Hand Test characteristics of severely behavior handicapped children

The Hand Test was administered to 98 severely behavior handicapped (SBH) children and a matched control group of public school children. The withdrawal score and associated variables, indicative of severe psychopathology, differentiated the two groups. In addition, a qualitative analysis of the SBH protocols tentatively suggested a preponderance of four behavioral types that could be described as the underproductive, perseverative, psychotic and impulsive child. Implications of these findings are discussed.     

Why the handicapped child case is hard

This paper discusses the handicapped child case and some other variants of Derek Parfit's non-identityproblem (Parfit, 1984) The case is widely held to show that there is harmless wrongdoing, and that amoral system which tries to reduce wrongdoing directly to harm (``person-affecting morality')is inadequate.I show that the argument for this does not depend (as some have implied it does) on Kripkean necessity of origin. I distinguish the case from other variants (``wrongful life cases') of the non-identityproblem which do not bear directly on person-affecting morality as I understand it. And finally, I describe a respect in which the handicapped child case is puzzling and counter-intuitive, even on the supposition that it is a case of harmless wrongdoing. I conclude that the case is ``hard': it will take more than the rejection of person-affecting morality to remove its puzzling character.     

Externalizing behavior trajectories: The role of parenting, sibling relationships and child personality

Based on longitudinal multilevel modeling and using a multi-informant strategy, this study examines trajectories of externalizing problem behavior (EPB) in childhood as predicted by parental behavior (absolute level of parenting [ALP] and parental differential treatment [PDT]), parental self-efficacy (PSE), child personality and sibling relationships. Besides main effects, several interactions were tested. The effects of changes in parenting on changes in EPB were also examined. A total of 119 families from the French-speaking area of Belgium rearing a child (3- to 5-year-olds at the onset of the study) referred for EPB were studied. The effects of both level-of and changes-in mothers' ALP were partially confirmed, but for fathers, only ALP was predictive. There were some significant interactions between ALP and PDT for both parents. Mothers' PSE explained some variance in EPB, additional to that explained by the parenting measures. Some parenting by personality and by sibling relationship interactions were found.     

Causes and incidence of self-mutilation in severely mentally handicapped patients

Without regard to early childhood self-injurious behaviour is as a rule therapeutic difficulty to influence. Therefore analysis of the joint of causes is relevant for prevention. Among 87 hospitalized oligophrenic patients there were 10 with self injury, their sensibility for pain was considerably diminished at least. Early hospitalization resp. missing or very early deficit of maternal affection and of familiar contacts on the whole are considered to be a risk for later severe self injury.     

The family and the child with epilepsy

Reports documenting psychosocial epiphenomena of chronic illness in individuals with that illness have been common in recent years. Few studies, however, have been concerned with how illness might affect the family. Those that have appeared in the literature often lack critical controls (i.e., control groups) and often fail to investigate possible links between illness-specific variables (i.e. chronicity, inhibition of mobility) and psychosocial outcomes on the family. The present study of 45 families focused on how children with epilepsy affect their families' functioning relative to families with a child with diabetes and families with no chronically ill members. The results suggest several areas of child and family adjustment (i.e. child self-concept, family communication, family cohesion) in which the families of epileptic children have great difficulty. Implications of these results are discussed with regard to differential influences of various chronic illnesses on families and family-based preventive and remedial treatment programs.     

The family practices of service providers for young handicapped children

A survey was distributed to service providers in Connecticut working with newborn to 6-year-old handicapped children to examine the degree to which service activities currently focus on the family. Most service-provision goals elicited by the survey were child-focused clinical goals, but family-focused goals were frequently cited However, 30% reported spending no time with families during a typical week. Published programs or curricula were rarely used. The providers felt they were successfully achieving goals set for families but that they encountered some problems, including a lack of time to work with families. Comparisons were made between those working with children from birth to 3 years of age and those working with children 3 to 6 years of age. Suggestions concerning the implementation of the family-focused agenda were made.     

Engaging the severely dysfunctional family in treatment: basic considerations

The severely dysfunctional family is a clinical phenomenon that includes families with a wide range of serious symptoms. These families have been characteristically difficult to engage in treatment, and many do not respond well to traditional family therapy techniques. Some of these families do respond to innovative approaches such as paradox. However, many agencies do not have the capability to implement such highly specialized procedures, nor do all severely dysfunctional families respond well to these techniques. Thus, this paper presents a generic approach to the severely dysfunctional family; the emphasis is on facilitating engagement and maintaining sensitivity to the family's need for stability.     

The Jungian child analytic training: An historical perspective

This paper describes the beginnings, ethos and development of the child analytic training which is now offered by the Society of Analytical Psychology in London. It focuses in particular on the role and thinking of Dr Michael Fordham; the ideas which influenced his theories about children, the self, deintegration and reintegration; and the key position that his own work with children now occupies.     

Evaluation of a home-based language training programme with severely mentally handicapped children

A home-based Language Training Programme was carried out with pre-school and school-age severely mentally handicapped children, over a 16–18-month period. Compared to control groups, the experimental groups did not show significantly greater progress on normreferenced measures of language development, although all groups showed significant improvement over time. The implications of these findings are discussed in the light of a number of methodological problems with the study.     

Chronic pain: A family perspective

The McMaster Model of Family Functioning has been used to assess and treat a variety of family problems and has also proven efficacious in family practice, psychiatric and rehabilitation settings. This articles attempts to add to the list by its application to families with a chronic pain sufferer. It is demonstrated that the model, with its systemic approach and behavioral orientation, offers a conceptual base particularly well suited to the problems of chronic pain patients and their families.     

Fantasy formation: a child analyst's perspective

Unconscious fantasy is the principal unit of psychoanalytic investigation. Though individual fantasies, either conscious or unconscious, may emphasize drive, defense, or superego interests, all fantasy life develops from a limited number of themes; these themes concern drive-related issues, experiences of helplessness, or combinations of both. Fantasy formation and fantasy content undergo developmental change. Sensorimotor, behavioral memories occur prior to fantasy and are influential in determining repetitive behavioral enactments. The complexities of infant behavior do not require the postulation of fantasy or representational memory. A complex, innate, instinctual organization of the newborn, similar in many respects to that of other newborn mammals, and distinct from the psychological organization of the older infant, is suggested as an explanation of these phenomena.     

Unprogrammed effects of training high-status peers to interact with severely handicapped children.

We examined the effects of a peer initiation intervention with high- and low-status nonhandicapped students on the behavior of untrained peers toward handicapped students. In the context of a counterbalanced withdrawal design, high- and low-status nonhandicapped students were taught to direct social initiations to eight severely handicapped students during recess activities. The interactions of the high-status students resulted in higher levels of initiations by untrained peers toward the handicapped students than did the interactions of the low-status students. Social response levels were also differentially affected by the status of the peer initiator.     

The consultation process with an adult: a child analyst's perspective

A close examination of a consultation is presented. Such a face-to-face encounter with an adult patient can suggest a parallel with another type of treatment: child analysis. It is argued that certain ways of working with children in analysis--the gliding between the interpersonal and the intrapsychic--were especially useful in bringing this adult patient to engage in analysis. Also highlighted in this account are interventions that function not as interpretations per se but as protointerpretations aimed at arousing preconscious affect states for the purpose of bringing them into conscious experience.