The relevance of infant observation to clinical training and practice: An interpretation

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In this paper, I discuss the effects of infant observation on the observer and the implications for mental health professionals. Similarities and differences between two Infant Observation Seminar groups of students are presented. Students performed in-home observations once a week over a 2-year period. Initially, there were motivational differences between the groups of students. One group had members committed to an intensive training program in psychoanalytic psychotherapy with children (Training Group), and the other group was a service delivery front-line worker group whose members voluntarily attended a weekly in-service training seminar (Work Group). In addition to infant observation, the Training Group had ongoing didactic seminars in psychoanalytic theory, 3 hours weekly for 4 years. The Work Group had a didactic seminar on some aspect of relevant infancy literature or psychoanalytic theory for 1 hour per week for the duration of the seminar, which was 2 years. The findings suggest that mental health workers can enhance their clinical skills through infant observation, that they can obtain a working knowledge of infant development, that prior training did not affect observation, and that all observers had difficulty observing mother-infant relationships due to counter-transference difficulties that involved unresolved conflicts from the past.