Family influences on dysfunctional thinking in anxious children

Anxious children are found to interpret ambiguous stories in a negative way. The current study attempted to examine the possible influence of parental fear and parental interpretation bias on the maintenance of such an interpretation bias. Children varying in level of anxiety (n=25) and their parents, filled in a questionnaire to measure their own fears, and gave their interpretations concerning nine ambiguous stories, relevant for childhood ‘interactional’ anxieties: social anxiety, separation anxiety, and generalized anxiety. Then, parents were asked to talk with their children about three of the stories. After the family discussion the children had to give their final interpretations. Results indicated that parents' self‐reported fear level and interpretation bias were associated with children's interpretation bias before the family discussion. However, no evidence was found for the idea that parents maintain or enhance the interpretation bias of their children. That is, irrespective of parental fear and parental interpretation bias, children interpreted the ambiguous stories as less negative after discussing them with their parents. Copyright © 2003 John Wiley & Sons, Ltd.     

The narrative worlds of what is and what if

This paper advances the hypothesis that young children use narrative play and stories to construct two types of fiction, the worlds of what is and what if. Heinz Werner's conceptualization of children's spheres of reality, in which actions, symbols, and events are constructed in particular ways, is used as a theoretical framework for understanding children's play and stories. Drawing on examples of children's spontaneous pretend play and story telling, the paper argues that, beginning in their second year, children use pretend play to differentiate the worlds of everyday-lived reality from an alternative pretend sphere; the world of as if. By their third year, children engage in play which hangs on a narrative framework. Such pretend play offers children further options: the fictional world of plausible make believe which simulates everyday life, what is, and the fictional world of more fantastic possibilities, what if. While the child's use of a narrative framework in her pretend play expands her range of psychological worlds, the developmental shift to purely verbal stories, sometimes during the child's third year, significantly adds to her ability to explore such worlds. An examination of the language young children use to accompany their narrative play and to tell stories demonstrates the ways in which children exploit the narrative form to contrast, compare, and traverse the constructed worlds of what is and what if.     

Effects of Pronoun Type and Gender Role Consistency on Children's Recall and Interpretation of Stories

The pronouns he, she, and they were compared with he and she alternating, to examine recall and gender interpretation of stories. Participants, who were ethnically diverse, were 48 girls and boys aged 6 and 9 from working-class and middle-class areas of San Antonio. Children read stories about imaginary characters of ambiguous gender referred to by varying pronouns and enjoying either stereotypically masculine, feminine, or neutral activities. Recall was higher for girls, older children, and children who heard stories containing she instead of he. Six-year-olds, but not 9-year-olds, recalled more information from stories containing gender-consistent activities. Interpretation of character gender for he, she, and he/she alternating was based largely on pronoun; for stories using they, it was based both on pronoun and activity. The results underscore the nongeneric nature of generic pronouns and the gender differences in recall and interpretation evoked by contact with gender specific reading material.     

Situating System and Giving Self Its Due: A Story-Based Counseling Model

This essay explores Michael P. Nichols' criticism of certain aspects of the family systems therapeutic model, especially his concern that it takes insufficient account of the self in the family system. Building on Nichols' argument, and noting the paradigm shift occurring among family therapists from systems to story thinking, the essay sets forth a story model of counseling having four primary postulates: (a) possibilities for change are inherent in every story told; (b) characters in stories are always more than their ascribed social roles; (c) systems or dyadic and triadic relationships are a property of stories; and (d) the self is both a constituent of stories and exists independently of them. The importance of autobiographical studies to mediate pastoral theology's theoretical interest in theological anthropology and the story model of pastoral counseling is noted but not explored in depth.     

Separation anxiety in mothers of latency-age fearful children

The hypothesis that mothers of children who have symptoms indicative of separation anxiety are themselves separation-anxious was tested by scoring mothers' TAT themes for separation concerns. The stories of 15 mothers of fearful children were compared to the stories of 26 mothers of children manifesting behavior disorders and 21 mothers of children having had no psychiatric contact. Different kinds of separation concerns were found to differentiate the groups of mothers. The stories of mothers of fearful children expressed significantly more concerns about abandonment and rejection and more often expressed a desire to stay near the loved one; the mothers of children with behavior disorders were found to tell significantly more stories with nurturance-succorance themes. The results lend support to the theory of anxious attachment in that mothers of fearful children seem to share the same concerns that have been ascribed to their children. On the other hand, it seems that separation anxiety may not be a unidimensional construct as different components seem to be more relevant to some symptom clusters than to others.     

The Bears Family Projective Test: evaluating stories of children with emotional difficulties

The aim of this study was to describe and analyze the storytelling of children with emotional difficulties. Forty children with emotional and relational difficulties (inhibited and impulsive), ages between 5.5 and 9.4 years old, were assessed by a multiaxial procedure and the bears family projective test. The bears family test is a constructive-thematic-projective method based on an anthropomorphic family of bears that children can manipulate to tell a story. The stories of 40 children without emotional difficulties (matched by IQ, socio-economic status, and gender) and 322 typically developing children, aged between four and 10 years old, were used as a reference for comparisons. Results indicated that the stories of children with emotional difficulties showed many unsolved problematic events, unclear characters, negative relationships, and negative behaviors. Unlike the stories of children without emotional difficulties, positive contents didn't prevail over negative, and there wasn't a positive compensation for negative elements.     

Searching for a better story: harnessing modern and postmodern positions in family therapy

In this paper it is argued that modern and postmodern positions on reality and knowledge should not create a theoretical division in family therapy and that rather, by harnessing the two together, each may restrain the other. This combination creates the potential for drawing widely from the whole field of family therapy as well as challenging the separation of mainstream family therapy models from psychoanalysis. The concept of better story is used to replace both the polarized modern position of an objective discoverable truth and the polarized postmodern position of all stories having equal validity. It is suggested that better stories, which evolve in the meeting of family and therapist, may include those which are more congruent, object-adequate, encompassing, holding, shared, emotional, conscious, just, provisional and hopeful.     

Judgments About Fact and Fiction by Children From Religious and Nonreligious Backgrounds

In two studies, 5‐ and 6‐year‐old children were questioned about the status of the protagonist embedded in three different types of stories. In realistic stories that only included ordinary events, all children, irrespective of family background and schooling, claimed that the protagonist was a real person. In religious stories that included ordinarily impossible events brought about by divine intervention, claims about the status of the protagonist varied sharply with exposure to religion. Children who went to church or were enrolled in a parochial school, or both, judged the protagonist in religious stories to be a real person, whereas secular children with no such exposure to religion judged the protagonist in religious stories to be fictional. Children's upbringing was also related to their judgment about the protagonist in fantastical stories that included ordinarily impossible events whether brought about by magic (Study 1) or without reference to magic (Study 2). Secular children were more likely than religious children to judge the protagonist in such fantastical stories to be fictional. The results suggest that exposure to religious ideas has a powerful impact on children's differentiation between reality and fiction, not just for religious stories but also for fantastical stories.     

Children's use of gesture to resolve lexical ambiguity

We report on a study investigating 3–5‐year‐old children's use of gesture to resolve lexical ambiguity. Children were told three short stories that contained two homonym senses; for example, bat (flying mammal) and bat (sports equipment). They were then asked to re‐tell these stories to a second experimenter. The data were coded for the means that children used during attempts at disambiguation: speech, gesture, or a combination of the two. The results indicated that the 3‐year‐old children rarely disambiguated the two senses, mainly using deictic pointing gestures during attempts at disambiguation. In contrast, the 4‐year‐old children attempted to disambiguate the two senses more often, using a larger proportion of iconic gestures than the other children. The 5‐year‐old children used less iconic gestures than the 4‐year‐olds, but unlike the 3‐year‐olds, were able to disambiguate the senses through the verbal channel. The results highlight the value of gesture to the development of children's language and communication skills.     

Youth Depression in the Family Context: Familial Risk Factors and Models of Treatment

Research on parent risk factors, family environment, and familial involvement in the treatment of depression in children and adolescents is integrated, providing an update to prior reviews on the topic. First, the psychosocial parent and family factors associated with youth depression are examined. The literature indicates that a broad array of parent and family factors is associated with youth risk for depression, ranging from parental pathology to parental cognitive style to family emotional climate. Next, treatment approaches for youth depression that have been empirically tested are described and then summarized in terms of their level of parent inclusion, including cognitive–behavioral therapy, interpersonal therapy, and family systems approaches. Families have mostly not been incorporated into clinical treatment research with depressed adolescents, with only 32% of treatments including parents in treatment in any capacity. Nonetheless, the overall effectiveness of treatments that involve children and adolescents exclusively is very similar to that of treatments that include parents as agents or facilitators of change. The article concludes with a discussion of the implications of these findings and directions for further research.     

A Developmental Examination of Story Recall and Coherence Among Children with ADHD

This study investigated developmental differences in story recall in children with attention-deficit/hyperactivity disorder (ADHD), N = 57 (77.2% male) and their comparison peers, N = 98 (61.2% male). Children at the ages of 4–6 or 7–9 completed a free recall immediately after viewing each of two televised stories, once in the presence of toys during viewing and once in their absence. This procedure was repeated with new stories 21 months later. Comparison children recalled more story events and showed a greater sensitivity to the thematic importance of the story events than did children with ADHD, a pattern that remained stable over time. Older comparison children showed a dramatic increase over time in the global coherence of their narrations, whereas the older children with ADHD showed limited improvement over time. The implications of these findings for academic performance and the possible need for remediation are discussed.     

Telling a “baby story”: Mothers narrating their pre-schoolers' past across two cultural contexts

Mothers from two middle-class contexts from Berlin, Germany (n = 35), and Delhi, India (n = 28) told a baby story to their 3-year olds about an event that had happened during the children's first year of life. The contexts represented two cultural models: the model of psychological autonomy (Berlin) and the model of autonomy-relatedness (Delhi). We investigated the culture-specific functions of this reminiscing task as reflected in the structure, content and specificity of the stories. The stories in both contexts were minimally interactive and the children contributed few elaborations themselves. Stories told by the Berlin mothers were longer, and more specific. Mothers in both contexts were similarly elaborative relative to being repetitive. The stories were highly child-centred in both contexts but even more child-centred for Delhi. Importantly, maternal narrations from the Berlin context were embedded in a frame story that characterised the child's individual past; stories thus constructed “exclusive baby stories”. Most stories told by the Delhi mothers had no frame story but instead were about what the child used to do as a baby in general; they thus constructed “routine baby stories”. Results are interpreted in the view of the underlying self, social and directive functions of this reminiscing task.     

Conversation on mental states at nursery: Promoting social cognition in early childhood

Despite growing evidence that conversation on inner states fosters gains in children’s social cognition, this mechanism has yet to be tested with toddlers. To address this gap, we examined whether an intervention based on conversing about mental states with small groups of 2-year-old children at nursery had a significant effect on toddlers’ theory of mind (ToM) and emotion understanding (EU). Participants were 68 children (M_age at pre-test: 29.9 months) who were assigned to either an experimental or a control condition. Measures of verbal ability, ToM and EU were administered at pre-test, post-test and follow-up stages. Over a one-month intervention, all children were read a series of brief illustrated stories. After listening to the stories, the experimental group (n = 34) was involved in conversations on mental states, whereas the control group (n = 34) was engaged in conversation regarding the material entities and actions featured in the storybook. The experimental group significantly outperformed the control group on measures of both ToM and EU, independently of gains in verbal ability. Furthermore, these positive effects remained stable over time. We discuss the theoretical and practical implications of these findings.     

Parent Perspectives on Family Involvement in Therapeutic Foster Care

There has been an increasing focus on family involvement in the treatment of children with serious emotional disorders, but it has received only limited attention in relation to out-of-home placements. I present the findings from a qualitative study of family involvement from the perspectives of parents whose children were placed in therapeutic foster care (TFC). Parents' perspectives on their involvement in placement decisions, relationships with professionals and TFC providers, practices related to family involvement, barriers to involvement, and strategies to enhance family involvement are described. Parents of children in TFC wanted to have contact with their children and to participate in decision making. They described relationships and practices that contributed to their involvement.     

Parallel Group Treatment of Pre-School Children and Their Mothers

Object relations concepts are applicable in children's group psychoanalytic psychotherapy. The author attempts to explore and delineate areas in which developmental conflicts in object relations, emotional deprivations, traumas, and family pathologies are recapitulated in the group, and how the manifestations of pathologies can be rectified by the process and formation of the group and the role of the therapist as a “new object” in the management of individual and group transferences. Clinical examples are presented.     

Story telling in families with children: A therapeutic approach to learning problems

Story telling can be used as an original method to restructure families with children. It actively involves parents in communicating with children in their own language, helping the family to switch from a rational language to an emotional/imaginary one, circumventing resistances and permitting its members to resume a natural path in parent-child communication. This paper illustrates how stories can be used in family interaction for treating problems of family origin. Selected stories were given to parents and children for them to read-listen/make comments/dramatize during the phase of family treatment which dealt specifically with learning problems. Three family cases in which story telling was useful in solving children's disabilities through promoting changes in the family structure and creating or enlightening parental functions of orientation and guidance are analyzed.This work was done at CERF, Buenos Aires, Argentina, and received the Margarita Ravioli Award from the Asociacion Argentina de Psiquiatria Infantil for the best paper in mental health and education, Buenos Aires, September, 1987. We wish to acknowledge psychologists Helen Lamuraglia, Julia Koremblit, and Susana Sola for their therapeutic cooperation with the family cases P and F respectively. We especially thank Harry Aponte, Alberto Gonzalez, and Helen Lamuraglia for their support, comments, and review of the paper, which enriched our scope and discussion.     

Maternal Appraisal Styles,Family Risk Status and Anger Biases of Children

The present study investigated the relationship between maternal appraisal styles, family risk status, and anger biases in children. Participants included 90 mothers and their children between 3–6 years of age. Eighty families were followed up 1 year later. Maternal appraisal styles were assessed via a naturalistic story-reading method, and Time 1 and Time 2 emotion biases included teacher ratings of anger and aggression, peer ratings of anger, as well as classroom and playground observations of anger. While discussing ambiguous stories with their children, mothers with higher scores on the family risk index utilized more hostile appraisals and fewer prosocial appraisals in their explanations. A higher proportion of hostile-to-prosocial appraisals was also related to higher-risk family status. Prosocial appraisals by mothers were inversely correlated with childrens anger biases at school. When the appraisal balance in mothers talk favored hostile appraisals, children tended to show higher levels of anger biases evidenced at school. Finally, a hostile balance of maternal appraisals was found to predict change in childrens anger biases in the school with different effects in high- and low-risk families.     

Differences in the neural mechanisms of selective attention in children from different socioeconomic backgrounds: an event‐related brain potential study

Previous research indicates that children from lower socioeconomic backgrounds show deficits in aspects of attention, including a reduced ability to filter irrelevant information and to suppress prepotent responses. However, less is known about the neural mechanisms of group differences in attention, which could reveal the stages of processing at which attention deficits arise. The present study examined this question using an event‐related brain potential (ERP) measure of selective auditory attention. Thirty‐two children aged from 3 to 8 years participated in the study. Children were cued to attend selectively to one of two simultaneously presented narrative stories. The stories differed in location (left/right speaker), narration voice (male/female), and content. ERPs were recorded to linguistic and non‐linguistic probe stimuli embedded in the attended and unattended stories. Children whose mothers had lower levels of educational attainment (no college experience) showed reduced effects of selective attention on neural processing relative to children whose mothers had higher levels of educational attainment (at least some college). These differences occurred by 100 milliseconds after probe onset. Furthermore, the differences were related specifically to a reduced ability to filter irrelevant information (i.e. to suppress the response to sounds in the unattended channel) among children whose mothers had lower levels of education. These data provide direct evidence for differences in the earliest stages of processing within neural systems mediating selective attention in children from different socioeconomic backgrounds. Results are discussed in the context of intervention programs aimed at improving attention and self‐regulation abilities in children at‐risk for school failure.