Nothing pejorative was meant when I called your marketing shrewd, 
Harvey. I make a living on my ideas to help babies breastfeed, and I 
don't begrudge you a living either. My concerns concern over-application 
of soothing techniques when a baby might have other needs. We've talked 
about this ad nauseum, and I do not wish to revisit it.

My views on infant neurobehavioral organization come from years of study 
of sensory processing and sensory integration and their application to 
infants and breastfeeding families.  Nancy Williams and I are the first 
people to make this connection, and while there is a lot of cognitive 
neuroscience research that is applicable to my work, but I do not have 
time to launch through it all here. There is a chapter on this issue in 
an upcoming lactation textbook, which I cannot advertise here on Lactnet.

I am not saying that *every* crying baby is overstimulated, but that the 
uncontrollable, unsoothable crying tends to come from neurobehavioral 
disorganization, when a baby's needs go unanswered for so long that he 
loses control of his adaptive behavior. This is when your 5 s's are most 
valuable as "organizing stimuli", and where I would like to see them 
applied.

"Going to sleep" in a noisy environment can be sleep, or it can be 
shutting down. The distinguishing signs are subtle.

Next time we're both speaking at the same conference, come hear my 
talks. I've gone to yours.
Catherine Watson Genna, IBCLC NYC

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