Thanks for the links, the info I have read has been very insightful an informative. I will print some more off when I get some more printer ink!!

:-)  Katrina


On 17/12/2004, at 7:24 PM, Pinky McKay wrote:

Hi all,
I have been off line for the past week - looks like an interesting discussion.
While I absolutely believe mothers need support and there should be no blame placed/ attacks on each other for choices of parenting style, just as for any other choices - birth, infant feeding etc, as people working with new parents, we do need to encourage INFORMED choice.


While there appear to be no studies of the specific effects of controlled crying (this would require longitudinal studies over years) , there are studies into the physiology of infant stress and being left to cry it out is included in this in a number of papers by mental health professionals, including trauma specialist Bruce Perry who discusses how babies cant react to threat with a fight or flight response so react with a "freeze" response - ie they "shut down" (this reference is listed in the AIMHI paper). Translated to controlled crying, this is what happens as infants become stressed by being left to cry it out - they arent "learning" to sleep. There is some compelling evidence that early stress can mess up the cortisol release mechanism in the developing brain, predisposing infants to stress and anxiety disorders THROUGHOUT life.

Rather than justifying harsh practices by waiting until there is a body of evidence to prove harm, it is worth considering that there can be a vast difference between "no evidence of harm" and "evidence of no harm".

Some babies will inevitably be more "at risk" than others - one of the saddest emails I have received was from a mother whose one year old slept after a week of controlled crying but also stopped talking and refusing all physical contact from her. A year later he was still not talking and was going to an older sibling for comfort. I have since had experience of another child who reacted by stopping talking. Many babies become extremely clingy and if they start waking again will almost certainly be much more difficult to settle, often staying awake for hours rather than just needing a quick reassurance or breastfeed as had often been the case prior to controlled crying.

Mostly, from my personal observations/ emails/ phone calls from distraught , pressured mothers, it seems that sleep training is widely offered as the only/sensible option and mothers who respond to night time needs are feeling very pressured that they are doing things "wrong" and "creating bad habits" . I feel it is very simplistic to suggest that controlled crying will solve the problem of tired mothers - we shouldnt be pitting babies needs against mothers but rather seeking ways to support women to ask for help and develop networks for practical support - learning to say "no" to excessive demands and nurturing oneself are life skills whatever teh age of our kids. Most people are happy to share the joy of a baby in return for a few errands - ie dropping older kids to school, sitting with a baby/ taking it for a walk while mum has a nap .

It is also worth noting that there are now at least two mother baby units in Melbourne where mothers are supported without controlled crying at all! - interestingly staff are reporting less maternal stress and babies are developing better sleep patterns as mothers are nurtured - there ARE gentle ways to change things that dont compromise babies needs or mothers instincts to respond.

Tomorrows (Friday) Herald Sun will have an article re sleep training -I am sure I will be quoted on my personal views of "puppy training for babies" and there will also be an interview of "the other side".

Meanwhile here are a few articles/ papers that can be accessed online - the references at the end of the AIMHI paper also make compelling reading .

Pinky
www.pinky-mychild.com


CONTROLLED CRYING: AAIMHI POSITION PAPER - includes refs.

http://www.afcca.com.au/Files/Child%20Crying%20AAIMHI.doc



Why love matters - how affection shapes a baby's brain .

http://books.guardian.co.uk/review/story/0,12084,1262302,00.html



Stress in Infancy by Linda Folden Palmer, D.C.

http://www.naturalchild.com/guest/linda_folden_palmer2.html



Emotional Learning in Infants: A Cross-Cultural Examination

Michael Lamport Commons, Ph.D. Harvard Medical School

Patrice Marie Miller, Ph.D. Harvard Medical School and Salem State College



http://www.naturalchild.com/research/emotional_learning_infants.html




----- Original Message ----- From: "Graham and Helen" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Monday, December 13, 2004 12:02 PM
Subject: Re: [ozmidwifery] AAIMHI Policy Paper on Controlled Crying



Thanks for posting this Abby - it is a good reference document to have.

At the end of the document it states that the "references ...are not specifically to studies on the impact of controlled crying on infants because there are no records of such studies". That surprised me! Anyone know of any that have been done already?! Anyone interested in doing one??!!!

Helen

----- Original Message ----- From: "Abby and Toby" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Monday, December 13, 2004 9:45 PM
Subject: [ozmidwifery] AAIMHI Policy Paper on Controlled Crying



Hi,

Thought I would post a link to this for anyone that may not have seen it.
The policy certainly challenges much of the popular thinking about sleep
training and such.


http://www.aaimhi.org/documents/position%20papers/ controlled_crying.pdf

Love Abby

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