Understanding the Role of Neighborhood Context in the Long-Term Criminal Consequences of Child Maltreatment

This study investigated how neighborhood conditions influence the relationship between early child maltreatment and criminal behavior, using official data from a sample of maltreated children (N = 908) and matched controls (N = 667), as well as census data about respondents' neighborhoods. Using multilevel data that incorporated information about individuals, families, and neighborhoods, 2 hypotheses (direct influence and interaction effect) were examined using hierarchical generalized linear modeling (HGLM). The results indicated that neighborhood disadvantage and stability moderated the relationship between early child maltreatment and offending. Specifically, the effect of early child maltreatment on later juvenile and adult criminal behavior was strongest for those individuals from the most disadvantaged and most stable neighborhoods. These results suggest that studying the interaction between family functioning and neighborhood conditions provides a more comprehensive understanding of offending than does studying each factor separately.     

Spatial awareness, alertness, and ADHD: the re-emergence of unilateral neglect with time-on-task

Studies examining a relationship between attention deficit hyperactivity disorder (ADHD) and relative visual inattention towards left space have produced inconsistent results. Here, based on previous studies with adult neurological patients who show very severe inattention to the left, we examine whether any spatial bias in ADHD may be modulated by changes in alertness levels. In a single case, we found that inattention to the left--that was intermittently apparent--dramatically increased as a function of time-on-task. No significant changes were observed on the right. The implications for clinical assessment and research design are discussed.     

Parental refusals of medical treatment: the harm principle as threshold for state intervention

Minors are generally considered incompetent to provide legally binding decisions regarding their health care, and parents or guardians are empowered to make those decisions on their behalf. Parental authority is not absolute, however, and when a parent acts contrary to the best interests of a child, the state may intervene. The best interests standard is the threshold most frequently employed in challenging a parent's refusal to provide consent for a child's medical care. In this paper, I will argue that the best interest standard provides insufficient guidance for decision-making regarding children and does not reflect the actual standard used by medical providers and courts. Rather, I will suggest that the Harm Principle provides a more appropriate threshold for state intervention than the Best Interest standard. Finally, I will suggest a series of criteria that can be used in deciding whether the state should intervene in a parent's decision to refuse medical care on behalf of a child.     

基于物体的选择性注意理论的证据--对一例视觉忽视病人的研究

对一例视觉忽视病人的研究发现,线段划销任务中其忽视以基于相邻性组织而形成的知觉物体为中心;对视野两侧图形是否一样的判断受连通性组织的影响;报告数字时受基于颜色的相似性组织的影响.结果为基于物体的选择性注意理论提供了神经心理学证据.     

Combating Foster Care Drift: An Ecosystemic Treatment Model For Neglect Cases

The neglect of children may take many forms, but always represents the diminished capacity of the entire system of which the children are a living part. Child, parent, family, neighborhood, and community variables mutually influence one another. Once children are removed from a home, these same individual, relational, and contextual factors may result in foster placements of indefinite term and goals. Families are not reunited nor are the children legally freed to be placed in permanent homes. Because of the multiplicity of transacting influences there needs to be a stage-wise, systemic approach to remediation. This begins with crisis intervention and life stabilization. Later it includes more traditional family therapy work. However, the marital and family therapist contributes substantially at each stage.     

You never know where you are going until you know where you have been: Disorganized search after stroke

Disorders in spatial exploration can be expressed in a disorganized fashion of target cancellation. There is debate regarding whether disorganized search is related to stroke in general, to right brain damage or to unilateral spatial neglect (USN) in particular. In this study, 280 stroke patients and 37 healthy control subjects performed a computerized shape cancellation test. We investigated the number of perseverations and several outcome measures regarding disorganized search: Consistency of search direction (best r), distance between consecutive cancelled targets and intersections with paths between previous cancelled targets. We compared performance between patients with left and right brain damage (L, R) and with and without USN (USN+, USN?), resulting in four subgroups: LUSN?, RUSN?, LUSN+, and RUSN+. Higher numbers of intersections were found for the left brain‐ and right brain‐damaged patients with USN and for the right brain‐damaged patients without USN, compared to healthy control subjects. Furthermore, right brain‐damaged patients with USN showed a higher number of intersections compared to right brain‐damaged patients without USN and compared to left brain‐damaged patients with USN. To conclude, disorganized search was most strongly related to the neglect syndrome, and patients with more severe USN were even more impaired.     

A Focus on Neglect: Comparing the Characteristics of Children and Parents in Cases of Neglect,Abuse, and Non-CAN (Child Abuse and Neglect) in Israeli Rulings on Termination of Parental Rights

This study attempts to expand the knowledge base about neglect by comparing the characteristics of children and parents involved in termination of parental rights proceedings in the Israeli legal system. Cases were classified as neglect (72.7%), abuse (19%) or non-child abuse or neglect (non-CAN; 8%) and were compared on a range of variables. The results show that neglected children have the most developmental problems, and generally come from single-parent families, compared to abused children, who suffer the most mental health problems and come from 2-parent families. Finally, neglect is associated with the mother’s history of drug abuse, and abuse is associated with the father’s drug abuse and criminal record. In non-CAN cases, the courts criticize the Child Protective Service more than in neglect and abuse cases. Implications of the findings for social work practice as well as future research directions are discussed.     

Neural implementation of probabilistic models of cognition

Bayesian models of cognition hypothesize that human brains make sense of data by representing probability distributions and applying Bayes’ rule to find the best explanation for available data. Understanding the neural mechanisms underlying probabilistic models remains important because Bayesian models provide a computational framework, rather than specifying mechanistic processes. Here, we propose a deterministic neural-network model which estimates and represents probability distributions from observable events—a phenomenon related to the concept of probability matching. Our model learns to represent probabilities without receiving any representation of them from the external world, but rather by experiencing the occurrence patterns of individual events. Our neural implementation of probability matching is paired with a neural module applying Bayes’ rule, forming a comprehensive neural scheme to simulate human Bayesian learning and inference. Our model also provides novel explanations of base-rate neglect, a notable deviation from Bayes.     

Use of mental health services among severely emotionally disturbed children and adolescents in San Francisco

This study examined the mental health services available to severely emotionally disturbed children and adolescents in San Francisco. Social, familial, developmental, and clinical data—as well as service use histories—on 192 youths were collected. Results indicated high levels of family dysfunction, physical and sexual abuse, and neglect in the total study population. The study also identified case history and demographic factors that were associated with repeated psychiatric inpatient hospitalizationand high annual rates of change in residential placement. These factors included being male, older, non-English-speaking, and having a history of physical and sexual abuse. The impact of the service system on the lives and course of illness of these youth is discussed and future directions for research are suggested.     

HOME SAFETY: DEVELOPMENT AND VALIDATION OF ONE COMPONENT OF AN ECOBEHAVIORAL TREATMENT PROGRAM FOR ABUSED AND NEGLECTED CHILDREN

Parents may be charged with child abuse or neglect or both on the basis of a variety of circumstances. Child neglect, for example, is often documented when caseworkers observe that the family's home itself is so poorly kept that it presents an environment in which young children have ready access to lethal hazards such as poisons, uncovered wall outlets, and firearms. In this study, we describe the development of a Home Accident Prevention Inventory (HAPI) which was validated and used to assess hazards in the homes of several families under state protective service for child abuse and neglect. The HAPI included five categories of hazards: fire and electrical, mechanical-suffocation, ingested object suffocation, firearms, and solid/liquid poisons. Following the collection of baseline data, parents were presented with a treatment package that included instructions and demonstrations on making hazards inaccessible to children, plus feedback regarding the number and location of hazards in the home. The multiple-baseline design across hazardous categories in each family's home showed that the package resulted in decreases in the number of these accessible hazards. These improvements were maintained over an extended period of unannounced follow-up checks. This research provides a model for the development and assessment of an area previously unexamined in the child abuse and neglect literature.