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PubMed1999

Annotation: the development of antisocial behavior: an integrative causal model.

In this paper we have described an integrative causal model of the development of antisocial behavior in children and adolescents. The present model primarily integrates several previous models, but offers some new testable hypotheses. We believe that stable individual differences in propensity to antisocial behavior reflect variations in a number of dimensions of predisposing temperament and cognitive ability, each with its own genetic and environmental influences. The dimensions of predisposing temperament include oppositionality, harm avoidance, and callousness. Genetic influences are predicted to have only indirect effects on antisocial behavior via their influence on predisposition and on the youth's social environment. Environmental influences are expected to be important contributors to antisocial propensity, but these environmental influences reflect, in part, the genetic influences on the dimensions of predisposition (i.e. genotype-environment covariance). We also hypothesize that the levels of influence of the factors that determine individual differences in antisocial propensity change with development, such that genetic influences are of greater magnitude in early childhood and social influences contribute more strongly during later childhood and adolescence (both through independent effects and genotype-environment covariance). However, low levels of heritable predisposing child characteristics may protect against peer influences at all ages.

Adolescent↗
PubMedDate not supplied

Merging universal and indicated prevention programs: the Fast Track model. Conduct Problems Prevention Research Group.

Fast Track is a multisite, multicomponent preventive intervention for young children at high risk for long-term antisocial behavior. Based on a comprehensive developmental model, this intervention includes a universal-level classroom program plus social-skill training, academic tutoring, parent training, and home visiting to improve competencies and reduce problems in a high-risk group of children selected in kindergarten. The theoretical principles and clinical strategies utilized in the Fast Track Project are described to illustrate the interplay between basic developmental research, the understanding of risk and protective factors, and a research-based model of preventive intervention that integrates universal and indicated models of prevention.

Adolescent↗
PubMed2002

Screening young people for autism with the developmental behavior checklist.

OBJECTIVE: To determine whether a subset of items from the Developmental Behavior Checklist (DBC) could be selected to construct a reliable autism screening tool. METHOD: A 29-item scale-the Developmental Behavior Checklist-Autism Screening Algorithm (DBC-ASA)-was developed by using items from the DBC and evaluated in a sample comprising 180 children who met criteria for autism and 180 controls matched for age, sex, and IQ range. RESULTS: This study found that the DBC-ASA has good validity in discriminating young people (4-18 years) with autism and IQ ranging from normal to severe intellectual disability from others using a cutoff score of 17. CONCLUSION: The DBC-ASA is an effective autism screening questionnaire for at-risk young people, including those with intellectual disability.

Adolescent↗
PubMed1989

Mechanisms of the relation between perinatal problems, early childhood illness, and psychopathology in late childhood and adolescence.

Data on perinatal and early childhood somatic and psychological risk factors of a random sample of children were gathered in early to middle childhood and employed to examine the long-term risk of emotional and behavioral problems of late childhood and adolescence. 3 issues were addressed: First, can syndromic specificity of such effects be identified on scaled and diagnostic measures of syndromes? Second, are these effects attributable to excess risk of low-income children for both perinatal and later childhood problems? Third, are the intervening mechanisms identifiable as intellectual impairment, vulnerability to poor health, poor maternal caretaking, maternal rejection, or maternal stress associated with marital problems? Findings indicated that elevated risk was present for all syndromes, both at the scale level and at the diagnostic level. None of the examined intervening mechanisms fully accounted for the effects of early risks.

Adolescent↗
PubMed1986

Intellectual, behavioral, and linguistic characteristics of three children with 18p- syndrome.

Developmental characteristics of three girls with 18p- syndrome are described, with detailed history and results of psychological and speech/language evaluations completed at various ages. Results suggest that some children with 18p- syndrome have average abilities in selected areas, despite previous reports that these children have mild to severe mental retardation. Two of the three girls had more severe deficits in linguistic, as opposed to nonlinguistic, abilities. All had similar difficulties with speech articulation. It is suggested that children with speech/language delays who have physical features associated with this syndrome have chromosome analysis performed. It is also recommended that children identified as having 18p- syndrome be referred for comprehensive developmental assessments and remedial special education programming before a specific prognosis is determined.

Articulation Disorders↗
PubMed1984

Problem behaviors and peer interactions of young children with a manic-depressive parent.

By the age of 2 years, children with a manic-depressive parent were already found to be experiencing substantial psychiatric problems. The authors examined the ways in which these early problems then become embedded in social relationships. Naturalistic observations and experimental manipulations of the emotional environment were used to measure 2-year-old children's regulation of emotion, aggression, and altruism during peer interactions. Children with a manic-depressive parent had difficulty in sharing with their friends and in handling hostility, showing maladaptive patterns of aggression. The social and emotional problems of these children were similar to the interpersonal problems of their manic-depressive parents.

Aggression↗
PubMed1994

Experiencing self and others: contributions from studies of autism to the psychoanalytic theory of social development.

Psychoanalysts have long been interested in autism as a disorder in which the development of a sense of self and other is altered dramatically. This paper outlines how our psychoanalytic understanding of the process of emergence and maintenance of the self and of inner world may be informed by recent findings from developmental psychology about how normal and autistic children develop the capacity to attribute mental states such as desires, feelings, and beliefs to others. Because autistic individuals frequently fail to develop an understanding of the relation between feelings or beliefs and the behaviors of themselves or others, studies of autism provide a clinical model for how these neurocognitively based functions, related to acquiring a so-called theory of mind, are involved in the elaboration of an inner world and in the ongoing definition of self. Understanding how both autistic and normal children develop, or fail to develop, the capacity to attribute meaning to others' actions, beliefs, and feelings speaks to psychoanalytic notions of internalization, identification, and introjection and provides a neurocognitive frame for how representations of self and others are created in the inner world. Conversely, the psychoanalytic view that the infant's emerging sense of self is also shaped by the infant's desire for mother underscores that affective precursors are absolutely necessary for a theory of mind to emerge.

Autistic Disorder↗
PubMed1989

[Relation of intelligence and the pathogenesis of various psychological disorders in children].

In a study on 5- to 13-year-old children referred to a residential facility for psychiatric care we explored the interrelations between intelligence on the one hand and onset of manifest behavior problems and clinical diagnosis on the other. We controlled statistically for confounding effects of parental occupational status and the children's sex. There was a statistically significant association between type of disorder and level of intelligence. When intelligence was above average, neurotic and emotional disturbances as well as some other syndromes that are generally considered to have a good prognosis dominated. In contrast, average or below-average intelligence frequently coincided with more enduring types of syndromes such as conduct disorders. The level of correlation between age at onset and IQ depended on the type of disorder. For the children with neurotic/emotional syndromes or conduct disorders, the lower the IQ the earlier the age of onset and initial referral. But this did not hold for children with autism, hyperactivity or certain developmental disorders. The results are tentatively interpreted as supporting the position that cognitive competence acts as a protective factor in emotional development.

Affective Symptoms↗
PubMed1998

Comparison of treatments of persistent conduct problems in primary school children: a preliminary evaluation of a modified cognitive-behavioural approach.

OBJECTIVE: Treatment for persistent conduct problems in primary school children was developed using a modification of cognitive-behavioural therapy (MCBT). Its effectiveness was evaluated by comparing it with conjoint family therapy (FT) and eclectic therapy (ET). METHOD: Children with persistent conduct problems were randomly assigned to one of three treatment groups. They were assessed prior to treatment and then 6 months after. Measures included symptoms of the child; parents' mental health; stress of parenting; family functioning; and parental relationship. In addition, parents' and children's perception of the therapy were assessed and a treatment record was developed to track the treatment process. RESULTS: Thirty-two children were recruited for the study. No statistically significant differences were found in terms of effectiveness between the three groups. In terms of parents' perception of the therapy, there was no difference on the perception of the qualities of the therapists, but on the perception of therapy MCBT was considered to be higher in cognitive-behavioural orientation. CONCLUSION: Further research using a larger sample is required to evaluate MCBT. The study supports the idea that controlled treatment studies can be carried out within busy mental health services.

Attention Deficit and Disruptive Behavior Disorder↗
PubMed1996

Intergenerational aspects of the development of aggression: a preliminary report.

Across studies in a variety of environmental settings, secure attachment relationships early in life are associated with a lower rate of abnormally aggressive patterns of behavior later in childhood. The quality of an attachment relationship can be predicted by a recently developed measure of parents' mental representations of their own early childhood relationships, the Adult Attachment Interview (AAI). AAI classifications of single parents of abnormally aggressive preschoolers (n = 10) from two low income day care centers were compared with those of single parents of age-, race-, sex-, and center-matched controls (n = 10). All abnormally aggressive children had parents classified as insecure on the AAI; parents of all but one of the nonaggressive controls were classified as secure (p < .001). The AAI may be a useful intergenerational predictor of antisocial and resilient outcomes among children for whom a single caregiver is the only resource for longstanding attachment relationships. Efforts to enhance the constellation of children's early attachment relationships may serve to prevent antisocial outcome.

Adult↗
PubMed1990

[Transformation, deformation and dysfunctioning in early interactions].

This article develops new perspectives that result from the early identification of dysfunctions in an infant's interaction with its environment. The authors develop research currently in progress concerning ways of screening interactive precursors possibly informative of the later emergence of autistic behavioral symptoms. After a review of articles concerning the screening of early signs of autism and of recent investigations regarding parent-infant interactions, they highlight their own therapeutic orientations. The methodology involves a "blind" sequential analysis of the interactions in home movies covering the period from birth to 2 years of age of 30 children divided into three groups: healthy, later autistic and those developing another pathology. This leads to theoretical hypothesis regarding the contingency and the creative inscription of chance events in the transformation of early interactions; the intersubjectivity and its deformations are considered, the observation of dysfunctions confronts the researcher with a freeze of empathy; what does this emotional lock-out mean? Appreciating the nature, the uniqueness, and the evolution of interactive dysfunctions can influence preventive strategies and lead to conceptualizing new theoretical and therapeutic models.

Attention↗
PubMed1980

Sex differences in predictors of antisocial behavior in adoptees.

The present study follows up adoptees separated at birth from the biologic parents to assess the importance of genetic and environmental factors in adolescent antisocial behavior. The dependent variable is an antisocial symptom count that tallies antisocial but not necessarily criminal behaviors in adolescence. The independent variables are of two types, genetic and environmental. Genetic variables refer to psychiatric diagnoses of the biologic family. Environmental variables are those identified by previous research as associated with adolescent antisocial behavior. Our results indicate that boys are more vulnerable than girls to the adverse effects of a psychiatrically ill adoptive family member or divorce in the adoptive parents. There is not a significant sex difference in genetic predictors. In the total sample, the genetic variables that predict antisocial behavior are having an antisocial or alcoholic biologic relative. This finding is in agreement with other heritability studies of antisocial behavior.

Adolescent↗
PubMed1997

A global scale to measure the quality of the family environment.

BACKGROUND: Simple, reliable measures of the quality of the environment in which a child was reared that can be used in clinical research and practice are lacking. METHOD: The reliability and validity of a global scale to retrospectively appraise the quality of that environment were examined. Fifty-three clinicians from 4 centers in Australia and 1 in Hong Kong, People's Republic of China, used the scale to rate 7 case vignettes; 4 clinicians rated 20 medical records, and 49 rated 211 subjects after clinical interviews. RESULTS: Interrater reliability (intraclass correlation coefficient) was 0.82 (time 1) and 0.84 (time 2) for case vignettes, 0.90 for medical records, and 0.89 for clinical interviews. Consistency in time was high (r = 0.91). Lower ratings, indicative of a less adequate environment, were associated with a clinical diagnosis of oppositional defiant or conduct disorder. CONCLUSIONS: Our simple-to-use scale appears to measure reliably a relevant clinical construct and fills a gap among the instruments available. Ratings may be useful as a cost-effective index to consider in outcome studies, when examining response to treatment, or in other clinical research.

Adolescent↗
PubMed1986

Parent-identified problem preschoolers: mother-child interaction during play at intake and 1-year follow-up.

Parent-referred 2- and 3-year-olds and controls, participating in a longitudinal study of hyperactivity and related behavior problems, were observed with their mothers during play at an initial assessment and a 1-year follow-up. Mothers of problem children provided more redirection initially and made more negative control statements at follow-up than mothers of controls; problem youngsters tended to play more aggressively. Sex differences were prominent. Mothers of boys, regardless of referral status, were more directive at the initial assessment; their sons were less cooperative and somewhat more aggressive in their play. Maternal involvement in play decreased over time, possibly as a response to developmental changes in children's play. Group by time interactions indicated that mothers of control children provided fewer negative control statements at follow-up relative to mothers of problem children and to their own levels at the first assessment; mothers of problem youngsters redirected their children less than they had initially. Mothers of boys were also less directive at follow-up relative to their initial levels. Situational and developmental factors are discussed briefly.

Affect↗