2  •  2025  •  Developmental Observer

This issue offers insights from the 
recent 35th NIDCAP Trainers 

Meeting, highlighting the exchange 
of knowledge that defines our global 
community. These meetings continue to 
grow in strength and scope, showcasing 
an outstanding diversity of information 
and experiences. The picturesque setting 

of Toulouse in the south of France provided a vibrant backdrop 
for the event, which also served as an invaluable opportunity 
for networking among delegates representing many countries.

In this issue, Samantha Butler shares the wisdom and legacy 
of Heidelise Als, taking us on her inspirational NIDCAP jour-
ney—a testament to vision and dedication. Deborah Buehler 
introduces us to an innovative perspective on the Synactive 
Theory, exploring its application across all areas of care.

The abstracts featured in this issue reflect the diversity and 
depth of the meeting. From groundbreaking research and new 
educational approaches to parent-led initiatives and strategies 

for expanding NIDCAP expertise. Additionally, we are de-
lighted to include poster abstracts that highlight the incredible 
work of our NFI members.

For the first time, we have translated several articles from 
the original French, making their valuable content accessible to 
a broader audience. This new venture was made possible thanks 
to the generous assistance of Kiki Remont, and I extend my grat-
itude for her efforts. I would love to hear your thoughts on this 
new approach to fostering accessibility and understanding.

Thank you for your continued engagement and dedication 
to advancing the NIDCAP mission.

Kaye Spence AM FACNN
Senior Editor – Developmental Observer 
Adjunct Associate Professor  
Australasian NIDCAP Training Centre/ University of Western Sydney

Editorial 

Cover image: Photograph used with permission of the mother in Shanghai 

DOI:14434/do.v18i1.40855

A French Treat

Dedication to Care
From the first moment I observed Dr. Als with an infant, I was 
struck by her profound compassion and keen insight into the 
experiences of newborns and their families. Her dedication to 
improving care for the most fragile patients deeply resonated 
with me. She demonstrated that even the smallest adjustments, 
rooted in respect and understanding, could create a transfor-
mation on the well-being of others.

Dr. Als’ influence guides how I create environments that 
prioritize family-focused developmental practices. Dr. Als 
emphasized that every detail matters, not just in medicine but 
in every aspect of how we present ourselves. She reminded us 
that we are public figures and thus all interactions matter and 
deserve intention. Whether creating an environment to uplift 
others, preparing for an assessment, or organizing a meeting, 
attention to detail shapes how messages are received and how 
others feel within that space. She emphasized the power of 
projecting confidence, clarity, and empathy to rear connec-
tion and trust. This philosophy has extensively shaped my 
approach, driving me to approach interactions and decisions 
with thoughtfulness, ensuring that I reflect a sense of well-be-
ing, respect, and intentionality. 

Philosophy and Mentorship
This deep commitment to care was also reflected in her ap-
proach to mentoring. Dr. Als embodied an extraordinary work 
ethic, dedicating countless hours to her mission and inspiring 
others with her drive and high expectations. Her approach to 
training was rigorous and comprehensive. Through the NIDCAP 
curriculum, she cultivated a philosophy of thoughtful engage-
ment, observation, and practice, cultivating a community of 
clinicians dedicated to individualized developmental care. I 
feel a profound responsibility to honor and carry forward her 
vision. In my own NIDCAP training efforts, I strive to uphold 
her meaningful approach, providing structure and depth while 
also offering additional guidance to make the process accessi-
ble and encouraging for trainees. This sense of responsibility 
drives me to motivate others to see the insights she uncovered, 
publish meaningful research, and promote transformative care 
practices that improve outcomes for infants and families.

Dr. Als fostered a commitment to listening to, supporting, 
and inspiring others. Through her example, I advocate for the 
vital role we play in the lives of infants, their families, and others. 
I believe that as a professional in the field of neurodevelopment, 
 

Acknowledgments: External Reviewers 2024 – Samantha Butler, Marzieh Hasanpour, Kiki Remont.

Erratum: Vol 17, No 3, page 16. The image caption should read: Dr. Mohammad Heidarzadeh and Dr. Marzieh 
Hasanpour.

Continued on p.3