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By Kathryn E. Barnard (auth.), Harriet H. Werley Ph.D., Joyce J. Fitzpatrick Ph.D. (eds.)

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18 RESEARCH ON NURSING PRACTICE saw bis mother as less predictable since she was not eliminating bis distress and may actually have Iet this hurt come to him; the mother was uncertain and frustrated and did not behave in the usual sensitive manner, thus increasing the child's distress. It is appropriate to raise yet another line of reasoning. Perhaps the surgery resulted in both a physiological and a psychological disorganization. This state of system disorganization would be accompanied by an inability to deal with incoming stimuli; the avoidance, therefore, might be a regulatory behavior on the part of the child, seeking to reduce an overload to the system.

Anderson & B. ), Newborn behavioral organization: Nursing research and implications (Vol. 15). New York: Alan R. Liss, 1979. Barnard, K. E. The effect of Stimulation on the duration of sleep and wakefulness in the premature infant (Doctoral dissertation, University ofWashington, 1972). Dissertation Abstracts International, 1972, 33, 21678. (University Microfilms No. 72-28573) Barnard, K. E. General issues in parent-infant interaction during the first years of life. In D. L. ), Essays on pediatric nutrition.

Ryan, L. Matemal perception of neonatal behavior. ) Sander, L. , & Lee, A. Change in infantand caregiver variables over the first two months of life: Integration of action in early development. In E. B. ), Origins ofinfant's social responsiveness. Hillsdale, N. : Lawrence Erlbaum, 1979. Spitz, R. A. lnternational Journal ofPsychoanalysis, 1950, 31, 138--143. , & Martin, H. P. Children of hattered women. Maternal-Child Nursing Journal, 1981, 10, 41-54. Yarrow, L. J. Rubenstein, J. , & Pedersen, F.

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