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Translation to the Clinical Setting

When mutuality is observed, often in the form of “shared pleasure” or “mutual delight” (enjoyable, reciprocal interactions between the caregiver and child), slow the visit down and enjoy this time with the family. Our noticing and focusing on...

Mutuality: Mother and Toddler Son Reading a Book Together

In this video below, the mother has been asked to play with her son.  At first, he’s not very interested (crawling away is a strong disengagement cue!) but she is able to get his attention to read a book together.  Watch how closely connected the communication is...

Translation to the Clinical Setting

It takes attunement to the child’s emotional state and developmental level to provide co-regulation and alleviation of distress. When observed, it is an indication of a healthy caregiver-child relationship. Notice when caregivers help their child warm up to the...

Teaching Points

The “zone of proximal development” (ZPD) is the concept that optimal learning occurs from social interactions with a “more knowledgeable other” who is able to see what the learner knows and can gradually help the learner add skills and...

Translation to the Clinical Setting

Whenever possible, follow the parent and child’s lead by reading and responding to their cues. Being aware of subtle disengagement cues in the patient, their caregiver and themselves can help the provider pace the visit better and respond more sensitively. An office...