Sensorimotor skills and language comprehension in autistic children

The objectives of this study were to examine the level of sensorimotor concepts of young autistic children and to relate these concepts to language comprehension. A sample of 16 autistic children with a mean mental age of 24.8 months was administered a standardized scale of sensorimotor intelligence and of receptive language. The autistic children demonstrated surprisingly sophisticated sensorimotor skills, particularly object permanence. While their initial performance was inferior to that of normal controls matched on mental age, particularly in their use of objects in combination, the difference between groups diminished on the second test administration. On the receptive language measure, the autistic children were less able to identify words correctly. The sensorimotor behavior of autistic children who demonstrated language comprehension did not differ from those who showed no language comprehension, except that the former group tended to use an object as an instrument somewhat more frequently. The fact that the autistic children were so impaired in language even with fairly good sensorimotor skills suggests that these skills, particularly object permanence, play a minor role in their language acquisition.Support for this research was provided by Biobehavioral Research Support Grant 516, Grant 12–41 from the March of Dimes, NIMH Postdoctoral Fellowship No. 1 F32 MH07550-01 (Ungerer), and NIMH Grant MH 33815-01. Subjects were recruited from the UCLA Research Center for the Study of Childhood Psychosis, funded by NIMH Grant MH 30897. We would like to thank members of the CRC, particularly Dr. Peter Tanguay, Dr. Barbara Fish, and Dr. B. J. Freeman, for their support of our research efforts.     

Evaluative communications between affectively Ill and well mothers and their children

Earlier research suggests that the natural verbal discourse of mothers with their children can be important in clarifying, verifying, and evaluating the behavior in which a child is engaged, in attributing qualities to the child, and in influencing the child's self-perceptions. We investigated the potential influences of parental affective illness (bipolar affective disorder and unipolar depression in contrast to no history of psychiatric illness) on such labeling behavior in a sample of 61 mothers and their older (school-age) and younger (preschool-age) children. It was hypothesized that the dispositions characterizing affective illness (specifically, negativity and disengagement) would be reflected in the labeling statements of mothers with a diagnosis as they interacted with their children. Based on videotaped interactions during a visit to a home-like laboratory apartment, labeling statements were identified in terms of speaker and person being labeled (addressee) and coded (positive, negative, mixed, or neutral) for judgmental and affective quality of the statement and reaction of the addressee. Data were analyzed (a) by family unit and (b) my mother to child statements. The general pattern of findings indicated, in relative terms, an excess of negativity on the part of family members in the bipolar group and a dearth of negative affect for mothers in the unipolar group. Negativity in the bipolar group appeared to be especially likely when the setting involved mothers and two male children. Additionally, findings are discussed in terms of sex differences in vulnerability to depression.This work was supported by the National Institute of Mental Health, Bethesda, Maryland, and by the John D. and Catherine T. MacArthur Foundation Research Network on Transition from Infancy to Early Childhood. Appreciation is extended to Nancy Lemos and Marcella Maguire for coding the data. National Institute of Mental Health, Building 15K, 9000 Rockville Pike, Bethesda, Maryland 20892.     

Training and practice of school psychologists in reading assessment and intervention

A national sample of school psychologists was randomly surveyed to assess (1) training practices in reading assessment and intervention, (2) their involvement with reading-disabled students, (3) the degree of importance they place on knowledge of assessment and remediation of reading problems, and (4) their perceptions of their expertise in these latter areas. The results revealed major discrepancies between preparation and job responsibilities. The respondents indicated (1) that they had received limited training in reading, (2) that 77% of referrals involved reading problems, (3) that they frequently made reading recommendations, but felt they lacked adequate expertise, and (4) that they supported the need for more expertise in reading. The implications for training and practice are discussed.     

Emotional,Cognitive, Behavioral,and Temperament Characteristics of High-Empathy Children

Recent research has suggested that individual differences in young children's capacity for empathy and altruism has heritable components and may be related to early temperament. These individual differences, like other human capacities such as intelligence, may be distributed normally. Thus, high-empathy children may exhibit cognitive, emotional, and behavioral precocity in empathic and altruistic responding, and begin expressing these capacities early in life. Twenty-seven 2- to 8-year-old (M = 53 months), primarily Euro-American high-empathy children (10 male) were identified by childcare center staff. Ethnographically oriented interviews of their mothers provided detailed accounts of the children's empathic and altruistic responding in everyday interactions at home and school. As a group, the children were described as emotionally positive, especially sociable individuals whose empathic and altruistic responses were highly spontaneous, occurred more frequently, and differed from peers in depth, intensity, and persistence. Parallels were drawn between these capacities and temperamental dispositions for self-regulation and emotional reactivity. Limitations of the methodology and directions of future research are discussed.     

Providing Ongoing Skill Development and Support for Educators and Parents of Students with Emotional and Behavioral Disabilities

Target six of the national agenda to improve outcomes for students with or at risk of emotional disturbance is reviewed. Having discussed this target with multiple stakeholders, the authors present four underlying themes that support ongoing skill development of providers and parents alike. These include building capacity of providers, decreasing isolation of school staff, gaining commitment of all school staff to support students with challenging behavior, and including parents and family members in staff development activities. The four underlying themes are discussed and recommendations given for ensuring ongoing skill development and support in education.     

Modeling longitudinal change in the language abilities of children with autism: parent behaviors and child characteristics as predictors of change

The objective of the current study was to evaluate the patterns of longitudinal change in the language abilities of 28 children with autism during early and middle childhood. Results from fitting a series of multilevel models showed that children's rate of language growth was independently predicted by (a) children's responsiveness to others' bids for joint attention and (b) parents' responsiveness to their children's attention and activity during play. Both predictive relations could not be explained by initial variation in global developmental characteristics, such as IQ, mental age, or language abilities. These findings support a social?pragmatic view on language acquisition, which emphasizes the collaborative process through which children and their parents negotiate shared meaning.     

Parent-child relationship, temperament, and physiological reactions to fear-inducing film clips: further evidence for differential susceptibility

Recent studies have supported the intriguing hypothesis that highly reactive infants are most susceptible to the effect of parenting. This study replicates and extends an earlier study on 4-year-olds concerning higher susceptibility of more fearful children to the quality of their relationships with their mothers, as shown by their physiological reactions to fear-inducing film clips. Two groups of children (4- and 7-year-olds) were shown the same fear-inducing and neutral film clips. During the film clips, their skin conductance and heart rate variability were measured. Both 4- and 7-year-olds responded to the fear-inducing film clips with increases in skin conductance and decreases in heart rate variability. A secure relationship affected the reactivity to fearful stimuli in temperamentally more fearful children but not in less fearful children irrespective of children's ages. Our findings add to the growing literature showing that children high in negative emotion are more susceptible to positive as well as negative rearing influences for better and for worse.     

Teleconferencing model for forensic consultation, court testimony, and continuing education

A medical center-based forensic clinic that provides the necessary comprehensive consultation, continuing education, court testimony, and clinical services through an applied model of teleconferencing applications is addressed. Telemedicine technology and services have gained the attention of both legal and clinical practitioners, examining trends and models of health care for underserved populations, and identifying where consultation with a team of professionals may benefit service providers in rural communities. The contribution offered herein provides an understanding of the history of the development of the clinic, a theoretical model that has been applied to a clinical forensic program that employs telepsychiatry services, and the ethical and malpractice liability issues confronted in using teleconferencing services. This model is examined through a child and adolescent forensic evaluation clinic. The goals of this model are offered, as are a number of applications within the broad spectrum of services utilizing telemedicine. Finally, changing patterns are addressed in clinically based health-care delivery for criminal justice, social services, and forensic mental health.