institutionalisation Flashcards

(8 cards)

1
Q

Rutter et al procedure

A
  • 165 romanian orphans
  • english and romanian adoptee (ERA) study
  • aim to investigate the extent to which good care could make up for poor early experiences in institutions
  • physical, cognitive and emotional development assessed at ages 4, 6, 11, 15 and 22-25
  • group of 52 children from UK adopted around the same time served as a control group
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2
Q

findings of rutter et al reseach

A
  • at arrival in the uk 1/2 showed signs of delayed intellectual development
  • majority were severely undernourished
  • at 11 adopted children showed differential rates of recovery related to their age of adoption
  • mean IQ of those adopted before 6 months was 102
  • 86 for those adopted between 6 months and 2 years
  • 77 for those after 2 years
  • differences ramiend at age 16
  • those adopted after 6 months had disinhibited attachment
  • those adopted before 6 months rarely showed disinhibited attachment
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3
Q

what is disinhibited attachement

A
  • attention seeking
  • clinginess
  • social behavior directed indiscriminately towards all adults
  • an adaptation to living with multiple caregivers during the sensitive period for attachment formation
  • in a poor quality institution a child might have 50 carers
  • but don’t spend enough time with any of them to be able to form a secure attachment
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4
Q

Zeanah et al procedure

A
  • Bucharest early intervention (BEI) project
  • 95 romanian children
  • 12 - 31 months
  • spent most of their time (90%) in institutional care
  • compared to a control group of 50 who had never lived in an institution
  • attachment types measured using the strange situation
  • caregivers asked about unusual social behavior
  • measure of disinhibited attachment
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5
Q

Zeanah et al findings

A
  • 74% of control were securely attached
  • only 19% of the institutional group were securely attached
  • 44% of institutional disinhibited attachment
  • less than 20% of control disinhibited attachment
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6
Q

intellectual disability

A
  • like emotional development damage to intellectual development as a result of institutionalization can be recovered
  • provided adoption takes place before the age of 6 months
  • the age at which attachment forms
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7
Q

Strength of Romanian orphan studies

A
  1. Real world application
    -has improved psychologist understanding of the effects of early institutional care and how to prevent the worst of these effects (Langton 2006)
    - children homes avoid having large numbers of caregivers for each child
    - more efforts are made to put children on foster care or have them adopted
  2. Fewer confounding variables
    - unlike other orphan studies the romiams had been handed over by parents who could not afford to keep them so no confounding variables of neglect physical abuse and beraevement
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8
Q

limitations of the romanian orphanage studies

A
  1. Lack of adult data
    - the latest data is from the children in their mid 20s so we do not know the long term effects of institutionalisation
    - questions on mental health and adult romances
    - long time to gather data as the study is longitudinal
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