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Video Interaction Guidance. Dr. Caroline White Consultant Clinical Psychologist Head of CAPS Early Intervention Manchester, UK. Aims. To develop an understanding of VIG and it’s key principles To develop an understanding of what VIG looks like when we work with families. Overview.

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Video interaction guidance

Video Interaction Guidance

Dr. Caroline White

Consultant Clinical Psychologist

Head of CAPS Early Intervention

Manchester, UK

Video interaction guidance

  • To develop an understanding of VIG and it’s key principles

  • To develop an understanding of what VIG looks like when we work with families


  • What is VIG?

  • The Contact Principles: principles of attuned interactions

  • The VIG method

  • Who is it for?

What is vig
What is VIG?

  • Uses short video of parent & child for reflection

  • Developed to help families build successful communication

  • Helps parents to identify their strengths and build on them

  • Safe and empowering

What is vig1
What is VIG?

  • Edit clips demonstrating good communication between parent and child

  • If the building blocks for effective communication are working well this builds their relationship

  • Strong communication skills also help parents to manage difficult situations with their child

  • Based on the work by Colwyn Trevarthen

Video interaction guidance


Parent receives

child’s initiative

Parent misses

child’s initiative



Child receives parent’s turn

Child misses

Parent’s turn



Video interaction guidance

The core principle for attuned interaction


Parent‘s Reception

1. Child‘s Initiative

Returns look to child, smiles

and then looks towards ball

saying ‘ball’

Eg child points at ball

and looks back at parent


Saying ‘Yes, you can see the ball up high. I think you want it’. In approving tone, looking from ball to child

4. Child‘s Reception

3. Parent‘s Response

(new initiative)

Vigorous nod

And returns

look from

ball to parent

Parent gets ball down

for child and gives it saying ‘there you are’ .

With friendly look and tone



Parent‘s Reception

Pulls parent towards ball

And points again looking

back at parent


Child‘s Response

(second turn)

Interaction can continue

Video interaction guidance

Possible impact of each block for child as care-seeker

Building blocks for parent as care-giver

Is helped to manage difficult situations or learn new things


Enjoys being helped and learning from their parents


Enjoys interacting with their parent


Parent led

Experiencing being received, parent commenting on what they are doing and their wishes


Knows their parents are interested in what they are doing and their wishes


Feels love, recognized and important


Video examples
Video examples

  • Can you spot when this parent is being attentive or encouraging initiatives?

  • What are they doing/saying?

  • What impact does this have on the child?

Vig method 1 initial meeting
VIG Method 1: Initial meeting

  • Initial meeting: Listening carefully to worries and concerns

  • Establish hope for the future

  • Explain VIG: What it involves and how VIG links with the family’s goals for change

  • Setting interactive goal(s)

Vig method 1 take and edit the video
VIG Method 1: Take and editthe video

  • Take video clip (10-15 minutes) of parent and child doing something together that involves communication

  • Sometimes activate (coach) families to ensure success

  • Choose 3 short clips (30-60 seconds of their best bits) to look at in the ‘shared review’

Vig method 2 the shared review1
VIG Method 2: The shared review

  • Feedback sessions last 45-60 mins

  • Edited clips based on ‘attuned interaction’ and parents goals

  • Show the clip and ask questions to ‘activate’ the parent:

    • What did you see?

    • How do you think your child felt?

    • What does that mean?

Video interaction guidance


Own hopes, beliefs, thoughts, motives and experience

Own hopes, beliefs, thoughts, motives and experience



Creating space


attuned dialogue

Naming,exploring, reflecting,



Co-creating new meaningssolutions, change

New views, ideas and possibilities appear

The experience of shared review
The experience of shared review

  • VIG guiders use same principles of ‘attuned interactions’ to guide feedback

  • This gives parents a direct experience of successful communication with another person

  • Parents experience the feedback sessions positively

Examples of feedback questions
Examples of feedback questions

  • What are you thinking / feeling there?

  • How would you describe the way you're looking at him now?

  • Where does this idea come from?

  • How do you think that makes the child feel?

  • Is that important? Why?

The steps of the dance
The steps of the dance





How many sessions
How many sessions?

  • Standard package of 3-4 video’s plus 3-4 feedbacks

  • On completion review: either discharge or contract for a further block of sessions

  • However, if there is no change after 3-4 sessions it may be best to reconsider

Who is it for
Who is it for?

  • Can help anyone if they have the capacity to reflect!!!

  • For families where relationship between parent and child has broken down or not developing adequately

  • Babies- get it right from the start

  • Parents who are ‘missing’ their child’s initiatives (proposals/ communications) or under-responding

Who is it for1
Who is it for?

  • Parents who are finding it hard to build relationship with their child

  • Parents who are not giving their child time and space to respond (over-controlling/involved)

  • Parents who are misinterpreting their child’s cues

  • Where ‘listening’ is a key issue within the family

  • For professionals? – Video Enhanced Reflective Practice - VERP


  • Video Interaction Guidance (VIG) is an empowering therapeutic intervention for families to help develop communication skills

  • Short, edited video clips of interaction are used for parents to reflect on and develop new understandings of their relationship with their child

  • Many applications for infants

6th video interaction guidance international conference
6th Video Interaction Guidance International Conference

Video Interaction Guidance:

“An Intervention Whose Time Has Arrived”,

(Jane Barlow)

15th October 2014

Manchester Town Hall

Albert Square


Tel: Max on 0161 203 3263 for enquiries


  • Video Interaction Guidance: A Relationship- Based Intervention to Promote Attunement, Empathy and Wellbeing, Edited by Hilary Kennedy, Miriam Landor, and Liz Todd