romanian orphan studies: institutionalisation Flashcards

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1
Q

what is the procedure of rutter et al’s research? (2011)

A
  • followed a group of 165 romanian orphans for many years as part of the english romanian adoptee (ERA) study
  • orphans had been adopted by families in the UK
  • physical, cognitive and emotional development has been assessed at ages 4, 6, 11, 15 and 22-25 years
  • a group of 52 children from the UK adopted around the same time have served as a control group
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2
Q

what is the aim of the ERA?

A

to investigate the extent to which good care could make up for poor early experiences in institutions

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3
Q

what were the findings of the ERA?

A
  • when the children first arrived in the UK, half of them showed signs of delayed intellectual development and the majority were severely undernourished
  • at age 11, the adopted children showed differential rates of recovery based on their age of adoption
    > mean IQ of those adopted before 6 months was 102
    > mean IQ of those adopted between between 6 months and 2 years was 86
    > 77 for those adopted after 2 years
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4
Q

what did beckett et al. (2010) find?

A

differences in the mean IQ of the adoptees remained at age 16

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5
Q

what did kennedy et al. (2016) find?

A

ADHD was more common in 15- and 22-25 year olds

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6
Q

what did rutter et al. find in terms of attachment?

A
  • there seemed to be a difference in outcome related to whether adoption took place before or after six months
  • those adopted after six months showed signs of disinhibited attachment
  • in contrast, those adopted before the age of six months rarely displayed disinhibited attachment
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7
Q

what are symptoms of disinhibited attachment?

A
  • attention-seeking
  • clinginess
  • social behaviour directed indiscriminately towards all adults, both familiar and unfamiliar
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8
Q

what the procedure of zeanah et al’s research? (2005)

A
  • conducted bucharest early intervention (BEI) project, assessing attachment in 95 romanian children aged 12-31 months who had spent most of their lives in institutional care (90% on average)
  • they were compared to a control group of 50 children who had never lived in an institution
  • their attachment type was measured using strange situation
  • carers were asked about unusual social behaviour indicating signs of disinhibited attachment
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9
Q

what were the findings of zeanah et al’s research?

A
  • 74% of control group were classed as securely attached
  • only 19% of institutional group were securely attached
  • disinhibited attachment for 44% of institutionalised children
  • > 20% disinhibited for control group
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10
Q

how did rutter (2006) explain disinhibited attachment?

A
  • as an adaption to living with multiple caregivers during the sensitive period for attachment formation
  • in poor quality institutions, like those in romania, a child might have 50 carers but doesn’t spend enough time with any one of them to be able to form a secure attachment
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11
Q

effects of institutionalisation: intellectual disability

A
  • in rutter’s study, most children showed signs of intellectual disability when they arrived in britain
  • however, most of those adopted before they were six months old caught up with the control group by age 4
  • like emotional development, damage to intellectual development as a result of institutionalisation can be recovered provided adoption takes place before 6 months (the age at which attachments form)
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12
Q

evaluation: application to improve conditions for children growing up outside their family home

A
  • studying romanian orphans has improved psychologists’ understanding of the effects of early institutional care and how to prevent the worst of these effects (langton 2006)
  • this had led to improvements in the conditions experienced by children growing up in the care-system
    > eg. children’s homes avoid having large number of caregivers for each child and instead have one or two ‘key workers’ who play a central role in their emotional care
  • institutional care is now seen as an undesirable option for looked-after children
  • considerable effort is made to accommodate such children in foster care or to have them adopted instead
  • children in institutional care have a change to develop normal attachments and disinhibited attachment is avoided
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13
Q

evaluation: lack of confounding variables

A
  • before romanian orphans, there were many orphan studies
  • many of these children had experienced varying degrees of trauma, and it is difficult to disentangle the effects of neglect, physical abuse and bereavement from those of institutional care
  • children from romanian orphanages were mostly handed over by loving parents who could not afford to keep them
  • this means the results were much less likely to be confounded by other negative early experiences
    > higher internal validity
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14
Q

evaluation: introduction of different confounding variables

A
  • the quality of care in these institutions was remarkably poor, with children receiving very little intellectual stimulation or comfort
  • this means that the harmful effects seen in studies of romanian orphans may represent the effects of poor institutional care rather than institutional care
    > romanian orphanages may have been of such bad quality that results cannot be generalised to other institutions
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15
Q

evaluation: lack of data of adult development

A
  • latest data from ERA looked at people in their early to mid 20s
    > we do not currently have data to answer some research questions about the long-term effects of early institutional care
  • this includes a lifetime prevalence of mental health problems and participants’ success in forming and maintaining adult romantic and parental relationships
  • since it is a longitudinal study, it will be some time before we know completely what the long-term effects are for those who grew up in institutional care
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16
Q

evaluation: social sensitivity

A
  • results show that late-adopted children typically have poor developmental outcomes
  • results have been published while the children have been growing up, meaning that their parents, teachers etc. might have lowered their expectations and treated the adopted children differently
  • this is fatalistic and created harmful stereotypes about children who are in the care system