自闭症幼儿的情感认知特点的实验研究

本实验采用3(组别)×4(基本情绪)×3(实验材料)×2(实验条件)的混合设计的方法对平均心理年龄24个月的6名自闭症幼儿和心理年龄与之相近的6名正常儿童和6名弱智儿童的情感认知特点进行了比较性的研究。实验结果表明:在“语言提示”条件下,自闭症幼儿的正答率远远低于正常儿童和弱智儿童,但在“表情提示”条件下,自闭症幼儿与弱智幼儿几乎没差距,在对“愤怒”和“惊恐”等情绪的认知中,正答率高于弱智幼儿。这意味着自闭症幼儿可能运用了其他的替代策略进行情感认知。     

Caregivers’ Level of Trust in Their Children's Health Care Providers

Trust in healthcare providers is associated with clinical outcomes among adult patients. Children with disabilities have complex health needs that place stress on caregivers. Consequently, they are increasingly likely to rely on their children's health care providers to ensure children's health care needs are met. However, no studies have explored factors affecting caregivers’ trust in their children's providers. We assessed caregivers’ trust in their children's providers and identified predictive factors of trust. The results indicate that children's disability condition, functional status, age, the providers’ specialty, and the type of health care plan are significant predicators of caregiver's trust. Specifically, caregivers of children with emotional/behavioral disabilities and children with poor physical or emotional/behavioral functioning reported less trust in their children's providers compared to caregivers of children without physical disabilities or no disability and those having higher levels of physical or emotional/behavioral functioning. In addition, caregivers of younger children had more trust compared to caregivers of older children. Caregivers of children enrolled in a managed care plan for physical health care reported less trust compared to caregivers of children in other organizational arrangements. Finally, caregivers reported more trust in physical health providers compared to mental health providers.     

Basic level and superordinate level categorization by autistic, mentally retarded, and normal children

Three experiments designed to test autistic children's nonverbal and verbal categorization abilities are reported in this paper. In the first two experiments, 14 autistic children were compared to 14 retarded and 14 normal children matched on verbal mental age. Their ability to categorize pictures from basic level categories and from biological and artifactual superordinate level categories was assessed using a matching-to-sample procedure. The three groups of subjects were similar in their performance. Basic level categorization was easier than more abstract categorization, and for all three groups, prototypicality played a role in categorizing superordinate level concepts; that is, children in all three groups made more errors categorizing peripheral examples. In the third experiment, a subgroup of 7 autistic children showed evidence that their lexicons were well organized and that they appreciated the meaning relationships among words at the superordinate level. These findings suggest that autistic children do not suffer a specific cognitive deficit in the ability to categorize and form abstract concepts, as has been previously suggested in the literature.     

Social problem solving and mother-child interactions of educable mentally retarded children

Mothers of retarded children and nonretarded children were observed and videotaped as they interacted with their own child in a seminaturalistic situation, requiring teaching, cooperation, and free play. The child's social problem-solving abilities were assessed independently. The Vineland scale was employed to provide some convergent evidence of social problem-solving as a component of social competence. Twelve educable mentally retarded and 19 nonretarded 10-year-old children and their mothers comprised the sample. For the mentally retarded group, it was found that the higher maternal directiveness, the lower the child's social problem-solving skills. Mothers who often gave the child opportunity for decision-making and social influence had children with higher problem-solving skills. The retarded children produced significantly fewer different strategies for solving social problems, but gave a wider range of strategies than has been found in previous research. There was some support that social problem-solving skills are related to social maturity.     

表情强度对自闭症儿童面部表情识别影响的实验研究

为探寻自闭症儿童在识别低强度（10%,30%）、中强度（40%,60%）和高强度（70%,90%）的愤怒和开心面部表情时,识别情绪类型的既有能力和差异。采用表情标签范式,用E-prime软件在电脑上呈现不同强度的3D合成面部表情刺激,分别对10名自闭症儿童、10名正常发育儿童和10名智障儿童进行了实验研究。结果发现,自闭症儿童在低强度表情时具有面部表情识别障碍,其对不同强度面部表情识别正确率显著低于智障儿童和正常发育儿童;自闭症儿童面部表情识别正确率与面部表情强度呈正相关,面部表情强度越大,自闭症儿童面部表情识别的正确率越高;自闭症儿童对低强度面部表情识别时,对开心表情的识别正确率高于愤怒表情,但是,在中强度和高强度面部表情识别时,存在显著的愤怒优势效应。     

Affective exchanges between young autistic children and their mothers

This study examined autistic children's social behavior, affect, and use of gaze during naturalistic interactions with their mothers. Sixteen autistic children, 30 to 70 months of age, and 16 normal children, matched on receptive language, participated. Children and their mothers were videotaped during three situations: a free-play period, a more structured period during which communicative demand was made on the child, and a face-to-face interaction. In all three situations, autistic and normal children did not differ in the frequency or duration of gaze at mother's face. In the one condition (face-to-face interaction) during which affective expressions were coded, autistic and normal children also were not found to differ significantly in the frequency or duration of smiles displayed, and neither group displayed frowns. However, autistic children were much less likely than normal children to combine their smiles with eye contact in a single act that conveyed communicative intent. Autistic and normal children were not found to differ in the percentages of smiles they displayed to social versus nonsocial events. However, when autistic children's responses to mother's smiles specifically were examined, it was found that they were much less likely to smile in response to mother's smiles than were normal children. Finally, it was found that mothers o f autistic children displayed fewer smiles and were less likely to smile in response to their children's smiles, when compared with mothers o f normal children. These findings suggest that the autistic child's unusual affective behavior may negatively affect the behavior of others.We wish to thank the children and their mothers who participated in this study, and the staff at Division TEACCH at the University of North Carolina at Chapel Hill for their help in recruiting children for the study. Harriet Reingold generously allowed us to videotape the children in her infant observation laboratory at the University of North Carolina, Chapel Hill. Cathy Lord provided videotapes of some of the autistic children and their mothers. Mary Evers assisted in data collection. Kerry Hogan assisted in the coding of data; her help is gratefully acknowledged. The study was supported by a grant from the University of North Carolina at Chapel Hill.     

Caregiver models of self and others, coping, and depression: predictors of depression in children with chronic pain.

In a sample of 59 chronically ill pediatric patients and their maternal caregivers, both child-reported pain and caregiver-reported depression predicted child-reported depression. Results further suggested that the association between pain and depression in children is ameliorated by caregiver coping strategies and that how caregivers cope is a function of their attachment-related representations of the self and others. Caregivers with a negative model of the self were more depressed. and those with a negative model of others were more prone to use avoidant coping strategies, and, in turn, to be more depressed. However, the extent to which caregivers with negative models of self used more avoidant and less approach coping appeared to depend on whether they perceived that others were likely to respond to their needs.     

STIMULUS OVERSELECTIVITY IN LEARNING DISABLED CHILDREN

Stimulus overselectivity, a phenomenon exhibited by autistic and institutionalized retarded individuals, was examined in mildly handicapped and nonhandicapped public school children. Subjects were 16 young, educable mentally retarded, 16 learning disabled, 15 nonhandicapped first- and second-graders, and 16 older, educable retarded students. The children were trained on a 3-component visual discrimination task and then tested on individual elements to determine which element or elements were controlling subject responses. Nine of the young educable mentally retarded children and eight of the learning disabled students showed some overselectivity. The majority of overselective retarded children were controlled by only one of the three components of the training cue, whereas the majority of the overselective learning disabled children responded to the discrimination task on the basis of two of the three components. No overselectivity was exhibited by the nonhandicapped students. All three cue components were also functional in controlling the responding of 14 of the 16 older retarded students, but two children were under the control of only one cue. The research indicated that in terms of overselectivity, learning disabled children respond more like young, mildly retarded children than they do like nonhandicapped ones. The demonstration of stimulus overselectivity in a sizable portion of a learning disabled sample may have implications for a more empirically based approach to this handicapped population.     

Comprehension in "hyperlexic" readers

Mentally retarded children who can read aloud written words better than one would expect from their Mental Age are often called hyperlexic. The reading comprehension thought to be impaired in such children was investigated in four experiments. Mentally retarded advanced decoders, including autistic and nonautistic children, were compared with younger nonretarded children matched for Mental Age and Reading Age. Experiment 1 established that mildly mentally retarded readers could match sentences to pictures as well as could be expected from their verbal ability. This was the same whether they read the sentences or heard them. Experiment 2 demonstrated that only the more able retarded subjects, but not the less able ones, used sentence context in a normal way in order to pronounce homographs. Experiments 3 and 4 showed that these same more able children could extract meaning at both sentence and story level, and their performance was indistinguishable from that of normal controls. Hence, it is doubtful whether these advanced decoders should be called hyperlexic. In contrast, the readers of relatively low verbal ability performed much worse than their normal controls. Although they could be induced under certain conditions to read sentence-by-sentence rather than word-by-word, they did not do so spontaneously. Furthermore, they did not make use of already existing general knowledge in order to answer questions about the stories they had read. The ability to comprehend in terms of large units of meaning seems to be specifically impaired in these low verbal ability fluent readers. We suggest that it is this impairment that marks true hyperlexia. Since there were no differences between autistic and nonautistic readers on any of our tasks, we conclude that hyperlexia is not an autism-specific phenomenon.     

Some social contexts of self-destructive behavior

This study investigated the social context of self-injurious behavior in autistic, schizophrenic, and mentally retarded children residing in a state hospital. Social interactions between subjects and staff were recorded along with subjects' self-destructive behavior. The results showed a substantial increase in self-destructive behavior following the staff's presentation of demands, denials, and punishments in 19 of the 20 subjects. These results are consistent with the hypothesis that self-injurious behavior is a social behavior, which is determined by persons in the environment. In addition, the self-destructive behavior of one subject may have been largely self-stimulatory in nature.     

自闭症和智力障碍儿童行为问题与父母焦虑的关系:育儿压力的中介作用与领悟社会支持的调节作用

为探讨自闭症和智力障碍儿童行为问题与其父母焦虑的关系及其内在作用机制,研究采用问卷法对1023名自闭症和智力障碍儿童父母进行调查。结果表明：(1)自闭症和智力障碍儿童行为问题对父母焦虑具有正向预测作用;(2)育儿压力在儿童行为问题和父母焦虑间起中介作用;(3)儿童行为问题与育儿压力的关系受到领悟社会支持水平的调节,调节作用只在智力障碍儿童父母群体中显著。研究结果有助于揭示自闭症和智力障碍儿童行为问题对父母焦虑的影响及作用机制,对改善自闭症和智力障碍儿童父母育儿压力与焦虑具有一定指导意义。     

Caregivers in day-care centers: Does training matter?

Training for caregivers in day-care was investigated for its relationship to caregivers' attitudes toward children and their behavior in interactions with children. The sample consisted of 59 caregivers in 22 day-care centers on the island of Bermuda. Four different levels of training were included: 1) no training; 2) two courses of the Bermuda College training program; 3) the entire four-course Bermuda College training program; and 4) a 4-year college degree in Early Childhood Education. Caregivers with half or all the Bermuda College training were less authoritarian in their childrearing attitudes than caregivers with no training, and were rated higher on Positive Interaction and lower on Detachment in their interactions with children. Caregivers with a 4-year ECE degree were different from the other three groups; their childrearing attitudes were less authoritarian, and in interactions with children they were rated higher on Positive Interaction and lower on Punitiveness and Detachment.     

Trajectories of externalizing behavior from age 2 to age 9: relations with gender, temperament, ethnicity, parenting, and rater

Trajectories of children's externalizing behavior were examined using multilevel growth curve modeling of data from the NICHD Study of Early Child Care and Youth Development. According to ratings by both mothers and caregivers/teachers when children were 2, 3, 4, 7, and 9 years old, externalizing behavior declined with age. However, mothers rated children as higher in externalizing behavior than did caregivers and teachers. Higher levels of age 9 externalizing behavior were predicted by the following factors: child male gender (for caregiver/teacher reports only), infant difficult temperament (for children with harsh mothers only), harsher maternal attitude toward discipline, higher level of maternal depression (for maternal reports only), and lower level of maternal sensitivity (especially for boys). Caregivers and teachers reported higher levels of externalizing behavior in African American children than in European American children, increasingly so over time; mothers' ratings revealed the reverse. The declining slope of externalizing behavior was predicted by infant difficult temperament for mother reports only. Additional analyses suggested that the association between parenting and externalizing behavior was bidirectional.     

EFFECTS OF A PROCEDURE DERIVED FROM THE OVERCORRECTION PRINCIPLE ON MANIPULATED AND NONMANIPULATED BEHAVIORS

Positive practice overcorrection has been shown to be effective in reducing stereotypic self-stimulatory behaviors displayed by retarded and autistic individuals. In addition, the procedure also may increase the occurrence of appropriate behavior through intensive practice. In the present study, several stereotypic and one appropriate behavior (appropriate toy play) displayed by two autistic children were measured before and during treatment by a positive practice in appropriate toy play overcorrection procedure. Overcorrection was introduced for each of the targeted inappropriate behaviors in succession for both children. Results showed that overcorrection reduced all stereotypic behaviors displayed by both children. In addition, one subject displayed marked increases in the behavior practised during overcorrection, appropriate toy play, relative to its baseline rate of occurrence. The results indicate that for some individuals, overcorrection may be effective in teaching and motivating appropriate forms of behavior as well as in reducing stereotypy.     

Étude des stratégies d’adultes présentant un retard mental dans la résolution de la Twenty Questions Task

A Twenty Questions problem solving Task was given to 30 mentally retarded adults, 30 mentally nonretarded adults matched on chronological age, and 12 mentally nonretarded children matched on cognitive efficiency. Four strategies were identified on the basis of a subject-by-subject analysis. Results showed group differences of frequency in the use of the strategies. Moreover, results indicated that the more frequent strategy used by the mentally retarded adults is the one which consists in identifying the categories without using them to efficiently reduce the problem space. The interpretation of the results as reflecting a conceptual deficit or a chronicle cognitive sub-functioning of the mentally retarded adults depicted in the literature is discussed.     

The effectiveness of early head start for 3-year-old children and their parents: lessons for policy and programs

Early Head Start, a federal program begun in 1995 for low-income pregnant women and families with infants and toddlers, was evaluated through a randomized trial of 3,001 families in 17 programs. Interviews with primary caregivers, child assessments, and observations of parent-child interactions were completed when children were 3 years old. Caregivers were diverse in race-ethnicity, language, and other characteristics. Regression-adjusted impact analyses showed that 3-year-old program children performed better than did control children in cognitive and language development, displayed higher emotional engagement of the parent and sustained attention with play objects, and were lower in aggressive behavior. Compared with controls, Early Head Start parents were more emotionally supportive, provided more language and learning stimulation, read to their children more, and spanked less. The strongest and most numerous impacts were for programs that offered a mix of home-visiting and center-based services and that fully implemented the performance standards early.     

Stressful situations in caregiving: relations between caregiver coping and well-being

We examined ways in which caregivers cope with stressful caregiving situations and the relations between coping strategies and caregivers' psychosocial well-being. Respondents were 58 family caregivers to patients discharged from a rehabilitation hospital. Caregivers identified a recent stressful event in caregiving and indicated strategies used to cope with this event. After controlling for patients' impairment level, analyses indicated that caregivers engaging in more escape-avoidance coping reported greater depression and more conflict in their personal relationships. Those using more positive reappraisal demonstrated greater positive affect. Younger caregivers, many of whom were women, used more avoidance strategies. Results have implications for therapeutic interventions with family caregivers.     

Favourite objects of autistic children

Favourite objects (FOs) of autistic children were compared with the FOs of healthy preschool and school children as well as mentally handicapped children. Three clusters of objects were obtained for normal children (comprising primary transitional objects and their forerunners, secondary transitional objects, and non-cuddly toys). When autistic children and mentally handicapped children were included, a fourth cluster of deviant objects was found. Frequency distributions of the two handicapped groups in the clusters were similar. Similarities between the two handicapped groups were also found within each cluster. The occurrence of secondary transitional objects was rare in the handicapped groups. The characteristics of "autistic" FOs reported in earlier case studies (e.g. being hard, often having an exciting effect, not being used in their adequate functions) were typical only of objects in the fourth cluster.     

弱智儿童感知动作技能特点的实验研究

本研究以难易程度不同的两个打洞操作作业 ,对弱智儿童和正常儿童的感知 动作技能进行了多种参数的测查。结果发现 :两类儿童在理解操作要点、操作速度、操作动作协调性以及操作正确性等各个方面都有明显的差异。同时通过比较 ,对弱智儿童感知 动作技能的特点 ,从外部肢体动作方式和内部智力动作方式两方面进行了详细的分析 ,并在此基础上对弱智儿童的感知 动作技能的教育与训练提出了建议 ,这对弱智学校改革教学、提高教学质量具有重要意义。     

Spontaneous play in two-year-olds born to substance-abusing mothers

The aim of the study was to determine if spontaneous play was altered in 2-year-olds born to polysubstance-abusing mothers. The study is part of a longitudinal research project of chronic substance-abusing mothers and their children living in poverty in the inner city of Los Angeles, identified in the hospital at birth by positive urine-toxicology screens, and compared to non-substance-abusing mothers and their children living in the same geographic area, of similar ethnic group and socioeconomic and marital status. The behavior of the 31 target and 21 comparison children in the 16-minute procedure was measured by frequency counts of manipulative, functional, and symbolic acts as well as by ratings of the quality of play. The play of the prenatally drug-exposed children differed from the comparison group by demonstrating significantly more immature play strategies, less sustained attention, more deviant behaviors, and fewer positive social interactions with their caregivers.