Child Mental Health

Question 1

what is a child with secure attachment more likely to be like

Answer 1

have more positive and fewer negative peer reactions and establish more and better friendships.

Question 2

what are children that are anxiously attached more likely to be like

Answer 2

tend to be followers rather than leaders, or to anxiously but unsuccessfully seek positive peer interaction, or appear aggressive and hostile

Question 3

what are the 4 aspects of attachment theory

Answer 3

Proximity Maintenance - The desire to be near the people we are attached to.

Safe Haven - Returning to the attachment figure for comfort and safety in the face of a fear or threat.

Secure Base - The attachment figure acts as a base of security from which the child can explore the surrounding environment.

Separation Distress - Anxiety that occurs in the absence of the attachment figure

Question 4

when attachment is assessed, how does secure attachment present

Answer 4

Child:
Readily explores, using carer as a secure base. Cries infrequently. Easily put down after being held. Confident.

Caregiver:
Appropriate response to upset, appropriate encouragement to explore, tuned in to child’s needs

Question 5

when attachment is assessed, how does anxious avoidant attachment present

Answer 5

Child:
Avoids or ignore the parent when he or she returns - showing little overt indications of an emotional response. Often, the stranger will not be treated much differently from the parent

Caregiver:
Disinterested, uncomfortable with showing affection but overly encourages separation/independence

Question 6

when attachment is assessed, how does anxious ambivalent avoidant attachment present

Answer 6

Child:
Explores little, wary of strangers. When the mother departs, the child is often highly distressed. The child is however generally ambivalent when she returns.

Caregiver:
Inconsistent/unpredictable responses

Question 7

what is the definition of temperament

Answer 7

Inherent, constitutionally-based characteristics that constitute the core of personality and influence directions for development.

Question 8

what are the dimensions of temperament

Answer 8

1) activity level
2) approach/withdrawal
3) adaptability
4) mood
5) threshold
6) intensity
7) distractibility
8) rhythmicity
9) attention span/persistence

Question 9

how is the family assessed and what are the aspects of this

Answer 9

The McMaster model

• Problem Solving
• Communication
• Roles
• Affective responsiveness
• Affective involvement
• Behaviour controls

Question 10

what are the Piaget stages of childhood

Answer 10

0-2 years - The Sensorimotor Stage
2-7 years - the Preoperational stage
7 - 11 years - the Concrete Operational stage
11 to adulthood - the Formal Operational stage

Question 11

what are the characteristics of Piaget

Answer 11

Egocentricism
Animism
Symbolism
Moral realism

Question 12

what is egocentricism

Answer 12

only able to consider things from their own point of view, and imagine that everyone shares this view, because it is the only one possible

Question 13

what is animism

Answer 13

belief that everything has some kind of consciousness.

Question 14

what is symbolism

Answer 14

when something is allowed to stand for or symbolise something else

Question 15

what is moral realism

Answer 15

belief that the child’s way of thinking about the difference between right and wrong, is shared by everyone else around them

Question 16

what are the 4 P’s of the formulation model

Answer 16

1P: Predisposing:
What are the risk factors that lead this person to be more likely to have the problem?

2P: Precipitating
What was it that contributed to this changing from a being just risk of a problem, to an actual problem?

3P: Perpetuating
What is keeping the problem going, or why isn’t it getting better?

4P: Protective
What is in the picture that might be preventing the problem from being even worse? What strengths can be built on, to result in improvements?

Question 17

what is Maslow’s hierarchy of need composed of

Answer 17

physiological needs
safety needs
love and belonging needs
esteem needs
self actualisation