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Clinical Child Psychology and Psychiatry

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https://www.readbyqxmd.com/read/28929805/-it-feels-like-something-difficult-is-coming-back-to-haunt-me-an-exploration-of-meltdowns-associated-with-autistic-spectrum-disorder-from-a-parental-perspective
#1
Indiana Montaque, Rudi Dallos, Becky McKenzie
The research explored the experience and understandings expressed by parents of children with autism concerning 'meltdowns', which are commonly described as distressing, escalating episodes of conflicts. Semi-structured interviews were conducted with six parents of children with a diagnosis of autism regarding their experience of 'meltdowns'. Parents were asked to track the process of the meltdowns as well as to describe their experiences. Three over-arching themes emerged which encapsulated their experience: Living in Dread: Anxiety and fear of escalating patterns, Attempting to Correct for Negative Childhood Experiences and Condemnation from the Self and Others...
September 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28875713/the-impact-of-fathers-military-deployment-on-child-adjustment-the-support-needs-of-primary-school-children-and-their-families-separated-during-active-military-service-a-pilot-study
#2
Sharon Pexton, Jacqui Farrants, William Yule
BACKGROUND: Although direct exposure to war-related trauma negatively impacts children's psychological well-being, little is known about this impact within the context of parental military deployment to a combat zone and 'indirect' experience of the effects of armed conflict. This study investigates the impact of father's military deployment to Afghanistan on child well-being in primary schoolchildren and compares measures of adjustment with a matched group of children with fathers deployed on military training (non-combat) deployment...
September 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28849666/family-coaching-as-a-delivery-modality-for-evidence-based-prevention-programs
#3
Mary Jane Rotheram-Borus, Dallas Swendeman, Erin Rotheram-Fuller, Maryann K Youssef
Family Coaching is proposed as a new delivery format for evidence-based prevention programs (EBPPs). Three recent developments in health promotion support the potential efficacy of Family Coaching: (1) renewed interest in integrated prevention programs for multiple risk factors and behavior changes, (2) broad and long-term impacts of family-based interventions, and (3) popular acceptance of "coaching" as a nonstigmatizing, goal-focused intervention strategy. Family coaches are community members and paraprofessionals trained in common elements of EBPP...
August 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28791871/toward-an-architecture-of-attachment-disorganization-john-bowlby-s-published-and-unpublished-reflections
#4
Judith Solomon, Robbie Duschinsky, Lianne Bakkum, Carlo Schuengel
This article examines the construct of disorganized attachment originally proposed by Main and Solomon, developing some new conjectures based on inspiration from a largely unknown source: John Bowlby's unpublished texts, housed at the Wellcome Trust Library Archive in London (with permission from the Bowlby family). We explore Bowlby's discussions of disorganized attachment, which he understood from the perspective of ethological theories of conflict behavior. Bowlby's reflections regarding differences among the behaviors used to code disorganized attachment will be used to explore distinctions that may underlie the structure of the current coding system...
August 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28752770/disorders-of-sex-development-mothers-experiences-of-support
#5
Clare Chivers, Jan Burns, Martha Deiros Collado
BACKGROUND: An increasing body of research has sought to determine the impact of Disorders of Sex Development (DSD) on the family of the affected child. Little is currently understood about the support needs of the family and how well these needs are met. METHODS: Interpretive Phenomenological Analysis was used to analyse semi-structured interviews with eight mothers of children with DSD about their experiences of support. RESULTS: Four master themes emerged which encapsulated (a) the stages in their child's development when mothers most needed support, (b) the importance of developing an understanding of the child's condition, (c) the lack of acknowledgement of the emotional needs of the parent and (d) the importance of having close and trusted networks for support...
July 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28715946/sleep-and-psychiatric-symptoms-in-young-child-psychiatric-outpatients
#6
Hanna Huhdanpää, Liisa Klenberg, Hannu Westerinen, Tuija Fontell, Eeva T Aronen
BACKGROUND: Sleep may underlie psychiatric symptoms in young children. However, not many studies have reported on sleep and its associations with symptoms in young child psychiatric patients. OBJECTIVES: To assess the amount and quality of sleep and how sleep associates with psychiatric symptoms in young child psychiatric patients. Furthermore, we evaluated how sleep and daytime somnolence differed in patients and their age- and gender-matched controls. METHOD: The sample consisted of 139 3- to 7-year-old child psychiatric outpatients and 139 age- and gender-matched controls from community...
July 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28712311/feasibility-and-efficacy-of-an-attachment-based-intervention-in-a-maltreatment-sample-in-residential-care-a-pilot-study
#7
Marta Casonato, Sarah Nazzari, Alessandra Frigerio
The effects of the Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline on improving maternal sensitivity and sensitive discipline were investigated using a randomized control design in a pilot sample of mothers at high risk of maltreatment. The study included 12 mothers and their 10- to 36-month-old children placed in parental residential care, due to a guardianship order issued by the Youth Court. Both at pretest and post-test, maternal sensitivity and sensitive discipline were assessed during mother-child interaction via observational measures...
July 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28693403/gifts-from-mary-ainsworth-and-john-bowlby
#8
Patricia M Crittenden
Attachment theory has developed over many decades - and continues to develop. Its roots lie in several seminal publications of John Bowlby (the basis of attachment theory) and Mary D. S. Ainsworth (the notion of individual differences in attachment). This paper identifies the prescient contributions of these early publications and two processes (a long-term dialogue and reflection on discrepancy) that underlay emergent theory. Because I was a student of Ainsworth when both attachment theory and individual differences in attachment organization were becoming better known, I offer some of my recollections of that period, suggesting how that period may have affected current work in attachment...
July 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28693402/fix-my-child-the-importance-of-including-siblings-in-clinical-assessments
#9
Steve Farnfield
AIMS: This study examined concordance in the attachment strategies of school-aged siblings with reference to environmental risk in terms of poverty and maltreatment. It also investigated the effect of child maltreatment and maternal mental illness on children's psychosocial functioning in terms of the Dynamic-Maturational Model of Attachment and Adaptation (DMM) including unresolved trauma and the DMM Depressed modifier. METHODS: The attachment strategies of 30 sibling pairs, aged 5-14 years, were assessed using the School-age Assessment of Attachment (SAA)...
July 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28693401/formulating-autism-systemically-part-1-a-review-of-the-published-literature-and-case-assessments
#10
Patricia M Crittenden
Autism is a psychiatric disorder of unknown aetiology. In this article, the literature on genetic, neurological, psychological, relational and cultural causes of autism is reviewed, beginning with the 2014 review of Crittenden, Dallos, Landini et al. (pp. 64-70) up to and including recent publications in 2017. Some of the findings were unexpected; others led to new questions. The unexpected findings were the minimal contribution of genes to autism, the extremely evident neurological differences, the interpersonal quality of the psychological findings (that lacked evidence of parents' behaviour), the relational evidence that mothers' childhood trauma, perinatal stress and marital stress increased the risk of autism, and the reciprocal relation between funding for treatment of autism and diagnoses of autism...
July 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28693400/formulating-autism-systemically-part-2-a-12-year-prospective-case-study
#11
Nicky Brewerton, Katrina Robson, Patricia M Crittenden
This prospective case study illustrates the ideas on the developmental origins of some cases of autism that were described in Part 1 of this article. We explored and found support for several systemic hypotheses regarding the experience of 'Graeme' and his mother. Graeme's story is told prospectively from the age of 3 until 15. Three independent sources of information are reported: hypotheses from the literature and case review in Part 1 of this article, the school's experience, and observations from the assessments of attachment when Graeme was turning 6...
July 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28693399/the-secret-lives-of-children
#12
Patricia McKinsey Crittenden
No abstract text is available yet for this article.
July 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28621174/associations-between-family-and-clinician-ratings-of-child-mental-health-a-study-of-uk-camhs-assessments-and-outcomes
#13
Dion N Terrelonge, Andrew Jb Fugard
BACKGROUND: The rated severity of child mental health problems depends on who is doing the rating, whether child, carer or clinician. It is important to know how these ratings relate to each other. AIMS: To investigate to what extent clinicians' views are associated with carers' and young people's views in routine care in the United Kingdom. METHOD: Ratings of clinician and parent/child viewpoints from a large Child and Adolescent Mental Health Services (CAMHS) sample ( ns 1773-47,299), as measured by the Children's Global Assessment Scale (CGAS) and Strengths and Difficulties Questionnaire (SDQ) respectively, were analysed...
June 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28617047/interpersonal-rejection-sensitivity-mediates-the-associations-between-peer-victimization-and-two-high-risk-outcomes
#14
Caitlin A Williams, James D Doorley, Christianne Esposito-Smythers
BACKGROUND: Previous research has demonstrated a strong link between peer victimization and suicidal ideation and aggression. This study examined interpersonal rejection sensitivity as a mediator of these associations. METHOD: Diagnostic interviews and assessments were administered to 80 psychiatrically hospitalized adolescents and their parents. RESULTS: Interpersonal rejection sensitivity mediated the association between peer victimization and suicidal ideation as well as aggression after controlling for participant sex and mood disorder diagnosis...
June 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28617046/childhood-maltreatment-and-its-link-to-borderline-personality-disorder-features-in-children-a-systematic-review-approach
#15
Jeyda Ibrahim, Nicola Cosgrave, Matthew Woolgar
BACKGROUND: Borderline personality disorder has repeatedly been associated with a history of maltreatment in childhood; however, research on maltreatment and its link to borderline features in children is limited. METHOD: The aim of this review is to synthesise the existing data on the association between maltreatment and borderline features in childhood. In total, 10 studies were included in this systematic review. RESULTS: Studies indicated that children with borderline features were more likely to have a history of maltreatment, and that children who had been maltreated were more likely to present with borderline features...
June 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28617045/assessing-attachment-in-school-aged-children-do-the-school-age-assessment-of-attachment-and-family-drawings-work-together-as-complementary-tools
#16
Rebecca Carr-Hopkins, Calem De Burca, Felicity A Aldridge
AIMS: Our goal was to identify an assessment package that could improve treatment planning for troubled children and their families. To assess the validity of our tools, we tested the relations among the School-Age Assessment of Attachment, the Family Drawing and children's risk status. We used the Dynamic-Maturational Model of Attachment and Adaptation to interpret the assessments in the hope of identifying a gradient of risk, and explore whether a new coding method improved the validity of Family Drawings and their utility as a tool to complement the School-Age Assessment of Attachment...
June 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28537091/convergence-between-observations-and-interviews-in-clinical-diagnosis-of-reactive-attachment-disorder-and-disinhibited-social-engagement-disorder
#17
Hans Peter Giltaij, Paula Sophia Sterkenburg, Carlo Schuengel
OBJECTIVE: A comprehensive approach is needed for diagnosing disordered attachment behavior due to the multifaceted nature of attachment. Differences between various indicators can pose a challenge for deciding on the proper diagnosis. This study assessed the convergence between clinical interview assessment and observation-based clinical diagnosis, and their linkages with inadequate care. METHOD: Participating children ( N = 55) had intelligence quotients (IQs) between 50 and 85 and were referred for psychiatric consultation...
May 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28530116/autism-and-attachment-difficulties-overlap-of-symptoms-implications-and-innovative-solutions
#18
Rebecca McKenzie, Rudi Dallos
This article explores overlap of symptoms between autism and attachment difficulties and suggests innovative solutions based on formulation. Currently, clinicians express difficulties in differentiating between these conditions contributing to misdiagnosis. Research into the prevalence of attachment difficulties among children with autism often fails to reflect detailed knowledge of attachment theory. Consequently, studies in this area employ questionable modifications to attachment measures and methods of analysis...
May 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28508674/psychosocial-screening-and-monitoring-for-children-in-foster-care-psychometric-properties-of-the-brief-assessment-checklist-in-a-dutch-population-study
#19
Anouk Goemans, Michael Tarren-Sweeney, Mitch van Geel, Paul Vedder
Children in foster care experience higher levels and rates of psychosocial difficulties than children from the general population. Governments and child welfare services have a responsibility to identify those children in care who have need for therapeutic services. This can be achieved through systematic screening and monitoring of psychosocial difficulties among all children in foster care. However, general screening and assessment measures such as the Strengths and Difficulties Questionnaire (SDQ) and Child Behavior Checklist (CBCL) might not adequately screen for the range of difficulties experienced by foster children...
May 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28447471/how-does-video-interaction-guidance-contribute-to-infant-and-parental-mental-health-and-well-being
#20
Hilary Kennedy, Kevin Ball, Jane Barlow
This article describes the contribution of video interaction guidance (VIG) to the development of infant and parental and VIG practitioners' mental health and well-being. The theoretical core of VIG was depicted in terms of concepts such as intersubjectivity, attunement and mediated learning. The way the VIG principles alongside the underpinning values and beliefs promote a process of attunement between parent and infant, the VIG practitioner and parent, and the VIG practitioner and supervisor is described...
April 1, 2017: Clinical Child Psychology and Psychiatry
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