Development of a framework for classifying threat and neglect in childhood: A qualitative study

Quantification of childhood adversity has typically involved a cumulative risk approach in which total number of discrete adversities serves as an index of overall risk. However, this approach fails to account for the growing evidence of differential outcomes following exposure to childhood adversities. An alternative approach adopts a dimensional perspective, with growing evidence for distinct developmental impacts associated with exposure to threat (violence/abuse) and deprivation (neglect). This study developed a framework for the classification of these dimensions through a thematic analysis of health practitioners' views and accounts of different forms of childhood adversity. Ten health practitioners experienced in working with children with challenging behaviours and neurodevelopmental disorders participated in semi-structured interviews regarding definitions and examples of six categories of adversity: physical/emotional/sexual abuse, physical/emotional neglect, and domestic and family violence. The qualitative analysis identified 23 themes across the six categories of adversity, along with two overarching themes regarding ambiguity of classifying exposures and non-specific outcomes of exposures. Themes were integrated to provide a framework and checklist for classifying indicators of exposure to threat and deprivation. The findings offer a framework and checklist for the assessment of threat and deprivation that will allow for further testing of the dimensional risk model.     

Looked after children's right to contact with birth parents: An Australian study

In Australia, there are more than 46 000 children in out-of-home care (OOHC). Most of these children have been in OOHC for more than 2 years. Similarly, there are more than 407 000 children in the United States and over 80 800 in England who are ‘looked after’ with approximately one third of these children being in OOHC for more than 2 years. This paper concerns ‘looked after’ children's rights to contact with their birth parents. The United Nations Convention on the Rights of the Child (UNCRC) requires child protection systems to recognize the rights of children to maintain contact with their families except where this is not in the child's ‘best interests’. In this paper, we report on a qualitative study conducted in Australia exploring legal and family support practitioners' perceptions of barriers to contact between children in OOHC and their birth parents. The thematic analysis identified four themes: These were as follows: a focus on systems driven responses; lack of cultural recognition and responsiveness; carers' disconnection from birth parents; and parents' exclusion. We discuss the implications of these findings for understanding and recognizing children's right to contact with birth parents.     

The distinction between provoked and unprovoked aggression in toddlerhood,and associations with empathy-related processes

Physical aggression in toddlerhood has received considerable attention in the past 20 years. The underlying theme has been that toddlers behave aggressively due to not yet being able to regulate their frustration. However, there is some evidence to suggest that early aggression can occur for other reasons. In this study, we tested the distinction between provoked and unprovoked aggression in toddlerhood, and examined whether different empathy-related processes would show unique associations with each type of aggression. Participants were 200 mothers of children aged 15–21 months (M_age = 18.32 months, SD = 1.75) who completed measures of provoked and unprovoked aggression, and empathy-related processes. We found that the two-factor aggression model fit the data well. In addition, when controlling for the overlap between other-oriented empathy and personal distress, other-oriented empathy demonstrated a negative association with unprovoked aggression, and personal distress showed a positive link with provoked aggression. Our findings underscore the importance of studying early physical aggression in a more nuanced way to better understand different functions it may serve in toddlerhood.     

Aggression in toddlers: Associations with temper loss and parent-child conflict

Using a normative US sample of 477 mothers of 6- to 24- month-old children, we explored the relations among toddlers’ physical aggression, child temper loss, and parent-child conflict to gain a better understanding of how aggression develops from infancy to toddlerhood. An inventory of specific aggressive acts was subject to factor analysis to test whether the acts clustered as hypothesized. Consistent with our hypothesis, confirmatory factor analyses supported the distinction between the two types of aggression, directed and exploratory physical aggression. Although the two types were correlated, they showed differential associations with temper loss and parent-child conflict consistent with theory. Directed aggression had a relatively stronger relation with child defiance and temper loss than did exploratory aggression. Moreover, the association between directed aggression and defiance was stronger for older children. The findings from this cross-sectional study provide preliminary support for two forms of early aggression that may differ in trajectory and context.