Urgent engagement in 9/11 pregnant widows and their infants: Transmission of trauma

Infancy. 2020 Mar;25(2):165-189. doi: 10.1111/infa.12323. Epub 2020 Jan 31.

Abstract

The potential effects of maternal trauma on mother-infant interaction remain insufficiently studied empirically. This study examined the effects of the September 11, 2001, trauma on mother-infant interaction in mothers who were pregnant and widowed on 9/11, and their infants aged 4-6 months. Split-screen videotaped interaction was coded on a one-second basis for infant gaze, facial affect, and vocal affect; and mother gaze, facial affect, and touch. We examined the temporal dynamics of communication: self-contingency and interactive contingency of behavior by time-series methods. We documented heightened maternal and infant efforts at engagement in the 9/11 (vs. control) dyads. Both partners had difficulty tolerating moments of looking away as well as moments of negative behavior patterns. Heightened efforts to maintain a positive visual engagement may be adaptive and a potential source of resilience, but these patterns may also carry risk: working too hard to make it work. A vigilant, hyper-contingent, high-arousal engagement was the central mode of the interpersonal transmission of the trauma to these infants, with implications for intervention.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • Historical Trauma
  • Humans
  • Infant
  • Infant Behavior / psychology*
  • Mother-Child Relations / psychology*
  • Mothers / psychology
  • Pregnancy
  • Psychological Trauma*
  • September 11 Terrorist Attacks / psychology*
  • Widowhood / psychology*