Adapting Attachment and Biobehavioral Catch-up for infants and young children with intellectual disabilities and developmental delays in South Africa: Reflections and recommendations from local stakeholders

Attachment and Biobehavioral Catch-up (ABC) is an intervention targeted at enhancing the socioemotional and regulatory functioning of at-risk infants. However, to use the ABC for infants/toddlers with intellectual disabilities/developmental delays (ID/DD) and in novel cultural contexts, such as South Africa, adaptations may be required. This study aimed, therefore, to explore the opinions of clinical experts and perceptions of caregivers regarding the use of ABC for children with ID/DD in South Africa. It also sought to incorporate the experiences of families of children with ID/DD who received, and intervenors who delivered, ABC in its first implementation in South Africa. Semi-structured interviews were conducted with 18 participants. Thematic analysis explicated 12 main themes: Intervention Strengths, Points of Concern, and Recommendations (Experts); Focus on Caregiver-child Relationship, and Intervention Targets and Duration (Caregivers); Benefits of ABC, and Cultural Considerations (ABC Recipients); Focused and Targeted, Value of Feedback, Supportive Supervision, Working Alliance, and Challenges Experienced (ABC Intervenors). Practice and training recommendations include psychoeducation for parents and training for intervenors that is ID/DD-specific, expanding supervision capacity, building intervenors’ cultural/linguistic sensitivity and competence, accessing referral networks, including local Community Health Workers as intervenors, and greater flexibility in how the sessions are organized.     

Early emotional development in infants and toddlers: Perspectives of Early Head Start staff and parents

As part of a curriculum‐development project, focus groups were implemented with Early Head Start staff and with parents of infants and toddlers enrolled in Early Head Start. Focus groups were designed to identify staff and parent beliefs about early emotional development. Three major themes were identified that crossed the staff and parent focus groups: (a) Infants' and toddlers' abilities to have emotions and to be aware of others' emotions; (b) roles of parents as advocates, teachers, and disciplinarians; and (c) parental reflectivity about their own experiences as influences on their parenting. The findings suggest that parents participating in Early Head Start have some knowledge about basic emotions and the developmental nature of emotions, but may easily misinterpret emotional displays only as attempts at manipulation rather than as valid expressions of feelings; expectations for gender‐appropriate emotional expressiveness begin early; more empowered parents may view themselves as role models and teachers for their children; and more reflective parents are better prepared to engage in the sensitive interactions needed to guide young children's growing awareness of their own and others' emotions. Implications for parenting education and program planning utilizing an infant mental health perspective are discussed.     

A Comparative Analysis of Divergent Evolutionary Models of Attachment and a New Biobehavioral Conceptualization

The Psychological Record - Two theories of the attachment behavior system are reviewed in terms of the evolutionary and organismic mechanisms they propose. The life history theory of attachment...     

Neurocognitive perspectives in language outcomes of Early Head Start: Language and cognitive stimulation and maternal depression

A neurocognitive, developmental framework was used to examine the effectiveness of Early Head Start (EHS) programs. Evidence has shown that caregiver variables impact early brain development. This study aimed to better understand this relation. Results showed that the EHS program made no significant impact, and at 3 years old, children were significantly behind population norms in language development, partially replicating previous findings with children from poverty backgrounds. EHS and parental depression were significant predictors of language and cognitive stimulation; however, depression and stimulation, but not involvement in EHS, were significant predictors of vocabulary. Implications for EHS programs are discussed, such as addressing caregiver variables (e.g., depression) and increasing focus on services to expectant families. Future directions also are discussed, such as understanding how young children's stress, within the context of caregiver variables, is related to neurocognitive outcomes.     

早期养育经验与母子依恋水平的相关研究

运用沃特期-迪因儿童依恋行为分类卡片的相关条目,评估81名寄宿制幼儿园幼儿与母亲的依恋水平,并用自编问卷回溯幼儿三岁前的养育经验及相关基本信息。结果显示：幼儿与母亲的依恋总体上都处于比较积极的状态;主要照料者非保姆的、母亲产后复工时间在三个月内的、母亲主观陪伴愿望强的、与母亲分离增多始于2岁半及以上的、母亲从未威胁抛弃的,母子依恋总分较高;女孩、主要照料者非保姆的、母亲主观陪伴愿望强的、与母亲分离增多始于2岁半及以上的、母亲从未威胁抛弃的,与母亲直接相关的依恋分数都较高;高年级及母亲从未威胁抛弃的,一般行为倾向上表现更为积极;断奶和母亲产后复工时间在三个月内的、母亲无暇或不能全心全意陪伴的、母亲从未威胁抛弃的,对陌生人的兴趣和接近性更强;而喂养方式、母亲实际陪伴孩子时间的多少、及早期与母亲的分离经验,未发现对各依恋指标的显著性影响。提示：早期养育中,母亲对孩子的主观感情倾向和相处质量,更有利于增进母子依恋及相关积极行为;了解孩子心理的阶段性发展特点也具重要意义。     

Client Accounts of Hope in Early Counseling Sessions: A Qualitative Study

Hope enables individuals to envision a future in which they wish to participate ( Jevne, 1994 ) and is foundational to counseling practice. However, there has been little research examining client accounts of hope in session. Using basic interpretive inquiry, this case study examines clients' accounts of hope during counseling using video‐assisted recall. Three categories emerged: hope‐fostering counseling relationship, supportive identity development, and perspective change. Implications for counseling are discussed.     

Home-Based Early Education for Refugee and Local Children via Mothers: A Model of Contextually Sensitive Early Intervention

Journal of Child and Family Studies - Contextually sensitive home-visiting programs can foster positive parenting and enhance child development and learning especially among vulnerable families...     

A Qualitative Study of the Activities and Outcomes of Domestic Violence Coordinating Councils

Efforts to promote systems change frequently involve the creation of councils, coalitions, and other collaborative settings. However, research, to date, reports limited empirical evidence that they achieve desired outcomes (Roussos and Fawcett, Annu Rev Public Health 21:369–402, 2000). The precise nature of this evidence base has received less attention. In particular, formal investigations into council effectiveness (a) rarely highlight the specific nature of collaborative efforts; (b) emphasize fairly distal markers as the “gold standard” for effectiveness; (c) focus largely on formative “outcomes” (e.g., action plan quality); and (d) utilize primarily quantitative research approaches. The current study extends previous research by employing a qualitative approach to investigate the particular activities and proximal outcomes of 41 domestic violence coordinating councils. Study findings suggest that councils engage in six primary activities: discussing issues, sharing information, identifying weaknesses in the system’s response, providing training for key stakeholders, engaging in public/community education, and lobbying key stakeholders who are not council members. Three proximal outcomes were consistently identified in council efforts: the promotion of knowledge, relationships, and institutionalized change. Attending more directly to proximal outcomes and concrete activities in our research has important implications for conceptualizing and researching the effectiveness of councils and collaborative settings.     

Early Development of Head Movements Between Birth and 4 Months of Age: A Longitudinal Study

The control of head posture and movement play a significant role in the early development of motor skills. However, a detailed kinematic study charting this development is currently lacking. Hence, the authors performed a longitudinal study of 18 infants between birth and 4 months charting changes in head posture and movements when tracking a visual object. The results showed that beyond 2 months, the head was more often held at the body midline and this was accompanied by an increase in the number, extent, and speed of head movement. Further, it was found that head movements were organized into movement units. Movement units initially increased in number, but after 3 months decreased in number and increased in duration, especially after peak velocity. This more symmetrical profile velocity points to more controlled head movements after 3 months of age.     

Affect Attunement and Maternal Attachment: A Pilot Study

The notion that individual differences in mothers' representations of their own early childhood attachment relationships impede or facilitate the recognition of an infant's experiences and needs was investigated. Women were classified as secure, dismissing, of preoccupied in relation to attachment on the basis of the Adult Attachment Interview (George, Kaplan, & Main, 1985) and then videotaped in a laboratory setting with their 10- to 13-month-old babies. Maternal attunement behaviors and fantasies about the babies during the attunement moment were recorded and examined in light of individual differences in maternal attachment. The findings reveal that securely attached mothers are more attuned to their babies than are those mothers who are insecurely attached. Secure mothers attune to a range of infant affect, whereas insecure mothers attune to particular affects and not to others. Specifically, dismissing mothers tended not to attune to negative affect, whereas preoccupied mothers randomly attuned to both positive and negative affect states. Qualitative analyses suggest that insecure mothers misattune to infant affects that threaten their internalized attitudes toward attachment. The findings support the hypothesis that the nature of a mother's internal affective experience powerfully influences the affects she acknowledges and attunes to in her child.     

父母、同伴依恋与希望的相互作用模型:一项大学新生的追踪研究

为了考察父母、同伴依恋与希望的纵向关系,本研究以大学新生为研究对象,采用父母、同伴依恋问卷与希望量表,对1283名大一学生进行为期一年共三次的追踪研究。结果发现：（1）三次测量的父母、同伴依恋均与希望存在正相关;（2）交叉滞后模型表明,父母、同伴依恋与希望均存在相互影响的关系;（3）基于性别差异的分组模型分析表明,仅同伴依恋与希望的横断关系存在性别差异,女生相关系数显著大于男生。研究揭示,依恋与希望存在稳定的横向相关关系,并且依恋与希望存在相互预测的纵向关系。     

A Pilot Study Implementing Coping Power in Italian Community Hospitals: Effect of Therapist Attachment Style on Outcomes in Children

The study presented the initial report of a project regarding the implementation of the Coping Power Program in Italian community hospitals, and the program’s ability to reduce externalizing behavioral problems in children with a Disruptive Behavior Disorder diagnosis. Usually, interventions for children are implemented by a number of therapists with different personal characteristics, which therefore influence the implementation quality of an intervention. That said, the present study aimed to establish whether the insecure attachment styles of therapists predict unfavorable outcomes for children treated with the Coping Power Program. The sample included 80 children with a Disruptive Behavior Disorder diagnosis and 16 therapists. The results showed that the change in children’s aggressive behavioral problems was significantly related to the levels of the therapist’s preoccupation with relationships. Higher levels of change in aggression (where a higher value means that the aggression at the end of the treatment is higher than aggression at the baseline evaluation) are associated with higher levels of therapist’s preoccupied attachment style (anxious attachment style). This study provided some preliminary evidence that therapists need to be sensitive to their own attachment experiences when delivering therapy for children.     

Risks and Outcomes Associated with Disorganized/Controlling Patterns of Attachment at Age Three in the NICHD Study of Early Child Care and Youth Development

Disorganized/controlling attachment in preschool has been found to be associated with maternal and child maladjustment, making it of keen interest in the study of psychopathology. Additional work is needed, however, to better understand disorganized/controlling attachment occurring as early as age three. The primary aims of this study were to evaluate risk factors and outcomes associated with disorganized/controlling behavior at age three and to evaluate the risk factors and outcomes differentiating the four subtypes of disorganized/controlling attachment. Analyses were conducted with the first two phases of the NICHD Study of Early Child Care and Youth Development, a prospective study of 1,364 children from birth. At 36 months of age, across the attachment-relevant domains of maternal well-being, mother-child interactions, and child social adaptation, the disorganized/controlling group evidenced the most maladaptive patterns in comparison to both secure and insecure-organized groups. At 54 months of age, the disorganized/controlling group displayed the highest levels of internalizing and externalizing behavior problems, as rated by mothers and teachers, and the lowest quality relationships with teachers. Significant differences found among the disorganized/controlling subtypes indicated that the behaviorally disorganized and controlling-punitive subtypes had more maladaptive patterns across variables than did the controlling-caregiving and controlling-mixed subtypes.     

Maternal depression and parental distress among families in the Early Head Start Research and Evaluation Project: Risk factors within the family setting

This study examined the influence of risk factors within the family environment (inadequate resources, insufficient caregiving support from child's father, higher family conflict) on maternal well being (depression and parental distress) using a longitudinal panel research design. Participants consisted of 2,040 low‐income mothers of young children enrolled in the Early Head Start (EHS) Research and Evaluation Project. Findings indicated that greater family resources at 14 months had a protective effect on maternal well‐being at 36 months, controlling for demographic variables and maternal well‐being at 14 months. Furthermore, the effect of family resources on maternal well‐being was moderated by father caregiving support, such that family resources were protective, particularly when father caregiving support was lower. Family conflict at 14 months was associated with lower maternal well‐being at 36 months, controlling for demographic variables and maternal well‐being at 14 months. Our findings suggest that low‐income mothers need the support and resources of programs such as EHS to overcome the hurdles and challenges of parenting in high‐risk settings. Implications for clinical practice and EHS are discussed.     

Teaching oddity and insertion to Head Start children: An economical cognitive intervention

Two interventions were offered to Head Start preschoolers. Half of the children played numerous learning set games designed to teach the children (1) the oddity principle and (2) how to insert objects into a series. Mastery of these concepts is theoretically an important aspect of school readiness. The other half of the children engaged in the I Can Problem Solve (ICPS) exercises, a program designed to increase the children's competency in recognizing and responding to other people's feelings. The children who played the learning set games became superior at oddity and insertions with manipulable objects, and generalized these games to workbook-like formats resembling those encountered in kindergarten. They also scored higher on the numeracy and memory scales of the McCarthy Scales of Children's Abilities, indicating that mastery of oddity and insertions may have served as foundations for further cognitive growth. The children who participated in the ICPS exercises became superior at creating solutions to interpersonal problems, as measured by the Preschoolers Interpersonal Problem Solving Scale. The differences in the outcomes indicate that both interventions were successful in their own domains. The advantage the cognitive intervention produced on the McCarthy Scales suggests that oddity and insertion abilities may be a foundation in fact as well as in theory for general cognitive growth at this age.     

Neighborhoods as a Developmental Context: A Multilevel Analysis of Neighborhood Effects on Head Start Families and Children

Neighborhoods have been recognized in theory and research as an important context for child development. This study used data from the Head Start Family and Child Experiences Survey (FACES) and Census 2000 to assess the underlying factor structure and impact of neighborhood factors on child cognitive and behavioral outcomes, including the critical family and social factors that may mediate and/or moderate these relationships. Factor analyses found five factors described Head Start neighborhoods. After controlling for family and child factors, multilevel analyses found significant direct effects of neighborhood factors on Head Start children’s cognitive and behavioral outcomes. There were no mediation effects found for family or social variables between neighborhood factors and child outcomes. A large number of moderation effects were found although there was not a clear pattern to the results. Future research, policy, and practice implications are discussed.