Into the Haunted House of Mirrors

Abstract

The treatment of youth with histories of multiple victimization is discussed. A developmental treatment approach is presented based on Eriksonian theory that highlights particular difficulties abuse presents for a child's successful movement through different developmental stages. Interventions addressing these difficulties are also discussed with many case examples. Finally, the issue is raised concerning which multiple abuse victims can be helped by the therapeutic process.     

Psychological MaltreatmentL

SUMMARY

Current issues regarding the definition of psychological maltreatment and its impact on children are discussed. The argument is made that psychological maltreatment can be understood as parenting and socialization practices that leave a child's basic psychological needs unmet, and that children exposed to interparental violence should be viewed as victims of psychological maltreatment. A needs analysis based on developmental theory and research is presented as a context within which to view psychological maltreatment. Using that conceptualization, research findings concerning the behavioral, cognitive, and social-emotional difficulties of children exposed to marital violence are examined. Based on this developmental analysis, recommendations are made regarding research that is needed in the areas of these children and psychological maltreatment.     

The narratives of children in armed conflict: an inference to spirituality and implication to psychological intervention

From the life narratives of disadvantaged children who were victims of armed conflict, spirituality could be understood in the context of family, community, friends and aspirations. However, this initial finding needed further validation with the participants. Likewise, to utilise the findings for psychological intervention, spirituality needs to be developed with them. By doing this (living and reflecting with the children), psychologists or researchers will be able to develop programmes (spiritual or psychological) that are more meaningful and empowering to children; rather than imposing a spiritual or psychological processes that are totally alien to them. After all, at the end of the day, family, community, friends and aspirations are the most reliable resource which the disadvantaged children could constantly cling on to.     

The relationship between multidimensional economic well‐being and children’s mental health,physical health,and executive function development in South Africa

Conceptualizing both economic well‐being (EWB) and children's development as multidimensional constructs, the present study examines their association using bioecological developmental theory and structural equation modeling with Zulu children (ages 7–10) in KwaZulu‐Natal, a highly impoverished region of South Africa (N = 1,958). Relative EWB within impoverished communities consists of three dimensions: material assets (durable goods and living environment), fiscal appraisal (subjective experiences of access to/allocation of resources), and fiscal capacity (monetary inflow/outflow). Children's development also is measured across multiple dimensions: physical health, mental health, and executive functioning. In addition to an overall association between EWB and children's development across outcomes, the sub‐dimensions of EWB are differentially related to aspects of children's development. The dimension of material assets exhibits the greatest association with child outcomes, while fiscal capacity exhibits the least. Implications of these findings are discussed, including the use of multidimensional approaches to measuring EWB to understand, more clearly, its relationship to multiple dimensions of children's development. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=ZcawZ6oOt-Q     

Recognizing the Threat Posed by an Incestuous Parent to the Victim's Siblings. Part II: Improving Legal Responses

Many courts refuse to protect the siblings of an incest victim even when faced with unmistakable evidence that they are at risk, arguing that no one can predict what will happen. For instance, some courts believe that a parent who molests his stepchild is unlikely to victimize biological offspring, while others believe that a father who violates a daughter will not also victimize sons. Although judges have relied principally on intuition, a substantial body of empirical studies can help them to better assess a sibling's risk. In Part I, I argued that once a parent establishes the first sexual relationship, other children in the family should be considered at risk. Nonetheless, not all children in the household face identical risks of molestation. In this paper, I continue this theme and argue that a legal presumption should arise that other children are endangered. Further, I maintain that offenders should have an opportunity to rebut this presumption. Without this opportunity, a child who never faced a significant risk of abuse may be removed from his home or unnecessarily lose his ties to a parent. In order to better protect children, I outline how legal decisions can better reflect what is known about child victimization.     

Children's Emotional Security in the Interparental Relationship

ABSTRACT— In response to the societal premium placed on understanding the difficulties faced by children from high-conflict homes, emotional security theory aims to understand precisely how and why interparental discord is associated with children's psychological problems. One of its main premises is that interparental discord increases children's vulnerability to mental illness by undermining their sense of safety or security in the context of the interparental relationship. In this article, we highlight the main assumptions of a new ethological formulation of emotional security theory and its predictions and findings regarding the organization, precursors, and consequences of individual differences in children's emotional insecurity. We conclude with a synopsis of the value of the new formulation for future work.     

Using Multiple Informants to Assess Child Maltreatment: Concordance between Case File and Youth Self-Report

To understand the psychosocial implications of child maltreatment, methods used to document prevalence must be clear. Yet, rates of maltreatment found in child self-report are generally inconsistent with data found in case files from state social service agencies. Although it is known that self-reports and case file reports of abuse disagree on occurrence of specific events, it is unclear if reporters agree when overall categories of abuse are considered. This study investigated differences between case file and youth report of abuse by examining four types of abuse—physical, sexual, neglect, and psychological—in a within-subjects design using a sample of 97 youth in foster care aged 8 to 22. Case files were coded for the presence of any indication of each type of abuse. Self-report of abuse was also assessed for any indication of each type of abuse. Results indicated that, overall, youth reported more physical and psychological abuse, and younger youth reported more sexual abuse than documented in their file. Implications for research and service provision for maltreated youth are discussed.     

Delusional development in child autism at the onset of puberty: vicissitudes of psychic dimensionality between disintegration and development

Although the psychogenetic hypotheses on child autism have been superseded, psychoanalysis can still reflect on the relational exchange and its sensory aspects in concomitance with the mental development of these patients. Without making generalizations as regards the pathogenesis, but considering the specific features of each autistic child, it may be possible to achieve an integration of those islands of competence that make up these patients' limited personal heritage. Such integration may be reached through the analysis of representational, emotional and relational transformations. The first part of this article describes the case of an autistic child in treatment from the age of four on a four-times-weekly basis who, during puberty, developed severe formal thought disorders together with delusional and hallucinatory formations. The second part develops some post-Jungian theoretical contributions, such as the concept of self as nothingness and the idea of the unsaturated archetype, so as to evaluate the function of some a-priori concepts in support of the analyst's position. These concepts are considered in relation to Bion's model of transformation, and to the formulations on dimensional awareness, especially on the shift from a two-dimensionality to three-dimensionality view, as well as to the rhythm of the object's presence and absence.     

Prosecutors' Perspectives on Clarifying Terms for Genitalia in Child Sexual Abuse Interviews

In investigative interviews with alleged victims of child sexual abuse, professionals must establish the nature of the alleged abuse by determining what body parts were involved in the offending. This can be difficult, however, because children often use colloquial (non‐anatomical) terms to describe genitalia, and there has been little direction for interviewers about clarifying these terms sufficiently to establish the charge. The aim of this study was to address the need for guidance from prosecutors about the level of clarity in terms required from a legal perspective, and how this clarity can be achieved. A focus group of nine prosecutors (representing all but one Australian State and Territory) were asked to consider what degree of clarity in terminology for genitalia was adequate and how such clarity could be achieved. Thematic analysis revealed that a reduction in specific questioning around genitalia would improve the usefulness of investigative interviews with children from a legal perspective. Recommendations for improving interviews about abuse with child witnesses are discussed.     

Parental assessment of the adjustment of children following abduction by the other parent

We present a multiple regression model that explores post-return adjustment of school-age children who experienced abduction by a parent. The model includes: a) child and family characteristics preceding abduction, b) characteristics of the abduction experience, and c) child and family characteristics following return. Overall, the model accounts for 21% of the variance in post-return adjustment of children (p.05). The most salient finding is that post-return adjustment of children was best explained by characteristics of the child and family before the abduction occurred. Domestic violence perpetrated by one or both parents was the most significant factor.     

Maternal positive parenting style is associated with better functioning in hyperactive/inattentive preschool children

Many preschoolers are highly inattentive, impulsive, and hyperactive; but only some are impaired in their functioning. Yet factors leading to functional impairment, above and beyond the severity of inattentive and hyperactive symptoms, have not been systematically examined. This study examined a model suggesting that after controlling for attention‐deficit/hyperactivity disorder (ADHD) symptom severity, child temperament is uniquely associated with parenting stress; that parenting stress affects parenting style, above and beyond child characteristics; that parenting style is related to the level of child impairment, above and beyond the effects of child symptoms, temperament, and parenting stress; and finally that parenting style moderates the relationship between ADHD symptom severity and child functioning. Child measures included parent‐ and teacher‐rated ADHD symptom severity, teacher‐rated temperament, and clinician‐rated functioning in a sample of 138 inattentive/hyperactive preschoolers. Maternal self‐ratings of parenting style and parenting stress were obtained. Analyses indicated that, after controlling for symptom severity, child temperament was related to maternal parenting stress, which was additionally related to both maternal parenting style and child functioning. Maternal positive parenting style moderated the relationship between ADHD symptom severity and child impairment, indicating that a positive parenting style plays a protective role in the functioning of hyperactive/inattentive preschoolers. Copyright © 2010 John Wiley & Sons, Ltd.     

Test–Retest Reliability of Dominic Anxiety and Depression Items Among Young Children

Assessing anxiety and depressive symptoms through direct interviewing of young children has been found to be particularly difficult utilizing standard interview methods. Test–retest reliability of selected anxiety and depression items from the revised Dominic (Valla, Bergeron, Bidaut-Russell, St-Georges, & Gaudet, 1997), a cartoon-based questionnaire based on DSM diagnostic criteria, was investigated among two geographically diverse samples (Los Angeles and St. Louis; N = 37). Overall, kappas were higher for the anxiety items than for the depression items. In both cities the sample included clinic and non-clinic cases of African-American, Hispanic/Latino, and Caucasian children age 6–8; kappas for the anxiety and depression items were higher among the clinic cases than for the community cases. Given the need for psychometrically sound measures for culturally diverse samples of children, this initial report suggests that the use of selected Dominic items holds promise as a cartoon-based assessment of young children.     

Children First

Abstract

Investigations and prosecutions involving murdered and physically abused children are among the most serious and most complex faced by law enforcement professionals. These cases are complicated on legal, factual, medical, and scientific levels. Oftentimes, the evidence against the suspected perpetrator is solely circumstantial. Many of the problems inherent in these investigations can be overcome by prioritizing these cases. The local prosecutor's office can take the lead in ensuring justice by direct participation in the investigative phase and by ensuring continuity in the prosecution. In this article, I outline a model to ensure that this happens.     

Child Adjustment and Parent Efficacy Scale: Development and Initial Validation of a Parent Report Measure

This study examined the psychometric characteristics of the Child Adjustment and Parent Efficacy Scale (CAPES). The CAPES was designed as a brief outcome measure in the evaluation of both public health and individual or group parenting interventions. The scale consists of a 30‐item intensity scale with two subscales measuring children's behaviour problems and emotional maladjustment and a 20‐item self‐efficacy scale that measures parent's self‐efficacy in managing specific child problem behaviours. A sample of 347 parents of 2–12‐year‐old children participated in the study. Psychometric evaluation of the CAPES revealed that both the intensity and self‐efficacy scales had good internal consistency, as well as satisfactory convergent and discriminant validity. Potential uses of the measure and implications for future validation studies are discussed.     

An Examination of the Relationship Between Parent Language and Child Anxiety

Research suggests that parents of anxious children behave differently when interacting with their children than do parents of nonanxious children. However, the relationship between parent language use in this context and child anxiety remains unclear. The present study investigates how parent language use relates to child anxiety during parent–child interactions using a community sample recruited to participate in a study of familial anxiety. Results indicate that parent language use varies in relation to child anxiety. Further, this idiosyncratic pattern of parent linguistic activity uniquely predicts child anxiety diagnostic status. Implications of this study and future directions for research are discussed.     

Relationship between parental discipline and children's ability to cope with stress

A questionnaire was developed to assess the use of disciplinary methods by parents regarding their children's approach to fearful situations. The predictive validity of this tool was evaluated by correlational analyses with the assessment of fear (behavioral, subjective, and physiological) in their children during hospitalizations for surgery. The results confirmed the usefulness of the questionnaire. Parents who reported use of positive reinforcement, modeling, and persuasion as ways of encouraging the child to deal with fearful situations had children who were low in anxiety during the actual stressful life experience. The reported use of punishment, force, or reinforcement of dependency was correlated with higher anxiety. Differences in the use of these methods by mothers and fathers are reported. The reliability of the questionnaire and its relationship to social desirability and the sex of the child are discussed.     

The Development of Aggression in 18 to 48 Month Old Children of Alcoholic Parents

This study examined the development of aggressive and oppositional behavior among alcoholic and nonalcoholic families using latent growth modeling. The sample consisted of 226 families assessed at 18, 24, 36, and 48 months of child age. Results indicated that children in families with nonalcoholic parents had the lowest levels of aggressive behavior at all time points compared to children with one or more alcoholic parents. Children in families with two alcoholic parents did not exhibit normative decreases in aggressive behavior from 3 to 4 years of age compared to nonalcoholic families. However, this association was no longer significant once a cumulative family risk score was added to the model. Children in families with high cumulative risk scores, reflective of high parental depression, antisocial behavior, negative affect during play, difficult child temperament, marital conflict, fathers’ education, and hours spent in child care, had higher levels of aggression at 18 months than children in low risk families. These associations were moderated by child gender. Boys had higher levels of aggressive behavior at all ages than girls, regardless of group status. Cumulative risk was predictive of higher levels of initial aggressive behavior in both girls and boys. However, boys with two alcoholic parents had significantly less of a decline in aggression from 36 to 48 months compared to boys in the nonalcoholic group.     

Effective Treatment for Mental Disorders in Children and Adolescents

As pressure increases for the demonstration of effective treatment for children with mental disorders, it is essential that the field has an understanding of the evidence base. To address this aim, the authors searched the published literature for effective interventions for children and adolescents and organized this review as follows: (1) prevention; (2) traditional forms of treatment, namely outpatient therapy, partial hospitalization, inpatient treatment, and psychopharmacology; (3) intensive comprehensive community-based interventions including case management, home-based treatment, therapeutic foster care, and therapeutic group homes; (4) crisis and support services; and (5) treatment for two prevalent disorders, major depressive disorder and attention-deficit hyperactivity disorder. Strong evidence was found for the treatment of attention-deficit hyperactivity disorder, depression, anxiety, and disruptive behavior disorders. Guidance from the field relevant to moving the evidence-based interventions into real-world clinical practice and further strengthening the research base will also need to address change in policy and clinical training.