儿童心理危机的干预策略

地震突发性强,危害严重,往往使儿童产生思维不清、意志失控、情感紊乱等心理危机,如果不及时进行心理疏导,儿童可能长期沉浸在痛苦中难以自拔,身心健康受到影响,最终酿成精神疾病,影响其一生。通过概括疏理7种常用儿童心理危机干预策略,以期为灾后儿童心理危机提供参考     

Using Force: Australian Newspaper Depictions of Contacts Between the Police and Persons Experiencing Mental Illness

The media creates and sustains knowledge about socially relevant issues such as crime, mental illness, and policing. Past research suggests that while the media portrayal of the police is undoubtedly complex, their portrayal of people experiencing mental illness remains mainly negative. The depiction of their encounters in the mass media is of considerable interest because of the influential role the media has on public opinion and debate; however, there is a lack of current research in this area. This study aimed to examine media items in the major newspapers across Australia between January 2006 and December 2007 (n = 77) to investigate their portrayal of this interface. The dominant themes encountered in the initial analysis depicted people experiencing mental illness as dangerous and a threat to the public, where the mental health system has failed to manage them adequately. Further analyses found that people experiencing mental illness were stigmatised in a third of the media items reviewed and were represented significantly more negatively in these encounters than the police. Implications of these findings and some suggestions regarding possible strategies that could improve socially responsible media reporting and public discourse on mental illness are proposed.     

Perceptions of Hospitalization by Children with Chronic Illnesses and Siblings

Understanding children’s perceptions of their illnesses and functioning when they are undergoing medical procedures remains an important area for research. Further research about siblings’ perceptions will also provide knowledge about how they are coping with a brother or sister’s chronic illness. The current study examined the perceptions of children with illnesses and their siblings using a play interview. Themes in the data indicated resilience in child functioning for both patients and siblings. Children with chronic illnesses could experience pain, which often related to fears and other negative feelings about hospitalization and potentially doctors or nurses, if they were administering painful procedures. Distraction and prayer were coping tools for patients. However, most patients believed their illness and recovery would be a “long journey.” Brothers and sisters of children with chronic illnesses could experience loneliness. A more common report was a strong desire to help and be a support for a brother or sister with an illness. Support from parents was critical for both patients and siblings and both typically enjoyed child life activities. A member-checking process, with a different group of children with illnesses and siblings, was used to audit themes discovered after reviewing play interviews. The audit process supported the positive and negative themes in the data. In the future, examining the impact of magical thinking on outcomes and conducting studies after the children have gained distance from medical trauma will be important. Moreover, increasing a focus on resilience as a hallmark of children’s functioning remains another area for further research.     

Troubling Troubled Waters in Elementary Science Education: Politics,Ethics & Black Children’s Conceptions of Water [Justice] in the Era of Flint

Abstract

The study of water as a K–12 science idea often divorces its properties from its deeply politicized history as a resource that has been limited, compromised, and intentionally withheld from nondominant communities. Although a robust body of scholarship has aptly critiqued decontextualized and depoliticized pedagogies and called for critical science-learning environments designed through the lens of equity, historicity, and power, more insight is needed into how children develop in relation to these design imperatives and within sociopolitical contexts where environmental issues pose a direct threat. We report select findings from a 2-year ethnographic project that investigated Black student agency in a school with a place-based design. Specifically, we hone in on the themes of water and water justice, which inspired the development of a socio-scientific unit enacted in two 4th-/5th-grade classrooms. This unit coincided with the initial spike in public awareness around the still unresolved water crisis in Flint, MI. For this article, we situate the “Flint” module as an illustrative case of justice-centered science pedagogy and analyze Black students’ disciplinary, affective, and sociopolitical understandings. We found that children’s meaning-making shifted from individualized accounts to critical, systemic explanations of environmental justice issues. The saliency of children's affective understandings throughout the unit was also captured. We expound on these findings and conclude with a discussion of implications, particularly as it relates to the ethics and politics of developing critical scientific capacity in young children to confront lived environmental human rights issues.     

Children with autism's perception and understanding of ambiguous figures: Evidence for pictorial metarepresentation,a research note

A large body of autism research over the last 20 years has shown that people with autism have difficulties understanding mental states. This has been conceived of as a metarepresentational deficit. An open question is whether people with autism's metarepresentational deficit is limited to the mental domain. This research explores individuals with autism's understanding of the representational nature of pictures. With the use of ambiguous figures, where a single stimulus is capable of representing two distinct referents, we compared metarepresentational abilities in the pictorial and mental domains and the perception of pictorial ambiguity. Our findings indicate that individuals with autism are impaired in mental metarepresentation but not in pictorial metarepresentation. These findings suggest that children with autism understand the representational nature of pictures. We conclude that children with autism's understanding of the representational nature of pictures is in advance of their metarepresentational understanding of mind. Their perception of figure ambiguity is comparable to the typical population.     

Childhood Schizophrenia and Autism: An Empirical Study of Perceived Social Support

Although there is an abundance of literature focusing on social support for children and adults with mental illness, there is a paucity of research examining social support for individuals diagnosed with childhood and adolescent onset schizophrenia. Literature suggests that measuring social support in youth with schizophrenia poses unique challenges, which may be why it is so under-represented in existing research. In an effort to learn more about the availability of social support for children in this population, the current study compared measures of social support for children and adolescents, 5 to 17 years old, diagnosed with childhood schizophrenia to those for children diagnosed with autism spectrum disorder. The study surveyed parents of children with schizophrenia and autism using the Family Needs Questionnaire to measure perceived social support, and a subsection of the Ohio Youth Problem, Functioning, and Satisfaction Scales to measure the parent’s assessment of children’s level of functioning. A Family Questionnaire was also administered to collect demographic information about the children and their families. Results indicated, contrary to the original hypothesis, that parents of children with schizophrenia perceived their offspring as having more social support than children with autism, even though overall parents of children in the schizophrenia group rated their children as having a lower level of functioning. However, the study also found that when assessing the importance of social support needs, parents of children with schizophrenia rated their children’s needs as being significantly more important than parents of children with autism. A discussion of the research findings and limitations of the study are offered, in addition to suggestions for future research.     

AUTISM TREATMENTS IN PRINT: MEDIA'S COVERAGE OF SCIENTIFICALLY SUPPORTED AND ALTERNATIVE TREATMENTS

Professionals, celebrities, and media frequently suggest to parents the possible treatment options for their children with autism. Some treatment recommendations advocate for scientifically supported treatments whereas others suggest novel, untested interventions, or potentially ineffective or harmful treatments. The current study examined the print media's coverage of applied behavior analysis (ABA) and non‐scientifically supported autism treatments. Over the last 10 years, print media have increasingly published articles referring to autism treatments with little scientific support and a decreased coverage of ABA. Print media's positive statements about non‐scientifically supported treatments also increased over the last decade, whereas positive statements about ABA decreased. ABA received two times as many positive comments as negative; however, non‐scientifically supported treatments as a group received four times as many positive comments as negative. These results could contribute to parents' decisions to implement treatments for their children with autism. To contribute to future positive perception of ABA, we provided suggestions for the dissemination of information to increase positive reporting of ABA in print media. Copyright © 2013 John Wiley & Sons, Ltd.     

学前儿童对疾病的认知

通过三个研究分别探查了教育条件不同的两组学前儿童能否以疾病这一生命现象为指标做出生物和非生物的本体区分;他们是否理解疾病的产生和康复不受心理意图控制;以及他们对疾病原因的认识。结果显示,3、4、5岁学前儿童在分类作业中的认知成绩随年龄逐渐提高,他们能够认识疾病不受意图控制。其对疾病原因的解释既不用意图也不用道德准则,而主要是从行为水平,表现出“朴素生物学”的认知,但其认知与成人的认知和科学的生物学概念有明显差距。教育条件影响儿童的疾病认知成绩     

自闭症儿童依恋研究述评

摘要　　研究者曾一度认为自闭症儿童无法建立起依恋关系。本文系统回顾了自闭症儿童依恋研究的最新进展,将自闭症儿童是否存在依恋行为（尤其是安全型依恋行为）、依恋发展解释理论、研究方法、类型分布以及影响因素等问题进行了详细梳理,并结合研究分析,提出有关自闭症儿童依恋研究的几点启示,以供参考。     

What do children learn about biology from factual information? A comparison of interventions to improve understanding of contagious illnesses

Background . Children have been shown to hold misconceptions about illness, and previous work has indicated that their knowledge can be improved through the use of interventions. Aims . This study aims to evaluate interventions based on the provision of factual information for improving understanding of contagious illness. Sample . The participants were 96 children from two age groups: 7 and 11 years. Methods . During the pre‐test, the children were asked about three contagious illnesses and one novel illness. There were three intervention conditions, differing in the level of factual information provided: explanations provided, no explanations provided and scientific factual style. The interventions were focused on contagious illnesses (cold, chickenpox). A post‐test was conducted 6 weeks later. Results . Results from the pre‐test show that the older children have more sophisticated understanding of illness than the younger children. Mean pre‐ to post‐test change was calculated and analyses revealed that there is greater pre‐ to post‐test change in the explanation and scientific fact conditions when compared with that in the no‐explanation condition. The improvements in knowledge generalized to other contagious illnesses, and the older children showed more improvements than the younger children. Conclusions . These findings add to the literature on children's understanding of contagious illnesses and contribute towards discussions on the best approach to health education.     

Capturing the Child’s Perspective: A Review of Self-Report Measures used with Children

Recent policy extends the patient-professional collaboration in making health care decisions to children. As a result, the development of self-reporting measures allowing children to express their concerns is growing. A literature review identified 33 self-report measures for children among a range of disciplines. While these tools allow children to be part of the rehabilitation process, the information obtained does not seem to capture what matters to children. This is particularly true for children with mental illness whose views are often ignored. More research is needed on clinical approaches that access the unique experiences of children with mental illness.     

Partnering with Children Diagnosed with Mental Health Issues: Contributions of a Sociology of Childhood Perspective to Participatory Action Research

This paper explores the use of participatory action research (PAR) with children diagnosed with mental health issues. We argue that critiques from the sociology of childhood are useful for guiding PAR with children. First, we describe and critique values and assumptions that underlie research and practice with children who experience mental health issues. Second, we outline key qualities of the sociology of childhood, discuss their implications for PAR with children diagnosed with mental health issues, and touch on ethical issues. Five themes are explored: (a) values, (b) ontology/epistemology, (c) views about children, (d) agency/power in children’s relationships with adults, and (e) intervention/change focus. We conclude by encouraging community psychologists to consider PAR with children diagnosed with mental health issues.     

Differences in attributions of mental illness and social distance for portrayals of four mental disorders

For individuals with mental illness, others' perceptions of mental illness often limit integration into communities. Perceptions of mental illness manifest as social stigma in the form of social distance and may depend on individuals' attributions of the origins of mental illness. 180 university students completed a survey on attribution of mental illness and social distance across several disorders (psychiatric and physical). Participants indicated greater social distance for severe mental illness (i.e., schizophrenia) than less severe mental illness and physical illness. More desire for social distance may be related to unfamiliarity with severe mental illness rather than less severe mental and physical illnesses. Greater understanding of how individuals perceive mental illness can inform efforts to educate the public.     

When the internet is wrong: Children’s trust in an inaccurate internet or human source

Prior studies have shown that children can select and evaluate information based on the previous accuracy of an informant. The current study examines how 5- to 6-year-old kindergarteners (N = 46) and 7- to 8-year-old second-graders (N = 48) in China judge scientific information provided by the internet or a teacher, and how a source's history of inaccuracy influences participants’ judgments. When lacking explicit information about previous accuracy, neither younger children nor older children showed differential trust in the internet or a teacher. After observing the internet providing inaccurate information, children in both age groups decreased their trust in statements from the internet. When the teacher was consistently inaccurate, children in both age groups also showed reduced preference for the teacher's statements. These findings demonstrate that 5- to 8-year-old children take into account history of inaccuracy when deciding whether to request or endorse information from the internet or a teacher.     

Representing Inner Worlds: Theory of Mind in Autistic, Deaf, and Normal Hearing Children

The purpose of the study reported here was to examine the degree to which delays or deficits in developing a theory of mind are specific to children with autism or extend to other groups of atypical children with varying conversational experience and awareness. The performance of deaf children from a variety of conversational backgrounds was compared with that of autistic and normal hearing children on a range of tasks requiring representation of others' mental states. Native signers, oral deaf children, and normal hearing children scored similarly, and their performance exceeded that shown by signing deaf children from hearing families and children with autism. The latter two groups did not differ significantly from each other. These results point to an interplay among biology, conversation, and culture in the development of a theory of mind.     

Conceptualizing Culturally Infused Engagement and Its Measurement for Ethnic Minority and Immigrant Children and Families

Despite the central role culture plays in racial and ethnic disparities in mental health among ethnic minority and immigrant children and families, existing measures of engagement in mental health services have failed to integrate culturally specific factors that shape these families’ engagement with mental health services. To illustrate this gap, the authors systematically review 119 existing instruments that measure the multi-dimensional and developmental process of engagement for ethnic minority and immigrant children and families. The review is anchored in a new integrated conceptualization of engagement, the culturally infused engagement model. The review assesses culturally relevant cognitive, attitudinal, and behavioral mechanisms of engagement from the stages of problem recognition and help seeking to treatment participation that can help illuminate the gaps. Existing measures examined four central domains pertinent to the process of engagement for ethnic minority and immigrant children and families: (a) expressions of mental distress and illness, (b) causal explanations of mental distress and illness, (c) beliefs about mental distress and illness, and (d) beliefs and experiences of seeking help. The findings highlight the variety of tools that are used to measure behavioral and attitudinal dimensions of engagement, showing the limitations of their application for ethnic minority and immigrant children and families. The review proposes directions for promising research methodologies to help intervention scientists and clinicians improve engagement and service delivery and reduce disparities among ethnic minority and immigrant children and families at large, and recommends practical applications for training, program planning, and policymaking.     

自闭症幼儿的视觉性自我认知实验研究

通过对平均心理年龄为23个月的6名自闭症幼儿的实验研究．甄别他们是否能从视觉上进行自我与他人的分化认知并进一步探索自闭症幼儿对镜像自我认知与录像自我认知上的差异;以秒为单位．对实验结果和过程进行了编码分析。结果表明：这6名幼儿在看自己的录像时,比看同伴的表现出更多的关注和喜悦;对录像的自我进行认知寸表现出更大的关注和积极情绪。由此推断他们已具有初步的自我认知。     

Parent Perspectives on Community Mental Health Services for Children with Autism Spectrum Disorders

The community mental health (CMH) system provides treatment for behavioral and psychiatric problems in children with autism spectrum disorders (ASD). Although parent stakeholder perspectives are important to improving care, these perspectives have not been systematically examined for this population in the CMH sector. Twenty-one semi-structured qualitative interviews were conducted with parents of children with ASD who received services in CMH clinics. Themes related to child clinical histories, service access and experiences with the CMH system revealed a specific trajectory of service need identification, obtaining a diagnosis, and experience with services. Each trajectory stage was marked by high parent stress. Results provide information about the characteristics of children with ASD served in community mental health clinics and direction for targeted improvement efforts.