romanian orphan studies: institutionalisation Flashcards
what is the procedure of rutter et al’s research? (2011)
- 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
what is the aim of the ERA?
to investigate the extent to which good care could make up for poor early experiences in institutions
what were the findings of the ERA?
- 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
what did beckett et al. (2010) find?
differences in the mean IQ of the adoptees remained at age 16
what did kennedy et al. (2016) find?
ADHD was more common in 15- and 22-25 year olds
what did rutter et al. find in terms of attachment?
- 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
what are symptoms of disinhibited attachment?
- attention-seeking
- clinginess
- social behaviour directed indiscriminately towards all adults, both familiar and unfamiliar
what the procedure of zeanah et al’s research? (2005)
- 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
what were the findings of zeanah et al’s research?
- 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
how did rutter (2006) explain disinhibited attachment?
- 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
effects of institutionalisation: intellectual disability
- 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)
evaluation: application to improve conditions for children growing up outside their family home
- 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
evaluation: lack of confounding variables
- 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
evaluation: introduction of different confounding variables
- 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
evaluation: lack of data of adult development
- 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