and spontan-
eity. She took him in her arms, put her face in frontof his, speaking
loudly, asking him to call her "mummy", because she had had enough of
his silence: then she put him underneath her and, while the child
was screaming, continued for several minutes her request until he
answered and, weeping, called her "mummy, mummy!" She then took him
again in her arms and was at times very sweet and at other times she
made fun of him: he began to laugh and repeated some of the words
that she was saying.
On that occasion the mother was excited by the fact that this
activity with her son had evolved essentially from her suggestions:
it was also, in her own words, a way to show the other members of the
family that she was able to master her son's greatest difficulties,
whereas until then she had felt somehow inhibited by the paternal
grandparents who were living with them. Afterwards she made herself
free to be able to be with her son for the whole afternoon (in the
morning he was at school) and he remained with her during those hours
almost constantly.
In other words from this example it seems clear that the mother
is encouraged to make an extensive use of visual, auditory and tactile
stimuli which are well known to promote attachment from small babies
onwards. However, in order to break the "autistic wall" their in-
tensity must be higher than in normal mother-child situations and
therefore they must also vary. In order to accomplish this her feel-
ings (defined as functional aspects of behaviour, according to Heller,
1981) are moved in the correct direction by evoking some central as-
pects of her personal experience and history as well as by her prox-
imity to the child and by a particular way of patterning perception.
a strong social tie between herself and her son was made possible
because this couple was related to a rich collaborative social net-
work. In this respect one could say that if some central aspects of
this mother-child relationship, such as the eye-to-eye, extensive
touching, etc., may have a biological, genetically determined, instinc-
tual basis and may therefore favour a more intense response, this can
hardly happen without an adequate cultural background, related to
feeling and to personal history both in the mother and in her sur-
roundings.
where, he told me, he was able to survive with the help of a similar
efficient but subtle way of communication. He had to make a definite
and large number of utensils everyday if he wanted to receive his
meagre meal and the same was true for a young German girl who was
allowed to go back home at the end of the working day. She was unable
to accomplish all this work and he helped her by doing what she could
not manage to do, receiving some slices of bread and butter from her
in return, which allowed him to survive. This extra work and the con-
sequent communication were carried out near the Nazi officers, but
they never discovered it. When he came back home he was distressed
and became an alcoholic: but recently after the birth of his two
grandchildren (Olivia was the second), he has suddenly become the
sweet and generous man that I was able to meet. This short account
of his personal history indicates that he had learned through his
personal experience the correct strategies for difficult communications
and, moreover, had attained an emotional maturity passing through the
stages of union, suffering, pain and help.
SUMMARY
REFERENCES
Baker, B.L. and Heifetz, L.J., 1976, The read project: Teaching manuals
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Berkowitz, B. P. and Graziano, A. M., 1972, Training parents as
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Bettelheim, B., 1967, "The Empty Fortress", McMillan, New York.
Camus, A., 1942, "L'etranger", Gallimard, Paris.
Delacato, C. H., 1974, "The Ultimate Stranger", Doubleday, New York.
Dell, P. F., 1880, II terapista familiare Hopi e la famiglia aristo-
telica, Terap. Fam., 8, 55.
Dorfles, G., 1980, "L'intervallo perduto", Einaudi, Torino.
Heller, A., 1981, "Teoria dei Sentimenti", Ed. Riuniti, Roma.
PARENTAL AFFILIATION: TREATMENT OF INFANTILE AUTISM 281
Claudio Stroppa
University of Pavia
283
284 C. STROPPA
involved with the parent-child and family system, which are certainly
deeper in those cities where their significance is in sharp decline.
Modernisation and large scale industrialization have caused a constant
growth of new socializing agents, such as for instance, red-tape
school and mass-media. And it was thanks to a research on extra-
familiar socializing agents led in order also to eliminate a series
of prejudices - bearing in mind the ineluctability of complex indus-
trial societies - that the influence of urbanesim contents on the
current modes of child socialization became more evident.
The first and most important ones - since they produce other
ones - are connected with the radical changes affecting the role and
even the existence of local communities, and more generally, in the
long run, the connection between collective life and space. More
and more often, one only sees the negative angle of the change that
has affected local communities, the start point of which can be very
remote. Ledrut even states: today, the city is no longer existing.
Surely, this statement can be very strong and if related to the
problem of child behaviour, particularly in a period of "strong"
institutional socialization (from 6 to 13-14 y.o.) it may introduce
288 C. STROPPA
present and future modes that can be very different from what hap-
pened in the past, because of a trend of influence from the city,
of perception from the child, different were it not only for a
generation gap.
last thirty years, and this "soul" has created new urban modes which
we could define, according to their own humanistic will, urbanity.
This does not mean at all that more typical, degraded forms of the
past, that have affected the social life, have completely disappeared.
We just want to emphasize, like in other sectors, the search for a
new social and cultural life style: the appropriation of space by
men in connnunities is c.alled upon to take new characteristic. The
old local integrations and ancient, social and cultural mediations
are dead or survive in a limited form, as well as types or urban
civilization connected with these realities.
A new integration system with its own space form will be con-
stituted. Certainly, this will influence the institutional social-
ization processes of childhood and consequently, its urban behavior.
In what way? In this regard, researches are scarce and often have
limited goals, just bec.ause they are functional to the solution of
the most urgent problems. More often, there is the need to find a
solution to the problems of urban alienation, typical psychologic
reality of the "urban transition" period.
REFERENCES
295
296 INDEX
Visual
contacts, 188, 1910192
(see also Face-to-face
communication)
system, at birth, 131
Voice
changes in contact with infant,
188, 193
mother's, recognition by new-
born, 11
Wariness
individual differences, rhesus
monkeys, 78-81, 86-89
autonomic, indices, 81-84
and behavioral, relation-
ships, 84-86
heart rate, 82-84
with strangers, relation to
game playing, 162-164
Weaning, 200-202
effects of methysergide or
saline, 52
independent feeding during,
relationship to suckling,
51-53
and suckling, relationship,
rat, 51-53