INFANT MENTAL HEALTH

Course objectives

General aims. The course aims to present the theoretical and diagnostic orientations of infant mental health, with particular attention to psychodynamic theories of developmental psychopathology, empirical data from Infant Research, and international diagnostic classification systems. Starting from studies on the child-caregiver relationship (the primary focus of the as-sessment) and caregiving contexts, it will delve into the guidelines of developmental psychopathology, major diagnos-tic systems, and specific clinical frameworks characterizing infant mental health, with particular reference to the clas-sification of mental health and developmental disorders in infancy and early childhood according to the PDM-2. It will also cover treatment models and approaches for children and their families, the role of early clinical interventions in preventing or reducing psychopathological risk during infancy. Specific aims Knowledge and understanding Students will need to achieve the following knowledge and understanding: - guidelines of developmental psychopathology; - the contribution of Infant Research to understanding infant mental health; - the processes involved in attuned interaction in the caregiving context, starting from the prenatal period; - the role of relational framework and caregiving context from a transactional perspective of development, emphasizing the role of risk and protective factors (present in the family and the social network) in defining the infant’s developmen-tal trajectories; - the importance of early experiences for personal development; - the impact of risk and protective factors on developmental trajectories; - disturbances and psychopathology in the field of infant mental health; - major manuals and diagnostic procedures, particularly the Psychodynamic Diagnostic Manual - second edition (PDM-2); - major disorders in infant mental health; - a multifactorial understanding of disorders, in line with a biopsychosocial understanding of developmental disorders and psychopathology; - major treatment models and approaches for infants and their families. Applying knowledge and understanding It is expected that students will achieve the following skills: - utilize a relational perspective of development in assessment and diagnosis in early childhood; - take into account the multiplicity and multifactorial nature of psychopathological disorders and different develop-mental pathways; - master the main diagnostic systems for infancy and early childhood; - critically reflect on the main diagnostic procedures for infancy and early childhood; - use multi-axial assessment tools for the infant-caregiver relationship; - illustrate the family's adaptive emotional functioning profiles that characterize both adaptive development and psy-chopathological risk during infancy and early childhood; - recognize and distinguish the main criteria for diagnosing developmental disorders and psychopathology in infancy and early childhood. Making judgements It is expected that students will achieve the ability to integrate knowledge and manage the complexity of the factors underlying the onset of psychopathology during infancy and early childhood, as well as to formulate hypotheses about understanding developmental pathways considering evolutionary and contextual processes at the origins and course of major developmental disturbances and disorders in infant mental health. Communication skills Students are expected to acquire the specific language for describing basic psychopathological and clinical phenomena in the field of infant mental health. Learning skills At the end of the course, students will have gained a good level of autonomy in critically understanding diagnostic sys-tems concerning infant mental health and interpreting the main developmental psychopathological phenomena. Prerequisites To understand the different diagnostic frameworks and etiopathogenetic processes addressed in the course, it is advis-able to have a preliminary knowledge of psychodynamic theories of development and psychodynamic psychopathol-ogy.

Channel 1
NICOLA CARONE Lecturers' profile

Program - Frequency - Exams

Course program
The specific contents of the teaching will be divided into the following thematic areas. FIRST AREA: Foundations (6 hours) - Theoretical and methodological foundations of developmental psychopathology and the contributions of Infant Re-search to understanding the dynamics characterizing the infant-caregiver relationship. - Classification systems of psychopathology (0-5 Classification, DSM system, ICD-11 Classification, PDM-2): founda-tions, definition criteria, and diagnostic framing. - Multi-axial and comprehensive approach to clinical assessment. - Diagnostic process with the infant and the family. SECOND AREA: Classification of mental health and developmental disorders in infancy and early childhood – IEC 0–3 PDM-2 (36 hours) • Axis I: Primary Diagnoses o Sleep Disorders o Feeding and Eating Disorders o Elimination Disorders o Anxiety Disorders o Disorders of Emotional Range and Stability o Depressive Disorders o Mood Dysregulation: o Prolonged Grief Reaction o Adjustment Disorders o Traumatic Stress Disorders o Reactive Attachment Disorders o Disruptive Behavior and Oppositional Disorders o Gender Incongruence o Regulatory–Sensory Processing Disorders o Neurodevelopmental Disorders of Relating and Communicating • Axis II: Functional Emotional Developmental Capacities • Axis III: Regulatory–Sensory Processing Capacities • Axis IV: Relational Patterns and Disorders • Axis V: Other Medical and Neurological Diagnoses THIRD AREA: Treatment (6 hours) - Models and perspectives for managing the infant’s care. - Preventive clinical interventions in conditions of parental risk for psychopathology and psychosocial issues. - Clinical work with the family.
Prerequisites
To understand the different diagnostic frameworks and etiopathogenetic processes addressed in the course, it is advisable to have a preliminary knowledge of psychodynamic theories of development and psychodynamic psychopathology.
Books
• Lingiardi, V., & McWilliams, N. (2017) (Eds). Psychodynamic Diagnostic Manual, second edition (PDM-2). The Guilford Press. (only Part IV. Infancy and Early Childhood – Mental Health and Developmental Disorders in Infan-cy and Early Childhood—IEC 0–3, pp. 625–747) • Slides and handouts provided by the instructor.
Frequency
Attendance at lectures is not mandatory since the reference texts and materials provided during the course allow for studying exam topics. However, regular attendance is strongly recommended to understand the course subjects comprehensively.
Exam mode
Exam aim The exam aims to assess the acquisition and critical processing of the course content by evaluating the ability to respond to all verification questions, the adequacy and relevance of the responses provided, the correctness and completeness of the answers, the appropriateness of the language used, and the ability to synthesize information. Exam schedule In addition to the exam sessions, a pre-exam session is scheduled at the end of the course. Exam type, length, and administration Written exam consisting of 21 multiple-choice and 3 open-ended questions, lasting for 50 minutes. Those who score 18/30 or higher on the written test may also request an oral supplementation. Final grade The final grade of the exam will be determined by the score obtained on the written test. In the case of an oral supplementation, the additional score ranges from 0 to 4.
Lesson mode
The course will be structured using the following teaching methodologies: - lectures; - presentation of exemplary clinical cases through video material and/or interviews; - classroom discussion of some of the topics covered in the lectures; - classroom presentations by students on topics from the course curriculum and/or related materials, followed by group discussion; - involvement of external researchers and clinicians on specific course topics, followed by group discussion; Encouraging and fostering critical discussion in the classroom will be emphasized, and students will be encouraged to express doubts and difficulties and/or request further explanations in order to achieve the best possible learning outcomes. Additionally, a professional approach to the content will be encouraged.
  • Lesson code10612481
  • Academic year2025/2026
  • CourseApplied Dynamic and Clinical Psychology
  • CurriculumDevelopmental psychopathology
  • Year2nd year
  • Semester1st semester
  • SSDM-PSI/08
  • CFU6