Self-fulfilling prophecies in the clinical context: Review and implications for clinical practice

The expectancies a therapist and client bring into the clinical relationship can act as self-fulfilling prophecies. This article reviews the literature bearing on three types of self-fulfilling prophecies in a clinical context. First, I look at how the initial expectancies held by a therapist may bias the diagnosis and treatment of the client. Second, I look at the client's own self-expectancies for improvement and how they can enhance or impede progress. Last, I look at how receiving mental health treatment may be regarded as a stigma by others, resulting in negative social interactions for the client. For each of these domains, practical examples and implications are discussed, and suggestions are offered to therapists for how they can avoid or minimize damaging effects of negative self-fulfilling prophecies.     

Self-fulfilling prophecy effects of mothers' beliefs on children's alcohol use: accumulation, dissipation, and stability over time

This research examined whether self-fulfilling prophecy effects accumulated, dissipated, or remained stable over time in terms of 2 complementary conceptual models. Analyses of longitudinal data from 2 samples of mother-child dyads (N(1) = 487; N(2) = 288) yielded 3 main findings. First, the degree to which mothers' inaccurate beliefs assessed at a single point in time predicted children's distal alcohol use did not differ from the degree to which they predicted children's proximal alcohol use, thereby supporting a pattern of stability for the samples on average. Second, mothers' inaccurate beliefs repeatedly assessed across time had additive self-fulfilling effects on their children's subsequent alcohol use assessed at a single later point in time. Third, these additive self-fulfilling effects served to exacerbate differences in the alcohol use of children who had been consistently exposed to unfavorable versus favorable beliefs year after year. The authors discuss these findings in terms of the link between self-fulfilling prophecies and social problems.     

Congruence of parents' and teachers' ratings of children's behavior problems

This study compared parents' and teachers' perceptions of behavior disorders in 1,008 white children enrolled in kindergarten through eighth grade. Data included background information and ratings on the Behavior Problem Checklist. For the most part, parents perceived more problems in their children than did teachers. Parents and teachers tended to agree that boys exhibited more deviant behavior than girls and that youngsters from the higher social classes had fewer disorders than those from the lower classes. Parent and teacher judgments were somewhat alike in that both groups tended to observe a pattern in the development of problems that first increased then decreased or first increased then decreased and leveled off across grades. Trends were more gradual for parents and sharper for teachers, or declines were not seen by parents that were seen by teachers. Bivariate correlations between parents' and teachers' evaluations were significant but low or low to moderate. Mother-teacher and father-teacher coefficients differed on Socialized Delinquency but were similar on the other behavioral dimensions. Although significant interactions of parentteacher relationships with sex and grade were infrequent, correlations between ratings by the two groups of informants were higher for boys than for girls; and correlations between parent and teacher judgments were lower for early grades than for later grades.     

The effect of group status on children's hierarchy-reinforcing beliefs

Members of advantaged groups are more likely than members of disadvantaged groups to think, feel, and behave in ways that reinforce their group's position within the hierarchy. This study examined how children's status within a group-based hierarchy shapes their beliefs about the hierarchy and the groups that comprise it in ways that reinforce the hierarchy. To do this, we randomly assigned children (4–8 years; N = 123; 75 female, 48 male; 21 Asian, 9 Black, 21 Latino/a, 1 Middle-Eastern/North-African, 14 multiracial, 41 White, 16 not-specified) to novel groups that differed in social status (advantaged, disadvantaged, neutral third-party) and assessed their beliefs about the hierarchy. Across five separate assessments, advantaged-group children were more likely to judge the hierarchy to be fair, generalizable, and wrong to challenge and were more likely to hold biased intergroup attitudes and exclude disadvantaged group members. In addition, with age, children in both the advantaged- and disadvantaged-groups became more likely to see membership in their own group as inherited, while at the same time expecting group-relevant behaviors to be determined more by the environment. With age, children also judged the hierarchy to be more unfair and expected the hierarchy to generalize across contexts. These findings provide novel insights into how children's position within hierarchies can contribute to the formation of hierarchy-reinforcing beliefs.

Research Highlights

• A total of 123 4–8-year-olds were assigned to advantaged, disadvantaged, and third-party groups within a hierarchy and were assessed on seven hierarchy-reinforcing beliefs about the hierarchy.
• Advantaged children were more likely to say the hierarchy was fair, generalizable, and wrong to challenge and to hold intergroup biases favoring advantaged group members.
• With age, advantaged- and disadvantaged-group children held more essentialist beliefs about membership in their own group, but not the behaviors associated with their group.
• Results suggest that advantaged group status can shape how children perceive and respond to the hierarchies they are embedded within.

     

Self-fulfilling effects of stigmatizing information on children's social interactions.

The stigmatizing effects of negative expectancies were examined in observations of interactions between children with and without a behavior problem. Ss were 68 pairs of unacquainted boys in Grades 3-6. In each dyad, a normal boy was either told that his partner had a behavior problem or given no expectancy; this expectancy manipulation was crossed with the partner's actual diagnostic status with respect to hyperactivity. The perceivers' expectancy that their partner had a behavior problem as well as the actual diagnostic status of the target adversely affected the boys' interactions. Behavioral data suggest how the expectancies were communicated to the target. The processes underlying interpersonal expectancy effects and the ways in which a childhood stigma can act as a self-fulfilling prophecy are discussed.     

Comparing parents' perceptions of IVF conceived children's behavior with naturally conceived children

Conception after assisted reproductive methods is associated with considerable emotional as well as physical stress. Parents often have to wait ten years or more before conceiving. As part of an ongoing U.K. study, we assessed 140 intracytoplasmic sperm injection (ICSI) conceived children and 101 naturally conceived control children via parental completion of the Eyberg Child Behaviour Inventory when their children were two years old. Parents of children conceived after assisted reproductive methods reported fewer behavioral problems. Implications for long‐term development are discussed. ©2004 Michigan Association for Infant Mental Health.     

The effect of restraint beliefs on alcohol-seeking behavior

Individuals who believe that they have high levels of restraint over motivated behaviors such as cigarette smoking are, paradoxically, more likely to engage in those behaviors when tempted (Nordgren, Van Harreveld, & Van Der Pligt, 2009). Our aim was to experimentally manipulate heavy drinkers' beliefs about their drinking restraint to examine the effect on drinking behavior. Sixty heavy drinkers completed an implicit association test and a stop-signal task before receiving bogus feedback on their task performance that indicated that they had either high or low levels of drinking restraint. Participants then completed a bogus taste test in which they were able to consume beer and a soft drink. Results indicated that the group falsely led to believe that they had a high level of drinking restraint subsequently consumed more beer than the group led to believe that they had a low level of drinking restraint. This study demonstrates that beliefs about drinking restraint can influence drinking behavior, in that individuals who overestimate their control over drinking are at greater risk of drinking to excess when exposed to tempting situations.     

Seeing isn't believing: the effect of intergroup exposure on children's essentialist beliefs about ethnic categories

Adults and children seem to essentialize certain social categories. Three studies investigated whether, and how, exposure to ethnic diversity affects this bias. Participants were 516 kindergarten, 2nd grade, and 6th grade Israeli Jewish and Arab children attending regular (mono-cultural) or integrated schools. Study 1 revealed that exposure increased the salience of ethnicity, especially for Jewish children. Study 2 showed no differences among groups at kindergarten regarding the relevance of recalling a story character's ethnicity, but by 2nd grade, Jewish children attending integrated schools were the most likely to mention such information. Finally, Study 3 revealed that while all kindergarteners started off at a similar level of essentialism towards ethnicity, exposure affected Arab, but especially Jewish, children's essentialist beliefs. Moreover, there were negative correlations between the salience of and essentialism towards ethnicity. Thus, interethnic exposure alleviated children's essentialist bias towards ethnicity and did so via making children aware of, rather than blind to, ethnic categories.     

The relationship of maternal beliefs about sex typing to maternal and young children's behavior

Possible links between maternal beliefs about children's sex-typed behavior and familial characteristics, mothers' interactions with their young children, and children's cognitive functioning were explored. One hundred and thirty-two mothers and their two-year-olds were seen; familial social class, birth order, and child gender were selection-criterion variables. Sex-typed beliefs were assessed by asking mothers to rate a number of qualities and interests as to whether or not each was more likely to occur in or be characteristic of boys or of girls, or was equally likely to be characteristic of boys and girls. Mothers rated qualities for two different age periods—toddlerhood and middle childhood. Mothers and toddlers were observed in a free play setting for 20 min. Responsivity and type of behavior emitted were assessed. The Bayley Scale of Infant Intelligence was given at 24 months. The findings were as follows: First, gender and social class were related to maternal beliefs about sex-typed characteristics. Second, maternal sex-typed beliefs were negatively related to active toy play and distal interaction, with this relationship significant for daughters but not sons. Third, daughters of low sex-typed mothers were more responsive and more likely to seek comfort than daughters of high sex-typed mothers. Fourth, daughters of mothers who had strong sex-typed beliefs had lower IQ scores at 24 months than did daughters of mothers with beliefs less strong; this relationship was not found for sons. Research on cross-sex behavior and enhanced cognitive functioning was reviewed as it relates to these findings.     

The legacy of parents' marital discord: consequences for children's marital quality

Drawing on a national longitudinal study of 297 parents and their married offspring, the authors found that parents' marital discord was negatively related to offspring's marital harmony and positively related to offspring's marital discord. The transmission of marital quality was not mediated by parental divorce, life-course variables, socioeconomic attainment, retrospective measures of parent-child relationships, or psychological distress. Offspring's recollections of parental discord, however, mediated about half of the association between parents' reports of marital discord and offspring's reports of discord in their own marriages. Parental behaviors most likely to predict problematic marriages among offspring included jealousy, being domineering, getting angry easily, being critical, being moody, and not talking to the spouse.     

Parental affect and childrearing beliefs uniquely predict mothers' and fathers' ratings of children's behavior problems

The focus of this study was to examine the relations between parental characteristics and ratings of children's behavior problems. Although there is a considerable body of research that indicates that parental reports of children's behavior are biased by the characteristics of the parent, a number of limitations of past research have precluded definitive conclusions about the impact of individual characteristics. This study examined the role of parental affect and childrearing beliefs in determining parental ratings of child behavior in a selected sample of the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. A series of analyses was specified in which teachers' and co-parents' ratings were controlled to examine the unique associations between parental characteristics and ratings of child behavior. After controlling for the co-parents' and teachers' ratings, both mothers' and fathers' psychological characteristics uniquely contributed to variation in their ratings of children's behavior problems. The specific affective and childrearing belief variables that accounted for variation in parental ratings varied by parent sex and the broadband rating analyzed. These analyses indicate the role that rater-specific characteristics may play in determining parents' assessments of child behavior.     

When the party for some becomes a problem for others: the effect of perceived secondhand consequences of drinking behavior on drinking norms

The authors examined the influence of fraternity men's expectancies regarding secondhand consequences of excessive drinking behavior on normative standards regarding alcohol use and consumption levels. Participants were 381 men from 26 chapters of 2 national fraternities. One organization participated in a brief intervention involving discussion of secondhand consequences of excessive drinking. Immediate influence of the intervention on perceived secondhand consequences of alcohol use was assessed using a posttest-only, randomized groups design. Results supported a hypothesized measurement model with 1 overall secondhand consequence expectancy construct and 4 subfactors: (a) Noise Disruptive of Sleep and Study, (b) Violence, (c) Sexual Assault, and (d) Property Damage. Cross-sectional analysis at the chapter and individual levels demonstrated that secondhand expectancies had an indirect effect on alcohol consumption, mediated by personal consumption standards for limiting alcohol consumption. The intervention had an effect on secondhand expectancies. Findings suggest that interventions with intact groups can increase secondhand expectancies regarding excessive drinking and may lead to a reduction in excessive alcohol consumption.     

British parents' beliefs about the causes of three forms of childhood psychological disturbance

Parents were asked to rate which of 40 items were likely causes of one of three types of psychological disturbance common among 9-year-old children, the symptoms of which were outlined in vignettes. Parents' accounts were consistent and coherent. Symptoms of hyperactivity were linked to poor diet, antisocial conduct to a lack of discipline and unhappiness at school, and emotional problems to breakdowns in interpersonal relations and unhppiness at school. However, a number of factors (socioeconomic difficulties, attachment risks, and organic dysfunction) that research suggests are risks to development were rated by parents as unlikely causes of problems. The implications of this mismatch between lay and expert views is examined.We would like to thank Dr. Margaret Thompson for her clinical advice as well as the parents who took part in the study.     

Relationship tensions and mood: Adult children's daily experience of aging parents' stubbornness

This study examined middle‐aged individuals' reports of parents' behaviors commonly attributed to stubbornness. Middle‐aged adults (N = 192) completed a 7‐day diary reporting their mood and how often they felt their parents (N = 254) engaged in behaviors often described as “stubbornness” (insistent or risky). Thirty‐one percent of middle‐aged children reported insistent behaviors, and 17% reported risky behaviors by their parent(s). Daily reports of parent behaviors attributed to stubbornness were positively associated with parent–child relationship quality, parent functional limitations, and child neuroticism. Reports of perceived parent insistent behaviors were also associated with greater daily negative mood among adult children. Findings highlight the impact of adult children's daily perceptions of parent behaviors commonly attributed to stubbornness on the individual and relationship.     

The determinants of parents' beliefs about the intelligence their children: A study from Hong Kong

One hundred and ninety‐three Hong Kong parents (mean age 42.2 years) were given a structured interview / questionnaire concerning their own and their children's self‐estimated overall and multiple intelligence. Previous research suggested that males tend to give higher overall “g” estimates to their children and themselves than do females, as well as higher scores on mathematical and spatial intelligence (Furnham, 2001). Further, studies in the West suggest that parents think their children are significantly brighter than they are and that their sons are brighter than their daughters. Estimates were lower than those found in Western populations but, even so, males rated their own mathematical and spatial intelligence higher than did females. Hong Kong Chinese parents did not think their sons were brighter than their daughters. The seven multiple intelligences factored into three clear factors for self and children, and regressions indicated that it was “academic” intelligence (verbal, mathematical, spatial) that was most “g” loaded. The child's age and the self‐rated overall IQ of both the parents were the best predictors of the child's overall estimated IQ. Less than a third of the parents had taken an IQ test or believed they measured IQ very well. Those who were more likely to be better educated, had taken an IQ test, and believed intelligence was inherited were more likely to award themselves higher overall IQ scores. Results are compared with the British studies in the same area.     

Beliefs about beliefs: representation and constraining function of wrong beliefs in young children's understanding of deception

Understanding of another person's wrong belief requires explicit representation of the wrongness of this person's belief in relation to one's own knowledge. Three to nine year old children's understanding of two sketches was tested. In each sketch subjects observed how a protagonist put an object into a location x and then witnessed that in the absence of the protagonist the object was transferred from x to location y. Since this transfer came as a surprise they had to assume that the protagonist still believed that the object was in x. Subjects had to indicate where the protagonist will look for the object at his return. None of the 3–4-year old, 57% of 4–6-year old, and 86% of 6–9-year old children pointed correctly to location x in both sketches. Of the many cases where 4–6-year olds made an error they failed in only about 20% to remember the initial location correctly. As a test of the stability of children's representation of the protagonist's wrong belief the sketches continued with a statement about the protagonist's intention to either deceive an antagonist or truthfully inform a friend about the object's location. Independent of age, of those children who correctly thought that the protagonist would search in x, 85% of the time they also correctly thought that he would direct his antagonist to location y and his friend to location x. This shows that once children can represent a person's beliefs they can constrain their interpretation of this person's stated intentions to the person's beliefs. In a more story-like situation another group of children had to infer a deceptive plan from the depiction of a goal conflict between two story characters and one character's expedient utterance. At the age of 4–5 years children correctly judged this utterance as a lie only 28% of the time while 5–6-year olds did so 94% of the time. These results suggest that around the ages of 4 to 6 years the ability to represent the relationship between two or more person's epistemic states emerges and becomes firmly established.     

The relationship of adolescent mothers' expectations,knowledge, and beliefs to their young children's coping behavior

Developmental researchers have begun to explore parental cognitions in an effort to better understand adolescent parenthood. However, most research on adolescent mothers has failed to relate cognitions of the mother to the child's functioning. To extend the research on adolescent-parent families, we examined the association between adolescent mothers' knowledge of child development, parental expectations, and child-rearing beliefs to their infants' or toddlers' coping behavior. Trained observers rated children on the three subscales of the Early Coping Inventory–Sensorimotor, Reactive Behavior, and Self-Initiated Behavior. The findings indicated that the adolescent mothers' self-reports of their expectations for their own and their children's behaviors and emotions accounted for a significant proportion of the variance in objective ratings of the children's coping behavior in the sensorimotor and reactive behavior domains. Adolescent mothers who reported more positive, more realistic, and more mature expectations about parenting, children, and the parent-child relationship had children who were rated to display more adaptive and effective sensorimotor and reactive behavior coping capacities. An interaction between the adolescent mothers' knowledge and beliefs significantly predicted self-initiated child behaviors. Implications of the findings include the importance of exploring a “good match” in adolescent mother-child relationships.     

The effect of comparative context upon stereotype content: children's judgments of ingroup behavior

This study addresses self-categorization theory's contention that stereotype content varies as a function of the comparative context within which a given group is considered. A sample of 5-, 7- and 10-year-old children (n = 192) made judgments about gender ingroup behavior in one of two comparative contexts: either adults of the same sex as self or children of the opposite sex. Specifically, judgments were either of the perceived stereotypicality or central tendency of 12 types of behavior. Both types of judgment were found to differ as a function of comparative context in ways predicted by self-categorization theory. However, contrary to prediction, there was no effect of age on the extent of stereotype variability.