Personality Assessment With Children of Superior Intelligence: Divergence Versus Psychopathology

The perceptual and cognitive functioning of children with intelligence quotients > 135 was examined with the Rorschach Inkblot Test. A criterion measure, the Child Behavior Checklist, was also administered so as to determine whether deviations for Rorschach variables from age-appropriate norms indicated the presence of psychopathology or were evidence of nonentrenched, novel, or creative styles of encoding and processing information. Rorschach variables indicative of intellectual sophistication, nonentrenched thinking or inaccurate testily perception, and cognitive slippage were reliably elevated for this sample versus norms. Results for the Child Behavior Checklist demonstrated that the incidence of psychopathology in the intellectually superior and average samples were comparable. There was a lack of covariance between Rorschach markers of inaccurate reality perception, cognitive slippages, and schizophrenia, and the sum of behavior problems on the Child Behavior Checklist. Results for the Rorschach and Child Behavior Checklist variables were comparable for children with intelligence quotients > 150 versus between 136 and 140. It was concluded that the intellectually superior children did process the Rorschach stimuli in a manner that was nonentrenched and reliably different from norms, but that these differences should not routinely be considered as indications of psychopathology.     

Psychopathology and behavior problems in children and adolescents with Williams syndrome: Distinctive relationships with cognition

Several studies have documented the high prevalence of psychopathology and behavior problems in Williams syndrome (WS). However, the links between cognitive development and such symptoms need further clarification. Our study aims to expand current knowledge on levels of behavior problems and its links to cognition in a sample of Brazilian individuals with WS. A total of 25 children and adolescents with WS and their parents participated in this study. The participants’ IQs were assessed with the Wechsler Scales of Intelligence (for children or adults) and parental reports of psychopathology/behavior problems were collected using the Child Behavior Checklist (CBCL). The presence of clinically significant attention problems was a main feature in our sample of children and adolescents with WS. In the children, higher IQ scores were found to be significantly associated with less externalizing problems, while in the adolescents cognitive abilities were found to be associated with less internalizing symptoms. These results provide further insight into the links between psychopathology and behavior problems and cognitive abilities in WS, and suggest the need to take age into consideration when analyzing such relationships.     

The validity of the Rorschach for assessing cognitive and affective changes

Exner's (1985) Rorschach norms of children 5 to 16 years old were used to test predictions based on developmental theory, previous cognitive studies, and Achenbach and Edelbrock's (1981) norms on behavior problems in children. In the cognitive realm, the Rorschach scores reflected the predicted increase in complexity, integration, and precision of thinking; richness of ideas; conformity to socially acceptable ways of thinking; and the concomitant decrease in unrealistic, egocentric ideas. In the affective realm, the Rorschach scores reflected the predicted decrease in uncontrolled expression of affect, increase in controlled expression of affect, and increase in inwardness. However, the Rorschach scores failed to reflect the predicted decrease in anxiety and increase in depression. Finally, there was no evidence of increased accuracy of perception.     

Characteristics of social cognition in children with different symptom patterns

Clinically referred 6- to 12-year-old children as having Internalizing or Externalizing symptoms patterns on the Achenbach Child Behavior Checklist were compared on two social perspective taking tasks and three measures of personality. On the Chandler Social Perspective Taking Task and an interview assessing the conceptual understanding of friendship devised by Selman, social cognitive immaturity was more likely to be associated with Externalizing rather than Internalizing symptomatology, especially in boys. Both Internalizers and Externalizers maintained an expected developmental course on these measures, however, when compared to normative data. Greater maturity in the understanding of friendship was found among children who had higher self-esteem and a more internal locus of control and who used more adaptive coping strategies in stressful situations. Methodological issues in studies of psychopathology and social cognition are discussed along with the usefulness of assessing social cognitive maturity in clinical practice.     

Psychopathology in Children with Thalassemia Major

The present work investigated the prevalence and spectrum of psychopathology in children with thalassemia. Childhood psychopathology measurement schedule (CPMS), adapted from Child Behavior Checklist was administered on children with thalassemia major receiving regular blood transfusion. Age and sex matched children with other chronic illness (bronchial asthma) served as controls. 46.7% of children with thalassemia had a CPMS score of > 10 as against 17.1% in the control group. Children with thalassemia had higher scores in factors of conduct problems, special symptoms and somatization. This study highlights the significantly higher psychopathology in children with thalassemia major and emphasizes the need for psychosocial support during treatment.     

The Validity of the Rorschach for Assessing Cognitive and Affective Changes

Exner's (1985) Rorschach norms of children 5 to 16 years old were used to test predictions based on developmental theory, previous cognitive studies, and Achenbach and Edelbrock's (1981) norms on behavior problems in children. In the cognitive realm, the Rorschach scores reflected the predicted increase in complexity, integration, and precision of thinking; richness of ideas; conformity to socially acceptable ways of thinking; and the concomitant decrease in unrealistic, egocentric ideas. In the affective realm, the Rorschach scores reflected the predicted decrease in uncontrolled expression of affect, increase in controlled expression of affect, and increase in inwardness. However, the Rorschach scores failed to reflect the predicted decrease in anxiety and increase in depression. Finally, tin, ere was no evidence of increased accuracy of perception.     

Children in the public eye: The functioning of Pastors' children

Pastors' children have been thought to have more behavioral problems than other children since they face high expectations and are part of families that are often under public scrutiny. The purpose of this study was to describe the social competencies and behavioral problems of a national sample of pastors' children, aged 4–16, and to compare them to age and sex standardized norms. Data were obtained on 98 children from a random sample of 62 families, using the Child Behavior Checklist. Results indicate that scores for both boys and girls at each age grouping fell within the acceptable norms for both social competencies and behavioral problems.     

Do Problems of Clinic-Referred African-American Children Overlap with the Child Behavior Checklist?

Many factors contribute to children's psychopathology. African-American children, members of the largest U.S. minority group, are reportedly at high risk for psychopathology, but researchers and developers of diagnostic measures seldom focus on them. We surveyed the clinic records of 1,605 African-American children, ages 4–18. Coders recorded children's problems, their gender, and age. They coded children's problems according to the Child Behavior Checklist (CBCL). Overlap between some problems African-American children presented and CBCL items emerged but other problems did not match CBCL items. For problems which matched the CBCL, associations between such problems and children's age emerged and boys had more problems than girls. The content and cultural validity of the CBCL for African-American children may, however, be questionable.     

Early Childhood Adversities and Trajectories of Psychiatric Problems in Adoptees: Evidence for Long Lasting Effects

The aim of the present study is to investigate whether early childhood adversities determine the longitudinal course of psychiatric problems from childhood to adulthood; in particular if the impact of early maltreatment on psychopathology decreases as time passes. A sample of 1,984 international adoptees was followed (955 males and 1029 females; adopted at the mean age of 29 months). Parents provided information about abuse, neglect and number of placements prior to adoption at baseline and completed the Child Behavior Checklist or the Young Adult Behavior Checklist three times when their children were between 10 and 30 years of age. Multilevel analyses were performed to determine trajectories of psychiatric problems. Experience of early childhood adversity prior to adoption substantially increased the level of psychiatric problems, especially when maltreatment was severe. Moreover, the impact of early adversities on psychiatric problems remained markedly stable. This suggests that vulnerability of early-maltreated children persists even if they are taken out of their problematic environments and are raised in enriched circumstances.     

Relations Between Emotion Regulation, Parenting, and Psychopathology in Young Maltreated Children in Out of Home Care

Young maltreated children, birth to three years, represent the age group with the highest rates of maltreatment in the United States (ACYF 2007). There are few studies to date that have investigated early childhood maltreatment and its effects on emotion regulatory processes and psychopathology. In response, the current investigation uses a dyadic assessment procedure to examine the relationship between parenting, emotion regulation, and symptoms of psychopathology among maltreating and non-maltreating parent–child interactions. The participants in this study were 123 children (66 maltreated and 57 nonmaltreated) from ages 1–3. Child and parent affect and child effortful control were observed during a parent–child interaction task. Symptoms of psychopathology were measured using the Child Behavior Checklist. The maltreated children exhibited more anger, more internalizing symptomatology, and less positive affect compared to non-maltreated children. Among maltreated children, emotion dysregulation was associated with internalizing symptomatology. Moreover, these data reveal parental positive affect was associated with lower child internalizing symptomatology and parental anger was associated with higher child internalizing symptomatology in the entire sample. This investigation offers evidence that emotion dysregulation subsequent to poor dyadic interactions is associated with early child maltreatment. These data suggest that maltreated children experience difficulties in emotion regulation which may be related to their higher levels of behavioral symptomatology.     

Multimethod assessment of depression in sexually abused girls

This study measured depression in sexually abused Black girls using the Children's Depression Inventory (Kovacs & A. T. Beck, 1977), the Internalization scale of the Child Behavior Checklist (Achenbach & Edelbrock, 1983), and the Rorschach Depression Index (Exner, 1986). There were no significant correlations between these self-report, behavior observation (by parental report), and projective measures. The abused subjects had high scores on the behavior observation and Rorschach scales. Consistent with past research, negative results were obtained with the self-report instrument. We suggest that the low scores on self-report measures of distress produced by sexually abused children may be the result of guardedness or defensiveness rather than a genuinely low level of dysphoria in this population. There were no significant relations between abuse characteristics and scores on the depression measures. Scores on Rorschach measures of organizational activity (Zf) and available coping resources (EA) were generally positively related to depression within the abuse group and negatively related to depression within the control group.     

Multimethod Assessment of Depression in Sexually Abused Girls

This study measured depression in sexually abused Black girls using the Children's Depression Inventory (Kovacs & A. T. Beck, 1977), the Internalization scale of the Child Behavior Checklist (Achenbach & Edelbrock, 1983), and the Rorschach Depression Index (Exner, 1986). There were no significant correlations between these self-report, behavior observation (by parental report), and projective measures. The abused subjects had high scores on the behavior observation and Rorschach scales. Consistent with past research, negative results were obtained with the self-report instrument. We suggest that the low scores on self-report measures of distress produced by sexually abused children may be the result of guardedness or defensiveness rather than a genuinely low level of dysphoria in this population. There were no significant relations between abuse characteristics and scores on the depression measures. Scores on Rorschach measures of organizational activity (Zf) and available coping resources (EA) were generally positively related to depression within the abuse group and negatively related to depression within the control group.     

Cognitive-Behavioral Constructs and Children's Behavioral and Emotional Problems

Each cognitive behavior therapy has produced research concerning the cognitive construct it posits to mediate psychopathology. This study attempted to compare the major cognitive behavioral constructs to determine how they are related to each other and how each is related to teachers' perception of externalized and internalized behavioral and emotional problems. Children between the ages of 9 to 13 were classified as internalized, externalized, mixed, or no behavior and emotional problems groups according to their scores on the Teacher's Report Form of the Child Behavior Checklist and teachers' ratings on the Walker Problem Identification Scale. Measures of Ellis' (1962) irrationality, Beek's (1976) negative automatic thoughts, Spivack's (Spivack, Platt, & Shure, 1976) social problem skills, and Meichenbaum's (1977) guiding self statements were administered to the children. The results indicated that the various cognitive constructs were only moderately correlated with each other. Irrational beliefs and cognitive distortions were correlated higher than other comparisons. The correlations between the measures of the constructs suggest they are slightly related but represent different constructs. The emotional and behavioral problems groups scored higher than the no problems group on some subtest of irrational beliefs and negative cognitive thoughts. Also, the measures of emotional and behavior problems correlated significantly with some subtest of irrational beliefs and negative automatic thoughts. Irrational beliefs appeared to be related to internalized and externalized emotional and behavioral problems, while negative automatic thoughts appeared to be best related to internalized emotional and behavioral problems. The measures of problem solving skills and guiding self statements appear to be best related to externalized problems.     

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.     

Psychopathology,family functioning,and cognitive style in urban adolescents with suicide attempts

This study examined psychopathology, family functioning, and cognitive style in 121 African-American adolescents who attempted suicide. Group means suggested that these youths, when taken together, were not reporting significant psychological distress. However, after classifying the youths into three groups by level of depressive symptoms interesting findings emerged. Youth self-reports of depressive symptoms on the Children's Depression Inventory were associated with the presence of internalizing and externalizing disorders on the Youth Self-Report and Child Behavior Checklist, and with a maladaptive attributional style. Sixty-seven percent of participants classified their family types as maladaptive in terms of levels of cohesion and/or adaptability. In fact, the majority of adolescents and parents reported their families as disengaged. These findings are discussed from a culturally and developmentally sensitive framework which considers key demographic variables (race, socioeconomic status, age). Clinical implications are offered for individual and family interventions.     

The attachments of children in foster care.

Subjects for this research were 52 foster children (mean ages 7 years, 11 months) and their natural and foster parents. Case history files provided information concerning reasons for placing the children in foster care. Foster parents completed the Parent/Child Reunion Inventory (Marcus, 1988) measuring the "quality of reunion behavior" following separation. Foster mothers also completed the Child Behavior Checklist (Achenbach & Edelbrock, 1983), and measures of adult empathy were collected from both foster parents. Foster care workers rated the quality and intensity of attachment between the child and all parents. Finally, foster children were interviewed concerning their social supports, perception of affection from adults, and the quality of their relationships with adults and friends. Results showed that behavior and school achievement problems were predictable from measures of the quality of attachment with parents. The mean number of behavior problems of foster children were found to be midway between clinical and nonclinical norm groups. Children's perceptions of friends' behavior and degree of control over friends were related to their adjustment. Case history variables were also related to behavior problems and attachment.     

Juvenile firesetting: a unique syndrome or an advanced level of antisocial behavior?

The current study examined whether juvenile firesetting represents a unique syndrome or an advanced level of antisocial behavior. Thirty-six incarcerated juvenile delinquents, all of whom met criteria for a diagnosis of Conduct Disorder, served as subjects and were categorized into one of three groups: firesetters, non-firesetters but comparable to firesetters in number of conduct disorder symptoms, and non-firesetters who displayed fewer conduct disorder symptoms than the other two groups. Caregivers completed the Child Behavior Checklist on the youth to provide information about the severity and range of psychopathology. The results indicated that firesetters and non-firesetters who had a comparable number of symptoms did not differ from one another on the CBCL subscales of adolescent psychopathology but both differed from the group with fewer symptoms. These results suggest that firesetting does represent an advanced level of antisocial behavior, but that firesetting is not a unique syndrome, at least not in terms of caretakers' perceptions of the youths' problematic behavior. Implications for treatment of firesetters are presented.     

A Comparison Between Comprehensive System and an Early Version of the Rorschach Performance Assessment System Administration With Outpatient Children and Adolescents

For many years, the effects of variability in the length of Rorschach records has been debated, and a new administration procedure aimed at reducing the proportion of short and long records has recently been introduced. Using an outpatient sample of children and adolescents, this study explored the impact of an early version of the Rorschach Performance Assessment System (R–PAS) administration, on the central tendencies of Rorschach variables. Specifically, the mean values of 51 variables in 142 Comprehensive System versus 99 R–PAS collected records were compared with each other. Results found comparable mean values across CS and R–PAS administration methods for the variables that guide interpretation with children and adolescents. Both methods produced a comparable number of long (> 27 responses) records. The only relevant difference that emerged is that the early R–PAS administration version yielded significantly fewer short (14–16 responses) records and lower variability in the number of responses.     

Rorschach Adaptive Fantasy Images and Coping in Children Under Severe Environmental Stress

We measured the relationship between the capacity of a group of inner-city, homeless children to produce adaptive fantasy images, as assessed by the Rorschach M+ score and their performance on the Fruit Distraction Test of selective attention and Rorschach measures of reality testing (extended F+ percentage) and object relations (Mutuality of Autonomy [MOA] Scale, Urist, 1977). The sample included 46 Black and Hispanic children (24 boys and 22 girls) who ranged in age from 5 to 13 years. Results from multiple regression analyses that also included age, intelligence, and gender as independent variables indicated that the M+ score accounted for the largest portion of the variance in the Fruit Distraction and MOA scores. The M+ score was also significantly positively correlated with the extended F+ percentage. The results suggest that children's capacity to withstand severe environmental stressors is linked to their ability to produce adaptive fantasy images on the Rorschach.