Teacher Perspectives on Grief Among Children with Intellectual Disabilities

The death of a parent can have a profound impact on a child. However, little is known about how children with intellectual disabilities demonstrate grief or how teachers respond to student grief. Constructivist grounded theory methods were used to analyze data collected from five special education teachers of elementary students with intellectual disabilities. Categories related to grieving, loss, support, coping, and emotion were found. Teachers reported a range of grieving behaviors displayed by children with intellectual disabilities in the classroom and used various strategies to provide support. Grief in surviving caregivers and assistance from other school personnel were also described. The need for additional training of teachers and counselors about grief in children with intellectual disabilities is highlighted.     

Adolescents' reactions to the death of a peer

In recent years, more attention has been given to the fact that grieving is a process, especially in the work of Elizabeth Kubler-Ross. The literature has focused on many aspects of bereavement, including how the process may be different at different ages. Much of the research on adolescents has focused on reactions to the suicide of a peer. The purpose of this study was to explore adolescent reactions to the death of a peer by means other than suicide. Semistructured interviews were conducted with ten college students about their experience of losing a friend in high school. Results indicated that even after a few years, the adolescents were still struggling through the grieving process. Implications for future research and suggestions for practitioners faced with similar crises are offered.     

What Matters Most to the Left-Behind Children’s Life Satisfaction and School Engagement: Parent or Grandparent?

This study compared the role of the parent and grandparent in the adjustment of children who had, and who had not, been left behind when their parents moved to urban areas for work, and tested whether self-esteem mediated the association between these family relationships and child adjustment. The sample included 428 middle school students in central China, 204 of whom were left-behind children who were cared for by grandparents and 224 of whom were not left behind. The students responded to five questionnaires measuring parent–child relationships, grandparent–child relationships, self-esteem, life satisfaction and school engagement. Regression analyses showed that self-esteem mediated the association between parent–child and grandparent–child relationships and children’s adjustment, but there were different patterns of association for the non-left-behind children and left-behind children groups. Furthermore, the unique effect of parent–child relationships was higher than that of grandparent–child relationships for the non-left-behind children, but for the left-behind children, grandparent–child relationships played a more important role than grandparent–child relationships in predicting their school engagement, and parent–child relationships played a more important role in predicting their life satisfaction. Parents who are far away and grandparents who are close at hand can shape different psychological and behavioral development outcomes of left-behind children.     

Soup,Stitches, and Song

Abstract

This article discusses ways that clinical practitioners can utilize creative strategies in working with clients who are experiencing grief following the death of their adolescent child. It presents a brief literature review regarding this specific type of parental grief as well as practical and helpful ways to utilize books, songs, and tangible projects in the grieving process.     

“Broken Together”: Spirituality and Religion as Coping Strategies for Couples Dealing with the Death of a Child: A Literature Review with Clinical Implications

The death of a child is an event that can fall into the category of uncontrollable life events, testing the limits of the ability to control of bereaved parents. The literature reviewed showed that religious/spiritual coping is a unique way of coping and may be particularly important for couples who have lost a child. When assessing the couples’ coping strategies, marital therapists would be wise to look for religious/spiritual mechanisms that can be employed in the therapeutic process. Furthermore, the reviewers propose Emotionally Focused Couple Therapy (Johnson, 2004, The practice of emotionally focused couple therapy: Creating connection, Routledge, New York) as well suited for helping couples grieving the death of their child.     

Spirituality and Coping Among Grieving Children: A Preliminary Study

The death of a family member can have a significant effect on children, depending on their level of development and the kinds of supports available to them. Spirituality has been linked to effective coping with loss by adults. The purpose of this qualitative phenomenological study was to explore how meaning making, linking objects, and containment, themes that have been explored in the literature on adults' use of spirituality as a way of coping, might be used by grieving children. The major difference between children and adults appears to be in how and when children make meaning after loss. The major similarity between adults and children is the essential role of relationships in facilitating grieving. Implications for further research, counselor education, and practicing counselors conclude the article.     

Some Common Characteristics of Latency-Age Suicidal Children: A Tentative Model Based on Case Study Analyses

ABSTRACT: Eleven latency-age (6 ½ to 12 ½) boys and girls who attempted or threatened suicide were investigated by means of the following information: intensive interviews, therapeutic meetings, direct observation in school, meetings with teachers, and survey of school records. The families of the children were also interviewed. In spite of the many differences between the children's personalities and backgrounds, some common dynamic features seemed to emerge: (a) There was a suicidal parent in the family, in most cases the mother; (b) Most of the families of these children were engaged in a major crisis, not necessarily centered around the suicidal child; (c) The children experienced demands by the parents to assume responsibilities which the children perceived as being beyond their capability; (d) There was a lack of satisfying relationships with adults; (e) Most children perceived death in a paradoxical way, believing that death was a need satisfying state yet fearing death; (f) The children showed strong positive strivings to say alive and were able to experience joy and happiness in spite of feelings of desperation and depression. A model based on the above multifaceted forces is presented. These forces consist of attractiveness of life, repulsiveness of life, attractiveness of death, and repulsiveness of death. Some of diagnostic and predictive uses of this model are elaborated.     

“Making things better”: Personal construct counselling for young children

A personal construct counselling approach that we are using with young children is presented here, an approach based on the construct of “wellness”, a medium to promote the well-being of troubled children and their families. The case study we share with you shows a counselling intervention based on play, with experiments drawn from self-related construct systems of “making things better” rather than construct systems of “fixing things up”. We present a case study of a young girl grieving over the death of her father. Emphasis is placed on the relationship of trust between the child and the counsellor, to encourage experimentation with relationship experiences to help the child to reconstrue events outside the counselling context. Working hypotheses drawn from cognitive and emotional developmental research into young children are provided, and the subsequent investigations which guide our intervention. Suggestions for process and outcome research in this area are finally made.     

Adrenal Insufficiency in Young Children: a Mixed Methods Study of Parents’ Experiences

Research into adrenal insufficiency (AI) and congenital adrenal hyperplasia (CAH) in children has focused largely on clinical consequences for patients; and until recently, the wider experience of the condition from the perspective of other family members has been neglected. In a mixed methods study, we captured the experiences of parents of young children affected by AI/CAH, including their views on the psychosocial impact of living with and managing the condition. Semi-structured interviews were carried out in the UK and an online survey was developed, translated and disseminated through support groups (UK and the Netherlands) and outpatient endocrinology clinics (Germany). Challenges associated with diagnosis, treatment, support and the future were identified. For UK parents, the diagnosis period was characterised by a lack of awareness amongst healthcare professionals and occurrences of adrenal crisis. Parents reported burden, anxiety and disruption associated with the intensive treatment regimen. Parents adjusted and gained confidence over time yet found delegating responsibility for medication difficult and worried about the future for their child. Access to psychological support and contact with other families was reported as highly beneficial. The findings of the study provide critical context for future studies and for informing how parents and families can be better supported. Prenatal genetic counselling for parents who already have an affected child will include an explanation of recurrence risk but should also focus on providing information and reassurance about diagnostic testing and care for their newborn.     

Relationships between Parental Maltreatment and Adolescents’ School Adjustment: Mediating Roles of Self-Esteem and Peer Attachment

Parental maltreatment of children has been steadily increasing in Korea despite national efforts to curb it. Children and adolescents who experience maltreatment develop psychological and social maladjustment. Therefore, mediating variables alleviating the negative effects of parental maltreatment on child development should be investigated to develop effective intervention programs. We identified the direct effects of parental abuse and neglect on adolescents’ school adjustment and the mediating effects of adolescents’ self-esteem and peer attachment on the relationships between parental abuse and neglect and their school adjustment. We used data from 2351 middle school students who participated in the Korean Children and Youth Panel Survey. Structural equation modeling revealed the following: child neglect directly and negatively related with adolescents’ school adjustment, whereas child abuse did not. Further, while adolescents’ self-esteem and peer attachment mediated the relationship between child neglect and school adjustment, adolescents’ self-esteem alone mediated the relationship between child abuse and school adjustment. These findings imply that there is a need to develop different intervention programs based on child maltreatment types. Finally, we suggested that the negative effects of parental neglect on adolescents’ school adjustment could be alleviated by adolescents’ self-esteem recovery resulting from peer support. On the other hand, in the case of adolescents experiencing parental abuse, self-esteem recovery through education and counseling provided by teachers or respected adults could be prioritized.     

Disordered Communication and Grieving in Deaf Member Families

When a deaf child is born to hearing parents, a grieving process is initiated in the parents. Unresolved grieving over their child's deafness often makes it difficult for hearing parents to accept the importance of signing, thus increasing the child's problems — further source of grief for these parents. Clinical illustrations are provided of (1) the reciprocal relationship between disruption of the mourning process and disturbance of communication between family members, and (2) the transmission of the dysfunctional relationship between hearing parents and deaf children to the subsequent relationship between the deaf children, when they reach adulthood, and their hearing children.     

父亲参与教养与农村寄宿制学生学校适应：自我控制的中介作用和相对剥夺感的调节作用

为探讨父亲参与教养与学校适应的关系及其作用机制,采用问卷法对548名农村寄宿制学生进行调查。结果发现：（1）父亲参与教养与自我控制、学校适应呈显著正相关;（2）父亲参与教养既能直接正向预测农村寄宿制学生的学校适应,也能通过自我控制的中介预测学校适应;（3）相对剥夺感在自我控制的中介作用中起到调节,当农村寄宿制学生的相对剥夺感较高时,父亲参与教养对自我控制的作用减弱。研究结果揭示了父亲参与教养对农村寄宿制学生学校适应的影响及作用机制,能为提高农村寄宿制学生的学校适应水平提供有效启示。     

Trauma-Focused CBT for Traumatic Grief in Military Children

Although military children are typically as resilient as the general child population, the ongoing conflict has exposed military children to unusual stressors such as repeated deployment, severe injury, or the death of a parent or sibling. U.S. forces have experienced more than 5,600 casualties during Operation Iraqi Freedom and Operation Enduring Freedom, with growing numbers of suicides among Service members. These deaths have affected thousands of military children. Most bereaved military children experience adaptive grief characterized by deep sadness, longing for the deceased person, and being comforted by positive memories of the deceased. A smaller number of military children develop childhood traumatic grief, characterized by trauma symptoms that interfere with adaptive grieving. Children with traumatic grief get “stuck” on the traumatic aspects of the death such as picturing the imagined or real details of the death; imagining the pain their loved one experienced in the moments before dying; wishing for revenge; and becoming angry at those who do not understand or share the child’s thoughts and feelings about the death. These children avoid reminders of the deceased person. Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based treatment for children with trauma symptoms including those with traumatic grief. TF-CBT may be particularly suitable for military families. This article describes the clinical application of TF-CBT for traumatic grief in military children.     

Children Exposed to Community Violence: The Rationale for Early Intervention

Children are exposed to violence in their homes and communities at extraordinarily high rates. Given the alarming rates of exposure and its known impact on child developmental outcomes, crisis intervention geared at interrupting the negative effects of violence exposure are increasingly important. This review provides a rationale for the implementation of early and crisis intervention strategies for children exposed to community violence and recommends principles for applying these interventions. These principles are based on the body of research concerning risk and protective factors for children who have been exposed to violence. Relevant factors are reviewed and recommended principles are explicated that correlate to these factors. Issues concerning developmentally informed crisis intervention, support of parental executive functioning, and the need for active community partnership to help ameliorate risk factors are highlighted.     

The use of religion in coping with grief among bereaved Malay Muslim parents

The purpose of this study is to explore the influence of religion on bereaved parents after the death of a child. Literature had attempted to understand how religiosity may influence parental grief both in positive and negative ways. However, this area is scarcely explored in the Malaysian context. This qualitative study involved 11 bereaved parents who lost their children due to accidents (n?=?9) and homicide (n?=?2). Open-ended questions that focused on the importance, activities, and role of religion in the grieving process among Malay parents were asked. According to the thematic analysis, some of the main themes found were that the bereaved parents described religion as a beneficial mechanism in helping them to adapt with their losses through various responses that indicated the perception that religion as a guidance. However, other than the positive impact, religiosity can also lead the bereaved parents to experience negative effects of using religion as a coping strategy. The influence of culture is prevalent in the current study as the theme of mystical belief and paranormal experiences were also reported. This study provides some professional implication from the possible use of religion in intervention.     

Academic Pathways and Children of Immigrant Families

In this study, we examined the relationships between family, school, and community contexts and academic achievement during middle childhood among children of Portuguese, Dominican, and Cambodian immigrant families. We interviewed approximately 350 children from 2 age cohorts spanning first through third and fourth through sixth grades annually across 3 years. Additionally, we collected interviews with parents, measures from teachers, school administrative information, and community ethnographies to understand the various contexts of children's academic achievement. Using a "mixed-methods" approach, we qualitatively coded children's academic success from school records and teacher's responses about the student into 1 of 5 pathways representing children who were "excelling, positive, neutral, negative, or abysmal" across all 3 years of the study. We then used ordinal regression modeling to examine the relationships between child, family, school, and community factors and child academic pathway. Commonalities in findings across the 3 immigrant groups reveal the importance of good school attendance. Divergences between the 3 immigrant groups highlighted family and cultural influences on positive child academic achievement such as synchronicity between child and school values, the children's own academic self-concepts, and academic aspirations. We integrated quantitative findings with the profiles from ethnographic research of the study's communities for an in-depth examination of the mechanisms behind early educational success among children of immigrants.     

Predicting mothers' reports of children's mental health three years after Hurricane Katrina

This study explored pathways through which hurricane-related stressors affected the psychological functioning of elementary school aged children who survived Hurricane Katrina. Participants included 184 mothers from the New Orleans area who completed assessments one year pre-disaster (Time 1), and one and three years post-disaster (Time 2 and Time 3, respectively). Mothers rated their children's behavior problems at Time 3 only (n = 251 children; 53.0% male; mean age: 10.19 years, SD = 1.68 years). A path analytic model indicated that hurricane-related stressors were associated with increased maternal psychological distress and school mobility in the first post-disaster year, which were associated with higher child internalizing and externalizing symptoms three years post-disaster. Mediation analysis indicated that hurricane-related stressors were associated with child symptoms indirectly, through their impact on maternal psychological distress. Findings underscore the importance of interventions that boost maternal and child mental health and support children through post-disaster school transitions.     

Family/school strategies in dealing with the troubled child

Often a troubled child will exhibit problem behaviors in school. In many cases, these behaviors can be controlled and quickly curtailed by the teacher. In other cases, parents may have to intervene with rules and consequences. Sometimes, however, both teacher and parents fail, and the child's school problems escalate until they have reached crisis proportions. At this point, a therapist often becomes involved. The therapist can greatly enhance his or her range of possible therapeutic strategies by temporarily including the child's teacher in the hierarchical reorganization of the family. The expansion of the family hierarchy to include the teacher expedites the problem-solving process. The phases of problem escalation and proposed hierarchical reorganization are offered by way of clinical principles and case illustrations to demonstrate this viewpoint.Barbara E. DiCocco, L.C.S.W., is the Clinical Coordinator of the RICA II Satellite Program, a bio-psycho-educational day program in Frederick, Maryland and is a private practicing fmaily therapist. Ellen B. Lott, Ph.D., Counseling Psychology, is a family therapist and psychometrician in the RICA II Satellite Program. Boththerapists are grateful to Jay Haley for his suggestions and support of this work.     

Are two heads better than one? Peer support and children's eyewitness reports

This study examined the effects of peer support on children's event reports. In Experiment 1, 48 children aged between 5 and 10 years who had been scheduled for a school dental visit involving an invasive procedure were interviewed about it 2–4 days later. Children were interviewed alone, with an informed peer (who had also recently had a dental appointment), or with an uninformed peer. Anxiety was assessed both prior to the dental appointment and at the time of the recall interview. Peer support did not influence children's anxiety or the amount or the accuracy of information reported in prompted recall. However, younger children interviewed alone were significantly more likely to be misled than those interviewed in the presence of a support child. In Experiment 2, children aged between 5 and 7 years took part in a neutral event contrived for the study. They were interviewed about it 3 days later, either alone or with an informed or uninformed support child present. The support child was encouraged to take an active part in the interview and to help the target child to describe what happened. Peer support did not influence the recall of the target child in either prompted recall or in response to questions. However, together the target and informed support children reported more information than did children interviewed alone or with uninformed support. © 1997 John Wiley & Sons, Ltd.     

Child and familial pathways to academic achievement and behavioral adjustment: a prospective six-year study of children with and without ADHD

This longitudinal study examined familial and child predictors of academic achievement and behavioral adjustment. Participants included 115 children with ADHD and 59 normative comparisons. Data analyses spanned three assessment waves from elementary- through secondary-school grades. We evaluated the degree to which child and familial factors present during middle school mediated relationships between childhood ADHD, subsequent academic achievement, and behavioral adjustment during high school. We found that emotional and behavioral well-being of ADHD children during middle school mediated relations between childhood ADHD and adverse academic and behavioral outcomes during high school. In addition, familial factors in middle school years predicted the behavioral adjustment of children in both the ADHD and non-ADHD groups. Academic achievement during high school was strongly associated with previous achievement levels. Our results provide support for tailoring preventive interventions to the unique needs of children with ADHD and their parents at various stages of adolescent development.