Dialogue on "the role of family life in child development".
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Whereas Sigmund Freud considered the orality to be the beginning of the child development, in the last two decades the tactile-symbiotic mother-child-relationship came into the center of scientific attention. The symbiotic-narcissistic basal relationship of early childhood is reactivated in each later object relation. On this basis all active ego performances are built up, as e.g. the projective identification (archaic form), the identification, the transference (in psychotherapy), the regression etc. as well as the delimination from the object. The next level of the object relation is that of the free decision for or against an object. People with narcissistic personality disorders (narcissistic neuroses), having a constituent ego, and borderline personality disorders which occur in individuals with a fragmentation-prone ego, have suffered in their early childhood under deficiency experiences or the experiences of overprotection or of an attention under conditions. The more the individuals were disturbed also in their ego functions, the more an incapacity of the infant has to be supposed to experience or to admit the attention really presented to it. In major depressions the narcissistic emptiness or depletion seems to be at least partially the consequence of a genetic predisposition.
Career training in child psychiatry, though provided from a developmental perspective, often lacks opportunity for directly observing normally developing infants. This paper describes a training program in which child psychiatry fellows, in collaboration with residents in pediatrics, follow a young couple and their first child from the third trimester of pregnancy through infancy and early childhood. Case illustrations and discussion of approximately 10 years' experience demonstrate how the program can enhance understanding of normal child development, development of the nuclear family, liaison between child psychiatrist and pediatrician and early detection of psychopathology in infants.
Sixteen years have passed since the publication of Child Development's Special Issue on Minority Children. It is suggested that the most critical legacy of the special issue is the conceptual and ideological zeitgeist it fostered. The issue set culture and ecological context in the foreground of analyses, advanced a cultural-variant perspective, and further discredited the deficit perspective that long dominated the study of ethnic minority children and families. The special issue is also significant for its role in shaping post-1990 research agenda. In addition, it underscored the need for more nuanced articulations of what cultural or ethnic characteristics are of special relevance for understanding specific domains of development and the need for well-crafted methodological tools with which to test these ideas.
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