Repairing the nest: A psychodynamic developmental approach to clients with severe behavior disorders

In this article, the authors explicate concepts from psychodynamic developmental theory that can foster affirmative assessment and intervention with clients who have developmental disabilities and present severe behavior disorders. A case example illustrates how making bonding the primary goal of intervention appears to facilitate positive behavior change in these clients while reducing feelings of helplessness and discouragement in their caregivers.     

The place of ego building work in psychotherapy with children

Ego building is essentially a name given to a variety of interventions used to support an ego hampered by regression or deviation. The term has its roots in the concept of ego support but evolved specifically as a technical term in contemporary ego psychology closely connected with the developmental theory of separation individuation. Using four vignettes of psychotherapy work with children all of whom suffered from unresolved conflicts and developmental interferences from the separation-individuation process, an attempt is made to illustrate the technical place of ego building in psychotherapy with children. It is suggested that the use of ego building, particularly verbalizing adaptive aims facilitates an alliance, supports a safety feeling and positive self-esteem. This contributes to providing a treatment experience that reduces over-stimulation and anxiety and frees the expression and understanding of aggression which ultimately promotes separation-individuation.in private practice.This paper was presented at the Conference on the Continuing Evolution of Psychoanalytic Thought: Infancy to Adulthood, N.Y.C., Nov. 1990., sponsored by the Committee on Psychoanalysis of the National Federation of Societies for Clinical Social Work.     

Adoption of children with developmental disabilities.

United Methodist Family Services of Virginia placed 41 developmentally disabled children in adoptive homes between August 1985 and June 1988, representing a range of chronic emotional, intellectual, and physical disabilities. This article describes the need for specialized adoption programs for children with developmental disabilities and the methods used in placing these children. The obstacles to adoption of children with developmental disabilities are also discussed.     

Comparing developmental outcomes for children in care with those for other children in Canada

This study assessed the test–retest reliability and convergent validity of single items from the Assessment and Action Record (AAR), from Looking After Children (Ward, 1995). It also compared developmental outcomes of 43 children cared for by a Canadian child welfare agency and those of an approximate comparison group of 1,600 children from the National Longitudinal Survey of Children and Youth (Statistics Canada, 1995). High and low reliability and validity were found for different AAR items. The children in care had worse outcomes than the comparison children on indicators of educational success and negative behaviour, but not on measures of identity, social and family relationships, or prosocial behaviour.     

Recruiting adoptive parents for children with developmental disabilities

One agency describes a systematic approach to recruitment of prospective adoptive families for children with developmental disabilities. The recruitment methodology, preliminary conclusions, and implications for future recruitment of families are presented.     

Post-adoption needs of families adopting children with developmental disabilities

The post-adoption service use and needs of 125 families who had adopted children with developmental disabilities were examined using a structured mail questionnaire. Although satisfaction with services used was generally high, many families did not have access to basic family support services such as respite care, life planning and support groups. Income was the only demographic variable which correlated with service need. Middle income families (mean = $30,000 to $34,999) were more likely to need support groups and babysitting for other children than either lower or higher income groups. Of particular note in this study is the relatively high incidence of transracial adoptions. Thirty-one percent of the sample had adopted children of a different race than the family. The implications of the findings and service recommendations are discussed.     

Establishing auditory-tactile-visual equivalence classes in children with autism and developmental delays

The Analysis of Verbal Behavior - The current study sought to evaluate the efficacy of a stimulus equivalence training procedure in establishing auditory–tactile–visual stimulus classes...     

Sexual abuse allegations by children with neuropsychiatric disorders

All Swedish court cases from 2004 and 2006 concerning alleged child sexual abuse (sexual harassment excluded) were identified through criminal registers. Fourteen cases (one boy) concerned a child with a neuropsychiatric disorder. The diagnostic groups were mental retardation (10 cases), autism (three cases), and ADHD (one case). Psychiatric experts were engaged in only two cases. When experts were involved, the courts focused on credibility issues. When the courts applied neuropsychiatric arguments in the absence of an expert, they used developmental arguments. When the authors found that significant neuropsychiatric issues were not discussed by the court it concerned interpretations of symptoms and developmental standpoints. The results illustrate the complexity and pitfalls of drawing conclusions about associations between symptoms and personality characteristics on one side and accuracy of sexual abuse allegations on the other. Moreover, the results highlight the importance of a high quality system for providing courts with adequate neuropsychiatric knowledge.     

Developing positive self-concepts in institutionalized children with severe behavior disorders

This study investigated the capacity of one intervention--a modified creative dramatics program--for development of positive self-concept and creative expression in children. Using a sample of both institutionalized (n = 44) and noninstitutionalized (n = 38) children, the study indicated that the intervention group significantly improved on both self-concept and creative expression measures. The most improvement, moreover, was noted in subjects who were both institutionalized and behavior-disordered.     

Brief psychotherapy with children and adolescents: A developmental perspective

There are factors inherent in the developmental process that make brief therapy a particularly viable intervention for infants, children, adolescents and young adults. A more explicit examination of developmental principles can provide a foundation for better understanding the potential and the efficacy of brief psychotherapy for patients in these age ranges. A case example illustrates these ideas.Clinical Social Worker, Student Counseling and Resource Service, University of Chicago; and in private practice in Chicago.     

Multi-family psychoeducation groups in the treatment of children with mood disorders

This study examined the impact of adjunctive multi-family psychoeducation groups (MFPG) on mood-disordered children aged 8 to 11 and their families. Participants were 35 children and 47 parents from families randomly assigned to either immediate MFPG plus treatment as usual (n = 18) or a 6-month wait-list condition plus treatment as usual (n = 17). At the 6 month follow up, immediate treatment families reported: Increased parental knowledge about childhood mood symptoms; increased positive family interactions as reported by the parent; increased perceptions of parental support as reported by children; and increased utilization of appropriate services by families. Expected impact on decreasing negative family interactions was not found. Results are largely consistent with hypothesized findings and support the need to further investigate the adjunctive role of psychoeducation in the treatment of childhood mood disorders.     

Adoptive parents to children with severe developmental disabilities: A profile

A sample of 16 women and men who accompanied their adopted children with severe developmental disabilities to a medical appointment at Henry Ford Hospital's Multidisciplinary Care Clinic during the one-year period beginning July 1, 1988 are described in the context of their parental role vis-a-vis these children. Results of the study are presented through use of a six-part organizational scheme: demographic and social traits of the parents and their adopted children, the adopted children in family context, life satisfactions of the parents, adoption motives, adoption satisfactions, and humanization of the children.     

Maltreatment of children with developmental disabilities: An ecological systems analysis

The purpose of this review is to understand the risk factors for maltreatment of children with developmental disabilities. Using the Bronfrenbrenner's (1976, 1977) ecological systems framework, the authors examine how socio-demographic characteristics (age, gender, and special education), micro- (parent-child relationship and domestic violence), exo- (parenting stress, parents' social support, and area of residence), and macrosystems level (culturally defined parenting practices) factors influence or inhibit maltreatment of children with disabilities. The authors highlight major implications for practice and policy for maltreated children with disabilities.     

A qualitative analysis of child protective services practice with children with developmental disabilities

The purpose of this study was to examine Child Protection System (CPS) practice with children with developmental disabilities. This study used an emergent design, ethnographic interviews, purposive sampling, inductive data analysis, and grounded theory building. Ethnographic interviews were conducted with foster families, administrators, intake screeners, special investigators, and workers in one local CPS office. Participants expressed concern about the ability to identify disabilities, placement options, services to meet complex needs of children with disabilities, training and support for families, collaborative arrangements with other agencies, and disability training for CPS workers. Findings suggest strategies for improving CPS practice for children with developmental disabilities.     

Reassessing the developmental needs of children with learning disabilities: Programmatic implications

The complex growth patterns of children with learning disabilities place them at significant emotional and social risk in interpersonal, family, and institutional relationships. Programmatic interventions that address specific ego functions as well as an approach to a remedial and preventive program design to strengthen social and interactional skills are explored. The author proposes a program design to pair schools with community centers in order to provide opportunities for developing these skills.A version of this article was presented at the NASW School Social Work Conference, New Orleans, LA, January 31-February 3, 1985.     

A developmental perspective of gambling behavior in children and adolescents

Although it has been determined that gambling is a popular activity amongst the young, there seems to be a lack of studies examining developmental differences in children's gambling behavior. This study examines developmental differences in children's blackjack gambling behavior. One hundred and four students (51 males; 53 females) from grades 4, 6, and 8 completed a questionnaire examining their gambling behavior in general and individually played a computerized blackjack game with the following data being recorded: percentage of accuracy, amounts of money bet, gross winnings, percentage of wins, number of hands played, and end balance. Findings revealed few developmental differences in prevalence and frequency of gambling behavior and performance on a blackjack task. Males were found to wager greater amounts of money and have larger gross winnings than females on the blackjack task. Furthermore, males were more likely to view gambling as involving both large amounts of skill and luck, thus suggesting an illusion of control for gambling activities. The results are discussed from a cognitive developmental perspective.This research was partially supported by a grant from the McGill University Social Science Computer Committee. The authors would like to thank the administration, staff, and students in T.H. Bowes, Prince Charles, Souvenir, Gerald McShane, Our Lady of Pompei, Pierrefond Comprehensive High School, and Western Laval High School, for their participation and cooperation in this study.This is a revision of a paper presented at the Ninth International Conference on Gambling and Risk-Taking, Las Vegas, 1994.