Crying as a Sign, a Symptom, and a Signal

Originally viewed as a sign of disease, crying is now understood as a symptom of problematic functioning in early development. We now know a great deal about normative developmental patterns of infant crying and how they are manifested in various clinical settings--emergency room complaint, painful procedures, colic, temper tantrums, and nonverbal and mentally challenged infants. Crying as a Sign, a Symptom and a Signal brings the reader up to date on this new evidence concerning infant crying in the first few months and years of life. In this authoritative clinical text, an international team of experts explore this new conceptualization of the significance of early infant crying. They bring both historical and methodological perspectives to a multidisciplinary synopsis of the new understanding of this important infant behavior.

Ronald G. Barr, MDCM, FRCP-C Vancouver, British Columbia, Canada. Ronald G. Barr, MA, MDCM, FRCP-C, developed and tested prevention materials referred to as the Period of PURPLE Crying in collaboration with Marilyn Barr. He is the Canada Research Chair in Community Child Health Research at the University of British Columbia and Professor of Pediatrics in the Faculty of Medicine at UBC.

Authors' Appointments

vii

Crying As a Sign, A Symptom and a Signal: Evolving Concepts of Crying Behavior

1

(7)

Ronald G. Barr

Brian Hopkinsand

James A. Green

Can we Hear the Causes of Infants' Crying?

8

(15)

Gwen E. Gustafson

Rebecca M. Woodand

James A. Green

Crying as an Indicator of Pain in Infants

23

(18)

Kenneth D. Craig

Cheryl A. Gilbert-Macleodand

Christine M. Lilley

Colic: The `Transient Responsivity' Hypothesis

41

(26)

Ronald G. Barrand

Megan Gunnar

`Clinical Pies' for Etiology and Outcome in Infants Presenting with Early Increased Crying

67

(29)

Liisa Lehtonen

Siobhan Gormallyand

Ronald G. Barr

Crying Complaints in the Emergency Department

96

(10)

Steven Pooleand

David Magilner

Crying in the Child with a Disability: The Special Challenge of Crying as a Signal

106

(15)

James A. Blackman

Toddler Tantrums: Flushing and Other Visible Autonomic Activity in an Anger-Crying Complex

121

(16)

Michael Potegal

Acoustic Cry Analysis, Neonatal Status and Long-Term Developmental Outcomes

137

(20)

James A. Green

Julia R. Irwinand

Gwen E. Gustafson

Crying in Infant Primates: Insights Into the Development of Crying in Chimpanzees

157

(19)

Kim A. Bard

Development of Crying in Normal Infants: Method, Theory and Some Speculations

176

(34)

Brian Hopkins

The Crying Infant and Toddler: Challenges, Emergent Themes and Promissory Notes

210

(9)

Ronald G. Barr

Brian Hopkinsand

James A. Green

Index

219

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Crying as a Sign, a Symptom, and a Signal Clinical, Emotional and Developmental Aspects of Infant and Toddler Crying

Summary

Author Biography

Table of Contents

Supplemental Materials