1. ‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬

2. HEALTHY MOTHER-CHILD
RELATIONSHIP
Dr. Menan Abd El Maksoud Rabie
MBBch, Msc, MD, Arab Board
Psychiatry Consultant
Assistant Prof of Psychiatry, Ain Shams University
Member of the Egyptian Psychiatric Association (EPA)
International Member of the American Psychiatric Association
(APA)
Associate Member of the International Federation of
Psychiatric Epidemiology (IFPE)

3. WHAT ARE WE TALKING ABOUT?
 Why is it important?
 When should we start?
 PLAN AND PRACTICE…
 Preparing the father.
 Normal Development.
 High EE
 Good parenting.
 Tips for healthy relationship with your child.

4. WHY IS IT IMPORTANT?
 Your baby's first year is full of
changes. You can do a lot to
encourage your baby's
communication skills.
 All you need to do is smile,
talk, sing, and read to your
baby.
Why focus on communication?
 Because early speech and
language skills are
associated with success in
developing reading, writing,
and interpersonal skills,
both later in childhood and
later in life.

5. WHEN SHOULD WE START?
 Whenever you are pregnant or thinking about
having children.
 There is much to consider before deciding to start a
family.
 PLAN AND PRACTICE…

6. PLAN & PRACTICE
 Choosing a name.
 Preparing the father.
 Calculating the budget.
 Working or staying home?
 Who will be the extra care giver?
 Which doctor?
 Which nursery?
 Which school?
 Having Another Baby?
 ETC…..

7. PLAN & PRACTICE
 Naming the baby a
beautiful name that you
like can also be some
way to create a bond
with your baby.

8. PLAN & PRACTICE
 You can also be
bonding with your baby
by being there and may
be take a nap together
in the bed or the couch.

9. PLAN & PRACTICE
 You and your baby will live a life together and you
as parents are responsible to make sure that your
children grow up in a secure and stable
environment.
 Sometimes the bond just happens automatically
and sometimes you need to work on it a little.

10. PREPARING THE FATHER
 Baby bonding is easiest
done one to one with
each parent. Give your
spouse a rest from
everything and take care
of the baby.
 Be also sure to spend
time together as a family
and to bond together as
one. This will make
strong bonds between
the baby and both
parents and reinforce the
bonds between the
parents.

11. PREPARING THE FATHER
 The most natural way to create a bond between a
mother and a baby is through breast-feeding. This
might feel make the other partner feel excluded, but
there are other ways to bond.
 You can attend the breastfeeding. Or you can cuddle
with it right afterwards and relieve the mother for a
while. Also, you can proudly carry your baby around.

12. PREPARING THE FATHER
 When close to your
body, the baby will start
to recognize your
smell and voice
(always talk softly to
the baby to create
stronger bonds) and
feel more comfortable.

13. BABY DEVELOPMENT STAGES
 Baby development is
predictable, which
makes it easy for
parents to see if their
baby is in the normal
range or not.
 However, each baby is
also unique. He may
be a slow or a fast
learner and not follow
the typical
development stage
either.

14. BRAIN DEVELOPMENT OF YOUR BABY
 Did you know that a baby's brain develops from the
moment he is inside the uterus? When your baby
is 16 weeks old, he reacts with the whole body for
emotional impressions.
 After about 20 weeks, he is responding to sound.
 And all the time, his brain is developing.

15. BRAIN DEVELOPMENT OF YOUR BABY
 When the baby is about 2
months old he can
clearly interact with an
adult.
 For a short period of
time, the baby’s ability
to mimic stops.
Between 1 and 7 months
the baby will not make
any faces. His muscles
and brain develop, and
need time to coordinate
and function together.

16. BRAIN DEVELOPMENT OF YOUR BABY
 At 3 months of age the
baby’s brain activity
increases. If you smile
at the baby, he will
automatically start to
smile. When you stop,
the baby will stop.
 At 5 months, the brain
development progresses
so much that the baby
makes first speak-like
sounds.
 The real language is first
developed when the baby
is 18 months old.

17. BRAIN DEVELOPMENT OF YOUR BABY
 At 7-8 months of age so the baby brain
development has evolved so much that the baby
reacts to people he has never met. From being
open to anyone, the baby now becomes shy or
screams of joy when seeing someone he
recognizes.
 Patience and understanding for your children is
important to develop their feelings.
 Play also stimulates the child's brain. Try to play
music, this also strengthens the baby brain
development.

19. EMOTIONAL DEVELOPMENT OF YOUR BABY
 A baby’s emotional
development is a lifelong
process and it starts the
moment that the baby is
born.
 However, you will not be
able to tell its emotional
development until the
baby is somewhat older.
 Then, it will probably hit
you hard, as you need to
deal with all kind of
emotions that come up.

20. EMOTIONAL DEVELOPMENT OF YOUR BABY
 They feel afraid of being
left alone. That feeling
usually comes when the
baby is about 9 months until
2,5 years old. Try not to
leave children unattended
for too long during the
period.
 Babies below 2,5 years
have no concept of time
and a few hours can feel
like an eternity for them. It is
therefore important to greet
the child when you get
back.

21. EMOTIONAL DEVELOPMENT OF YOUR BABY
 He will start feeling
afraid, happy, grumpy,
and playful, and in the
beginning, he will not be
able to handle all these
emotions.
 As time goes by, the baby
will realize that he does
not need to show all
emotions and that some
of the feelings perceived,
can be mastered.

22. EMOTIONAL DEVELOPMENT OF YOUR BABY
 You need to encourage
your baby’s emotional
development. Your baby
needs to learn what is
appropriate and what is
not. Try to explain,
calmly; why you have to
leave or ask why he is
crying.
 Defining emotions is,
just as with adults, and
important process of the
developmental stages.

23. EMOTIONAL DEVELOPMENT OF YOUR BABY
 Also, be sure that you
keep your own
emotions out of the
play. Show happiness,
anger or anything you
might feel, but when
dealing with the baby
you need to stay calm
and comforting.

25. SOCIAL DEVELOPMENT OF YOUR BABY
 Social development is
all about learning how
to communicate with
others, being able to
show what the baby
wants and does not
want and getting his
own ideas.

26. SOCIAL DEVELOPMENT OF YOUR BABY
 The social development
of your baby will become
obvious by the age of 2
years, starting to play
and have fun with other
children. Your baby will
be curious of other
creatures of same size
and age.
 Keep an eye on them, as
babies have no
restrictions when it
comes to doing harmful
things.

27. SOCIAL DEVELOPMENT OF YOUR BABY
 Also, the baby does not
understand the difference
between yours and mine. If
you give a toy, he will think
that it is his, and when you
want to take it back your baby
start to scream or cry and
refuse to let go of the toy.
 This kind of social
development is the cause for
most conflicts on the
playground.
 The baby will gradually learn
the difference and at age of 3
years old he can share
things with others.

28. SOCIAL DEVELOPMENT OF YOUR BABY
 Another part of social
development is to imitate
others. When you feed
the baby and you open
your mouth, the baby will
automatically open its
mouth too.
 The same goes for any
other movements or
behavior. Therefore, it is
true that your child will
imitate what you do –
even bad behavior.

29. HIGH EXPRESSED EMOTIONS (HIGH EE)
 Expressed emotion (EE), is a measure of the
family environment that is based on how the
relatives of a psychiatric patient spontaneously talk
about the patient.

30. HIGH EXPRESSED EMOTIONS (HIGH EE)
 Family members with
high expressed emotion
are hostile, very critical
and not tolerant of the
patient.
 They feel like they are
helping by having this
attitude.
 They not only criticize
behaviors relating to the
disorder but also other
behaviors that are
unique to the
personality of the
patient.

31. HIGH EXPRESSED EMOTIONS (HIGH EE)
 Hostility is a negative
attitude directed at the
patient because the
family feels that the
disorder is controllable
and the patient is
choosing not to get
better.
 The family believes that
the cause of many of the
family’s problems is the
patient’s mental illness.

32. HIGH EXPRESSED EMOTIONS (HIGH EE)
 Emotional Over-
involvement
 Over-protectiveness or
self-sacrifice, excessive
use of praise or blame.
 Family members tend to be
more intrusive.
 Patients may feel very
anxious and frustrated.
 On the whole, families with
high EE appear to be
poorer communicators
with their ill relative as they
might talk more and listen
less effectively.

33. HIGH EXPRESSED EMOTIONS (HIGH EE)
 Critical Comments
 Critical attitudes are
combinations of hostile
and emotional over-
involvement. It shows an
openness that the
disorder is not entirely in
the patients control but
there is still negative
criticism. Critical parents
influence the patient’s
siblings to be the same
way.

34. CHILDREN LEARN WHAT THEY LIVE
living with criticism, they learn to condemn
living with hostility, they learn to fight
living with ridicule, they learn to be shy
living with shame, they learn to feel guilty
living with tolerance, they learn to be patient
living with encouragement, they learn to be confident
living with praise, they learn to appreciate
living with fairness, they learn justice
living with security, they learn to have faith
living with approval, they learn to like themselves

35. BABY DEVELOPMENT DELAYS
 It´s not easy to say why
some babies develop
slower than other
babies. It could be a
delay in the physical
development. This
might last for a few
weeks after birth, or it
might be permanent.

36. BABY DEVELOPMENT DELAYS
 There are things you
can do to help your
child develop speech.
You can use picture
books, or sing songs
with your child.
 If your child´s speech
hasn´t developed at a
normal pace. You can
go to a speech
therapist.

37. BABY DEVELOPMENT DELAYS
 As a parent of a child with
any kind of baby
development delays, it is
common to feel guilty,
since there is a possibility
your child might not be able
to have the same kind of
upbringing as a fully
healthy child.
 When born with a disability,
there is a risk that he might
have a difficulty to make
friends, as well as a risk
that he might be bullied
because of their problem.

38. BABY DEVELOPMENT DELAYS
 It is important to
remember that your
baby should be
treated the same as
any other child at all
times.
 It is not uncommon that
parents of children with
baby development
delays feel that they
are not allowed to be
sad.

39. ENCOURAGE YOUR BABY'S DEVELOPMENT
 A little baby needs a firm attachment to their
parents to develop. A newborn wants and needs all
the attention it can get both in the day and during
the night.
 Necessary attention when you change, feed or
change the diapers shows your baby love and
closeness. This encourages baby development.

40. ENCOURAGE YOUR BABY'S DEVELOPMENT
 By playing and
socializing with the baby
he will develop at a faster
pace.
 As a parent you can
encourage your child
when he does something
he has not done before.
This may be a little thing,
like grasping for a piece
of paper or like sitting up
by itself for the first time.

41. ENCOURAGE YOUR BABY'S DEVELOPMENT
 Baby development has
to take its time. You
can speed it up
somewhat, but the
baby’s muscles and
brain will only develop
at a certain pace.
 Encouragement is
needed all the time, in
order for the baby to
develop naturally but
also steadily.

42. ENCOURAGE YOUR BABY'S DEVELOPMENT
 You can stimulate your
baby's development by
reading books and
playing with toys.
 Using different voices,
really get into character
that is what makes your
baby develop and adapt.
This kind of encouraging
baby development is fun
for both you and your
baby.

44. GOOD PARENTING
 Does your child have
behavior problems?
Your relationship with
your child likely needs
some attention.

45. GOOD PARENTING
 After all, what is the goal when you're dealing with
children?
 To show who's boss?
 To instill fear?
 Or to help the child develop into a decent, self-
confident human being?

46. GOOD PARENTING
 "Many people use the
same tactics their own
parents used, and a lot
of times that meant using
really harsh discipline.
 Children should never be
hit - not even a slap on a
toddler's bottom. If your
young child is headed
into danger, into traffic,
you can grab him and
hold him.

47. GOOD PARENTING
 Good parenting helps foster
empathy, honesty, self-reliance,
self-control, kindness,
cooperation, and cheerfulness.
 It also promotes intellectual
curiosity, motivation, and desire to
achieve.
 It helps protect children from anxiety,
depression, eating disorders, anti-
social behavior, and drug abuse.

48. GOOD PARENTING
 If you don't have a good
relationship with your
child, they're not going to
listen to you.
 Think how you relate to
other adults. If you have
a good relationship with
them, you tend to trust
them more, listen to their
opinions, and agree with
them.
 If it's someone we just
don't like, we will ignore
their opinion.

49. GOOD PARENTING
 You cannot be too loving.
 It is simply not possible to spoil a child with love.
 What we often think of as the product of spoiling a
child is never the result of showing a child too much
love. It is usually the consequence of giving a
child things in place of love …
…things like lowered expectations, or material
possessions.

50. GOOD PARENTING
 Being an involved parent takes
time and is hard work, and it
often means rethinking and
rearranging your priorities. It
frequently means sacrificing
what you want to do for what
your child needs to do. Be there
mentally as well as physically.
 NB: Being involved does
not mean doing a child's
homework - or reading it over or
correcting it.

51. GOOD PARENTING
 The same drive for
independence that is
making your 3-year-old
say 'no' all the time is
what's motivating him to
be toilet trained.
 The same intellectual
growth spurt that is
making your 13-year-old
curious and inquisitive
in the classroom also is
making her
argumentative at the
dinner table.

52. GOOD PARENTING
 Establish and set
rules.
 If you don't manage your
child's behavior when he
is young, he will have a
hard time learning how to
manage himself when he
is older and you aren't
around.
 Don’t micromanage
your child. Once they're
in middle school, you
need let the child do their
own homework, make
their own choices, and
not intervene.

53. GOOD PARENTING
 Setting limits helps your child develop a sense of
self-control. Encouraging independence helps her
develop a sense of self-direction. To be successful
in life, she's going to need both.
 Children push for independence because it is part
of human nature to want to feel in control rather
than to feel controlled by someone else."

54. GOOD PARENTING
 If your rules vary from day
to day in an unpredictable
fashion or if you enforce
them only intermittently,
your child's misbehavior is
your fault, not his.
 Your most important
disciplinary tool is
consistency.
 Identify your non-
negotiables. The more your
authority is based on
wisdom and not on power,
the less your child will
challenge it.“
 When parents aren't
consistent, children get
confused.

55. GOOD PARENTING
 Good parents have
expectations they want
their child to live up to.
Generally, parents
overexplain to young
children and
underexplain to
adolescents.
 What is obvious to you
may not be evident to
your child. He doesn't
have the priorities,
judgment or experience
that you have.

56. GOOD PARENTING
 Treat your child with respect.
 Best way to get respectful treatment from your child
 Give your child the same courtesies you would give to
anyone else.
 Speak to him politely.
 Respect his opinion.
 Pay attention when he is speaking to you.
 Treat him kindly.
 Try to please him when you can.
 Children treat others the way their parents treat them.
Your relationship with your child is the foundation for her
relationships with others.

57. 10 TIPS FOR A HEALTHY RELATIONSHIP
1- Say I Love You
2- Teach Your Values
3- Establish A Special Code Word
4- Develop And Maintain Bedtime Rituals
5- Let Your Children Help You
6- Play With Your Children
7- Eat Meals As A Family
8- Seek Out One-On-One Opportunities
9- Respect Their Choices
10- Make Them A Priority In Your Life

58. SPENDING TIME WITH
CHILDREN …
IS MORE IMPORTANT THAN
…
SPENDING MONEY ON
CHILDREN…

59.  They grow up so fast, and every day is
special. Take advantage of your precious
time together while you have it!