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  • Background to the development of Neuroprotective Developmental Care or the Possums programs: theoretical frameworks (video)
  • Complexity science is foundational to Neuroprotective Developmental Care or the Possums programs

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Background to the development of Neuroprotective Developmental Care or the Possums programs: theoretical frameworks (video)

Dr Pamela Douglas20th of Dec 202528th of Feb 2026

This is the first part of a presentation which I later delivered to the Helen Mayo House Perinatal Mental Health Conference November 2025, Adelaide, South Australia. We've edited out the third section (on 'How Possums aims to optimise parent-infant mental health + developmental outcomes'). This talk focuses on the three theoretical frames upon which NDC or the Possums programs have been built.

This video is optional.

Time-poor clinicians join the NDC courses looking for practical skills which are effective as they help parents in the clinic. Many of you will be less interested in this close look at the theoretical models from which NDC is developed!

But others of you may be interested .... One day, it will be much better understood how vital theoretical frameworks are to the development of effective clinical interventions (and how important theoretical modelling is in implementation science i.e. translating research into clinical practice), so I've made this available anyway for anyone undertaking the Masterclasses who is interested!

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Next up in Theoretical models: the NDC programs overall

Complexity science is foundational to Neuroprotective Developmental Care or the Possums programs

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What is complexity science?

Here are the basic tenets of complexity science, which I've adapted to develop the NDC or Possums programs for breastfeeding problems, unsettled infant behaviour and family well-being in early life. The woman and her baby, the carer and their baby, are conceptualised as a complex adaptive system (CAS).

  • A CAS is comprised of myriad different factors which interact and co-evolve together

  • A CAS is nested within bigger CASs (such as family and society), and comprised of many smaller CASs (such as the enteromammary immune system, or the stress response system, or orofacial and breast anatomies)

  • CASs are inherently resilient, with myriad feedback loops operating to keep the…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.