Module 6 Flashcards

1
Q

What are the 6 broad themes psychologists usually work with children/adolescents on?

A

1) Crises
2) Educational concerns and disabilities
3) Psychopathology
4) Psychosocial adjustment
5) Physical health conditions
6) Neuropsychological conditions

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2
Q

What are the 5 different theoretical perspectives of child development?

A
Developmental
Normative-developmental
Cognitive developmental
Family-systems
Eclectic
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3
Q

Sattler: What is the main premise of the developmental perspective?

A

A developmental perspective proposes that the interplay between genetic disposition and environmental influences follows a definite, nonrandom form and direction

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4
Q

Sattler: How does the developmental perspective explain maladaptive behaviours?

A

Maladaptive behaviours may be manifested when there is a mismatch between children’s needs and the opportunities afforded to them by their environment

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5
Q

Sattler: Outline the stages of the developmental perspective.

A

0-2: Children’s thoughts dominated by what they see and touch
2 years: develop expressive language identifiable to adults, recall some prior actions and responses, thinking tends to be egocentric
7 years: thoughts become systematic, develop skills to solve concrete problems
11 years: most can think abstractly and make logical deductions

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6
Q

Sattler: How is the normative-developmental perspective an extension of the developmental perspective?

A

In normative-developmental, children are always compared to their peers
It considers demographic variables (age, grade, gender, ethnicity, socioeconomic status), developmental variables (language, motor, social, and self-help skills) and the influence of prior development on current and future development

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7
Q

Sattler: What does the cognitive-behavioural perspective focus on?

A

Focuses on the importance of cognitions and the environment as major determinants of behaviour
Emphasises empirical validation throughout the treatment process
Cognitions and behaviour are functionally related: changes in one causes changes in the other

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8
Q

Sattler: What does the family-systems perspective focus on?

A

Focuses on the structure and dynamics of the family as determinants of a child’s behaviour

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9
Q

Sattler: What are the 6 assumptions underlying the family-systems perspective?

A

1) The parts of the family are interrelated
2) One part of the family cannot be understood in isolation from the rest of the family
3) The family is greater than the sum of its parts
4) Changes in one part of the family affect the other parts
5) The family structure and organisation are important factors determining the behaviour of individual family members
6) Interactions among family members also shape the behaviour of family members

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10
Q

What are some recommendations for engaging children in assessment?

A
Setting - toys, smaller furniture
Environment - children are noisy
Language
Tone - don't talk down to them
Timing - not when they're tired
Length
Flexibility - cognitive and physical
Demeanour - be relaxed, engaging
Characteristics - patience, warmth etc
Pop-culture knowledge
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11
Q

Taylor and Adelman: What are some aspects of the therapy process that can assess and increase parental motivation to be involved?

A
  • Signing consent forms: lets them know they can terminate at any time, so when they sign it, they’ve made a solid commitment
  • Suggesting a short time frame to begin with (eg: 3 sessions then a follow-up session)
  • Giving them the option to hold off for a while and make a decision about treatment later
  • Sharing assessment information
  • Contracting for involvement, increase it over time
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12
Q

Taylor and Adelman: What are the 3 basic considerations for maintaining motivation and involvement of parents during the therapy process?

A

1) Ensuring parents feel a growing sense of relatedness to the therapist
2) Giving them ways to get involved and facilitating their decision making among desirable options
3) Provide continuing support for learning, growth, and success (including feedback about how their involvement is benefiting the youngster)

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13
Q

Which brain region changes most dramatically during adolescence?

A

Pre-frontal cortex (planning, decision-making, inhibitory behaviour, self-awareness)

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14
Q

What happens to grey matter development in the prefrontal cortex throughout life?

A

Grey matter volume in the prefrontal cortex peaks during adolescence, then goes through significant decline (pruning away un-needed synapses)

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15
Q

Selekman (2005): When working with adolescents we should:

A

Avoid diagnostic labels, understand their individual perspective
Avoid repeating unsuccessful encounters with other professionals - ask them what did and did not work for them
They often feel misunderstood and dismissed, so ask them how they think therapy is going and any concerns they have
Be flexible and willing to compromise
Consider their autonomy and invite them to take the lead in defining treatment goals
Respect that they have strengths and resources to initiate healthy change. Your role is to guide, not expert

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16
Q

What are some types of challenging behaviour?

A
Reluctant/resistant behaviour eg: refusing to speak
Self-harm or threats of self-harm
Hostile, aggressive, threatening
Chaotic/disorganised
Intoxication
17
Q

What are the core principles of dealing with challenging behaviour?

A

Adopt a non-blaming stance
Don’t take their behaviour personally
Reassure them that you’re here to support
Work from a recovery-oriented approach, empower their strengths, implement shared decision-making
Be aware of transference/countertransference

18
Q

Sattler: What is a screening assessment? Give example.

A

A brief evaluation intended to identify children at risk for developing certain disorders, disabilities etc.
eg: evaluating readiness of children to enter kindergarten programs

19
Q

Sattler: What is a focused assessment? Give example.

A

A detailed evaluation of a specific area of functioning

eg: does the child have ADHD?

20
Q

Sattler: What are the 4 pillars of assessment?

A

1) Norm-referenced measures (indispensable for assessment)
2) Interviews
3) Behavioural observations
4) Informal assessment procedures

21
Q

Sattler: What is done with scores on a norm-referenced measure?

A

They are scaled so that each score reflects a rank within a norm group

22
Q

Sattler: What are 3 unique things interviews can reveal about a child?

A

Social interaction skills
Language skills
Communication skills

23
Q

Sattler: What are some examples of informal assessment procedures?

A
Criterion-referenced tests (eg: if they've reached a performance standard in a particular skill)
Written language samples
Assessment of reading ability
Prior and current school records
Medical records
Personal documents (eg: diaries)
Self-monitoring records
Role playing
Referral document
Background questionnaire
Social work reports
24
Q

Sattler: What are the 11 steps in the assessment process?

A

1) Review referral information
2) Decide whether to accept the referral
3) Obtain background info
4) Consider the influence of others
5) Observe the child in several settings
6) Select and administer an assessment battery
7) Interpret the assessment results
8) Develop intervention strategies and recommendations
9) Write a report
10) Meet with parents, the child, and others
11) Follow up on recommendations and conduct a re-evaluation

25
Q

Of all the infant and preschool scales, which is the most psychometrically sound?

A

The Bayley Scales of Infant and Toddler Development

26
Q

What aged children is the WISC-4 intended for?

A

6-16 years (15 subtests - 10 core, 5 supplementary), takes hours to complete and interpret

27
Q

What does the NESPY-II measure?

A

6 functional domains

  • executive functioning and attention
  • language
  • memory and learning
  • sensorimotor
  • visuospatial processing
  • social perception
28
Q

What are the 3 most popular behavioural assessments?

A

Child Behaviour Check List (CBCL)
Behaviour Rating Inventory of Executive Function (BRIEF)
Adaptive Behaviour Assessment System (ABAS-111)

29
Q

Outline the CBCL

A

2 age ranges (1.5-5 and 6-18)
Aligns with DSM disorders
Good for evaluating emotional, social, and behavioural problems
Parent, teacher, and self reports

30
Q

Outline the BRIEF

A

5-18 years
Assesses executive functioning in home and school environments
Better for neurological disorders
Parent, teacher, and self-reports

31
Q

Outline the ABAS-111.

A

0-89 years
Assessing skills for daily living
Typically done by parent/teacher, also self-report for parents

32
Q

What are some limitations of behavioural measures?

A
Cultural bias
Examiner bias
Time required to complete full assessment
Costs of the assessment batteries
Sensitivity to the environment