Haynes C F, Cutler C, Gray J, O'Keefe K, Kempe R S
Child Abuse Negl. 1983;7(3):321-8. doi: 10.1016/0145-2134(83)90010-8.
This paper presents 6-month follow-up on a group of 16 infants hospitalized during the first months of life for non-organic failure to thrive (N-O FTT) and their mothers. Eight of these infants were placed in foster care and eight were returned home with their parents following hospitalization. The effects of placement on infant outcomes were examined through comparison of developmental scores and weight percentile changes, and the implications of foster care placements for mother-infant interactions were examined through analysis of patterns of interaction in videotaped sessions of feeding and play six months after hospital discharge. This analysis showed that (1) mothers in both groups failed to make significant progress in resolving their own emotional or psychological conflicts through treatment available; (2) weight and developmental status of the infants did not improve as expected in either group, and finally that (3) the patterns of interaction between mother and infant showed little change over time, and, regardless of placement at home or in foster care, remained concerning.
本文呈现了对一组16名婴儿及其母亲的6个月随访情况。这些婴儿在生命的最初几个月因非器质性生长发育不良（N - O FTT）而住院。其中8名婴儿被安置在寄养家庭，另外8名婴儿在住院后随父母回家。通过比较发育得分和体重百分位数变化来研究安置对婴儿结局的影响，并通过分析出院6个月后喂食和玩耍的录像环节中的互动模式，来研究寄养安置对母婴互动的影响。该分析表明：（1）两组母亲均未能通过现有的治疗在解决自身情感或心理冲突方面取得显著进展；（2）两组婴儿的体重和发育状况均未如预期那样改善，最后（3）母婴之间的互动模式随时间变化不大，且无论在家中还是寄养家庭，情况仍令人担忧。
