Romanian Orphan Studies Institutionalism Flashcards
Why has research for maternal deprivation turned to Orphan Studies
study effects of deprivation
on emotional and intellectual development
Opportunity to look at effects of insitutional care and consequent institutional care arose in
romania in 1990s
the former romanian president required romanian women to have how many kids
5
romanian parents couldnt afford to
keep their children
as romanian parents couldn’t afford to keep their children where did they end up
huge orphanages in very poor conditions
after the 1989 Romanian Revolution many children were
adopted, some by british parents
michael rutter and colleagues (2011_ studied a group of
165 romanian orphans
what did rutter and colleagues study a group of 165 romanina orphans as part of
english and romanian adoptee study
ERA
the orphans in the ERA study had been adopted by
UK families
aim of the ERA study is to
investigate extent to which good care could make up for poor early experiences in institutions
ERA Physical , Cognitive and Emotional development were assessed at ages
4 6 11 15 22-25 years
ERA Who served as the control group for rutters study
a gorup of 52 kids from UK , adopted around the same time
ERA when children first arrived in the UK half showed signs of …
delayed intellectual development
ERA when children forst arrived in teh UK half showed signs of delayed intellectual development and the majority were
severley undernourished
ERA - at age 11 WHAT DID KIDS SHOW
kids showed differential rates of recovery related to their age of adoption
ERA what was mean IQ of kids adopted at 6 months
102
ERA what was mean IQ of kids adopted between 6 months and 2 years
86
ERA what was mean IQ for kids adopted after 2 years
77
ERA the differences remained at
age 16 beckett et al 2010
ERA ADHD was more common in
15 and 22-25 year old samples (kennedy 2016)
ERA in terms of attachment there was a difference in outcome related to whther adoption took place ….
before or after 6 months
ERA chldren adopted after 6 months showed signs of
dishinbited attachment
ERA Symptoms of disinhibited attachment
attention seeking
clinginess
social behaviour directed indiscriminatley towards all adults
ERA in contrast children adopted before age of 6 months rarely displayed
disinhibited attachment
Zeanah et al conducted the
bucharest early interventionn
Bucharest early intervention assessed ATTAHCMENT IN
95 romanina kids
BEI 95 romainia kids were assessed for their attchamrnt what ages were they
12-31 months
BEI the 95 Romanian kids spent most of their lives in
institutional care 90% on avg
BEI 95 romanina kids compared to control group of
50 children who had never lived in an institution
BEI Bucharest earky interbention sample attachment type measured using
the strange situation
BEI in addition to attahcment style being measured what were parents asked about
unusual social behaviours
+ symptoms of disinhibited attachment
BEI what percentage of the control group were classed as securelt attached
74 %
BEI what eprecentage of romanian orphans were classed as securely attached
19%
BEI the description of disinhibited attachment applied to how many institutionalisation compared to control group
44% of institutional children
less than 20% of contrl group
what are the 2 effects of institutionalisatoin
disinhibited attachment
Intellectual Disability
children who spent eartly lvies in isntitutuionalisation ofeten showed disinhibited attchemnt …. how did they act towards familiar people and strangers
equally affectionate towards familair people and strangers
why was being equally affectionate to familiar and stranegrs highlyt unsuual
children around age of 2 ofte showed stranger anxiety
rutter explained disinhibited attachment as
adaptation to living with multiple caregivers
in sensitive period of attachment formation
in poor quality institutions like romania a child had 50 careghivers but
doesnt spedn enough time with any of them to be able to form a secure attachment
in rutters study most chidlren showed signs of what when they arived in britian
intellectuak disability
upin arriving in britian mostg kids showed signs of intellectual disability however if adopted before age of 6 months
they caught up witht the control group by 4
as orpahns arrived wigh intellectual disabilty but caught up with control grouo by age 4 if they got adopted for 6 months]
therefore like emotional developent , damage to intellectual development can be revoered if
adoption takes place before 6 months
6 monbths is the age ..
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