Children with AIDS in the public schools: The ethical issues

The question of whether to allow children with AIDS to attend public school generates explosive emotions and has wide-reaching consequences. This paper focuses on the perspective of parents of well children who may be asked to attend school with children who have AIDS. These parents are poised at the heart of the dilemma: they are the ethical “bottom line,” and an argument that fails to satisfy them ought not to satisfy anyone. The conflicting commitments these parents face are first to the parentchild covenant which requires them to act in their child's best interests, and second, to the principles of beneficence and justice, which require them not to further burden a sick child with ostracism and isolation. Almost exact parallels exist between this issue and that of proxy consent by parents for children's participation in low-risk, non-therapeutic research. The lengthy and important debate between Paul Ramsey and Richard McCormick on this question is analyzed, concluding that McCormick's position in favor of thoughtful proxy consent is the more compelling. Returning to the question of allowing children with AIDS to attend school, the essay shows why the parallels are persuasive. On the ethical level, the apparent conflict of obligations is almost exactly the same; on the pragmatic level, the essay shows why sharing a classroom with a child who has AIDS is comparable to the “low-risk” category that the National Commission for the Protection of Human Subjects found acceptable in its 1978 guidelines. The essay concludes that parents of healthy childrenmay and ought to accept the presence of children with AIDS in the public school.     

Children in psychodynamic psychotherapy: changes in global functioning

This study was part of the Erica Process and Outcome Study. The aim was to investigate if children's global functioning improves after psychodynamic psychotherapy. Variables that may predict changes in global functioning were examined both statistically and qualitatively, for example, the child's age and gender; diagnosis and comorbidity; treatment variables. The sample consisted of 33 children (five to 10 years of age) who participated in psychodynamic psychotherapy with parallel work with parents. Twenty-nine children had at least one DSM-IV diagnosis, and 15 children had comorbid conditions. At the start of psychotherapy, the most frequent diagnoses were attention disorder and disruptive behaviour. Child psychotherapists rated the children's global functioning using CGAS and HCAM. Large effect sizes were obtained (d = 1.80 and d = 1.98). However, no statistical correlations were found between global functioning and the selected variables. In order to illuminate the complex connection between process and outcome the study was complemented with in-depth case studies where data were taken from questionnaires, completed by the child therapists every third month. Two child therapies were selected: one in which the therapist rated a large change and one in which a small change was rated (CGAS). The analysis showed that important individual change, for example, attainment of formulated goals, was not always reflected in the change rated using the CGAS. Findings suggest that psychodynamic child psychotherapy can be beneficial. However, further research is needed to identify factors that contribute to change in children's global functioning.     

Exploring Taiwanese Female Pastors' Intimate Relationships: Using the Story of the Levite's Concubine

The authors investigated intimate relationships and violence toward women, using group discussions and focus group techniques from a feminist group counseling perspective, with Taiwanese Presbyterian female pastors. The story of the Levite's concubine and the feminist commentary were provided to a group of Taiwanese female pastors to read at the beginning of the focus group session. The women's perspectives of their intimate relationship experiences in light of the biblical story were explored. The 6 themes related to participants' intimate relationships were generated and are discussed.     

Symbolic functioning in preschool children

An important goal of parents and preschool educators alike is to introduce young children to a variety of symbol systems, and to help children begin to master some of these crucial cultural tools. Our research indicates that, in spite of the importance that adults place on symbolization, adult intuitions about the acquisition of symbolic functioning and how to facilitate it are often poor. In this article we summarize research on toddlers' understanding of two kinds of symbols—models and pictures. We show that the initial insight that something is a symbol or representation of something else is extremely challenging for young children, and it is an insight that must be achieved with each symbol system they encounter. Two factors that contribute to the difficulty children have appreciating symbolic relations are discussed: dual representation (the ability to think about something in two different ways at the same time; specifically, the ability to think of something both as an object itself and a symbol for something else) and representational specificity (understanding that a symbol can stand for a specific reality). Implications of these factors for preschool practice are considered.     

The creative thinking and ego functioning of children

Abstract:

One hundred highly creative children and 100 uncreative children were selected from a sample of 1,450 fifth‐ and sixth‐grade children. They were identified with the the Torrance Tests of Creative Thinking (TTCT). Comparisons revealed significant differences in terms of quantity and quality of primary process content. The creative children gave not only more primary process ideation, but the quality was (a) significantly more libidinal than aggressive, (b) more regressive (greater DD), and (c) showed more effective use of regression in the service of the ego (calculated by using the popular response to score defense effectiveness). There were no sex differences in the TTCT scores or the primary process content, but girls gave more libidinal content and boys gave more aggressive content.     

Dimensions of executive functioning: Evidence from children

This study investigated dimensions of executive functioning in 8‐ to 13‐year‐old children. Three tasks from the Cambridge Neuropsychological Test Automated Battery (CANTAB), two tasks from the NEPSY battery and some additional executive function (EF) tests were administered to 108 children. In line with earlier work, modest correlations among EF measures were obtained (r < .4). Both exploratory and confirmatory factor analyses yielded three interrelated factors, which resembled those obtained by Miyake et al. (2000) and which were—with some reservations—labelled Working Memory (WM), Inhibition and Shifting. Age correlated with performance on most individual EF measures as well as Shifting and WM. The present findings are in agreement with contemporary views as to the simultaneous unity and diversity of EFs.     

An investigation into the psychosocial functioning of creative children: The impact of ADHD symptomatology

This study examined the relationship among creativity, ADHD symptomatology, temperament, and psychosocial functioning by comparing four groups of children aged 10–12 years: (1) 29 ADHD children without creativity, (2) 16 highly creative children displaying ADHD symptomatology, (3) 18 highly creative children without ADHD symptomatology, and (4) 30 normal controls. Children completed the TTCT, Child Depression Inventory, Revised Child Manifest Anxiety Scale, and Rosenberg Self‐Esteem Scale. Parents completed the Junior Temperament and Character Inventory, Family Environment Scale, and the parent version of the Kastan Children's Attributional Style Questionnaire. Parents completed the Conner's Rating Scales and Child Behavior Checklist, and teachers completed the Child Behaviour Checklist. Results showed that the presence of ADHD symptomatology in creative children was related to their temperamental characteristics, and parent reports of children's levels of anxiety and depression. However, family environment and mother's attributions did not appear to be related to the presence of ADHD symptomatology in creative children. These findings have implications for the development and management of creative children.     

The relationship between executive functioning and self-regulated learning in Australian children

Executive functioning (EF) and self-regulated learning (SRL) are established predictors of academic achievement, both concurrent and future. Although it has been theorized that EF development enables SRL in early childhood, this directional model remains empirically untested against plausible alternatives. Thus, this study investigated the longitudinal relations between children’s EF and SRL during the transition from kindergarten to Year 1 in an Australian sample to determine the direction and strength of the association between EF and SRL. We compared four directional models and also tested whether EF and SRL can be construed as manifestations of a common factor. Children’s EF was assessed using a battery of tasks tapping working memory, inhibition, and shifting, and their SRL was assessed by teachers using the Checklist of Independent Learning Development. Cross-lagged structural equation modelling analyses were conducted on a longitudinal dataset of 176 children at the end of kindergarten (age M = 5 years, 8 months; SD = 4.02 months), and 1 year later (age M = 6 years, 5 months; SD = 3.65 months). EF predicted SRL longitudinally (β= .58, controlling for kindergarten SRL), consistent with common assumptions, whereas SRL did not predict EF. However, the common factor model also fit the data very well. We concluded that EF and SRL are indeed related concurrently and longitudinally but that further evidence is needed to disambiguate whether EF is best understood as a necessary antecedent of SRL development in early childhood, or whether they reflect the same general construct.     

Development of executive functioning in school-age Tunisian children

Research regarding executive functioning (EF) in children rarely focuses on populations in African or Middle-Eastern Arabic-speaking countries. The current study used a cross-sectional design to examine the developmental trajectories of school-age Tunisian children in three domains of executive control (inhibition of prepotent responses, cognitive flexibility, and working memory) as well as their mutual interactions and the effects of gender and parents’ education level. Inhibitory processes, cognitive flexibility, and working memory were assessed using the Stroop test, a version of the Hayling test adapted for children, simple and alternating tasks of verbal fluency, and verbal and visuospatial span tasks (forward and backward spans). The study population included 120 7- to 12-year-old Tunisian children (60 girls, 60 boys) who were grouped and matched for age, gender, and parents’ education level. The results revealed an overall effect of age on executive performance, whereas gender and parents’ education level showed non-significant effects. In addition, executive indices were significantly associated with fluid intelligence level. Partial correlation analyses (controlled for age) found significant links between indices that assessed the same executive process, except for inhibitory processes; the temporal indices for inhibitory processes showed relative independence. The correlations between indices that assessed distinct executive processes were weaker (but significant). Overall, the results suggest that executive components in school-age Tunisian children operate according to relatively homogeneous developmental trajectories, marked by peaks of maturity that differ according to the assessed index. A transcultural approach to EF is discussed in terms of the unity and diversity of its components.     

Working memory in children: a time-constrained functioning similar to adults

Within the time-based resource-sharing (TBRS) model, we tested a new conception of the relationships between processing and storage in which the core mechanisms of working memory (WM) are time constrained. However, our previous studies were restricted to adults. The current study aimed at demonstrating that these mechanisms are present and functional before adulthood. For this purpose, we investigated the effect on maintenance of the duration of the attentional capture induced by processing. In two experiments using computer-paced WM span tasks, 10-year-olds were asked to maintain letters while performing spatial location judgments. The duration of this processing was manipulated by varying either the discriminability between target locations or the contrast between targets and background. In both experiments, longer processing times resulted in poorer recall, as we observed previously in adults. These findings suggest that the core mechanisms of WM described by the TBRS model are already settled during childhood.     

The Switch Task for Children: Measuring mental flexibility in young children

Age-related changes in mental flexibility, in the form of task switching, were assessed in 292 children (58–156 months old). Task switching was examined with a new task for young children, the Switch Task for Children (STC). The STC consists of two easy, comparable games and does not require reading skills, which makes it suitable for children younger than 6 years of age. The aims of the present study were: (1) to evaluate the STC; (2) to examine task switching in young children; and (3) to study age-related changes in task switching across childhood. The results indicated that children younger than 6 years are able to switch between two tasks and that general performance increased with age. Young children (58–89 months) displayed a larger global switch cost, that is they made more errors when the tasks were presented randomly compared with a repeated-task baseline, than older children (106–156 months). These findings suggest that the STC is a useful task for detecting task-switching abilities in young children and that the ability to maintain and manipulate two different tasks in working memory, is present, but not yet fully developed, in young children.     

Bilingual experience and executive functioning in young children

Advanced inhibitory control skills have been found in bilingual speakers as compared to monolingual controls (Bialystok, 1999). We examined whether this effect is generalized to an unstudied language group (Spanish-English bilingual) and multiple measures of executive function by administering a battery of tasks to 50 kindergarten children drawn from three language groups: native bilinguals, monolinguals (English), and English speakers enrolled in second-language immersion kindergarten. Despite having significantly lower verbal scores and parent education/income level, Spanish-English bilingual children's raw scores did not differ from their peers. After statistically controlling for these factors and age, native bilingual children performed significantly better on the executive function battery than both other groups. Importantly, the relative advantage was significant for tasks that appear to call for managing conflicting attentional demands (Conflict tasks); there was no advantage on impulse-control (Delay tasks). These results advance our understanding of both the generalizability and specificity of the compensatory effects of bilingual experience for children's cognitive development.     

Executive functioning and prospective memory in young children

The current study examined the role of executive functioning (EF) in children's prospective memory (PM) by assessing the effect of delay and number of intentions to-be-remembered on PM, as well as relations between PM and EF. Ninety-six 4-, 5-, and 6-year-olds completed a PM task and two executive function tasks. The PM task required children to interrupt an ongoing card game to perform one action (single intention) or two actions (dual intention) with target cards after a short delay (1 min) or a long delay (5 min). There was no main effect of number of intentions or delay on the PM task. However, performance improved with age, and age and delay interacted such that 4-year-olds’ performance remained the same after a long delay whereas 5-year-olds’ performance improved after a long delay. We suggest that the age by delay interaction is a product of age differences in cognitive monitoring. Working memory but not inhibitory control predicted PM with age controlled. We argue that an executive function framework permits an integrative understanding of many processes involved in young children's prospective memory.     

Intellectual functioning of deaf adults and children: Answers and questions

Intelligence has long been seen as linked to the spoken and written word. Because most deaf people have poor spoken language skills and find reading a significant challenge, there is a history in both psychology and education of considering deaf individuals to be less intelligent or less cognitively flexible than hearing individuals. With progress in understanding natural signed languages and cognitive abilities of individuals who lack spoken language, this perspective has changed. We now recognise, for example, that deaf people have some advantages in visuospatial ability relative to hearing people, and there is a link between the use of natural signed languages and enhanced visuospatial abilities in several domains. Such findings contrast with results found in memory, where the modality of mental representation, experience, and organisation of knowledge lead to differences in performance between deaf and hearing individuals, usually in favour of the latter. Such findings demonstrate that hearing loss and use of a natural sign language can influence intellectual abilities, including many tapped by standardised IQ tests. These findings raise interesting questions about the place of spoken language in our understanding of intelligence and ways in which we can use basic research for applied purposes.     

Family functioning and socioaffective competencies of children in the beginning of schooling

The aim of this short-term longitudinal study, based on the system theory, was to test the association between different aspects of family functioning of preschoolers and their socioaffective competencies at the end of the first grade. The total sample included 278 children (137 boys and 141 girls) and their families. The analysis of variance results regarding the aspects of family cohesion and harmony showed that preschoolers from more cohesive families display more social skills, while those from more conflicting families display more externalizing behavior problems (aggression and irritability). With respect to the family's ability to resolve problems, it was observed that, especially for middle and upper class families, this aspect is associated with better social skills and fewer internalized behavior problems. Overall, results of the present study suggest that the family functioning at early stage might influence children's abilities to regulate their emotions and to establish/maintain important relationships with peers and teachers in their early school years.     

Development of social functioning in preschizophrenia children and adolescents: a systematic review

Schizophrenia is associated with severe deficits in social functioning. Similar deficits may be present prior to psychosis onset, in childhood and adolescence. If so, then prepsychosis social deficits could provide clues to the development of pathological processes in preschizophrenia children and could potentially improve early identification of the disorder and suggest targets for intervention. Evidence is reviewed from birth cohort, case- control, and familial high-risk studies within distinct periods of development to clarify the nature, timing, and specificity of social deficits in preschizophrenia children and adolescents. The results indicate that poor social functioning does differentiate preschizophrenia children and adolescents from their peers and can be a sensitive and potentially specific predictor of schizophrenia, not just psychopathology in general. Furthermore, age (but not sex) appears to be an important moderator of the strength and specificity of the association between particular social deficits (e.g., externalizing, internalizing) and later schizophrenia. Results are discussed in the context of current developmental theories of timing and pathophysiology of schizophrenia involving hypothalamic- pituitary-adrenal dysregulation. Implications for the early identification and treatment of preschizophrenia individuals are also considered.