“Working model of the child interview”: Infant clinical status related to maternal perceptions

Parental perceptions and subjective experience of infants have long been considered important in clinical work with infants and families. Using three different samples of infants, we compare mothers' representations of their infants in clinically referred and nonreferred groups, using the Working Model of the Child Interview (WMCI). Twenty-four mothers of infants with failure to thrive (and 25 matched controls), 17 mothers of toddlers with sleep disorders (and 20 matched controls), and 13 mothers of infants seen in a general infant psychiatry clinic participated. Compared to their nonclinical counterparts, mothers of infants with clinical problems had representations of their infants that were significantly more likely to be classified distorted or disengaged. Infant gender, age, and birth order were independent of maternal classifications. We conclude that the WMCI is a useful structured interview to categorize mothers' perceptions and subjective experience of their infant and relationship with the infant. Mothers' WMCI classifications are associated with the clinical status of the infant. © 1997 Michigan Association for Infant Mental Health     

A simple method of producing discrete subcortical lesions using radio-frequency currents

The described procedures represent an evaluation of the use of radio frequency currents in the production of discrete subcortical brain lesions. The methods described and the electrodes used indicated that RF lesion size was closely and linearly related to a simple V dc index and that the resultant lesions were equally distributed around the position of the lesion electrode with extremely smooth and consistent perimeters.     

An overview of issues in research on consumer satisfaction with child and adolescent mental health services

Research that focusses on consumer satisfaction with child and adolescent mental health services is reviewed. Satisfaction is broadly conceived to include any study where the perspectives of children, adolescents or their parents about mental health services were gathered and presented. Important conceptual issues in research on consumer satisfaction with children's mental health services are discussed. Some of the general methodological issues that have faced satisfaction researchers are also considered. The wide range of methodological variations that have been used to investigate this topic area are outlined. The most significant findings of previous research are presented and critiqued. In conclusion, suggestions are made about the most fruitful directions for future research.     

Women's experiences of the therapeutic value of writing about pregnancy sickness

Background

There is evidence of the beneficial effects of writing therapy in relation to a range of disorders. This is the first study to evaluate those effects in the field of pregnancy sickness.

Aim

To analyse the experiences of women using writing therapy to address issues associated with pregnancy sickness.

Method

Ten women with an age range of 32–48 years participated in this research study. All had been hospitalised at least once with severe pregnancy sickness symptoms in the form of hyperemesis gravidarum. Participants were invited to write reflectively about their former pregnancy sickness, at home, and then take part in a qualitative, semi‐structured telephone interview of approximately one hour to talk about how they experienced this writing process.

Findings

Thematic analysis identified several themes relating to the beneficial effects and uses of writing therapy and women's relational need to be heard and supported.

Discussion

This study supports previous findings about the beneficial effects of writing therapy and contributes new knowledge to the field of pregnancy sickness vis‐à‐vis the importance of emotional expression, emotional care and emotional recovery. The findings have important implications for healthcare professional practice.     

The impact of childbirth settings and maternal medication on infant behaviors

The Brazelton Neonatal Behavioral Assessment Scale (BNBAS) was administered to 61 full-term, healthy newborns between 7–10 days of age. Three groups of newborns made up the sample: 23 babies were born at planned home births to nonmedicated mothers, 22 were born in the hospital to nonmedicated mothers, and 16 neonates were born in the hospital to mothers who received obsteric medication. Analysis of variance indicated a significant F ratio on the BNBAS cluster for orienting behaviors; comparison of the BNBAS scores of the three groups revealed a significant difference on the BNBAS cluster for orienting behavior between the home-born babies and infants born in the hospital to mothers who received obsteric medication. There was no significant difference between groups for medication or birth setting alone, suggesting these perinatal factors have a complex, perhaps synergistic effect on newborn behavior.     

Ontogenetic changes in the neural mechanisms of eyeblink conditioning

The rodent eyeblink conditioning paradigm is an ideal model system for examining the relationship between neural maturation and the ontogeny of associative learning. Elucidation of the neural mechanisms underlying the ontogeny of learning is tractable using eyeblink conditioning because the necessary neural circuitry (cerebellum and interconnected brainstem nuclei) underlying the acquisition and retention of the conditioned response (CR) has been identified in adult organisms. Moreover, the cerebellum exhibits substantial postnatal anatomical and physiological maturation in rats. The eyeblink CR emerges developmentally between postnatal day (PND) 17 and 24 in rats. A series of experiments found that the ontogenetic emergence of eyeblink conditioning is related to the development of associative learning and not related to changes in performance. More recent studies have examined the relationship between the development of eyeblink conditioning and the physiological maturation of the cerebellum, a brain structure that is necessary for eyeblink conditioning in adult organisms. Disrupting cerebellar development with lesions or antimitotic treatments impairs the ontogeny of eyeblink conditioning. Studies of the development of physiological processes within the cerebellum have revealed striking ontogenetic changes in stimulus-elicited and learning-related neuronal activity. Neurons in the interpositus nucleus and Purkinje cells in the cortex exhibit developmental increases in neuronal discharges following the unconditioned stimulus (US) and in neuronal discharges that model the amplitude and time-course of the eyeblink CR. The developmental changes in CR-related neuronal activity in the cerebellum suggest that the ontogeny of eyeblink conditioning depends on the development of mechanisms that estavlish cerebellar plasticity. Learning and the induction of neural plasticity depend on the magnitude of the US input to the cerebellum. The role of developmental changes in the efficacy of the US pathway has been investigated by monitoring neuronal activity in the inferior olive and with stimulation techniques. The results of these experiments indicate that the development of the conditioned eyeblink response may depend on dynamic interactions between multiple developmental processes within the eyeblink neural circuitry.     

Teachers' judgments of preschoolers' creativity

This study investigated the relationship of objective measures of preschoolers' ideational fluency and intelligence to teachers' ratings of creativity and desirability. The sample of 60 4-yr.-olds and 39 teachers were from six classrooms. Teachers' ratings of creativity were related to measures of intelligence (r = .46, p less than .001) but not to ideational fluency (r = .10). These findings are discussed in relation to possible halo effects and the ability to discriminate adequately cognitive abilities among preschool children.     

Outcome of hospitalization for defendants found incompetent to stand trial

This study assessed the outcome of hospitalization for incompetent criminal defendants admitted to the forensic unit of a state hospital for treatment during a 4-year period. Findings suggested that the overwhelming majority of the defendants were restored to competency. The defendants also showed significant improvement in overall severity of psychopathology during hospitalization. Further, the duration of hospitalization for these defendants was relatively short. Although these results are promising with regard to treatment of incompetent defendants, predicting the outcome of hospitalization for these defendants was problematic. Prediction of competency restoration was precluded because persistent incompetence was so infrequent. Moreover, multiple regression analyses suggested limited predictive ability with regard to defendants' discharge level of functioning or length of hospitalization. These findings are consistent with the view that examiners should exercise caution in making recommendations to the courts concerning treatability of incompetent defendants.