Federal family and disability policy: special relevance for developmental disabilities

The article reviews the federal statutes and relevant decisions of the U.S. Supreme Court that constitute the core concepts of disability policy and their application to persons with disabilities (especially developmental disabilities) and their families.     

Early childhood co-sleeping: Parent-child and parent-infant nighttime interactions

This study investigated parent—child interactions during sleep onset and nighttime arousals in a rural sample of preschool children. The role of co-sleeping in relation to sleep habits and night waking was examined using parental self-report of both current and retrospective sleep patterns. The results showed that Solitary Sleepers engaged in more complex bedtime routines, and had more longstanding and stronger attachment to security objects and sleep aids, than did Co-sleepers. Infancy precursors to co-sleeping in early childhood were a history of breastfeeding, night feedings in the parent's bed, and returning to sleep in the parent's bed.     

PET studies of language: An assessment of the reliability of the technique

In order to understand the basis of language in the brain, we must be able to describe the neurological systems that are used in language comprehension and production. In this paper, one technique for functional neuroimaging is discussed: measurement of blood flow change using positron emission tomography (PET). Two experiments were carried out investigating the usefulness of this method. One experiment examined the intrinsic time limitations of blood flow change as a measure of cognitive activity. A second issue considered is the replicability of the results obtained using this method. A comparison of two experiments containing the same conditions suggests that the results are replicable, when the experiments and method are similar. One case is discussed where the experiments differ; it is suggested that this is due to a difference in the materials used in the experiments, and that the difference has a principled basis.     

A comparison of depressed and nondepressed disturbed children on measures of attributional style,hopelessness, life stress,and temperament

Upon admission to a hospital treatment program, clinically depressed and nondepressed children (aged 9–17 years) were assessed on measures of attributional style, hopelessness, depression, life stress, and child temperament. The depressed group tended to attribute positive events to specific and unstable factors when compared with the nondepressed sample. Group differences also were found on child temperament measures. However, no differences were reported between the diagnostic groups on self-reported depression, hopelessness, or life stress. The findings suggested that there may not be a unique constellation of cognitive characteristics in depressed children when compared with a nondepressed clinical sample. For both depressed and nondepressed groups, treatment did appear to affect self-reported depression and overall ratings of depressogenic attributional style.     

Gender Differences in the Relationship of Language Development to Disruptive Behavior and Peer Relationships in Preschoolers

The present study examined whether there are gender differences among preschoolers in how language development is related to disruptive behavior and peer relationships. Participants were 185 largely minority, preschool children from low income families and their 16 teachers. Videotaped observations were coded to assess disruptive and off-task behavior in group learning situations. Teachers rated disruptive behavior and the quality of peer relationships and they provided information about service referrals. Language skills were assessed with standardized tests. Lower levels of language skills were more strongly associated with disruptive behavior and poor peer relationships for boys than for girls. Disruptive behavior was related to the probability that a child would be referred for services. Language development difficulties tended to be seen by teachers only when paired with behavior problems.     

Treatment issues during pregnancy and lactation

The lifetime incidence of mood disorders is twice as great in women compared with men, with the highest risk occurring during the childbearing years. The management of mental illness during pregnancy and lactation is a particularly complex clinical situation. The cornerstone of such a clinical decision is a completion of an assessment of the risks of the illness vs the risks of treatment. The following article reviews the factors influencing infant outcome and outlines the essential elements of the process of determining risk for the use of psychotropics in women during pregnancy and lactation. As the available data rapidly change, the facets of the risk benefit assessment are consistent and often the issue of specific medication is decided by prior history and exposure.     

Neural correlates of Dutch Verb Second in speech production

Dutch speakers with agrammatic Broca's aphasia are known to have problems with the production of finite verbs in main clauses. This performance pattern has been accounted for in terms of the specific syntactic complexity of the Dutch main clause structure, which requires an extra syntactic operation (Verb Second), relative to the basic Subject-Object-Verb order surfacing in Dutch subordinate clauses. We report an fMRI study into the question whether this syntactic complexity is reflected in increased brain activation correlated with the production of Dutch main clause word order, in speakers without language impairment. Nineteen healthy subjects performed a covert sentence completion task, during which main and subordinate clauses were alternately elicited in a block design. Results show a left middle to superior frontal cluster of activation correlated to production of Verb-Second over Verb-Final clauses, with no activation in the opposite contrast. This activation pattern is counter to what might be expected from the frequency distribution of main and subordinate clauses. We conclude that the Verb-Second deviation from the basic Dutch SOV word order costs extra neural resources and that this also underlies the agrammatic problems with the production of finite verbs in Dutch main clauses.