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Child Psychopathology. Introduction What is abnormal child behavior? Historical views Material for today: Chapter 1. You ask a 12 year-old to draw a picture of their family. This is what they draw. What do you make of this?. What about this picture? Is it an abnormal one?.
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Child Psychopathology Introduction What is abnormal child behavior? Historical views Material for today: Chapter 1
You ask a 12 year-old to draw a picture of their family. This is what they draw. What do you make of this?
Is this child abuse? http://heraldsun.news.com.au/common/story_page/0,5478,8307894%255E662,00.html
Defining abnormality • Impairment in adaptive functioning, dysfunctional behavior results • Exaggerations of otherwise normal emotions, behaviors, or cognitive processes • Poor adaptation to an environment • Impairment in developmental progress • Cultural context of behavior, e.g., how is bereavement dealt with in different cultures?
Historical views • Physical punishment, banishment, death • Mental retardation and psychological disorders were not distinguished <1900’s • Disturbing behavior in children was seen as “moral insanity”, e.g., masturbatory insanity • “Bad children” were then seen as having organic diseases, or requiring moral guidance and support during 1900’s • Institutionalisation, children as “possessions” of parents, parents immune from criticism
Nine-year-old Elizabeth Parris and eleven-year-old Abigail Williams began to exhibit strange behavior, such as blasphemous screaming, convulsive seizures, trance-like states and mysterious spells. Within a short time, several other Salem girls began to demonstrate similar behavior.By what definitions was this abnormal behavior?
Prevalence of child mental health problems • 3 million North American children receive services in a year • this is only a fraction of children needing help – many more have “needs” at some point • 20% have significant mental health problems and 10% meet diagnostic criteria • what happens to the other children?
Risk factors in childhood • Younger children and teens • Low SES, disadvantaged homes, violent homes • Low birth weight, poor prenatal care • Parents with criminal or mental health histories • Acute and chronically stressful situations
Resiliency: What factors “protect” your child? • How does a child get a cold?? • Self confidence, coping skills, avoiding risky situations, recovering from misfortune, dealing with stress • Protective triad: Resources and health promoting events of child, family, and school/community • At least one person is in tune with child needs • Figure 1.2 of text
Differences between child and adult disorders • With children, whose “problem” is it? • Children may not show expected developmental progress • many problem behaviors in childhood are not obviously “abnormal” • interventions are designed to restore development rather than just previous level of functioning
CONCERN for children reflects current context of child mental health • C = Child psychopathology is Common • O = Ongoing difficulties throughout a life • N = New pressures through rapid social change • C = Costly outcomes throughout life • E = Emergence into adolescence a critical time • R = Resources and priorities are too limited • N = Neglect and abuse of children is staggering