Abstract
This paper and its subsequent parts (Part II and Part III) build on an earlier publication (McKenna 1986). They suggest that important clinical data on the relationship between infantile constitutional deficits and microenvironmental factors relevant to SIDS can be acquired by examining the physiological regulatory effects (well documented among nonhuman primates) that parents assert on their infants when they sleep together.
I attempt to show why access to parental sensory cues (movement, touch, smell, sound) that induce arousals in infants while they sleep could possibly help one of many different subclasses of infants either to override certain kinds of sleep-induced breathing control errors suspected to be involved in SIDS or to avoid them altogether. I do not suggest that solitary nocturnal sleep “causes” SIDS, that all parents should sleep with their infants, or that traditional SIDS research strategies should be abandoned. However, using evolutionary data, I do suggest that an adaptive fit exists between parent-infant sleep contact and the natural physiological vulnerabilities of the neurologically immature human infant, whose breathing system is more complex than that of other mammals owing to its speech-breathing abilities. This “fit” is best understood, it is argued, in terms of the 4–5 million years of human evolution in which parent-infant contact was almost certainly continuous during at least the first year of an infant’s life. Thus, to dismiss the idea that solitary sleep has no physiological consequences for infants does not accord with scientific facts.
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References
Baker, T. L., and D. J. McGinty 1977 Reversal of Cardiopulmonary Failure during Active Sleep in Hypoxic Kittens: Implications for Sudden Infant Death.Science 198:419–425.
Barnard, K. E. 1981 A Program of Temporally Patterned Movement and Sound Stimulation for Premature Infants. InNewborns and Parents: Parent-Infant Contact and Newborn Sensory Stimulation, V. L. Smeriglio, ed. Pp. 31–56. Hillsdale, NJ: Lawrence Erlbaum Associates.
Barnett, H. 1980Sudden Infant Death Syndrome. Child Health and Human Development. U.S. Department of Health and Human Services Bulletin.
Bass, M., R. E. Kravath, and L. Glass 1986 Sudden Infant Death: Death Scene Investigation.New England Journal of Medicine 315:100–105.
Bergman, A. 1986The Discovery of Sudden Infant Death Syndrome: Lessons in the Practice of Political Medicine. New York: Praeger.
Bergman, A., J. B. Beckwith, and C. G. Raye, eds. 1970Sudden Infant Death Syndrome. Proceedings of the Second International Conference on Causes of Sudden Infant Death in Infants, 1969. Seattle: University of Washington Press.
Birnholz, J., and B. Benacerraf 1983 The Development of Human Fetal Hearing.Science 222:516–518.
Blurton-Jones, N. G. 1972 Comparative Aspects of Mother-Child Contact. InEthological Studies of Child Behavior, N. G. Blurton-Jones, ed. Pp. 305–329. Cambridge: Cambridge University Press.
Bowlby, J. 1969Attachment and Loss. Attachment, vol. 1. London: Hogarth Press.
Brackbill, Y. 1973 Continuous Stimulation Reduces Arousal Level: Stability of the Effect over Time.Child Development 44:43–46.
1975 Continuous Stimulation and Arousal Level in Infancy: Effects of Stimulus Intensity and Stress.Child Development 46:364–369.
Bradford, L. J. 1975 Respiratory Audiometry. InPhysiological Measure of the Audio-Vestibular System, L. J. Bradford, ed. Pp. 160–192. New York: Academic Press.
Brazelton, T. B., B. Koslowski, and M. Main 1974 The Origins of Reciprocity: The Early Mother-Infant Interaction. InThe Effect of the Infant on Its Caregiver, M. Lewis and L. A. Rosenblum, eds. Pp. 167–183. New York: John Wiley and Sons.
Bryan, A. C. 1984 Development of the Carotid Body. Paper presented at the International Symposium on Sudden Infant Death Syndrome, 17th Annual Intra-Science Symposium, February 22–24, Santa Monica, California.
Butler, S. R., M. R. Suskind, and S. M. Schanberg 1978 Maternal Behavior as a Regulator of Polymine Biosynthesis in Brain and Heart of the Developing Rat Pup.Science 199:445–447.
Call, J. 1986 Commentary on “An Anthropological Perspective on the Sudden Infant Death Syndrome (SIDS): The Role of Parental Breathing Cues and Speech Breathing Adaptations,” by James J. McKenna.Medical Anthropology (special issue) 10(1):56–57.
Chisholm, J. 1983Navajo Infancy: An Ethological Study of Child Development. New York: Aldine Press.
Chisholm, J., and G. Heath 1987 Evolution and Pregnancy: A Biosocial View of Prenatal Influences. InThe Role of Culture in Developmental Disorders, C. Super and S. Harkness, eds. Pp. 160–192. New York: Academic Press.
Coe, C. L., and S. Levine 1981 Normal Responses to Mother-Infant Separation in Non-Human Primates. InAnxiety: New Research and Changing Concepts, D. F. Klein and J. G. Rabkin, eds. Pp. 155–177. New York: Raven.
Coe, C. L., S. P. Mendoza, W. P. Smotherman, and S. Levine 1978 Mother-Infant Attachment in the Squirrel Monkey: Adrenal Response to Separation.Behavioral Biology 22:256–263.
Coe, C. L., S. G. Wiener, L. T. Rosenburg, and S. Levine 1985 Endocrine and Immune Responses to Separation and Maternal Loss in Non-Human Primates. InThe Psychobiology of Attachment and Separation, M. Reite and T. Field, eds. Pp. 163–196. Orlando: Academic Press.
Donnelly, D. 1984 Neuronal Control of the Upper Airway. Paper presented at the International Symposium on Sudden Infant Death Syndrome, 17th Annual Intra-Science Symposium, February 22–24, Santa Monica, California.
Dreyfus-Brisac, C. 1974 Organization of Sleep in Prematures: Implications for Caretaking. InThe Effect of the Infant on Its Caregiver, M. Lewis and L. A. Rosenblum, eds. Pp. 75–86. New York: John Wiley and Sons.
Eisenberg, R. 1976Auditory Competence in Early Life: The Roots of Communicative Behavior. Baltimore: University Park Press.
1983 Development of Hearing in Children. InDevelopment of Auditory and Vestibular Systems, R. Romand, ed. Pp. 239–308. New York: Academic Press.
Emery, J. L. 1983 A Way of Looking at the Causes of Crib Death. InSudden Infant Death Syndrome, J. T. Tildon, L. M. Roeder, and A. Steinschneider, eds. Pp. 123–132. New York: Academic Press.
Fardig, J. A. 1980 A Comparison of Skin to Skin Contact and Radiant Heaters in Promoting Neonatal Thermoregulation.Journal of Nurse-Midwifery 25:19–28.
Field, T. 1985 Attachment as a Psychobiological Attunement. InThe Psychobiology of Attachment and Separation, M. Reite and T. Field, eds. Pp. 415–454. New York: Academic Press.
Fobes, J., and J. King 1982 Auditory and Chemoreceptive Sensitivity in Primates. InPrimate Behavior, J. Fobes and J. King, eds. Pp. 245–267. New York: Academic Press.
Galef, B. G., Jr. 1981 The Ecology of Weaning: Parisitism and the Achievement of Independence by Altricial Mammals. InParent Care in Mammals, D. J. Gubernick and P. H. Klopfer, eds. Pp. 211–241. New York: Plenum.
Gregg, C. L., M. E. Haffner, and A. F. Korner 1976 The Relative Efficacy of Vestibular-Proprioceptive Stimulation and the Upright Posture in Enhancing Visual Pursuit in Neonates.Child Development 47:309–314.
Guntheroth, W. G. 1977 Sudden Infant Death Syndrome (Crib Death).American Heart Journal 93:784.
Guz, A. 1977 Does Carbon Dioxide Excite Ventilation by Stimulating Receptors within the Lungs of Mammals?American Review of Respiratory Diseases 115:239–243.
Haddad, G. G., and R. B. Mellins 1983 Cardiorespiratory Aspects of SIDS: An Overview. InSudden Infant Death Syndrome, J. T. Tildon, L. M. Roeder, and A. Steinschneider, eds. Pp. 357–374. New York: Academic Press.
Harlow, H. 1958 The Nature of Love.American Psychologist 13:673–685.
Hodgman, J., and T. Hoppenbrouwers 1988 Home Monitoring for the Sudden Infant Death Syndrome: The Case Against. InThe Sudden Infant Death Syndrome: Cardiac and Respiratory Mechanisms and Interventions, P. Schwartz, D. Southall, and M. Valdes-Dapena, eds. Pp. 164–175. Annals of the New York Academy of Sciences 533.
Hofer, M. A. 1978 Hidden Regulatory Processes in Early Social Relationships. InPerspectives in Ethology, vol. 3, P.P.G. Bateson and P.H. Klopfer, eds. Pp. 135–166. New York: Plenum.
1981 Parental Contribution to the Development of Their Offspring. InParental Care in Mammals, D. J. Gubernick and P. H. Klopfer, eds. Pp. 77–115. New York: Plenum.
1983 The Mother-Infant Interaction as a Regulator of Infant Physiology and Behavior. InSymbiosis in Parent-Offspring Interactions, L. Rosenblum and H. Moltz, eds. Pp. 61–75. New York: Plenum.
Hoffman, H., K. Damus, L. Hillman, and E. Krongrad 1988 Risk Factors for SIDS: Results of the National Institute of Child Health and Human Development SIDS Cooperative Epidemiological Study. InSudden Infant Death Syndrome: Cardiac and Respiratory Mechanisms and Interventions, P. Schwartz, D. Southall, and M. Valdes-Dapena, eds. Pp. 13–31. Annals of the New York Academy of Sciences 533.
Hoppenbrouwers, P., and J. Hodgman 1986 Commentary.Medical Anthropology (special issue) 10 (1):61–65.
Isaac, G. L. 1978 The Food-Sharing Behavior of Protohuman Hominids.Scientific American 238:90–108.
Jansen, A. H., and V. Chernick 1983 Development of Respiratory Control.Physiological Reviews 63:437–483.
Kattwinkel, J. 1977 Neonatal Apnea: Pathogenesis and Therapy.Journal of Pediatrics 90:342–352.
Konner, M. J. 1981 Evolution of Human Behavior Development. InHandbook of Cross-Cultural Human Development, R. Monroe and B. Whiting, eds. Pp. 3–52. New York: Garland Press.
Korner, A. F. 1981 Intervention with Preterm Infants: Rationale, Aims, Means. InNewborns and Parents: Parent-Infant Contact and Newborn Sensory Stimulation, V. L. Smeriglio, ed. Pp. 13–30. Hillsdale, NJ: Lawrence Erlbaum Associates.
Korner, A. F., and E. B. Thoman 1972 The Relative Efficacy of Contact and Vestibular-Proprioceptive Stimulation on Soothing Neonates.Child Development 43:443–453.
Korner, A. F., C. Guilleminault, J. Van den Hoed, and R. B. Baldwin 1978 Reduction of Sleep Apnea and Bradycardia in Pre-Term Infants on Oscillating Waterbeds: A Controlled Polygraphic Study.Pediatrics 61:528–533.
Kraus, J. F. 1984 Demographic and Socioeconomic Factors: NICHD Cooperative Epidemiological Study of SIDS Risk Factors. Paper presented at the International Symposium on Sudden Infant Death Syndrome, 17th Annual Intra-Science Symposium, February 22–24, Santa Monica, California.
Kuhn, C. M., S. R. Butler, and S. M. Schanberg 1978 Selective Depression of Serum Growth Hormone During Maternal Deprivation in Rat Pups.Science 201:1034–1036.
Lahiri, S., and G. Delaney 1975 Stimulus Interaction in the Responses of Carotid Body Chemoreceptor Single Afferent Fibers.Respiratory Physiology 24:249–266.
Laitman, J. T. 1986 Commentary on “An Anthropological Perspective on the Sudden Infant Death Syndrome (SIDS): The Role of Parental Breathing Cues and Speech Breathing Adaptations,” by James J. McKenna.Medical Anthropology (special issue) 10(1):65–66.
Lancaster, J. B., and C. S. Lancaster 1982 Parental Investment: The Hominid Adaptation. InHow Humans Adapt: A Biocultural Odyssey, D. Ortner, ed. Pp. 33–56. Washington, DC: Smithsonian Institution Press.
Laudenslager, M. L., M. Reite, and R. Harbeck 1982 Suppressed Immune Response in Infant Monkeys Associated with Maternal Separation.Behavioral and Neural Biology 36:40–48.
Laufer, M. Z. 1980 Temporal Regularity in Prespeech. InInfant Communication: Cry and Early Speech, T. Murry and J. Murry, eds. Pp. 284–309. Houston: College-Hill Press.
Lipsitt, L. P. 1981 The Importance of Collaboration and Developmental Follow-up in the Study of Perinatal Risk. InNewborns and Parents: Parent-Infant Contact and Newborn Sensory Stimulation, V. L. Smeriglio, ed. Pp. 135–150. Hillsdale, NJ: Lawrence Erlbaum Associates.
1982 Infant Learning. InReview of Human Development, T. Field, A. Huston, H. Quay, L. Troll, and G. Finley, eds. Pp. 62–78. New York: John Wiley and Sons.
Lozoff, B., and G. Breittenham 1978 Infant Care: Cache or Carry. Paper presented at the meeting of the Society for Pediatric Research, New York.
Masi, W. 1979 Supplemental Stimulation of the Premature Infant. InInfants at Risk, T. M. Field, ed. New York: Scientific Publications.
McGinty, D. J. 1984 Reticular Formation Modulation of State Physiology. Paper presented at the International Symposium on Sudden Infant Death Syndrome, 17th Annual Intra-Science Symposium, February 22–24, Santa Monica, California.
McGinty, D. J., and T. Hoppenbrouwers 1983 The Reticular Formation, Breathing Disorders during Sleep, and SIDS. InSudden Infant Death Syndrome, J. T. Tildon, L. M. Roeder, and A. Stein-schneider, eds. Pp. 375–400. New York: Academic Press.
McKenna, J. J. 1979 Aspects of Infant Socialization, Attachment, and Maternal Caregiving Patterns Among Primates: A Cross-Disciplinary Review.Yearbook of Physical Anthropology 22:250–286.
1982 The Evolution of Primate Societies, Reproduction and Parenting. InPrimate Behavior, J. Fobes and J. King, eds. Pp. 87–133. New York: Academic Press.
1986 An Anthropological Perspective on the Sudden Infant Death Syndrome (SIDS): The Role of Parental Breathing Cues and Speech Breathing Adaptations.Medical Anthropology (special issue) 10(1):9–53.
Montagu, A. 1978Touching. New York: Harper & Row.
Morse, P., and N. Cowan 1982 Infant Auditory and Speech Perception. InReview of Human Development, T. Field, A. Huston, H. Quay, L. Troll, and G. Finley, eds. Pp. 32–61. New York: John Wiley and Sons.
Ornitz, E. M. 1983 Normal and Pathological Maturation of Vestibular Function in the Human Child. InDevelopment of Auditory and Vestibular Systems, R. Romand, ed. Pp. 479–536. New York: Academic Press.
Peterson, D. 1983 Epidemiology of the Sudden Infant Death Syndrome: Problems, Progress, Prospects—A Review. InSudden Infant Death Syndrome, J. T. Tildon, L. M. Roeder, and A. Steinschneider, eds. Pp. 89–98. New York: Academic Press.
Peterson, D., E. Sabotta, and D. Strickland 1988 Sudden Infant Death Syndrome in Epidemiological Perspective: Etiologic Implications of Variation with Season of the Year. InSudden Infant Death Syndrome: Cardiac and Respiratory Mechanisms and Interventions, P. Schwartz, D. Southall, and M. Valdes-Dapena, eds. Pp. 6–13. Annals of the New York Academy of Sciences 533.
Powell, G. F., J. A. Brasel, and R. M. Blizzard 1967 Emotional Deprivation and Growth Retardation to Simulatory Idiopathic Hypopituitanism.New England Journal of Medicine 276:1271–1283.
Prescott, J. W. 1970a Early Somatosensory Deprivation as an Ontogenetic Process in the Abnormal Development of the Brain and Behavior. InMedical Primatology: Proceedings of the Second Conference on Experimental Medicine and Surgery in Primates. Pp. 356–375. New York: Alan R. Liss.
1970b A Developmental Neural-Behavioral Theory of Socialization. Paper presented at the Annual Meeting of the American Psychological Association, Miami.
Reite, M. 1984 Touch, Attachment, and Health: Is There a Relationship? Paper presented at a symposium on “The Many Facets of Touch,” chaired by Kathryn Barnard and T. Berry Brazleton and sponsored by Johnson & Johnson (pamphlet).
Reite, M., and J. Capitanio 1985 On the Nature of Social Separation and Social Attachment. InThe Psychobiology of Attachment and Separation, M. Reite and T. Field, eds. Pp. 223–258. New York: Academic Press.
Reite, M., and T. Field, eds. 1985The Psychobiology of Attachment and Separation. New York: Academic Press.
Reite, M., and R. Short 1978 Nocturnal Sleep in Separated Monkey Infants.Archives of General Psychiatry 35:1247–1253.
Reite, J., and D. Snyder 1982 Physiology of Maternal Separation in a Bonnet Macaque Infant.American Journal of Primatology 2:115–120.
Reite, M., R. Harbeck, and A. Hoffman 1981 Altered Cellular Immune Response Following Peer Separation.Life Science 29:1133–1136.
Reite, M., C. Seiler, and R. Short 1978 Loss of Your Mother Is More Than Loss of a Mother.American Journal of Psychiatry 135:370–371.
Reite, M., C. Seiler, T. J. Crowley, M. Hydinger-Macdonald, and R. Short 1982 Circadian Rhythm Changes following Maternal Separation.Chronobiologica 9:1–11.
Salk, L. 1961 The Importance of the Heartbeat Rhythm to Human Nature: Theoretical, Clinical, and Experimental Observations. InProceedings of the Third World Congress of Psychiatry. Pp. 114–122. Toronto: University of Toronto Press.
1962 Mother’s Heartbeat as an Imprinting Stimulus.Transactions of the New York Academy of Sciences (series 2) 24:753–763.
Schmidt, K. 1975 The Effect of Continuous Stimulation on the Behavioral Sleep of Infants.Merrill-Palmer Quarterly 21:77–88.
Schmidt, K., S. A. Rose, and W. Bridger 1980 Effect of Heartbeat Sound on the Cardiac and Behavioral Responsiveness to Tactual Stimulation in Sleeping Preterm Infants.Developmental Psychology 16:175–184.
Schwartz, G., and L. Rosenblum 1985 Allometric Influences on Primate Mothers and Infants. InSymbiosis in Parent-Offspring Interactions. L. Rosenblum and H. Moltz, eds. Pp. 215–248. New York: Plenum.
Schwartz, P. J., and A. Segantini 1988 Cardiac Intervention, Neonatal Electrocardiography and SIDS: A Key for a Novel Preventive Strategy? InSudden Infant Death Syndrome: Cardiac and Respiratory Mechanisms and Interventions, P. Schwartz, D. Southall, and M. Valdes-Dapena, eds. Pp. 210–221. Annals of the New York Academy of Sciences 533.
Seiler, C., J. Cullen, J. Zimmerman, and M. Reite 1979 Cardiac Arrhythmias among Infant Pigtail Macaques following Maternal Separation.Psychophysiology 16:130–135.
Short, R., S. Iwata, and M. Reite 1977 EEG Changes during the Depressive Reaction following Maternal Separation.Psychophysiology 14:120.
Smeriglio, F. L., ed. 1981Newborns and Parents: Parent-Infant Contact and Newborn Sensory Stimulation. Hillsdale, NJ: Lawrence Erlbaum Associates.
Southall, D. P., D. G. Talbert, P. Johnson, C. J. Morley, S. Salmons, J. Miller, and P. J. Helms 1985 Prolonged Expiratory Apnea: A Disorder Resulting in Episodes of Severe Arterial Hypoxemia in Infants and Young Children.The Lancet, September 15:571–577.
Sullivan, C. 1984 Upper Airway Function in Sleep Apnea. Paper presented at the International Symposium on Sudden Infant Death Syndrome, 17th Annual Intra-Science Symposium, February 22–24, Santa Monica, California.
Suomi, S. 1982 Abnormal Behavior and Primate Models of Psychopathology. InPrimate Behavior, J. L. Fobes and J. E. King, eds. Pp. 171–215. New York: Academic Press.
Taylor, E., and J. Emery 1988 Trends in Unexpected Infant Deaths in Sheffield.The Lancet, November 13:1121–1122.
Tenney, S. M., and D. Bartlett, Jr. 1981 Some Comparative Aspects of the Control of Breathing. InLung Biology in Health and Disease, vol. 17.Regulation of Breathing, Part I. C. Lenfant, E. Semes, and T. Hornbein, eds. Pp. 590–630. New York: Marcel Dekker.
Thoman, E. 1986 Commentary on “An Anthropological Perspective on the Sudden Infant Death Syndrome (SIDS): The Role of Parental Breathing Cues and Speech Breathing Adaptations,” by James J. McKenna.Medical Anthropology (special issue) 10(1):67–69.
Thoman, E. B., and S. E. Graham 1986 Self-Regulation of Stimulation by Premature Infants.Pediatrics 78(5):855–860.
Tildon, J. T., L. M. Roeder, and A. Steinschneider, eds. 1983Sudden Infant Death Syndrome. New York: Academic Press.
Trevathan, W. 1987Human Birth: An Evolutionary Perspective. New York: Aldine de Gruyter.
Tronick, E., S. Winn, and G. Morelli 1985 Multiple Caretaking in the Context of Human Evolution. Why Don’t the Efe Know the Western Prescription for Child Care? InThe Psychobiology of Attachment and Separation, M. Reite and T. Field, eds. Pp. 293–319. New York: Academic Press.
Valdes-Dapena, M. A. 1980a Sudden Infant Death Syndrome: A Review of the Medical Literature, 1974–1979.Pediatrics 66(4):567–614.
1980bSudden Infant Death Syndrome. U.S. Department of Health, Education, and Welfare Publication No. 80-5255. Washington, D.C.
1988 A Pathologist’s Perspective on Possible Mechanisms in SIDS. InSudden Infant Death Syndrome: Cardiac and Respiratory Mechanisms and Interventions, P. Schwartz, D. Southall, and M. Valdes-Dapena, eds. Pp. 31–37. Annals of the New York Academy of Sciences 533.
Widdicombe, J. G. 1981 Nervous Receptors in the Respiratory Tract and Lungs. InLung Biology in Health and Disease, vol. 17.Regulation of Breathing, Part I. C. Lenfant, E. Semes, and T. F. Hornbein, eds. Pp. 220–245. New York: Marcel Dekker.
Williams, L. J., A. Spence, and S. C. Tideman 1977 Implications of the Observed Effect of Air Pollution on Birth Weight.Social Biology 24:1–9.
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James J. McKenna is Associate Professor of Anthropology and Chair of the Department of Sociology and Anthropology at Pomona College. He also has an appointment as an Adjunct Clinical Assistant Professor in the Departments of Pediatrics, Child Psychiatry, and Human Behavior at the University of California, Irvine, School of Medicine. His primary research interests and many of his publications concern aspects of primate parenting and infant development among both human and nonhuman primates. For the past seven years he has been investigating from an anthropological perspective possible environmental correlates of the sudden infant death syndrome (SIDS) and has just finished a preliminary study on the physiological correlates of human parent-infant co-sleeping. His earlier monograph on the subject (cited in this paper) has received much international attention. He and his colleagues (Mosko and Dungy) are the first to have used standard polysomnographic techniques to document simultaneously human parent-infant co-sleeping. He has won three awards for distinguished teaching at Pomona College.
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McKenna, J.J. Evolution and sudden infant death syndrome (SIDS). Human Nature 1, 145–177 (1990). https://doi.org/10.1007/BF02692150
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DOI: https://doi.org/10.1007/BF02692150