Promoting positive relationships with family members and peers continues to be a central component of early intervention programs and the foundation for children's healthy social and emotional functioning. Under any circumstance, the task is a complex and sensitive one, requiring a unique blend of knowledge and clinical skills. In one article in this issue, Infants & Young Children (IYC) provides important information for practitioners on factors most likely to lead to social and emotional difficulties for children with orofacial clefts. In another article, IYC considers the unique problems experienced by incarcerated women and what approaches to building relationships are feasible under these circumstances. A related issue concerns ways to begin to promote the self-determination of children with disabilities during the early childhood period. Again, relationships with family members are the key, supporting children's social-emotional regulation skills and providing opportunities for decision making. A thoughtful review of this important topic is presented in this issue of IYC.

Early intervention to foster the motor development of children with disabilities continues to be a special focus of IYC. Historically, only limited long-term success has been achieved and many therapeutic approaches have proven to be poorly grounded conceptually as well as controversial. This circumstance is gradually changing with the introduction of new theoretical and practical models. Activity-focused motor interventions are central to these new developments, and practical guidelines are discussed in depth in this issue of IYC.

Three other articles address important issues in our field. First, developmental surveillance continues to be essential for early identification but is far from universal. An important community-based model is presented, one that has considerable promise for more widespread application. Second, a discussion of current approaches to managing children who are deaf-blind is included and is a follow-up to an article published in the last issue of IYC addressing the evaluation of this unique group of young children. Finally, IYC provides a comprehensive update on young children with Tourette syndrome. Much is now known about this challenging disorder, including the value of management strategies that require close interdisciplinary collaborations.

Michael J. Guralnick, PhD

Editor, Infants & Young Children