Child abuse and depression: cause or consequence?
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Child↗
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Results for “Child Reactive Disorders”
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[Children of migrants or the impossible identity].
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Acculturation↗
Sexual abuse in children.
The purpose of this paper is to review recent English-language literature on sexual abuse in children. Most of the articles deal with incestuous behavior and this subject will be emphasized. However, I will also deal with sequelae of other sexual offenses in children.
Adolescent↗
[Psychic disturbances in adopted children--an overview of the postiion of clinical research].
Empirical studies on the psychopathology of adoptees are summarized and discussed with regard to the possibility of a relationship between adoption and psychic disturbances. The results leave the question open as to whether adoptees are more prone to psychic disturbances than other individuals. Those under treatment do not seem to be more severely disturbed than others. Whereas however the adoptees display more disturbances in their social behavior rather than neurotic disturbances, the relationsship is reversed in the population of the non-dopted. The causes seem to lie in the conditions in early childhood and in the experience of being adopted itself.
Adoption↗
Therapeutic interventions for child victims of violence.
Victims and perpetrators of violence often are children caught in a cycle of fear, anger, and hopelessness. The aftermath of violence often is more traumatic and disruptive to victims than the original traumas. Treatment involves a multidimensional approach to the past, present, and future.
Adolescent↗
Long-term outcome of trauma in children: the psychological consequences of a bus accident.
The psychological consequences of trauma on 28 Swedish children were examined 1 year and 3 years after a bus accident in western Norway in 1988. Symptoms were assessed by the Impact of Event Scale (IES), semi-structured interviews, and a questionnaire developed for this study. At the 1-year follow-up, large proportions of the sample had symptoms of Intrusion and Avoidance (IES) and symptoms of general psychological distress, but no clinically significant symptoms were observed at the 3-year follow-up. Girls and children who experienced loss in the accident were characterised by high levels of Intrusion, whereas passenger trauma and age were unrelated to the outcome. A bidirectional relationship was observed between the mothers' and the children's symptoms over time, whereas the fathers' symptoms were unrelated to the children's symptoms. The clinical implications of the study are that symptoms in all children of traumatised families deserve attention during the first year post-trauma, and that objective risk indicators (age, sex, and types of trauma) do not provide sufficient information to identify children at risk.
Accidents, Traffic↗
The presuicidal syndrome.
The Presuicidal Syndrome, first described in 1958, relates to that specific psychic state of mind that leads to suicidal acts. It is an alarm signal indicating a tendency to suicide. The Presuicidal Syndrome has three principal components: constriction; inhibited aggression turned toward the self; and suicidal fantasies. The clinical details of these components are explicated. It is proposed that the Presuicidal Syndrome provides a basis for better judgment of the danger of suicide, makes more focused suicide prevention possible, and is an aid in the disclosure of those factors in society that often lead to suicide.
Adult↗
Attachment disorders: review and current status.
Developmental research on attachment has flourished in the past 15 years (C. H. Zeanah, 1996). However, there has been relatively scant empirical investigation of disorders in attachment. In this article, the pertinent developmental research on the attachment cycle is delineated and the current status of disordered attachment is examined. A particular focus is given to the conceptualization of the most severe form of disordered attachment, Reactive Attachment Disorder.
Child↗
Child abuse and neglect in infancy: sources of hostility within the parent-infant dyad and disorders of attachment in infancy.
The human infant is prepared during fetal life and arrives on the scene ready to participate actively as a partner with the parent in structuring his own development. Parents are normally prepared for this participant activity by achieving a high degree of sensitivity to the signals of distress of and by the infant's affective engagement with them. The meaning of ordinary distress signals is in instances of child abuse and neglect determined by an unconscious mythology which the parent has about the infant, and also by what the parent finds unacceptable in oneself and projects onto the infant. The recent research on mother-infant attachment is reviewed. Landmarks for normal attachment behaviors from birth to age 3 are defined within seven different age groupings, and the psychiatric syndrome, "Reactive Attachment Disorder of Infancy," is described and is found almost universally in failure to thrive without organic cause babies. The diagnosis of Reactive Attachment Disorder is preferable because it leads to appropriate preventive and interventive action.
Adult↗
A clinical/research dialogue on Reactive Attachment Disorder.
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Adjustment Disorders↗
Assessment of anxiety in young children.
Anxiety disorders are highly prevalent and disabling conditions that can be identified in young children. Observations of infant temperament and attachment relationships have shown that certain early infant behaviors can be linked to later anxiety disorders. Research involving play narrative stories, pictures, cartoons, and puppets has demonstrated preliminary validity for new assessment methods of young children. Preliminary studies also have been conducted with new questionnaires and diagnostic interviews. Additional research is needed to refine these methods and to develop new comprehensive measures that focus specifically on different aspects of anxiety in young children.
Anxiety↗
[Diagnosis of attachment disorders].
After an introduction about the basic concepts of attachment theory the diagnostic classification systems ICD, DSM and ZERO TO THREE are reviewed for descriptions and diagnosis of attachment disorders. It is demonstrated how over the last few years attachment theory has been partly adopted in those diagnostic systems. In addition different types of clinically relevant attachment disorders are described. The authors argue that it would be necessary to integrate attachment disorders on a broader base into the current diagnostic classification systems. The diagnostic importance of attachment disorders and their impact on the technique of child psychotherapy are finally discussed.
Child↗
Clinical disturbances of attachment in infancy and early childhood.
The development of the attachment behavioral system in infancy has been the focus of a wide range of research in the past 30 years. The clinical significance of disturbances in this area of development is currently a major focus for this research. Research on patterns of attachment in infancy has informed understanding of the development of psychopathology in later childhood; insecure-disorganized attachment is recognized as an important risk factor in this regard. The clinical features of reactive attachment disorder in early childhood are also becoming more clear. Finally, knowledge about the intersection between attachment and various risk conditions is growing and should inform clinical judgement about infants and young children requiring intervention. Primary care physicians can use these findings to identify children in need of intervention.
Child, Preschool↗
[Quality of life and psychosocial adaptation in children and adolescents with juvenile idiopathic arthritis and reactive arthritis].
OBJECTIVE: We sought to measure self-reported health related quality of life (HRQOL) and psychosocial adaptation in children and adolescents with juvenile idiopathic arthritis (JIA) and reactive arthritis and to determine factors associated with these outcomes. METHODS: We interviewed 72 children and adolescents with chronic arthritis, age 8-16, about HRQOL (KINDL-R-Questionnaire) and functional ability in activities of daily living (Childhood Health Assessment Questionnaire-CHAQ). Mothers reported behavior problems (Child Behavior Checklist-CBCL). RESULTS: Children and adolescents with juvenile idiopathic arthritis and reactive arthritis reported lower HRQOL compared to normative data in several areas. Children reported lower QOL in the dimensions self-esteem; adolescents reported lower QOL in the dimensions physical well being and total QOL. Almost 20% of the sample appeared to have serious behavior problems, mostly social isolation and depression/anxiety. Functional limitations affected HRQOL and behavior problems. Inpatient children and adolescents and those with shorter disease duration reported lower QOL than outpatient children and adolescents and those with longer disease duration. Best predictors for impaired HRQOL were functional limitations, social isolation and depression/anxiety. CONCLUSIONS: Self-reported HRQOL and behavior problems may be relevant outcome measures in children and adolescents with chronic arthritis and useful to monitor psychosocial support in this population.
Activities of Daily Living↗
[A new approach to the attachment process and the child functioning].
Following the introduction dealing with the scientific sources which influenced John Bowlby in his elaborating the theory of attachment, the present article relates some of the major advances Bowlby's theory gave rise to and facilitated in fundamental research, clinical practice and the drawing up of new concepts. The main part of the article is devoted to the concept of core-competency. Indeed, this concept permits to take into account in a combined manner individual development, processes of attachment, and behaviour adjustments, from birth throughout infancy. Core-competencies are organisational nuclei that allow every child to associate, combine, cluster and integrate various pieces of information of the surrounding world by making them compatible with his idiosyncrasies, be they innate or acquired as the days go by, be they biological or psychological. Five core-competencies have emerged from studies about mother-child interactions, from experimental research on the interactions between young children and from ethological observations of groups of children under controlled conditions: sustained visual attention, desire for interaction, affiliative behaviour, imitation and the structured organisation of gestures. The theory of attachment, the data of fundamental research, in particular those concerning core-competencies, and clinical observation lead to a new perspective for interpreting child constructions. The rooting of the child in a secure attachment, the non-thwarted genesis of his/her time organisation and of his/her bio-psychological rhythms, the possibilities given to him/her to appropriate space and its various dimensions, allow him/her to settle in affective security. Hence he/she can release his/her emotions and affects and make his/her core-competencies legible and functional. Conditions are then fulfilled for him/her to release his latent cognitive processes, master his/her cognitive acquisitions and structure his/her imagination.
Child Behavior↗
Shedding further light on the effects of various types and quality of early child care on infant-mother attachment relationship: the Haifa Study of Early Child Care.
The Haifa Study of Early Child Care recruited a large-scale sample (N = 758) that represented the full SES spectrum in Israel, to examine the unique contribution of various child-care-related correlates to infant attachment. After controlling for other potential contributing variables--including mother characteristics, mother-child interaction, mother-father relationship, infant characteristics and development, and the environment--this study found that center-care, in and of itself, adversely increased the likelihood of infants developing insecure attachment to their mothers as compared with infants who were either in maternal care, individual nonparental care with a relative, individual nonparental care with a paid caregiver, or family day-care. The results suggest that it is the poor quality of center-care and the high infant-caregiver ratio that accounted for this increased level of attachment insecurity among center-care infants.
Child Day Care Centers↗
Family attachment narrative therapy: healing the experience of early childhood maltreatment.
Based on attachment theory and research, Family Attachment Narrative Therapy is introduced as a new family therapy modality developed to heal the experience of early childhood maltreatment. Unresolved childhood trauma has been correlated with impaired and delayed cognitive, behavioral and emotional functioning. Gentle, soothing, nonprovocative and nonintrusive narratives told by parents provide an alternative restorative experience designed to shift and change the child's destructive internal working model. The result is improved functioning and the ability to accept nurturing and care in relationships that offer love and safety. A representative case example is used to illustrate theory, practice and outcome. Pre- and posttherapy assessment supports the claim of improved functioning.
Adult↗