Robin Glass and Lynn Wolf indeed wrote a chapter in SSS, the one on flow 
dynamics... They keep talking about revising their own book, but are 
very busy with their hospital practice and their workshop.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com


On 3/26/2012 9:57 AM, [log in to unmask] wrote:
> Cathy writes:
>
> I am not  sure how therapists are being taught about neck position for
> infant feeding,  but for children with cerebral palsy or other neurological
> issues eat solids,  therapists are taught to tuck the chin a tiny bit (stabilize
> it back toward  the neck, in a mostly neutral position). Perhaps that's the
> source of the  confusion? Overapplying a special case?
> ~~~
> Hello Cathy and all,
>
> I think we're on to something here. The SLT I've been working with did
> exactly the opposite of what I had demonstrated to the parents: held baby
> tight,  with pressure behind the neck to push it into a light flexion/neutral
> and  she said it was "more stable." I think her underlying message was "during
>   bottlefeeding, for a baby dealing with some other issue" - for instance
> she  thought this baby was low tone. Babies that are having difficulty
> bottlefeeding  for a period of time long enough to consult an SLT would generally
> mean that  this baby is having some kind of issue. The babies we are usually
> helping to  bottlfeed more safely may have state control issues, or other
> neuro issues from  being early, or even from the current assaults of a "normal
> birth" around here.  But they may not be permanent issues that are obvious
> enough and challenging  enough to bring in an SLTor other Early Intervention
> specialist. In this  situation, I contacted her because a formerly thriving
> baby ( but with  a mother in misery) had precipitously seemed to lose the
> ability to  get enough to eat at breast, or to sleep normally, and was
> faltering in weight.  I think that because we are the one profession was  actually
> understands deeply and thoroughly what physiologic and emotional  normal is
> for human little ones, we look with different eyes. A  baby who can
> bottlefeed well enough not to fall off growth  curves  pretty much gets passed
> over, no matter how many other,  sometimes obvious, other times subtle, issues
> we see.  Even though  this baby was later evaluated and found to be of
> "normal tone" and not qualify  for services, I have serious thoughts that in the
> future he will be back in EI  for something that wasn't big enough to see
> now, but will become more obvious  later. I feel like I see this more and more.
> Even though Wolf and Glass's book  is '92 it still seems to be the standard
> for treatment, and again these babies  are not "normal" babies who got off
> track and we might be able to help them get  back on with our supports,
> information and temporary interventions. The titles  may be very potent: Wolf
> and Glass's book is Feeding and Swallowing Disorders,  Cathy's is Supporting
> Sucking Skills in Breastfeeding.... two different sets of  eyes looking, and
> what they are looking for, two different views of what the  outcome could
> be: safer bottlefeeding for children  with disorders vs normal
> feeding/nurturing at breast  with all  the tied-in mothering that can go with it. It's not
> that SLTs are against  breastfeeding, but their profession was born in a
> time when mostly no one was  thinking of a baby breastfeeding as a normal
> developmental skill worth fighting  for, whereas ours was born of the idea that
> breastfeeding (like bipedalism) is a  normal developmental skill for humans
> which our bodies are well-adapted to  complete ( unless something major is
> standing in the way) and therefore always  thought of as the "default" goal.
> Although we live in a culture that still does  not accept this, it is a part
> of our view of normal human skill acquisition, and  bottlefeeding or other
> assistive feeding scenarios are what we settle for  when the norm cannot be
> achieved. The fact that bottles are widely thought of as  normal and
> necessary make our roles harder ( witness the new ads for American  Reunion, where
> Alyson Hannigan's character indicates her motherhood status by  holding a
> bottle in the photo.) Perhaps someday Wolf and Glass and Cathy Genna  will
> co-write a book!
>
> One can dream...
> Peace,
> Judy
>
> Judy LeVan  Fram, PT, IBCLC, LLLL
> Brooklyn, NY,  USA
> [log in to unmask]
>
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