Ferber method

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The Ferber Method is a sleep-training approach developed by Dr. Richard Ferber, aiming to aid infants in overcoming sleep disturbances. Rooted in the principles of self-soothing, this method emphasizes a structured approach where infants are conditioned over time to comfort themselves and fall asleep independently.

Historical Context[edit | edit source]

"Cry It Out" Origins[edit | edit source]

The concept of allowing an infant to cry for a specific duration before offering solace, commonly termed as the "Cry It Out" (CIO) technique, is not new. This approach was initially introduced in "The Care and Feeding of Children" by Dr. Emmett Holt in 1895. While Ferberization is a subset of the CIO methodologies, it's essential to clarify that Dr. Ferber's methodology is not about abandoning a child to cry indefinitely. Nonetheless, the broader CIO concept has had its share of critics, with some pediatricians opposing it on the grounds of potential psychological impacts on the child.

Core Principles of Ferberization[edit | edit source]

The Ferber method, often referred to as Ferberization, is characterized by a systematic and progressive technique. A summary of its main tenets includes:

  • Preparation for sleep: Initiate rituals and routines that signal bedtime for the infant, such as reading a story or playing soft lullabies. Furthermore, engaging daytime activities can help ensure the baby is tired by bedtime.
  • Initial bedtime: Once the child seems ready for sleep, place them in their bed and exit the room.
  • Incremental Comforting: If the infant begins crying, resist the immediate impulse to pick them up. Instead, revisit the room at gradually increasing intervals to soothe them. For instance, on the inaugural night, you might first return after three minutes, subsequently after five, and then every ten minutes until the child drifts off to sleep.
  • Progressively Lengthening Intervals: As nights progress, extend the time before returning to the room. Following the earlier example, the second night could involve returning after five minutes, then after ten, and later every twelve minutes until sleep ensues.
  • Age Consideration: The Ferber method can be introduced as early as four months. However, it's crucial to note that many infants may still need nighttime feeding before six months, while a handful might be able to sleep undisturbed by three months.

Revisions and Modern Perspectives[edit | edit source]

In the 2006 edition of "Solve Your Child's Sleep Problems," Dr. Ferber introduced several alterations to his earlier propositions. Recognizing the diverse needs and situations of different families and children, he became more receptive to the idea of co-sleeping and endorsed a more flexible approach tailored to individual family dynamics.

Ferber method Resources
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Contributors: Prab R. Tumpati, MD