THE WORLDWIDE BURDEN OF INFANT MENTAL AND EMOTIONAL DISORDER: REPORT OF THE TASK FORCE OF THE WORLD ASSOCIATION FOR INFANT MENTAL HEALTH

Children worldwide experience mental and emotional disorders. Mental disorders occurring among young children, especially infants (birth –3 years), often go unrecognized. Prevalence rates are difficult to determine because of lack of awareness and difficulty assessing and diagnosing young children. Existing data, however, suggest that rates of disorders in young children are comparable to those of older children and adolescents (von Klitzing, Dohnert, Kroll, & Grube, 2015 ). The lack of widespread recognition of disorders of infancy is particularly concerning due to the unique positioning of infancy as foundational in the developmental process. Both the brain and behavior are in vulnerable states of development across the first 3 years of life, with potential for enduring deviations to occur in response to early trauma and deprivation. Intervention approaches for young children require sensitivity to their developmental needs within their families. The primacy of infancy as a time of unique foundational risks for disorder, the impact of trauma and violence on young children's development, the impact of family disruption on children's attachment, and existing literature on prevalence rates of early disorders are discussed. Finally, global priorities for addressing these disorders of infancy are highlighted to support prevention and intervention actions that may alleviate suffering among our youngest world citizens.     

Gender, Race and Morality in the Virtual World and Its Relationship to Morality in the Real World

This research examines children’s beliefs about moral behavior in the virtual world and the real world. Participants were 515 children, average age 12 years old. One-third were African American and two-thirds were Caucasian American. Children completed surveys mailed to their homes which included questions about the acceptability of morally questionable virtual behaviors. Findings indicated: (1) gender and race differences in the acceptability of morally questionable behaviors in the virtual world; (2) moral behavior and moral attitudes in the real world predicted the acceptability of morally questionable behaviors in the virtual world; and (3) the frequency of IT use predicted the acceptability of morally questionable behaviors in the virtual world. Implications for children’s IT education are discussed.     

Speed of Lexical Activation in Nonfluent Broca''s Aphasia and Fluent Wernicke''s Aphasia

Rapid, automatic access to lexical/semantic knowledge is critical in supporting the tight temporal constraints of on-line sentence comprehension. Based on findings of “abnormal” lexical priming in nonfluent aphasics, the question of disrupted automatic lexical activation has been the focus of many recent efforts to understand their impaired sentence comprehension capabilities. The picture that emerges from this literature is, however, unclear. Nonfluent Broca's aphasic patients showinconsistent,notabsent,lexical priming, and there is little consensus about the conditions under which they do and do not prime. The most parsimonious explanation for the variable findings from priming studies to date is that the primary disturbance in Broca's lexical activation has something to do withspeedof activation. Broca's aphasic patients prime when sufficient time is allowed for activation to spread among associates. To examine this “slowed activation” hypothesis, the time course of lexical activation was examined using a list priming paradigm. Temporal delays between successive words ranged from 300 to 2100 msec. One nonfluent Broca's aphasic patient and one fluent Wernicke's patient were tested. Both patients displayed abnormal priming patterns, though of different sorts. In contrast to elderly subjects, who prime at relatively short interstimulus intervals (ISIs) beginning at 500 msec, the Broca's aphasic subject showed reliable automatic priming but only at a long ISI of 1500 msec. That is, this subject retained the ability to access lexical information automatically if allowed sufficient time to do so, a finding that may help explain disrupted comprehension of normally rapid conversational speech. The Wernicke's aphasic subject, in contrast, showed normally rapid initial activation but continued to show priming over an abnormally long range of delays, from 300 msec through 1100 msec. This protracted priming suggests failure to dampen activation and might explain the semantic confusion exhibited by fluent Wernicke's patients.     

Speech and bimanual hand organization in adult stutterers and nonstutterers

A multivariate approach was used to investigate the relationship between speech fluency and bimanual handwriting in right-handed male stutterers and nonstutterers. Handedness was determined by the Harris Test of Lateral Dominance. Subjects were required to write the numbers 1 through 12 simultaneously, as quickly as possible. Speech measures were derived from the Stuttering Severity Instrument and from a reading passage. Stutterers performed more poorly than nonstutterers on all speech measures. There were no differences in bimanual handwriting performance for the dominant hand. However, stutterers performed more poorly than nonstutterers in nondominant handwriting. There were no relationships between speech measures and bimanual handwriting for stutterers or nonstutterers. Some stutterers performed better on the handwriting task than did some nonstutterers. It is suggested that disorganization in interhemispheric integration functions may be a more fundamental problem in stuttering than is incomplete cerebral dominance.     

Cognitive marriage counseling with acutely disturbed in-patients

1980 edition ofThe Diagnostic and Statistical Manual of Mental Disorders III suggests that there is a deleterious interaction between Axes I psychiatric disorders and Axes IV psychosocial stressors such as marital disharmony. With acutely disturbed in-patients, marital problems are often found associated with the psychiatric disorder, but they are usually not treated until after the patient has been discharged to out-patient status. Offering concurrent treatment for both the Axes I disorder and the Axes IV stressors would seem to be a move in the direction of a more efficient and a more comprehensive treatment plan. A ten-session course of marriage counseling based on cognitive theory is now being offered to hospitalized psychiatric patients in a rural Veterans Administration Medical Center. The model does not propose to resolve all marital problems in therapy. The goal is to teach the hospitalized patient and their spouse cognitive principles that will enable them to more effectively resolve their own problems after the patient is discharged. It is anticipated that the cognitive principles learned in marriage counseling will also apply to the resolution of some of the problems associated with the psychiatric disorder. Thus the treatment for the Axes IV stressor enhances the treatment for the Axes I psychiatric disorder. This approach might well shorten the patients' hospitalization and reduce the risk of relapse after discharge. Preliminary results suggest that this course shows promise for both individual and marital adjustment.He holds a Primary Certificate with The Institute for Rational-Emotive Therapy, and is working on his Doctorate in Social Work at The Catholic University of America, Washington, D.C.     

Social competence in children of alcoholic parents over time

In the current study, the authors tested the hypothesis that children of alcoholic parents (COAs) show deficits in social competence that begin in early childhood and escalate through middle adolescence. Teachers, parents, and children reported on the social competence of COAs and matched controls in a community sample assessed from ages 6 to 15. Hierarchical linear growth models revealed different patterns of change in social competence across development as a function of the reporter of various indicators of competence. Moreover, female COAs showed deficits in social competence in early childhood that receded in adolescence and that varied across subtypes of parent alcoholism. Implications of these findings for understanding the development of social competence in children, and at-risk children in particular, are discussed.     

Adults' perceptions of infant sex and cuteness

Five experiments were conducted to investigate the relationship between infant sex and adults' perceptions of infant physical attractiveness. College students rated the cuteness and/or sex of male and female infants at each of six age levels: 3, 5, 7, 9, 11, and 13 months. The results indicated that (a) subjects had little difficulty assigning a sex label to infants, although in some instances the assigned label was incorrect; (b) older infants received higher cuteness ratings than younger infants; (c) cuter infants were more likely to be perceived as female than male; (d) Labeled Males received higher cuteness ratings than Labeled Females, although this effect was stronger for Perceived Males than for Perceived Females; and (e) perceived cuteness influenced perceived sex. Results are interpreted as generally supporting the existence of a sex stereotype related to physical attractiveness.Preparation of this report was supported in part by an NIH 1 T32 MH 14622-01 Institutional National Research Service Award (KAH) and a Biomedical Sciences Research Support Grant (HEF & KAH).     

The insanity defense: Legal standards and clinical assessment

Although the insanity defense is used infrequently, it has received significant attention from legal and mental health professionals. In this article, we review the historical development of insanity defense standards and describe the standards currently employed in the United States. We present a model for evaluating a defendant's mental nonresponsibility, and we briefly discuss the legal standards and procedures for the assessment of insanity acquittees for release. Throughout the article, we discuss some scientific, ethical, and jurisprudential issues associated with the insanity defense and nonresponsibility evaluations.