Institutionalisation

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Melanie McLaren

Health & Medicine Technology

Institutionalisation Refers to the effects on a child of growing up in an institutional environment, such as an orphanage.

Learning objectives ,[object Object],[object Object],[object Object],[object Object]

Reactive attachment disorder (RAD) ,[object Object],[object Object],[object Object]

Hodges and Tizard (1989) ,[object Object],[object Object]

Hodges and Tizard - Method ,[object Object],[object Object],[object Object]

Hodges and Tizard - Method ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hodges and Tizard - Findings ,[object Object],[object Object]

Conclusions ,[object Object],[object Object],[object Object]

Hodges and Tizard - Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Romanian orphans ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rutter et al (2007) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Zeanah et al (2005) ,[object Object],[object Object],[object Object],[object Object]

Zeanah et al – Findings ,[object Object],0 12.6 Behaviour so odd that attachment type could not be categorised 22 65.3 Disorganised attachment 74 18.9 Secure attachment Control group (%) Experimental group (%)

Evaluation of all institutional studies ,[object Object],[object Object]

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Example exam questions ,[object Object],[object Object],* When a question states ‘research’, at least two studies should be used. But… remember the depth/breadth trade off. ** This is an application question. For full marks, you must relate your answer to Luca – don’t just describe the effects of institutionalisation in general.

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Family Systems Changing family dynamics/trends in the US Families as a ‘system’ Attachment Parenting programs that aim to improve outcomes in at least one of eight domains: (1) maternal health; (2) child health; (3) positive parenting practices; (4) child development and school readiness; (5) reductions in child maltreatment; (6) family economic self-sufficiency; (7) linkages and referrals to community resources and supports; and (8) reductions in juvenile delinquency, family violence, and crime. 1 Family Diversity is the “new normal” https://contemporaryfamilies.org/the-new-normal/ 2 View of “household arrangements” https://contemporaryfamilies.org/the-new-normal/ 3 Women’s Work-Family Situations https://contemporaryfamilies.org/the-new-normal/ 5 How did we get here….. Technology reduced the amount of time needed for household tasks Birth control allowed for timing/number of births Women’s work moving from home to the market Increase of women’s independence from family https://contemporaryfamilies.org/the-new-normal/ 6 Paid Parental Leave Washington State Passes Parental Leave: http://kuow.org/post/washington-workers-will-get-paid-family-medical-leave-benefits-beginning-2020 http://www.ted.com/talks/jessica_shortall_how_america_fails_new_parents_and_their_babies 7 http://www.pewsocialtrends.org/2015/12/17/1-the-american-family-today/ 8 Changing notions of the ‘family’ http://www.pewsocialtrends.org/2010/11/18/the-decline-of-marriage-and-rise-of-new-families/2/#ii-overview 9 ww2.faulkner.edu 12 Families as a ‘system’ “interacting units or elements that make up the unified whole” (Thomlison, 2010, p. 2) A system that experiences various issues and problems within itself and with the systems with which it interacts During assessment, one considers the complex interplay among these systems Attachment By the second half of the first year, babies have become attached to familiar people who respond to their needs. Attachment is built by satisfying: Primary drive: hunger Secondary drive: comfort and security Harlow’s experiment, 1959 https://www.youtube.com/watch?v=_O60TYAIgC4 Attachment relationships have four main features. A sense of security A safe haven Proximity maintenance Separation distress proximity maintenance. Since children rely on their caregiver for comfort when they feel unsure or threatened, they try to remain close to them. Staying close maximizes the caregiver’s availability to respond to them at all times. Finally, attachments are characterized by separation distress. This means that toddlers often experience distress and anxiety when an attachment figure leaves. Behaviors such as separation anxiety begin to subside when the child begins to understand some of the factors that influence a caregiver’s comings and goings around 3 years of age. 15 Bowlby’s Ethological Theory (1969) The quality of attachment to the caregiver has profound implications for t ...

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