Narcissistic organisations and sexual identity - a clinical presentation

Lynn Barnett. Sunday's Child: the Development of Individuality from Birth to Two Years of Age, Parts I-VIII. Part IX: 2 to 3 years, 1988. Part X:3 to 6 years, 1989. Also available: Sunday's Child: short version (0-2 years); Sunday's Child: From Dependent Feeding to Rational Eating; Sunday's Child: Father's Role.

Copies can be obtained, for teaching and study purposes only, from Lynn Barnett, Iddesleigh House Clinic, 97 Heavitree Road, Exeter, Devon, UK EX1 2NE and Concorde Films, 201 Felixstowe Road, Ipswich, Suffolk IP3 9BJ.

Hire: λ18 plus p&;p, compilation. λ15 each 3 months part + p&;p.

Purchase: λ50 plus p&;p, compilation. λ30 each 3 months part + p&;p.

Tilman Furniss. The Multiprofessional Handbook of Child Sexual Abuse: Integrated Management, Therapy and Legal Intervention. Routledge, 1991. λ20 paperback.

W.R. Silveira, Ed. Consultation in Residential Care: Children in Residential Establishments. Published by Aberdeen University Press. July 1991. Paperback λ13.95.

Barbara Dockar-Drysdale. The Provision of Primary Experience. London: Free Association Books. 1991. Hardback, λ29.50. Paperback, λ12.95.

BLOS, P., (1979) The Adolescent Passage: Developmental issues. International University Press: New York.

DOCKAR-DRYSDALE, B., (1968) Therapy in Child Care. Longman.

DOCKAR-DRYSDALE, B., (1973) Consultation in Child Care. Longman.

LAUFER, M., and M.E., (1987) Adolescence and Developmental breakdown: A Psychoanalytic view. Yale University Press.

TONNESMANN, M., (1980) Adolescent re-enactment, trauma and reconstruction. J. of Child Psychother. Vol. 6 pp. 23-44.

Johannes S Bodtker: Beyond Words: Interpretive Art Therapy. Published by Clunie Press. The Roland Harris Education Trust. 1990. λ10.00 (paperback).     

Fetal testosterone and autistic traits

Studies of amniotic testosterone in humans suggest that fetal testosterone (fT) is related to specific (but not all) sexually dimorphic aspects of cognition and behaviour. It has also been suggested that autism may be an extreme manifestation of some male‐typical traits, both in terms of cognition and neuroanatomy. In this paper, we examine the possibility of a link between autistic traits and fT levels measured in amniotic fluid during routine amniocentesis. Two instruments measuring number of autistic traits (the Childhood Autism Spectrum Test (CAST) and the Child Autism Spectrum Quotient (AQ‐Child)) were completed by these women about their children (N=235), ages 6–10 years. Intelligence Quotient (IQ) was measured in a subset of these children (N=74). fT levels were positively associated with higher scores on the CAST and AQ‐Child. This relationship was seen within sex as well as when the sexes were combined, suggesting this is an effect of fT rather than of sex per se. No relationships were found between overall IQ and the predictor variables, or between IQ and CAST or AQ‐Child. These findings are consistent with the hypothesis that prenatal androgen exposure is related to children exhibiting more autistic traits. These results need to be followed up in a much larger sample to test if clinical cases of ASC have elevated fT.     

Mentalization in children and mothers in the context of trauma: An initial study of the validity of the Child Reflective Functioning Scale

This study examined the validity of the Child Reflective Functioning Scale (CRFS: Ensink, Target, & Oandason, 2013, Child reflective functioning scale scoring manual: for application to the Child Attachment Interview. London, UK: Anna Freud Centre – University College London), a measure designed to assess reflective functioning (RF) or mentalization during middle childhood. Participants were 94 mother–child dyads divided into two subgroups; 46 dyads where children had histories of intrafamilial (n = 22 dyads) or extrafamilial (n = 24 dyads) sexual abuse, and a community control group composed of 48 mother–child dyads. RF of children and their mothers was assessed using videotaped and transcribed data gathered using the Child Attachment Interview and the Parent Development Interview (PDI: Slade, Aber, Bresi, Berger, & Kaplan, 2004, The parent development interview‐Revised. New York, NY: The City University of New York). The findings indicate that the CRFS proved reliable, with excellent intraclass correlation coefficients for general RF, as well as RF regarding self and others. Significant differences in RF were found between sexually abused children and the control group, and also between children who had experienced intrafamilial and extrafamilial sexual abuse. This provides support for the discriminant validity of the CRFS. Furthermore, maternal RF was associated with child RF. Both abuse and maternal RF made significant contributions to predicting children's RF regarding themselves, but child sexual abuse was the only variable that made a significant contribution to explaining variance in children's RF regarding others.     

Book reviews and books received

Elisabeth R. Geleerd, M.D. (Editor): The Child Analyst at Work. (Published by International Universities Press, Inc. New York. 1967 $7.00.)

HELENE DEUTSCH: Selected Problems of Adolescence. With Special Emphasis on Group Formation. (Monograph No. 3 of The Psychoanalytic Study of the Child, International Universities Press, New York, 1967. 134 pages.)

CLARA CLAIRBORNE PARK : The Siege. Longmans. 1967.

BRIAN J. FELLOWS : The Discrimination Process and Development. Pergamon Press. 1968.     

Preliminary Validity of the Eyberg Child Behavior Inventory With Filipino Immigrant Parents

Filipinos are an understudied minority affected by significant behavioral health disparities. We evaluate evidence for the reliability, construct validity, and convergent validity of the Eyberg Child Behavior Inventory (ECBI) in 6- to 12-year-old Filipino children (N = 23). ECBI scores demonstrated high internal consistency, supporting a single-factor model (preintervention α = .91; postintervention α = .95). Results document convergent validity with the Child Behavior Checklist Externalizing scale at pretest (r = .54, p < .01) and posttest (r = .71, p < .001). We conclude that the ECBI is a promising tool to measure behavior problems in Filipino children.     

Sex of Experimenter and Intelligence as Factors in Maze Learning: A Further Comparison of Maze and Sex Differences

(Murphy, Lois Barclay. Social Behavior and Child Personality. New York: Columbia Univ. Press, 1937. Pp. 333.)     

A Study of the Relation of Age Interval to Degree of Resemblance of Siblings in Intelligence

Abstract

(Dennis, W. The Hopi Child. New York: Appleton-Century, 1940. Pp. 204.): Reviewed By Helen Wolfle     

PARENTAL TRAINING OF THE PLURAL MORPHEME IN NORMAL TODDLERS1

Experimental studies with young normal children can provide useful strategy for the functional analysis of language. Research by Whitehurst (Journal of Experimental Child Psychology, 1972, 13 , 502–515) exemplifies this approach, in which 2-yr-old children were exposed to a training procedure that involved imitation and differential reinforcement for a two-word productive sequence of the adjective-noun form. Results indicated that these young children could be trained to produce rudimentary novel utterances that were grammatically appropriate. More recently, Hursh and Sherman (Journal of Experimental Child Psychology, 1973, 15 , 328–339) reported the existence of a functional relationship between parental modelling and reinforcement of vocalizations, and increased instances of these vocalizations in young (15- to 20-month-old) children. These demonstrations relate to a summary of findings with linguistically deviant populations discussed by Sherman (Advances in Child Development, 1971). The present study attempts to extend these “generative” investigations to normal children and to provide useful information for those interested in teaching speech forms to them. Modelling and differential reinforcement were used by three mothers to establish the use of the plural morpheme in the speech of their 19- to 25-month-old children. During training trials, verbal praise was presented contingent on correct labelling of singular and plural items, while correct labelling was modelled if the child responded incorrectly. Children learned to label specifically trained sets of singular and plural items and also exhibited correct labelling when asked to label never-trained singular and plural items. After establishing correct usage, the same training procedures were used to train reversed labelling (plural responses to single items and singular responses to plural items). This produced a corresponding reversal of responding (both trained and untrained items) by each child for the plural items but not for singular items. Correct singular and plural labelling was recovered by returning to the initial procedures.     

Parent–Child Interaction Therapy with Toddlers in a community-based setting: Improvements in parenting behavior,emotional availability,child behavior,and attachment

Parent–Child Interaction Therapy with Toddlers (PCIT-T) is a new attachment-based parenting intervention designed to meet the needs of children aged 12–24 months presenting with challenging behaviors. This study examined outcomes of the first phase of PCIT-T, Child Directed Interaction–Toddler (CDI-T), 4-months post treatment. Participants were 56 toddlers (Child Mage = 19.13 months) referred to receive CDI-T over an 8-week period at an Australian community-based child behavior treatment clinic for treatment of difficult toddler behaviors. Participants completed questionnaires and observational measures at baseline (Time 1), post-treatment (Time 2), and 4-month follow-up (Time 3). At both Time 2 and Time 3, there were statistically significant increases in observed positive parenting skills and emotional availability and decreases in negative parenting behaviors and child noncompliance. There were also significant improvements in parent-reported child externalizing and internalizing behaviors, parental stress, and maternal depression. There was a pattern of a shift away from attachment insecurity and attachment disorganization. Results suggest that the CDI-T phase of PCIT-T is a promising intervention for toddlers presenting with behavioral issues. Future studies should be conducted to assess efficacy in other settings, using larger samples and utilizing randomized controlled designs.     

Three forms of stress in Cambodian adolescent refugees

Sixty-nine Cambodian adolescents and young adults were interviewed to determine their experience as children surviving the Pol Pot regime (1975–1979);their first-year experience of resettlement in this country; and their experience of stressful events during the past year. Current DSM-III-R diagnostic status was also determined. A strong relationship between earlier war trauma, resettlement strain, and symptoms of posttraumatic stress disorder (PTSD) was found. In contrast, the strongest relationship with depressive symptoms was found for recent stressful events. These results are discussed in light of current findings from stress and PTSD research.Dr. Clarke is Assistant Professor of Psychiatry in the Division of Child Psychiatry, Oregon Health Sciences University, Portland, Oregon. Dr. Sack is Director of the Division of Child Psychiatry and Principal Investigator of the Khmer Adolescent Project. Brian Goff is a Research Assistant.This project was supported by the National Institutes of Mental Health [NIMH] grant #5-RO1-MH42927-02, Dr. William H. Sack, M.D., Principal Investigator.     

Reviews

Books reviewed in this article: David Charles and William Child (eds), Wittgensteinian Themes: Essays in Honour of David Pears H. O. Mounce, Tolstoy on Aesthetics: What is art? Craig Taylor, Sympathy: a Philosophical Analysis     

Identifying the Insecure Child: III. The Use of Children's Drawings

Abstract

(Terman, L. M., &; Oden, M. H. The Gifted Child Grows Up. Stanford: Stanford Univ. Press, 1947. Pp. 448.) Reviewed by Nathan Israeli

(Cameron, N. The Psychology of Behavior Disorders. Boston: Houghton Mifflin, 1947. Pp. 622.) Reviewed By P. E. Lichtenstein     

The effect of time-out release contingencies on changes in child noncompliance

This project evaluated the effect of time-out release contingencies on changes in child noncompliance to maternal instructions. Twenty-four clinic-referred, noncompliant, preschool children served as subjects. Each child was assessed under baseline conditions and then under one of three experimental conditions: Parent Release, Child Release, or Control. Children in the Parent Release and Child Release conditions experienced time-out contingent upon noncompliance. Temporal and behavioral time-out release contingencies were present in the Parent Release condition but not in the Child Release condition. A spanking procedure was used to inhibit premature escape from time-out for children in the Parent Release group. The results indicated that both time-out groups demonstrated increased compliance ratios. However, improvement associated with the Child Release condition was considered to be clinically insignificant.The authors wish to express their appreciation to Dave DeLawyer, Larry Snapp, and Mike Samac for their assistance in conducting the study.     

Home improvements: Within-family associations between income and the quality of children's home environments

Within-family associations between changes in income and changes in the home environment during infancy and early childhood were examined using data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (n = 1364). Linear and nonlinear (i.e., semilog) specifications were estimated for family income. In addition, variations in income effects were estimated as a function of the level of developmentally stimulating resources in homes during early infancy. Increases in family income were positively associated with increases in the quality of children's home environments. The estimated effects of income were largest for families who had low incomes and low-quality early home environments. These results were evident for physical characteristics of the home that likely required monetary investments, as well as for psychosocial characteristics of the home.     

Language development of pre‐school children born to teenage mothers

An Erratum has been published for this article in Infant and Child Development 10(4) 2001, 241. This paper compares the language development of pre‐school children born to teenage (n=22) and comparison mothers (n=20) and examines the extent to which differences in language development can be explained by social background, child and parenting factors. Mothers and children were assessed at home using a range of measures, including a structured interview, the language scales of the Child Development Inventory, the HOME Inventory, and videotaped mother‐child interaction. Results showed that children of teenage mothers perform significantly poorer than children of comparison mothers on measures of expressive language and language comprehension. Subsequent analyses showed that these differences are largely explained by differences in the parenting behaviour of teenage and comparison mothers. Specifically, maternal verbal stimulation and intrusiveness accounted for the relationship between teenage motherhood and children's poorer language comprehension, while maternal intrusiveness and involvement with the child account for the relationship between teenage motherhood and children's poorer expressive language development. These findings highlight the importance of early mother–child interaction for children's language development. Copyright © 2001 John Wiley & Sons, Ltd.     

Using the ASEBA to Screen for Callous Unemotional Traits in Early Childhood: Factor Structure,Temporal Stability,and Utility

This study evaluated a five-item screening measure of Callous Unemotional (CU) traits using items drawn from the Preschool Form of the Achenbach System of Empirically Based Assessment (ASEBA). Using data from the Durham Child Health and Development study (N = 178), confirmatory factor analyses demonstrated that CU items could be distinguished from Attention Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant (ODD) items. The two-year stability (N = 137) of CU (ϕ = .84) was comparable to that of ADHD (ϕ = .79) and ODD (ϕ = .69). Three groups of children were selected based on parent-rated ODD and CU behaviors at the 36-month assessment (N = 37; ODD+CU, N = 7; ODD-only, N = 12; non-ODD, N = 18). Multiple measures of infant temperament predicted group membership with 84% accuracy. Consistent with Frick and Morris’ (Journal of Clinical Child and Adolescent Psychology 33(1):54–68, 2004) hypotheses, ODD+CU and ODD-only children exhibited temperamental profiles in infancy that were consistent with low fear and emotionally dysregulated pathways into conduct problems, respectively.     

A Prospective Study of Maternal Exposure to Smoking during Pregnancy and Behavioral Development in the Child

Prenatal smoke exposure (PSE) is a risk factor for adverse outcomes in the offspring, including those affecting psychological development. However, it is uncertain whether these associations are the direct result of PSE or other confounding factors. The aim of this study was to examine the possible relationship between PSE and behavioral development in children at 7.5 years of age, considering several prenatal, neonatal and postnatal covariates. A cohort of 266 mother-child pairs was followed from the first trimester of pregnancy until the children reached 7.5 years of age. PSE was assessed using a questionnaire from prenatal clinical records and corroborated by plasma cotinine determinations in the first and second trimesters and in the cord. Mother-child pairs were classified into one of four groups: unexposed, exposed to passive smoking, first trimester active smoking only and active smoking throughout pregnancy. Child behavior was assessed using the Child Behavior Checklist for ages 6–18 and the Childhood Autism Spectrum Test. In multiple linear regression models, smoking during pregnancy was associated with higher scores in affective problems (β?=?0.298; p?=?0.004). No significant associations were found between smoking during pregnancy and externalizing problems. Findings indicate that PSE is negatively associated with behavioral development in childhood.

     

Child Behavior Profile types in a general population sample of boys 6 to 11 years old

Characteristics of Child Behavior Profile (CBP) types were studied in a general population sample of 202 boys aged 6 to 11 years. Parents completed the Child Behavior Checklist and teachers simultaneously rated the Teacher's Report Form. Overall, 39.7% of the boys were classified within a CBP type: 28.8% Internalizing and 10.9% Externalizing. The most common specific type was Somatic Complaints. Teachers rated the Externalizing CBP boys as showing robust externalizing behaviors in school. Also, boys with Externalizing profile types showed severe degrees of psychopathology in both home and school environments. An intraclass correlation of 35 or greater was found to identify boys with sufficiently severe psychopathology to warrant further clinical evaluation. Findings in this general population sample appear consistent with previous results in outpatient samples, and extend our understanding of the validity and clinical value for CBP types.     

Treatment of co-occurring child maltreatment and substance abuse

Despite high prevalence and severe negative consequences of child maltreatment (e.g., Brown, G. R., & Anderson, B., (1991). Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse. American Journal of Psychiatry, 148, 55–61; Jaudes, P. K., Ekwo, E., & Van Voorhis, J.V., (1995). Association of drug abuse and child abuse. Child Abuse and Neglect, 19, 1065–1075; Murphy, J. M., Jellinek, M., Quinn, D., Smith, G., & Goshkom, M., (1991). Substance abuse and serious child mistreatment: Prevalence, risk, and outcome in a court sample. Child Abuse and Neglect, 15, 197—211), the treatment of perpetrators and victims of child abuse and neglect remains grossly understudied (Behl, L. E., Conyngham, H. A., & May, P. F., (2003). Trends in child maltreatment literature. Child Abuse and Neglect, 27, 215–229). More than half of parentes founded for the abuse and neglect of their children have evidenced drug abuse, yet no treatments have been validated that concurrently address these problems. The reciprocal interaction between substance abuse and child maltreatment supports the need to concurrently treat these problems. This article illustrates the relationship between child maltreatment and parental substance abuse and proposes a behavioral model to explain the reciprocal influence of drug abuse and child maltreatment. A behavioral treatment plan that is designed to concurrently address drug abuse and child abuse is proposed and suggestions are made for future directions in this area.     

Temperament and Vulnerability to Psychopathology: Introduction to the Special Section

Several authors have highlighted associations with temperament as promising avenues for understanding vulnerability to psychopathology (e.g., Muris and Ollendick, Clinical Child and Family Psychology Review, 8, 271–289, 2005; Nigg, Journal of Child Psychology and Psychiatry, and Allied Disciplines, 47, 395–422, 2006). The successful integration of models of temperament and models of psychopathology will undoubtedly increase our understanding of both. The current special section intends to present important new ideas and evidence in this field and tries to formulate answers to a couple of emerging questions. To set the stage for the papers, we provide a brief state of the art of research on temperament—psychopathology associations. After that, we discuss emerging questions in the field, some of which are addressed in the papers of this special section. To conclude, we point out a couple of future research perspectives.