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  • The NDC neurobiological model of infant cry-fuss behaviours: deeper dive for health professionals

NDC neurobiological model: parental empowerment

Dr Pamela Douglas10th of Jun 202418th of Jun 2024

parent, baby, joy, enjoyment, interaction, reciprocity chains

NDC focuses on clinical repair and 'growing joy in early life'

Unlike early intervention programs derived from social communication models, NDC does not instruct parents to avoid intrusiveness or directiveness, which may inadvertently communicate assumptions of parental incompetence and may also increase parental anxiety.

Similarly, NDC also does not employ tools such as the Neonatal Observation Scale to teach parents about their infant’s behavioral repertoire and communication competence in the first six months of life.112

NDC assumes parental competence

Instead, NDC educates parents about the benefits of reciprocity chains, and encourages enjoyment of the baby. NDC proposes that parental competence and evolutionary drive for enjoyment of the baby will emerge in families once disruptive sociocultural and clinical advice are removed, underlying clinical problems are identified and repaired, and the importance of satisfying and socially engaged days outside the home explained.

NDC confidence in parental competence is corroborated by a study of 864 parent-newborn pairs observed spending time together as the baby lay close to the parent. Parents were given minimal instructions, but asked to interact with the baby comfortably, as they saw fit. Most of the 480 full-term newborns showed subtle affect-driven initiation of arm movements towards the parents as they interacted, though this was somewhat reduced in the prematurely-born infants, and all parents engaged in quiet and supportive interaction without being intrusive.62

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Next up in The NDC neurobiological model of infant cry-fuss behaviours: deeper dive for health professionals

NDC neurobiological model: link between unsettled infant behaviour in the first months of life with suboptimal developmental outcomes

crying baby, autism spectrum disorder, ADHD, developmental disorder, neurodevelopmental disorder

The interaction between genetic predisposition and environmental factors is mediated by the epigenome

An individual’s complex genetic susceptibility to a neurodevelopmental disorder is impacted by a myriad of environmental factors in intra-uterine and early life, which alter epigenomic regulation and phenotype expression.3-8

A developmental disorder is best conceptualised, applying a dynamic systems or complexity science framework, as a spectrum disorder of connectome development, that is, of the neural wiring of the brain, in which one or more feedback loops amplify small variations in early development.

Initial lesions trigger a ‘butterfly effect’ of unpredictable cascades of structural and functional imbalances in the global neuronal workspace, which dynamically interact with and impact upon the infant’s social and non-social environmental experiences, amplifying feedback loops and affecting behaviors, cognition, and social communication long-term.9

The initial lesions which cause feedback loop disruptions may be structural, either genomic or due to injury; or functional,...

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