everything Flashcards

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1
Q

what is the aim of developmental psychology?

A

aims to understand the changes that happen over time in cognitive, emotional and behavioural functioning of an individual due to environmental and genetic influences

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2
Q

what are some of the adult expectations/hopes about having children?

A

family heritage
providing economic help
provide fun and affection
adult status

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3
Q

what are 5 influences on child development (developmental framework)?

A
  1. biology
  2. individual context
  3. family
  4. society
  5. culture
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4
Q

what are some of the factors involved in biology as an influence on child development?

A

genes
brain
neuropsychological functioning

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5
Q

what are some of the factors involved in individual context as an influence on child development?

A
personality
characteristics
thoughts
emotions
temperament - surgency e,g impulsivity, negative affectivity e.g nervousness and effortful control e.g inhibit responses

cognitive, moral and emotional development and self-regulation

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6
Q

what are some of the factors involved in family as an influence on child development?

  • describe Bamrind’s typology of parenting styles?
A

(ost important influence)
parent-child relationships
siblings

Baumrind’s typology of parenting styles: warmth, level of expectations, clarity of rules and communication

all 4 is authoritative, none is neglecting

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7
Q

what are some of the factors involved in society as an influence on child development?

  • explain the 3 stages in friendship development
A

peer relationships
friendship vs rejection

friendships:
Reward-cost stage (7-9 years) - expect friends to be helpful and share same interests

normative stage (10-11 years) - expect friends to admire them and commitment

expathic stage (12-13 years) - expect friends to be understanding and have self-disclosure

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8
Q

what are some of the factors involved in culture as an influence on child development?

  • universal transtion points and explanations
A

poverty, race, immigration

universal transition points during 2nd year (when children become autonomous and start saying no), 6-7 (not known why) and puberty (physical and emotional changes)

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9
Q

what is also important apart from the 5 factors in development of a child?

A

the age of the child relative to the parents

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10
Q

give an example of a study regarding influence of parents and peers on children?

A

Kandel, 1973

found if parents were users of marijuana but best friends not then 17% of adolescents likely to smoke

if best friends did but parents didn’t then 56%

when parents and best friends users then 67%

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11
Q

name the 6 psychopathological/child development models?

A
medical
behavioural
social learning
cognitive
psychoanalytic
family systems
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12
Q

what is involved in the medical model to explain psychopathology?

  • a limitation of this model?
A

emphasis on organic dysfunctions and diagnoses (same as for physical illness)

BUT environmental factors can alter biology e.g high stress levels

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13
Q

give an example of a study displaying relationship between environment and child’s cortisol levels?

(supporting limitation of medical model being that environment affects biology)

A

Cicchetti & Rogosch, 2001

maltreated children with internalising problems (depression and anxiety) had higher cortisol levels (stress hormone) and higher for maltreated boys with externalising problems (e.g ADHD)

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14
Q

describe the difference between internalising and externalising disorders?

A

internalising - depressionand anxiety as internalises sadness

externalising - ADHD as main focus outside of individual e.g becoming aggressive

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15
Q

what is involved in the behavioural model to explain learning and psychopathology?

  • 3 types of learning
  • how all beh. occurs
  • consequences influencing behaviour
  • explaining psychopathology
A

emphasis on learning principles of:

  1. conditioning - generalise past experiences to new situations
  2. habituation - disinterested in same stimulus repeated so learn through interest of new stimuli
  3. statistical learning - likelihood that event will follow another e.g sound of cooking leading to food

and every beh. learnt, maintained or changed

shaped by consequences: reinforcement, punishment, avoidance or imitation

psychopathologies distinguished based on frequency/intensity of maladaptive behaviour:
deficit e.g autism and lacking social qualities
excess e.g OCD and performing beh. excessively

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16
Q

what is involved in the social learning theory model to explain psychopathology?

A

emphasis on individual’s as active agents in their environment and cognitive processes

reciprocal determinism - mutual influence of person on environment and vice versa

self-efficacy

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17
Q

describe Piaget’s stages of cognitive development as part of the cognitive model of child development?

A

Piaget’s stages of cognitive development:

  1. sensorimotor (birth-2): learn about objects and cause&effect
  2. preoperational (2-7): understand language
  3. concrete operational (7-11): solving problems
  4. formal operational (adolescence-adulthood): think in abstract way
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18
Q

describe PIaget’s theory of cognitive development as part of the cognitive model of child development?

A

PIaget’s theory of cognitive development:
schema - building blocks of knowledge to help understand and predict enviro
assimilation - incorportation of new info into existing schema
accommodation - altering of schema to take into account new info
equilibrium - cog development reults from balance between assimilation and accommodation

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19
Q

give examples of cognitive mechanisms as part of the cognitive model of child development?

A

processes - object recognition and memory which change as they grow

strategies - to problem solve and adopt to new situations more effectively e.g using chair to reach object

metacognition - reflection (advanced cog strategy)

knowledge - better position to learn and form associations between old and new info

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20
Q

what is involved in the psychoanalytic model to explain child development?

  • Erickson’s theory of psychosocial development
A

stage 1: trust vs mistrust (12 months) learn to trust and if not hard in future to form close relationships

stage 2: autonomy vs shame (1-3 and 1/2) autonomy leads to confidence but if enviro punishes autonomy then develop sense of shame about beh.

stage 3: initiative vs guilt (4-6) modelling and internalising parents expectations and if don’t meet then guilt

stage 4: industry vs inferiority (6-puberty) success leads to confidence but if rejected by peers (unsuccessful) then inferior and lack confidence

stage 5: identity vs role confusion (adolescence) clear about identity, goals and morals to avoid role confusion

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21
Q

what is involved in the family systems model to explain child development?

A

homeostasis = families keeping structure even in times of change

subsystems e.g parent-child and siblings

personality stems from having different relationships with different members and enviro

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22
Q

describe the boundaries explanation in the family systems model to explain child development and psychopathology?

A
  1. clear boundaries - lots of autonomy as know expectations and limits
  2. rigid boundaries - don’t feel free to express oneself as strict roles
  3. enmeshment - members don’t differentiate and emotionally over-involved so attempts at individuation perceived by family as threat and can result in anxiety
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23
Q

explain the 3 dysfunctional family systems in family systems model to explain psychopathology?

A
  1. parent-child coalition - one parent forms coalition with child and excludes other parent
  2. triangulation - child caught in middle of parents
  3. detouring - parents focus on child’s beh. to escape from problems in marital relationship
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24
Q

brief explanation of causes of psychopathology in each of the models?

A

medical - organic dysfunctions

behavioural & SLT - reinforcement/modelling of maladaptive beh.

cognitive - under/over stimulation

psychoanalytic - problems with mastery experiences

family systems - problems with boundaries

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25
Q

what are 5 characteristics of psychopathology models?

A
organisational perspective
continuity vs discontinuity
developmental pathways
transactions
mutlifinality and equifinality
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26
Q

describe the organisational perspective as a characteristic of psychopathology models?

A

development is hierarchical - increases in complexity and oragnisation (e.g Piaget’s theory of cog development)

stage-salient issues - need to be addressed for development to move onto next stage

stage-salient events - can lead to strengths or vulnerabilities

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27
Q

describe continuity vs discontinuity as a characteristic of psychopathology models?

A

Romanian orphan adoption study (Rutter, 1998) found generally those adopted after 6 months had poorer cognitive development

although some catch up between 6-11 for bottom 15%

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28
Q

describe the developmental pathways as a characteristic of psychopathology models?

A

3 different pathways for mental disorders associated with conduct problems:

  1. life-course persistent (worst outcomes)
  2. adolescent-onset (due to expansion of amount of friends and adopting conduct problem behaviours from them)
  3. childhood-limited
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29
Q

describe the transactional model as a characteristic of psychopathology models?

A

1975
bidirectional links between parents and childs beh.

parent driven effects: proactive parenting longitudinally associated with decreased levels of behavioural problems in children (Denham et al., 2000)
remote father-infant interactions at 3 months predicted increased behavioural problems at 1 years (Ramchandani et al., 2013)

child driven effects:
boys with condcut disorders elicited more demands and neg reposnses when interacting with mothers and mothers of controls (Anderson, Lytton & Romney., 1986)

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30
Q

describe multifinality as a characteristic of psychopathology models?

A

Cicchetti &; Rogosch, 1996

particular risk factors may ead to different child outcomes

e.g depression in parents -> emotional problems/behavioural problems

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31
Q

describe equifinality as a characteristic of psychopathology models?

A

Cicchetti &; Rogosch, 1996

different risk factors may lead to same developmental outcomes
e.g harsh parenting, parental psychopathology and poverty may all lead to child behavioural problems

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32
Q

what is Vygotsky’s theory of cognitive development called?

and what is the main difference between his and Piaget’s theory?

A

the sociocultural approach

Vygotsky not interested in children’s capabilities at different points in time but what they can achieve cognitively when capabilities e.g memory improved through social interactions (social and cultural)

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33
Q

what methods did Vygotsky use amongst illiterate people to understand level of ognitive development?

A

used syllogism - required to use logic
illiterate people unuable to answer question requiring logic as concrete not abstract way of thinking
also didn’t understand why asking question if they knew the answer

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34
Q

in Vygotsky’s theory of development, what is meant by ‘mediators’?

A

mediators are tools such as language and writing which assist thinking processes (e.g to understand others and access ideas)

help children become more effective probem solvers and understand the world

use different mediators depending on child’s age

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35
Q

describe the mediator of ‘play’ as seen by Vygotsky?

A

pretend play facilitates imaginative thinking as children act out situations they don’t understand and learn rules in a non punishing situation
can practice skills

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36
Q

in Vygotsky’s theory of development, what is meant by ‘functions’?

A

elementary mental functions - basic cognitive abilities: memory, perception and attention - biological (babies born with these capacities) and occur spontaneously

higher mental functions - due to social interactions: problem solving and voluntary action - require several cognitive processes and mediators

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37
Q

in Vygotsky’s theory of development, what is meant by ‘the zone of proximal development (ZPD)’?

A

illustrates how cog development is determined by child’s iinteractions by more experienced adults

enables assessment of child’s potential when conditions are optimal

what they can do with assistance, pans out to what they can do with help of adult (ZPD), pans out to beyond child’s current level

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38
Q

in Vygotsky’s theory of development, what is meant by ‘egocentric speech’?

A

form of self-directed dialogue to helop child solve problems and directs the thining processes and activities

transformed into inner speech with maturation

goes from irrelevant to task -> relevant to task-> using inner speech to solve problems

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39
Q

what is Piaget’s contrasting view (to Vygotsky) about egocentric speech?

A

reflects child’s egocentrism and has no use at all (actually a limit of preoperational stage)

shows deficits in child’s thinking and serves no function

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40
Q

what are the 5 contributions of Vygotsky to education?

A
  1. scaffolding
  2. reciprocal instrucition
  3. community of learners
  4. guided participation
  5. intent community participation
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41
Q

what is scaffolding as one of Vygotsky’s contributions to education?

findings?

A

more knowledgeable person adjusts amount and type of support offered to child to fit learning needs over course of interaction (to complete a task for example)

e.g if child doing well with a puzzle then parent temporarily stops giving assistance

scaffolding had indirect effect on child’s executive functions at 4 through child’s verbal ability at age 3 (increases cognitive ability through language)

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42
Q

what is reciprocal instruction as one of Vygotsky’s contributions to education?

A

based on ZPD and scaffolding

tutoring approach for reading comprehension where learner and tutor work together and tutor teaches skills critical in reading comprehension

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43
Q

what is community of learners as one of Vygotsky’s contributions to education?

A

approach to classroom learning
children and adults should collabrate in joint activities as chilren varying in skills and knowledge learn from each other
teacher is guided but also participates in learning process

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44
Q

what is guided participation as one of Vygotsky’s contributions to education?

A

learning that occurs during everyday activities

adults guided child’s attention and involvement in activites and focuses

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45
Q

what is intent community participation as one of Vygotsky’s contributions to education?

A

intent community participation - participate in authentic activities with aim of learning about activity

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46
Q

what are some strengths of Vygotsky’s theory?

A

any practical implications for child’s cognitive development within education system

shifts focus from solely individual to social and cultural contexts iin which social interactions benefit development

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47
Q

what are some weaknesses of Vygotsky’s theory?

A

didn’t look at what ways the child’s development may affect culture

assistance from adults may undermine abilitiy to work independently

didn’t look at how emotional development impacts cognitive developmente.g whether securely attached kids excel more cognitively

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48
Q

what are the 3 areas in which moral development takes placeand describe them?

A
  1. affective - feelings about moral issues (e.g superego)
  2. behavioural - what people actually do when confronted with moral dilemma
  3. cognitive - how you reason about moral issues (Piaget and Kohlberg)
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49
Q

what does Lewis (2007) suggest about emotional development at different ages?

A

6 months - joy, anger, sadness - basic emotions

2 years - embarrasment (non evaluative), empathy and consciousness

3 years - embarrassment (evaluative), shame and acquisition of rules and standards

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50
Q

briefly describe elements of the affective aspect of moral development?

A

shame and guilt are mechanisms for internalisation of social and moral values

require self-reflection therefore preventing child performing action again

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51
Q

difference between shame and guilt as mechanisms for internaliation of moral values?

A

shame - public exposure and disapproval and negative evaluation of whole self - results in separation and anger

guilt - private conscious experience and negative evaluation of specific behaviour - results in apologies and corrective action

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52
Q

what are the 3 stages in Piaget’s theory of development of moral reasoning?

A
  1. amoral/premoral - first 5 years - little concern for rules
  2. moral realism - 6-10 years - see rules as unchangeable and concerned for them
  3. autonomous morality/morality of reciprocity - from 10/11 years - concerned for rules but understand they can be changed and believe in fairness
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53
Q

what are Kohlberg’s categories and stages of moral development?

A

pre-conventional morality - responsive to rules but sees them as pleasant or unpleasant
stage 1. obedience/punishment orientation
stage 2. self-interest orientation

conventional - internlise parents viewed and focused on pleasing them
stage 3. social conformity
stage 4. law and order

post-conventional - believe in fairness and flexibility of rules
stage 5. social contract
stage 6. universal ethics

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54
Q

how did Kohlberg believe one can promote moral development?

A

children need to be more active to reorganise thinking
organised discussion groups where children solve moral issues where arguments a level above childrens current competence

creates cognitive conflict as information discrepant from their view - resolve this by forming a more advanced and comprehensive position (development)

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55
Q

describe finding by Bloom, Wynn and Hamlin (2010) regarding 3 month olds and prosocial tendencies?

A

3 month olds preferred a character that helped climber up the hill over one that pushed it down (measured by amount of loooking at the character)

didn’t prefer character which pushed inanimate object up hill over one that pushed it down

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56
Q

what did Hamlin, Dunn and Aknin (2012) find about happiness levels when giving treats to puppets (prosocial tendencies)?

A

found toddlers had highest level of happiness when giving their own treat to puppet over receiving the treats themselves

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57
Q

what are some factors involved in theory of mind?

A
understanding:
appearance versus reality
dreams
intentions
deception
self and others are psychological well beings

grasping what the mind is and what the mind does

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58
Q

what is meant by Piaget’s 3 mountains task?

A

children have difficulty understanding that person sitting on otherside will have a different view of the mountains than they do
looking at the cognitive aspect of perspective taking

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59
Q

how did Piaget view children below 7?

A

egocentric
can’t understand other’s mental states and intentions
can’t take others’ perspectives (3 mountains task)

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60
Q

why may Piaget’s conclusion that those younger than 6 have no appreciation of mental life at all be wrong?

  • describe some ways in which 3 year olds do demonstrate lack of theory of mind development?
  • babies?
  • 4 y/os?
A

suggesting they don’t have theory of mind

3 y/o do make some mistakes in ToM tasks (e.g put finger through safe box despite knowing pretend game, imaginary friends, not understanding in hide and seek that they can see you even if you cant see them and saying friend would guess pencil in smarties box as not grasping concept of false belief) but still able to understand that the mind consists of thoughts

even babies have some understanding of ToM e.g intentions of others and discriminate between stranger and mother after 2 days and show preference for patterned over plain and humans over patterned stimuli at a couple of weeks

at 4 have representational theory of mind, helping with conceptual understanding of mental states of others, false beliefs, appearnace from reality and rules from which they predict behaviour

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61
Q

describe a method of measuring whether children understand theconcept of having false beliefs?

A

children told that boy puts chocolate in drawer but whilst he’s out, mother moves it, then asked where will he look for it?

those who answer the drawer as opposed to the new location recognise consequences of a person’s having a flase belief (element of theory of mind)

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62
Q

what are some issues in the type of meotholody used to test young children’s theory of mind?

A

child might not fully understand the question being asked, therefore giving an incorrect answer

may have theory of mind just not able to communicate it in an effective way through their language

might respond differently depending on person asking (mum vs teacher)

answers don’t allow for degree of performace to be assessed as either right or wrong answer given, not ‘half way there’

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63
Q

what did Hughes et al, 2005, find regarding nature vs nurture in theory of mind in twin study?

conclusion?

A

116 5 y/o twins

contributions to theory of mind:
44% due to non shared environment
41% shared environment
15% due to genetics

suggesting genes aren’t that important and more to do with family environment and friends, school etc (non-shared)

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64
Q

what is meant by ‘modularity’ when understanding the development of theory of mind?

A

have module in brain facilitating understanding of minds as responsible for processing theory of mind informaton and that about states of others

becomes advanced at about 4 y/o but unsure whether active before 4

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65
Q

discuss the importance of siblings in theory of mind development?

A

Perner et al, 1994 found 3 y/os with sibling were more likely to be correct in false belief task than those without

maybe due to being exposed to mental states when interacting with sibling

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66
Q

discuss the importance of family environment in theory of mind development?

A

may encourage children through questions and scenarios to think about emotional responses of others, allowing them to be in better position to understand mental states of others

development therefore facilitated through asking the right questions and explaining them

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67
Q

is theory of mind universal?

A

Avis & Harris, 1991
found kids from different cultures above 5 predominatly correctly recognised false belief in scenario whereas younger children did not

also, children of 4 from west and japan unable to understand difference between real feelings and apparent emotion (facial expression) whereas 6 y/os did

suggests biological in origin and supports modularity in brain for processing such information

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68
Q

list some facts about autism?

A

pervasive developmental disorder characterised by impairments in several areas of development
on a spectrum with Asperger’s at the higher end
autistic behaviours present before age 3

2/3 will have IQ identifying them as having learning difficulties (>70)

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69
Q

several factors necessary for the diagnosis of autism?

A

difficulty with social relationships, verbal and non-verbal communication, development of play and imagination

resistance to change in routine

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70
Q

what does Wing & Gould’s 1979 triad of impairments related to autism contain?

A
  1. socialisation
  2. communication
  3. imagination
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71
Q

describe socialisation in autistic children?

1/3 in triad of impairments

A

social isolation as inability to relate to others

impairments in joint attention (following anothers gaze to an object) and social orienting (following gaze aorund a room)

4 groups:
aloof - withdrawn and don’t interact or respond and passive
passive - more responsive, very compliant and passive/indifferent
active but odd - ask inappropriate questions, don’t register feedback from others and don’t understand social norms
formal - no learning difficulties but respond in very rigid and formal way even to parents, not understanding norms

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72
Q

describe features of communication in autistic children?

1/3 in triad of impairments

A

elective mutism - don’t speak despite being capable (1/2)
echolalic speech - repeat others words
pronoun reversal - confuse you and I
lack of prosody - fall/rise in voice to express emotions
lack of gestures - nodding of head
difficulty at reading faces as gaze rests on chin not eyes

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73
Q

describe imagination in autistic children?

1/3 in triad of impairments

A
rigid behaviour
sameness (rock back and forth)
resistance to change
narrow area of interests
sensory processing difficulties e.g hypersensitivies/hypo to pain and sound
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74
Q

what is used to measure autism in children and which specific behaviours associated with increased risk for beind diagnosed?

A

checklist for autism on toddlers (CHAT)

no positive responses to:

  1. protodeclarative pointing - using index finger to point
  2. gaze monitoring - looking at person not object (1st birthday party video emphasised this)
  3. pretend play
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75
Q

stats on autism?

A

ranges from in in every 2000/1000/500

every increasing due to better recognition and widening of criteria for diagnosis and less stigma attached

boys outnumber girls (4:1)
low cog functioning (2boys:1 girl)
high cog functioning (15 boys:1girl)

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76
Q

evidence supporting MMR vaccine and infections during pregnancy as causes for autism?

A

no empirical evidence supporting either of these causes

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77
Q

evidence supporting refrigerator parenting as a cause for autism?

A

meaning cold, rejecting and emotionally unavailable

BUT concordance rates between siblings/non-identical twins 3%
whereas for identical between 30-80%
suggesting not due to parenting style as % woud be more similar (suggesting genetic)

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78
Q

evidence supporting fetal testosterone as a cause for autism?

A

Auyeung, Taylor, Hackett & Baron-Cohen, 2010

higher fetal testosterone (in amniotic fluid) associated with higher levels of autistic symptoms in both genders
especially for boys

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79
Q

descrbe empathising and systemising in those with autism?

and executive functions?

A

have below average empathy
have above average systemising as prefer closed systems which are highly predictable e.g maths and computers

perform poorly on executive function tasks - display difficulties with planning and set-shifting

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80
Q

why are people with austism expected to fail the false belief test?

results of Sally-Ann test?
issues with this test?

A

predicted to fail as needs functions that are impaired in WIng and Gould’s triad:

socialisation - difficulty with social relationships
communication - literalness
imagination - inability to suspend disbelief

Baron-Cohen et al, 1985
found those with autism had mean verbal mental age of 5.5 but actual age of 12 (similar results in Leslie&Frith’s test, 1988)
BUT might have been unable to get involved with story requiring them to suspend disbelief/ doll has no mind so question is meaningless

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81
Q

findings from Mitchell & Isaac’s 1994 task for autistic children?

A

asked about giving mum a bag of wool she wants despite them being swapped around

autistic kids gave correct answer

ecological validity as potential real life situation

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82
Q

explanaiton behind autistic children’s tendency to be ‘naively honest’?

example of this in a study?

A

don’t understand false beliefs so don’t lie

therefore, understanding that lies serve to conceal the truth might only be possible if you understand that others hold beliefs that can be true or false

e.g in Sodian & Firths’s 1992 experiment, autistic kids unable to lie to ‘nasty thief’ about where treat lay, but were able to lock him in box to prevent him getting what he wanted

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83
Q

describe the ‘central coherence explanation’ to autism?

advantages of this theory?

A

Francesca Happe proposed this

autism charcterised by a weak central coherence - inability to process information in context to get the gist, pull information all together to extract higher meaning at expense of memory

advantages:
skills and shortcomings are explained
predicts range of superior skills and deficits

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84
Q

describe perceptual processing as related to autism and an example of this?

A

not susceptible to Titchener circles (dot inside looks bigger/smaller but actually the same size)

due to tendency to focus on every detail, so despite not understanding bigger picture, able to process individual details accurately of stimuli

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85
Q

describe the results of verbal-semantic coherence tasks in those with autism?

A

e.g the sea tastes of salt and …

relies upon noting context of sentence but might say ‘pepper’ as use words associated and don’t look at bigger picture

normal kids put sentence in wider context to solve problem

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86
Q

what is meant by autists having ‘savant skills’?

A

unusually common in autistic populations to reach absolute pitch at a specific ability (remarkable abilities)

e.g in memory of a specific thing or music

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87
Q

brielfy describe Harlow’s experiment?

A

monkey’s separated fromo their natural mothers
given either wire mother with feeding bottle or mother with no food but soft cloth

found monkeys preferred soft mother and ‘contact comfort’

1958

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88
Q

what is Bowlby’s theory of attachment?

A

that infants are biologically programmed to form attachments with caregivers for survival

attachment therefore innate primary drive

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89
Q

describe the 6 stages of attachment defined by SLater & Bremner, 2011?

A

0-2 weeks : prefer listening to human voices over other sounds

2-4 weeks : prefer to listen to mother’s voice over other humans and establish eye contact

3-6 months : use social smile

6-9 months : use preferential smile (at caregivers not others) and experience separation anxiety

12-24 months : seek proximity to caregiver

3 years : goal-directed partnership between child & caregiver

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90
Q

what are the key infant behaviours studied within Ainsworth’s Strange Situation for attachment classification (1970)?

A
proximity seeking
contact maintenance
resistance
avoidance
behaviour upon reunion

measuring between 9-18 months

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91
Q

what were the 3 types of attachment accoding to Ainsowrth et al., 1978 original coding scheme?

4th added later?

A

secure
insecure-avoidant
isecure-resistant/ambivalent attachment

4th disorganised

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92
Q

describe behaviours exhibited by securely attached children?

A

interact with unfamiliar adult
seek proximity to but are able to separate from caregiver
able to return to play and great caregiver positively

56-80% of children in normative population are securely attached

93
Q

describe behaviours exhibited by insecure-avoidant children?

A

ignore parents when reunited by avoiding eye contact and proximity
no preference between caregiver and stranger
explore room freely

16-28% of infants in normative population

94
Q

describe behaviours exhibited by insecure-resistant/ambivalent children?

A

preoccupied with caregiver (lack of exploration and excessive proximity seeking)
distressed by separation and not easily soothed on reunion
resist attempts at closeness on reunion

6-12% of infants in normative populations

95
Q

describe behaviours exhibited by disorganised attached children?

A

inconsistent behaviour and strategy for dealing with caregiver
wander around/fearful in presence of caregiver and may freeze when approaching them

high proportion in maltreating families and as such have positive correlation with psychopathology in the future

96
Q

how is attachment measured in older children?

why are these methods used?

weakness?

A
  1. Q-Sort: caregiver asked to sort cards with child’s characteristics into categories
  2. projective methods: e.g acting out scenarios with dolls house and doll or describing what they see in photographs ranging from mildly stressful to more so for attachment scenes
    - weakness with this is if imaginary scenarios are able to elicit and reflect real life attachment behaviours i.e would they act the same as they do with the doll etc.
  • can no longer use Strange Situation to classify attachment type with older children as lots of experience with separation compared to 1 year olds (school)
97
Q

how is attachment assessed in adults?

A

Adult Attachment Interview (AAI) is a semi-structured interview

asked about separation or rejection instances as a child, relationship with parents

98
Q

describe the 4 attachment types in adults corresponding to child attachment types?

A
  1. autonomous (secure) - value close relationships and coherent account of childhood
  2. dismissing (avoidant) - deny value of attachment and have idealised representations of attachment relationships
  3. preoccupied (resistant) - unable to move on from experiences and over-involved with early attachment relationships
  4. unresolved (disorganised) - haven’t resolved feelings regardig negative event in childhood e.g death or abuse
99
Q

name several factors influencing attachment classification in infants and children?

A
parenting
intergenerational transmission of attachment
temperament of child
parental psychopathology
culture
100
Q

describe how parenting influences attachment?

A

Wolff & Ijzendoorn, 1997:
meta-analysis of 1000 mother-child pairs found positive correlation (.24) between sensitive parenting (understanding and responding to babies needs) and secure attachments
however, not that strong a correlation so other factors influencing

avoidant - distance and anger during closeness

resistant - unpredictability between closeness or irritability

disorganised - confusing cues and behave in frightening ways (cues in abusive households)

101
Q

describe how intergenerational transmission of attachment influences attachment?

  • alternative explanation?
A

attachments mothers had as child shapes how they interact with their children, reflecting in child’s own attachment

e.g dismissing to insecure avoidant child as mother denies value of her own attachment needs

due to developing internal working models of first attachments which dictate how we form future relationships as base them off these (however some individuals overcome insecure ones to form secure relationships in future-resilient)

may also be due to biological factors as shared genes

102
Q

describe how child’s temperament influences attachment?

A

temperament = personality of baby expressed in ways such as mood and activity levels

significant correlation between good mood and little difficulty and security of attachment

103
Q

describe how parental psychopathology influences attachment?

A

Cicchetti et al., 1998
findings that children with depressed mothers more likely to be insecurely attached than children with normal mothers as more likely to interact with babies inappropriately e.g over intrusive or not very often

Hobson et al., 2005:
found children of mothers with BPD more likely to be categorised as disorganised due to being less available for positive interaction and unstable mood (behaving in confusing and frightening ways)

104
Q

describe how culture influences attachment?

A

e. g germany focus on independence of children so reduced interaction, leading to much higher % avoidant (49% compared to UK 22%)
e. g Japanese mothers highly involved with babies and rarely separated so leads to excessive resistance behaviour as lack of experience, leading to much higher % of resistant (32% compared to 3% in UK)

105
Q

link between attachment and children’s social/cognitive development?

A

associations between secure attachment and better soc/cog development due to more social support, positive peer relationships and motivation

disorganised attachment and poorer soc/cog development

106
Q

link between attachment and children’s emotion competence?

A

e.g ability to experience/express emotions and manage them

association betwen secure attachment and increased emotion competence due to parent-child discussions and validation of emotions and positive peer relationships

107
Q

link between attachment type and internalising/externalising problems?

A

positive correlation betwen insecure attachment and anxiety (internalising) symptoms .3 (Colonenesi et al., 2011)

positive correlation .31 between insecure attachment and behavioural (externalising) problems

  • much higher for boys and disorganised attachment and when observation assessment (methodological problem?)
  • also argued increased risk only when other risk factors present e.g lack of father or poor economic status
108
Q

mechanisms explaining link between insecure attachment and children’s psychopathology?

A

attachment anxiety:
up-regulation of negative affect (over control neg emotions)
vigilance to threatening stimuli
decreased perceived others’ responsiveness

attachment avoidance:
down-regulation of negative affect (no attempt to control neg emotions)
self-reliance
decreased social support and perceived others’ responsiveness

both lead to feeling more negative due to undertaking extreme behaviours regarding negative feelings (up/down regulation) which may lead to internalising/externalising problems

109
Q

describe stability of attachment when using the strange situation?

explain why attachment may have changed/stayed the same during this time?

A

20 years after completing strange situation at 12 months, 32/50 had same attachment classification (Waters et al., 2000)

meaning 36% had changed attachment

due to:

  • negative external events e.g divorce
  • answering adult attachment test in certain way so not objective
  • attachment type may lead to exerting influences on environment e.g friends chosen, which reinforce attachment, keeping it the same
  • parents may manipulate how child feels about other parent
110
Q

name 4 attachment based preventive interventions?

A
  1. child-parent psychotheraoy (CPP)
  2. video-based intervention to promote positive parenting (VIPP)
  3. the circle of security (COS)
  4. attachment and biobehavioural catch-up (ABC)
111
Q

describe child-parent psychotherapy as an attachment based preventive intervention?

A

for impoverished/traumatised families and <5y/o
focuses on parents childhood experiences and current parenting behaviour
explores current stressful situations and encourages emotional communication between parent-child

found to decrease:
disorganised attachment and PTSD symptoms

112
Q

describe video based intervention to promote positive parenting as an attachment based preventive intervention?

A

home based for <12 months
parent and therapist look at hand-written and video material
focusing on sensitivity and responding

found to increase:
sensitivity of parent
child’s secure attachment

113
Q

describe the circle of security as an attachment based preventive intervention?

A

craegivers review parenting videos and attachment-related
reflect on their children’s needs and when to respond to them (reassurance vs exploration)
discuss parenting difficulties with other parents

found to increase:
security of attachment

114
Q

describe attachment and biobehavioural catch-up as an attachment based preventive intervention?

A

for foster parents and high risk population infants between 6-24 months

focuses on main challenges foster parents face:
children rejecting care, being frightened by parenting behaviours and difficulties providing nurturing care

found to:
improve attachment and emotional relationship
reduce cortisol levels (stress hormone) in children
reduce child negative affect during challenging situations

115
Q

difference in results when using parent education program compared to others and toddlers program?

A

MTP = aims to increase reflective functioning and decrease harsh parenting

for substance using mothers
MTP had increased scores for caregiving behaviours and higher communication

Suchmann et al., 2011

116
Q

what is Reactive Attachment Disorder?

what are the subtypes and what are they characterised by?

A

an attachment related disorder related to social deprivation/neglect beginning before 5y/o

either inhibited emotionally withdrawn - failure to initiate and respond to social interactions and inhibted/contradictory responses - predominantly those raised in institutions and related to quality of caregiving
or disinhibited/indiscriminately social - inability to exhibit appropriate selective attachments e.g excessive familiarity with strangers - identifiable in those raised within institutions and those adopted outside of institutions so not related to quality of caregiving

117
Q

prevalence of Reactive Attachment Disorder? (attachment related disorder)

A

in a deprived childhood population
prevalent in 1.4%

all of these had comorbid problems e.g 54% ADHD and 31% conduct problems

Minnis et al. 2013

118
Q

what are the 2 types and definitions of ‘self’ and what do they encompass?

A

i-self (subjective)
- focus on subjective experience
- stable identity over time and different situations
- sets goals and strives to achieve them
(how this is conceptualised leads to different me-self descriptions)

me-self (objective)

  • characteristics can be discovered through self-reflection and observations
  • contains different dimensions of personal attributes e.g material self (looks), social self (friends) and spriritual self (values)
119
Q

how is the sense of ‘self’ developed in babies?

A

develops from both social interactions/stimulation (socially constructed)

and through cognitive capabilities e.g object permanence - at 9 months understand that objects exist even when not present e.g when behind a screen or when mother not present

120
Q

what are the 4 parts of the ‘i-self’?

A
  1. self-awareness - understanding our emotions and thoughts
  2. self-agency - ownership of one’s behaviour
  3. self-continuity - person is the same
  4. self-coherence - slef has a single and coherent dimension
121
Q

example of an experiment showing how sense of self develops from social interactions as babies?

A

Tronick’s still face experiment

baby used to receiving feedback from caregivers, as shown by still face of mother leading to visible signs of distress from the infant
suggesting need to be socially responded to to develop

122
Q

example of an experiment to determine whether infants have developed sense of ‘me-self’?

A

rouge on nose test

small amount of rouge put on babies nose and then placed in front of mirror

if infant touches their nose as opposed to the reflection nose then have acquired self-concept (me-self as object)

majority of 2 y/o touched noses
whereas none of the 1 y/o touched their nose

123
Q

describe the concept of self in 3-4 y/os (early childhood)?

  • through asking children to write passages about themselves
  • salient content
  • structure
  • valence and accuracy
  • nature of comparisons
  • sensitivity to others
A

salient content: name simple attributes and observable characteristics

structure: isolated representations and lack of coherence (all-or-none thinking)

valence and accuracy: unrealistically positive and not distinguishing between real and ideal selves

nature of comparisons: no direct comparisons

sensitivity to others: anticipation of adult reactions (praise)

124
Q

describe the concept of self in 5-7 y/os (middle childhood)?

  • through asking children to write a passage about themselves
  • salient content
  • structure
  • valence and accuracy
  • nature of comparisons
  • sensitivity to others
A
  • salient content: lots of attributes and specific competencies
  • structure: links between representations which are typically opposites (all-or-none thinking)
  • valence and accuracy: typically positive and inaccuracies persist
  • nature of comparisons: temporal comparisons with younger self and wth age mates
  • sensitivity to others: recognition others are evaluating the self and others’ standards becoming self-guides in regulation of behaviour
125
Q

describe the concept of self in 8-11 y/os (late childhood)?

  • through asking children to write a passage about themselves
  • salient content
  • structure
  • valence and accuracy
  • nature of comparisons
  • sensitivity to others
A
  • salient content: traits labels focusing on abilities and interpersonal characteristics, comparative assessments with peers and global evaluation of worth
  • structure: higher order generalisations which encompass several behaviours and ability to integrate opposing attributes
  • valence and accuracy: both neg and pos evaluations, greater accuracy
  • nature of comparisons: social comparison for purpose of self-evaluation
  • sensitivity to others: internalisation of others’ opinions and standards which function as self-guides
126
Q

difference between childhood theory of self and adolescent?

A

adolescent theory of self more mature and greater coherence and internal consistency and role related attributes

127
Q

define self-regulation?

A

child’s ability to modulate behaviour according t the demands of a situation

128
Q

what are the names of the 5 domains of self-regulation?

A
  1. physiological regulation
  2. attentional regulation
  3. behavioural regulation
  4. executive control
  5. emotion regulation
129
Q

describe the features of physiological regulation?

  • as one of the five domains of self-regulation
A

emphasises that biological maturation is key in emotional and behavioural regulation

the Respiratory Sinus Arrhythmia (RSA) is a marker of physiological regulation

  • high RSA/greater HR variability in non-stressful conditions
  • RSA decrease in challenging conditions
130
Q

describe the features of attentional regulation?

  • as one of the five domains of self-regulation
A

3 attention systems which develop within 1st year:

  1. reticular activating system - maintenance and adjustment of alertness
  2. posterior attentional system - engagement and disengagement of attention
  3. anterior attentional system - development of effortful control
131
Q

what is the Conditioned Head Turn procedure as a test for attentional regulation in infants?

A

Hayes et al., 2009

9 and 1/2 y/os trained to turn their heads when one set of rhyming sounds presented

quick to tell difference when both vowel and coda changed but found it harder when only one was changed at a time e.g bat, mat to bet, met

132
Q

describe the features of behavioural regulation?

  • as one of the five domains of self-regulation
A

compliance to parental requests - the role of willing compliance - involves initiation or termination of certain activities in line with this e.g can be tested by seeing what happens when parents ask child to tidy toys

internalisation of rules

133
Q

describe the features of executive control?

  • as one of the five domains of self-regulation
A

involves working memory and inhibitory control

problems implicated with ADHD and addiction problems

134
Q

describe the features of emotion regulation?

  • as one of the five domains of self-regulation
A

extrinsic and intrinsic processes responsible for evaluating and modifying emotional reactions
especially their intensive and temporal features
to accomplish one’s goals

135
Q

what are several predictors of children’s self-regulation abilities?

A

brain develoment
culture
family environment
delay of gratification

136
Q

what are some of the links between self-regulation and outcome?

A

physical outcomes
learning and academic outcomes
socio-emotional outcomes

137
Q

describe a finding regarding the link between brain development and self-regulation?

as one of the factors predicting self-regulation

A

Phineas Gage having severe damage to frontal lobes due to iron rod entering his head

after accident had very poor self-regulation

more studies have demonstrated significant link between prefrontal lobes (at the front of frontal lobes) and self-regulation

138
Q

describe delay of gratification as one of the factors predicting self-regulation?

task studying this

A

in a task, children asked to choose between small immediate reward or larger delayed reward

4 y/os choose larger but delayed whereas 3 y/os chose smaller but immediate

139
Q

describe environmental influences as one of the factors predicting self-regulation?

A

observation - learn that certain conditions elicit emotions

emotion contagion - ‘catch’ emotions of parents

social referencing - look to someone else to get info about how to respond to situ

emotion coaching - parents are attentive and help label and validate child’s emotions

teaching emotion regulation strategies - e.g redirect attention

parents mental health - links between emotion regulation and disorder related behaviour by parent

140
Q

describe the features of culture as one of the factors predicting self-regulation

A

asian children score hgiher at self-regulaion compared to US

due to asian children receiving more extensive training in regulating their behaviour

141
Q

describe link between physical outcomes and early self-regulation abilities?

one of the outcomes linked to self-regulation

A

overweight children at 5 y/o had lower emotion regulation, sustained attention and inhibitory control as 2 y/os
- Graziano et al., 2010

4 y/os who were better able to control delay gratification had lower body mass 30 years later when controlling for gender (impications for reducing obesity interventions)
- Schlam et al., 2013

142
Q

what was found about outcomes related to a mindfulness-based Kindness Curriculum given to preschoolers?

one of the outcomes linked to self-regulation

A

12 week mindfulness based Kindness Curriculum (KC) & control
findings suggest programme promotes self-regulation skills
children showed benefits in learning, health outcomes and socio-emotional development

Flook et al., 2015

143
Q

what was found about delay of gratification and outcomes in preschool children?
and why?

one of the outcomes linked to self-regulation

A

in adolescence, those who were better at delay gratification were better at:
academic and social competence
verbal fluency
better frustration tolerance and lower stress

why?
able to deploy attention
delay enhancing thoughts
distract themselves to minimise aversion
meta-cognitive knowledge
144
Q

what was found about resilience in children exposed to family violence?

A

Martinez-Torteya et al, 2009
examined stress factors of: maternal depression, stressful life events and race and low income

examined protective factors of: positive parenting, child temperament and cog ability

children scoring above cut off of children’s behaviour checklist were classified as negatively adapted and when exposed to family violence were 4x more likely to develop emotional and behavioural problems
54% exposed to family violence were resilient

145
Q

what was found about the role of maternal insightfulness in children exposed to violence?

A

Gray et al, 2015

insightfulness tested

and mothers doing questionnaires on children’s emotional and behavioural problems

those scoring low on insightfulness had children with highest level of emotional and behavioural problems

146
Q

what are the resilience and personality traits in doctors?

A

high persistance
high cooperativeness
low harm avoidance
high self directedness

147
Q

Ann Masten’s contribution to history of resilience?

A

2007

uncovered key characteristics and environments

focussed on attachment, self-regulation and biological reactivity

encouraged primary prevention

focussed on multi-level analysis

148
Q

what is resilience?

A

exposure to risk or adversity
AND
develoment of positive outcomes

so resilience is a process not a trait

149
Q

what was found about outcomes for children exposed to rocket attacks?

A

Wolmer et al., 2015

daily exposure to rocket attacks in Israel

reported that when had 4 or more stressful life events then more impairment to social, occupational and other areas of functioning than 1 or 0 stresful events
more severe exposure showed more severe symptoms

stressful life events and exposure to traumatic events accounted for 32% of variance in PTSD

150
Q

what may be the definition of positive outcomes?

in relation to children with difficult backgrounds?

A

absence of psychopathology?

or more positive outcomes? (social skills, academic etc.)

or both?

151
Q

what is meant by vulnerability factors regarding resilience research?

at individual, family and community level

A

personal attributes that can lead to maladjustment under stress or adversity

e.g child with difficult temperament as worsen negative effects of stressful condition

152
Q

what is meant by protective factors regarding resilience research?

A

personal attributes/situations that decrease vulnerability for the development of maladjustment

so change effects of risk in positive way

153
Q

give examples of protective factors regarding resilience?

at individual, family and community level

A

protective factors: attitudes/situations which decrease vulnerability for development of maladjustment

  • positive attitude e.g optimism and cognitive flexibility
  • physical exercise: boosts mood and self-esteem, improves cognition and boosts immune system
  • social support and mentorship: close relationships, role models and teaching resilience
  • child characteristics: intelligence, emotion regulation, LoC, appraisals and temperament
154
Q

what is meant by the multidimensional nature of resilience?

A

some children exposed to severe risk show positive outcomes in one domain but have problems in others

may be due to protective factors not working the same across all contexts (specific)

155
Q

what is meant by multifinality in terms of resilience?

A

hard to know which are the most ‘critical’ domains
and how important the severity of risk or adversity is in terms of outcome as some risk factors may not cause difficulties when in isolation

156
Q

what is risk assessment in terms of resilience?

A

statistical versus actual risk: what are the life circumstances of different individuals

subjective vs objective assessments of risk: what is the individuals perception of the adverse event

risk factors tend to co-exist (research focuses on accumulation of factors)
a single factor may not cause dramatic difficulties in child’s life

157
Q

what is meant by cumulative risk theory in terms of resilience?

what is an issue with the assumptions of this theory?

A

Morrison-Guttman and Flouri in Slater and Bremner (2011)

each risk factor falls within 1 of 2 categories: presence of risk (1) or absence of risk (0)

cumulative risk is summation of risk factors rather than a single individual risk factor that leads to maladjustment as it taxes the individuals capacity to adapt

however, assumes that each factor has the same weight on children but might have different impacts (specificity of risk factors)

158
Q

describe the stability of resilience and how this should be studied?

A

individuals exhibit fluctations within domains of functioning

so resiliency is a dynamic developmental construct and longitudinal studies are key with large sample sizes

159
Q

what are some of the future directions that research into resilience should follow?

A

look at dynamic nature
interactive
multiple levels of resilience e.g psychological and biological
across time at different time points
simultaneous assessments of several domains
focus on mechanisms by which protection might be conferred

160
Q

what are the 3 areas of focus of interventions regarding children with a difficult background with the aim to build resilience?

A
  1. risk-focused: reducing exposure to risk/adversity
  2. asset-focused programmes: improving quality and quantity of assets
  3. process-oriented programmes: improving systems of adaptation in lives of children
161
Q

describe resilience training through a physical exercise program?

A

READY psychosocial resilience program

leads to changes in positive emotions, coping, cog flexibility, social support

therefore changes in psychosocial well-being

162
Q

what are some factors of resilience in a community?

A

levers of community resilience: e.g education, self-sufficiency, partnerships

core components of communit resilience: e.g effective risk communication, social connectedness, involvement of organisations and health and well-being of population

quality - collect and analyse then use data on building community resilience
efficiency - leverage resources for multiple use and maximum effectiveness

163
Q

what are some interventions to enhance resilience in adults?

A
  1. stress inoculation training
  2. hardiness training
  3. social support interventions
  4. learned optimism interventions
  5. well-being therapy
164
Q

how did Galton separate the definitions of nature vs nurture?

and what was his viewpoint?

A

nature - all that man brings with himself into the world

nurture - every influence that affects man after his birth

believed in innatism:
completely disagreed that babies are born pretty much alike
instead that our abilities derived from inheritance

165
Q

name some key members of the innatism/nativism camp vs empiricism/behaviourism camp?

A

innatism/nativism - plato, kant, leibniz, galton

empiricism/behaviourism - aristotle, locke, hume and watson

166
Q

what is Watson’s viewpoint on the nature, nurture debate?

A

environmentalism
believed complete oppositre of Galton
in that he believed you can become anything you want and develop any skills you want regardless of your inheritance

167
Q

who first debated gene x environment interaction?

what are the 3 main controversies surrounding this debate?

A

interaction first debated by Hogben & Fisher

3 main controversies surrounding this debate:

  1. eugenics (Fisher vs Hogben)
  2. IQ and race (Jensen)
  3. serotnin transporter hypothesis in depression
168
Q

what was Fisher’s viewpoint in the gene x environment debate?

A

founded population genetics
a eugenicist
G x Eb so took statistical approach to gene x environment interactions

169
Q

what was Hogben’s viewpoint in the gene x environment debate?

A

suggested statements regarding genetic differences have no scientific meaning without specifying environment (‘extrinsic agencies’ including pre and post-natal conditions)

G x Ed (developmental)

170
Q

give some examples of genes whose outcomes are influenced by the environment?

A

APOE - variant = E4 allele - environmental influence = high cholesterol intake - outcome = eevated serum cholesterol after diertary intake for APOE4 carriers

FTO - variant = ‘a’ allele - environmental influence = low physical activity - outcome = increased obesity for risk carriers with low PA

COMT - variant - Val/Val - environmental influence - cannabis use - outcome - increased reports of psychotic symptoms when smoked in adolescence

5-HTTLPR - variant = short ‘s’ allele - environmental influence = life stress and maltreatment - outcome = increased risk of depression

171
Q

what are the different current theoretical models of G x E interaction in psychological research?

A
  1. diathesis stress (poor outcome focused)
  2. differential suceptibility (good and poor outcome focused)
  3. biological sensitivity to context (merged into 2.)
  4. vantage sensitivity (good outcome focused)
172
Q

describe the diathesis stress model to the gene x environment interaction?

A

dictates that some individuals are more prone to adverse environment due to dispositional vulnerability (risky genes)

disorder caused by interaction between predispositional vulnerability and a stress caused by life experiences

173
Q

descrribe Caspi’s study and findings regarding the serotonin transport gene variations and onset of depression?

example of G x E interaction

A

Caspi et al, 2003 performed G x E interaction study investigating interaction between maltreatment and the serotonin transporter gene (5HTTLPR) - as wanted to find out why not everyone becomes depressed after stresful life events
so hypothesised that variation in 5-HTTLPR will moderate psychopathological reactions to stressful life experiences
found probability of major depressive episode highest (double) when both short alleles (homozygotes) compared to when long in people with histories of severe maltreatment

174
Q

support and contradictory evidence towards Caspi et al, 2013 study on gene variation and depression?

A

2 meta-anlyses found no evidence of GxE interaction on depression (Munafo et al, 2009 and Risch et al, 2009)

however, larger meta-analysis by Karg et al, 2011 showed positive evidence for significant G x E effect involving 5-HTTLPR on depression (same gene as in Caspi study)

175
Q

what does the differential susceptibility theory state regarding G x E interactions?

A

genetic polymorphism (varying alleles) not about risk but susceptibility to the environment - called developmental plasticity

theory predicts that genetically sensitive individuals will have poorer outcomes when the environment is negative but will have better outcomes when the environment is positive

176
Q

evidence from meta-analysis for differential susceptibility theory to GxE interactions?

A

theory predicts that those who are genetically sensitive will have poorer outcomes when neg enviro but better outcomes when pos enviro

Ijzendoorn, 2012
indeed, found in meta-analysis that correlations were highest between gene and outcome (pos and neg) when genetically sensitive i.e had the risk alleles (for both dopamine risk alleles and short serotonin transporter allele)

177
Q

what does the vantage sensitivity theory state regarding G x E interactions?

some supporting evidence?

A

genetic variation predisposes children to certain positive outcomes

so focuses on the ‘bright side’ outcomes

Eley et al, 2012 tested hypothesis that polymorphism in 5-HTTLPR would moderate response to CBT in children with anxiety disorders and that those with ‘s’ allele would be more responsive to treatment
indeed results were that those with ‘s’ allele had reduced anxiety severity rating at follow-up after treatment

178
Q

what are critiques of current G x E interaction research?

A

failure to replicate large studies
pulication bias
model selection
what about gene environment correlation?

179
Q

what is the definition of an internalising disorder?

A

inward-looking and withdrawn behaviours, which in children may represent the experience of depression, anxiety and active attempts to socially withdraw

both depression and anxiety patients suffer from negative affect
anxiety - physiological hyper-arousal
depression - low levels of positive affect

180
Q

what did Coleman et al, 2007 find about depression and anxiety over the life course?

A

for certain individuals internalising disorders are pervasive from child to adulthood

some adult onset

some have constant low levels of depression and anxiety

dimensional approach by acknowledging the levels of disorders possessed and the stability of them

181
Q

what did Lenze et al, 20111 find about changes in anxiety disorder presentation across the lifespan?

A

some problems more prevalent during old age e.g fear of falling

some more prevalent in early childhood e.g specific phobias of monsters then in adolescence may develop social anxieties (different developmental stages of disorder)

182
Q

what did Nissa et al, 2014 find about perceived family impact of preschool anxiety disorders?

A

high levels of impairment when depressed e.g socially, academically, within family

ADHD and disruptive disorder also cause lots of problems for the individuals

183
Q

what is separation anxiety characterised by?

A

excessive anxiety about separation from caregivers or home

often associated with somatic complaints

2-5% of children or adolescents

184
Q

what is OCB characterised by?

A

intrusive, repetitive thoughts, obsessions and compulsions e.g washing

often co-morbid with tourette’s syndrome and tic disorders

185
Q

what are specific phobias characterised by?

A

e.g social phobia characterised by avoidance of social situations

specific phobias affect 7& of school-aged children

186
Q

fear vs anxiety?

A

fear - adaptive response e.g walking away from a snake

anxiety - maldaptive and persistant, response out of proportion

187
Q

describe the diagnostic criteria for generalised anxiety disorder (GAD)?

A

excessive anxiety occurring more days than not for at least 6 months about different events
difficult to control
associated with at least 3/6 symptoms e.g sleep distrubance, easily fatigued, restlessness
causing impairment in important areas of functioning
not due to substance abuse or a medical condition

188
Q

what are the different risk factors for anxiety disorder?

A

vulnerability risk factors - personal attributes that can elad to maladjustment under stress or adversity

  • genetics
  • behavioural inhibition
  • info processing

environmental risk factors

  • life events
  • info transfer
  • modelling
  • parenting
189
Q

what is the link between genetics and risk for anxiety?

  • personal
A

lower influence in anxiety disorders compared to others e.g autism
but anxiety more prevalent when relatives also anxious
heritability higher for MZ twins than other siblings - implicating genetics

190
Q

what is the link between behavioural inhibition and risk for anxiety?

  • personal
A

refers to temperamental pattern of responding characterised by fearfulness or restrain when faced with unfamiliar people/situations

strong association between BI and anxiety disorder in children
not all BI children develop anxiety disorders, suggesting the presence of other factors

also, significant interaction between infants with moderate-high levels of BI and parents anxiety in predicting infants avoidance (Aktar et al, 2013)
also found that adolescents scoring highly on BI reprted high levels of anxiety and depression (Muris et al, 2001)

191
Q

what is the link between info processing and risk for anxiety?

  • personal
A

interpretaton of ambiguity -
completed measures of anxiety and indicated most likely interpretation of ambiguous scenarios

signficant positive links between child’s (7-15) and mother’s anxiety but threat detection reduced after treatment (Creswell, Schniering & Rappe, 2005)

cognitive biases - positive training (resolved ambiguous scenario positively) resulted in more pos and less neg interpretations and associated with lower levels of anxiety (Steinman & Teachman, 2010)

192
Q

what is the link between negative life events and risk for anxiety?

  • environmental
A

may be bi-directional influences as neg life events may lead to development/avoidance of anxiety disorders but anxiety can predict subsequent neg life events

more likely to have more negative life events as more physical health problems so more negative experiences

attract negative experiences e.g avoiding social situations so have social deficits so when engage socially may be rejected so loneliness and depression and criticism

193
Q

what is the link between info transfer and risk for anxiety?

  • environmental
A

Field & Lawson, 2003

examined if transfer of threat info influence child’s fears and avoidance

result indicated that children receiving neg info reported greater fear beliefs about fictitious monster
greater influence when info received from an adult

194
Q

what is the link between parental modeling and risk for anxiety?

  • environmental
A

Gerull & Rapee, 2002 examined efefct of parental modelling on fear acquisition and avoidance of novel stimuli

toddlers presented with rubber snake and spider, paired with maternal pos/neg facial expressions

showed toddlers more fearful and avoidant when mothers expressed neg facial expressions

effects greater in girls than boys

strong correlation between controlling parental beh. and anxiety in children (McLeod, Wood & Weisz, 2006) cause it as don’t let child develop problem solving skills and instead develop habitual avoidance
e.g found parents of anxious children rejected child’s plans until suggested an avoidant behaviour so instilling these behaviours

195
Q

what are the treatments for anxiety disorders?

NOT NECESSARY TO KNOW IN DETAIL

A

virtual reality e.g for fear of flying - exposure not too anxiety-provoking to replace anxious response
mindfulness - more mindful of behaviours
cognitive modification bias - change maladaptive beliefs by encouraging thinking in a different way

196
Q

describe the diagnostic criteria for depression?

A

depressed mood most of the nearly , nearly everyday, indicated through subjective report or observation
decreased interest in most activities
either weight change or change in appetite
change in sleep
loss of energy
guilt or worthlessness
suicidality

197
Q

which conditions mimic or coexist with major depressive disorder?

A

substance abuse causing depressed mood
medical illness causing depressed mood
other psychiatric disorders e.g mania, bipolar and sz
beareavement

198
Q

what did Zisook et al, 2007 find about distribution of age at onset of first major depressive episode?

A

common in adolescence but also in childhood

delays in developmental accomplishments e.g intellectual growth in infancy may predict depressed mood later in life

pre-school children have difficulties in verbalising negative feelings so observe e.g play behaviours, social withdrawal, separation anxiety

199
Q

what did Lewinsohn, Rohde, Seeley, 1998 find about probability of experiencing an episode of major depressive disorder as a function of age and gender?

A

probability of experiencing depression considerably increases during adolescence
probability also much higher in females

200
Q

what did the national population health survey, 1994-95 find about prevalence of depression by gender and age group?

A

females more likely to suffer from depression - differences in emotionality e.g more sensitive to stress and neglife events, more self-reflective, lower self-esteem due to comparisons made, more likely to be teased and experience sexual harrassment

also, more likely to report it

adolescents more likely to get depression
due to - hormonal changes, higher order thinking e.g abstract thinking leading to evaluation against others, independence

201
Q

what are the risk factors for childhood depression?

A
abuse and neglect
parental marital partner changes
physical health
parental mental health
parenting and caregiving

focused on parental factors

202
Q

what are the risk factors for depression in adolescence?

A
cognition (neg cognitions and attribution style and rumination)
dispositional factors (low self-esteem)
stress (e.g from neg life events)
social skills (poor)
physical health
academic dissatisfaction 

focused on personal factors

203
Q

role of neurotransmitters in depression?

A

Davey, 2008

serotonin involved in e.g mood and sleep - low levels are associated with depression

norepineephrine is a hormone acting as a nuerotransmitter involved in preparing mind and body for action - associated with depressoin and mania

204
Q

what si contained in Beck’s cognitive traid experienced by depressed individuals?

A

negative thoughts on:

  1. the self
  2. the world
  3. the future

either have narrative of failure or loss

205
Q

what are key regions involved in affect and mood disorders?

A

Davidson et al, 2002

activation of left hemisphere = positive emotionality
when left part of brain underactivated and right part of brain activated = negative emotionality association

206
Q

what is meant by attributions in individuals with depression linked to depressed mood?

A

attributions: how depressed individuals think about negative events in their lives

more likely to attribute neg events to factors that are:

  1. internal - personal
  2. stable - always fail - constant
  3. global - whole life failure - generalised

finding that 5 y/os of depressed mothers more likely to express depressive cognitions about their self-worth, performance and outcome of a competitive game compared to childrne of non-depressed mothers (Murray et al, 2001)

207
Q

what is the difference of mood repair mechanisms in depressed and non-depressed youths?

A

Kovacs & Yarolavsky, 2014

depressed

  • much more likely to use rumination to cope with difficult situations
  • use passive strategies
  • maladaptive strategies that are more likely to lead to maintenance of depression e.g argue with parents
  • score highly in reassurance seeking from parents and friends
  • withdrawn thus perpetuation of depression

READ BEFORE EXAMS

208
Q

finding in meta-analysis by Aldao et al about links between emotion-regulaiton strategies and psychopathology?

A

found very large effects for rumination in depression- significant factor in depression
medium effects for problem solving, avoidance and suppression

READ BEFORE EXAM

209
Q

review paper by Goodman, 2007 about inter-generational transmissionof depression?

A

how and why family environment contributes to depression

vulnerabities in child due to:

  • mothers with depression more likely to have children with depression or other disorders e.g as more withdrawn, intrusive and more passive ways of coping with sadness and negative affect so children copy
  • also implicates genes as vulnerable
  • higher levels of cortisol (stress hormone) in blood during pregnancy leading to children with less adaptive stress coping mechanisms
  • exposure to stressful environment due to situation of parents e.g having depression

leading to maladaptive cognitions, negative affect and maladaptive behaviour

however, not linear due to elements which may envoke resilience e.g factors within child (good emotional regulation strategies etc.) or family environment

210
Q

what are some interventions for those with depression?

NOT NECESSARY TO KNOW IN DETAIL

A
  1. drug treatments - SSRIs to increase serotonin
  2. behaviour therapy - management techniques and exposure
  3. family interventions - parent training and communication
  4. CBT
  5. play therapy (younger children)
211
Q

what is the definition of externalising disorders and what are several different types

A

externalising disorders - disruptive behaviour disorders in which the deviant behaviour is directed outward

e.g
oppositional defiant disorder (ODD) - pattern of negative, defiant and disobedient behaviour, established before 8 and affects 2-16% of children

childhood-onset conduct disorder - aggression, argumentativeness, bullying and theratening behaviour

adolescent-onset conduct disorder - antisocial beh. which is milder and more transitory

212
Q

what are the 3 subtypes of ADHD?

and some of the symptoms for this?

A
  1. inattentive - the major difficulty is to maintain attention
    - trouble holding attention on tasks
    - easily distracted
    - forgetful
  2. hyperactive-impulsive - major difficulty is the high activity level
    - leaving seat
    - lots of talking
    - trouble waiting their turn
  3. combined subtype - children with this have difficulty with attention and activity levels

higher prevalence in males 8-12% than females 3-5% and in children than adolescents

213
Q

what are several disorders that ADHD is co-morbid with?

A

disruptive disorders
anxiety
depression
learning disorders

214
Q

in which aspects does ADHD affect child’s functioning?

A

cognitive - learning difficulties

language - speech problems

motor development

emotion - deficits in emotional regulation

school performance

task performance - low persistance

health

215
Q

what is the statistic regarding lonigtudinal prevalence of ADHD?

A

longitudinal studies have found that ADHD persists into adulthood in up to 60% of cases

Barkley et al, 2007

216
Q

what are characteristics of adult ADHD?

A

core symptoms of inattention, impulsivity and hyperactivity

associated with restlessness, lack of oragnised beh. and emotional instability

217
Q

what is the rank order of most to least impairing for adult functioning of ADHD?

A

for adults, .7 association between impairent and ADHD compared to .3 in children

Barkley et al, 2007
rank order from most to least:
- education - difficulties in handling academic workload
- family life - lower average levels of family cohesion
- occupation - less likely to be employed and more likely to quit their job

218
Q

what are the 3 aetiological factors of ADHD?

A
  • genes
  • environment
  • brain and neuropsychological factors
219
Q

what have twin studies found regarding the genetic componentof ADHD?

A

Faraon et al, 2005

relatives of people with ADHD 2-8x more likely to also have it compared to those with relatives with ADHD
candidate genes are those involved in dopaminergic and serotonin transmission

220
Q

what is the link between smoking during pregnancy, prematurity and ADHD?

A
  • smoking during pregnancy is a risk factor for ADHD but may be due to confounders
  • low birth weight, such as being premature, associated with increased risk of ADHD diagnostic

Tarver et al, 2014

221
Q

how can the family environment exacerbate ADHD symptoms?

A

children with ADHD are less compliant and less willing to follow parental request
parents of children with ADHD are more controlling and less responsive
SO likely that parents and children exacerbate each other’s beh. (bi-directional influences)

Johnston & Mash, 2001
studies show that reducing child ADHD symptoms via medication decreases parent’s control and negativity - indicating the child’s influence on parenting

222
Q

what is the effect of child’s diet on behaviour?

A

artificial food colouring and benzoate preservatives may influence 3 y/o child’s behaviour detectable by parents not clinical assessment

Bateman et al, 2004

223
Q

what is the link between the brain and ADHD?

A

related to disconnection of brain regions of the default mode network (activated when the brain is at rest)

hypothesised that those with ADHD have difficulties at transition from rest to task performance but default mode network function is unimpaired during rest

Sonuga-Barke & Catellanos, 2007

224
Q

what is involved in the integrative developmental model for hyperactive/impulsive type of ADHD?

A

Barkley

argued reduced behavioural inhibition (ability to delay a motor response) is core feature of ADHD

results in impaired executive functions including:
motor control
self-regulation of affect
internalised speech

225
Q

what is the delay aversion hypothesis regarding ADHD?

A

indicates that children with ADHD show dysfunctions of reward and motivation
and are impulsive as they try to avoid delay
SO choose immediate over large delay rewards

Sonuga-Barke et al, 1992 argued ADHD can be explained by both cog and motivational deficits

226
Q

describe the dual-pathway model proposed by Sonuga-Barke?

and support for both pathways in adhd and non-adhd samples?

A

either:

  1. cortico-ventral striatal loop disturbance to impaired signal delayed reward to delay aversion to ADHD
    - delay aversion measured using Maudsley’s Index of Delay Aversion (MIDA) whereby choose between immediate small or delayed large rewards
    - found both children and adolescents with ADHD had lower % selection of larger reward than those without and significantly lower in children
    - Bitsakou et al, 2009
  2. cortico-dorsal striatal loop disturbance to inhibitory deficits to executive deficits to ADHD
    - inhibitory deficits measured through go/no-go (either responding asap to go or not at all to no go)
    - found that children and adolescents more likely to press key when said no go than those without adhd
    - Bitsakou et al, 2008
  • also stop signal task whereby press key when go but when hear sound have to inhibit
  • reaction time to stop signal slower when adhd (not signficiant) and significant difference between children and adolescents
  • Bitsakou et al, 2008
227
Q

what are several treatments for children with ADHD?

A

Tarver et al, 2014

  1. pharmacotherapy - e.g atomoxetine
    - effects aren’t maintained
    - reluctant to put children on this due to side-effects
  2. non-pharmacological interventions
    - dietary treatments e.g free fatty acid supplementation and exclusion of artificial food colouring produces small reduction in ADHD symptoms (Sonuga-Barke, 2013)
    - parenting interventions (the New Forest Parent Training Programme aiming to improve parenting style, communication and regulation, leads to reduced ADHD symptoms, increases maternal positive comments but no improvements in maternal mental health) (Thompson et al, 2009)
    - psychosocial interventions e.g CBT (working memory training), anger management and problem solving
228
Q

what has been found about the effects of maternal ADHD on effectiveness of parenting interventions for preschool ADHD?

A

children of mothers with high levels fo ADHD symptoms showed the lowest levels of improvement after the intervention

Sonuga-Barke et al, 2002