Psy 4: Development and Psychopathology Paper Guide 2014-15 All the lectures for this paper will take place on Tuesdays – at 12 noon and 2pm. Each term, the lectures are arranged as three modules with one reading week. Most of the lectures will be given by the paper co-ordinator, Prof Claire Hughes, but the paper also includes an exciting mix of lectures given by other academic staff within and outside the university as well as by a practising clinical psychologist (see below for names, affiliations and email addresses): Dr Stephanie Burnett-Heyes (SBH - Oxford): burstephanie@gmail.com Dr Veronika Dobler (VD - Child Psychiatry): vpd20@medschl.cam.ac.uk Prof Claire Hughes (CH - Centre for Family Research): ch288@cam.ac.uk Dr Vasanti Jadva (VJ - Centre for Family Research): vj227@cam.ac.uk Dr Caroline Lanskey (CL - Criminology): cml29@cam.ac.uk Dr Debra Potel (DP - Harley Street, London) debra@dpotel.com Dr Maria Ttofi (MT- Criminology): mt394@cam.ac.uk Dr Sam Wass (SW - MRC CBSU) Sam.Wass@mrc-cbu.cam.ac.uk Dr Paul Wilkinson (PW - Child Psychiatry): pow2@cam.ac.uk Michaelmas The first two modules each consist of 4 lectures and together provide an advanced overview of research on theory of mind (ToM) and executive function (EF). These lectures extend the coverage of these two topics provided in previous years by emphasising both individual differences and the interplay between children’s social lives and their socio-cognitive development. Module 3 includes 6 lectures. In t the first two we consider the risk and resilience literature from biological and developmental perspectives. The next two lectures focus on the perinatal period – using prematurity to illustrate the mechanisms that contribute to variation in outcomes following adversity and pre- and post-natal factors to illustrate the interplay between biology and development. This final two lectures involve invited speakers: Dr Sam Wass will discuss infant cognition and risk while Dr Debra Potel will outline developmental perspectives on clinical disorders. Lent Lent term begins with a module that reviews how children’s close relationships –both within and outside the family - can shape their development and social adjustment. This picks up on themes raised in the first two modules of this paper but also examines social influences at school (e.g., effects of peer rejection and friendships with deviant peers). Invited lecturers in this module include Dr Vasanti Jadva and Dr Debra Potel. The second module for lent encompasses both externalizing and internalizing problems and begins with two lectures that extend the relationship perspective developed in the previous module to consider family influences on conduct problems and the impact of incarceration on family life (Dr Caroline Lanskey). The next two lectures focus on bullying (including an overview of anti-bullying interventions presented by Dr Maria Ttofi). The final two lectures (given by Dr Veronika Dobler and Dr Debra Potel) focus on internalizing problems. 1 In the last module of this paper, the spotlight is turned on adolescence: Dr Stephanie Burnett-Heyes will discuss recent research on the adolescent social brain, while Dr Debra Potel will provide a practitioner’s perspective on adolescence and Dr Paul Wilkinson will give an overview of two worryingly common features of adolescence: depression and self harm. In the Easter term, Prof Claire Hughes will provide an overview of themes from this paper and a series of group revision sessions. Lecture Timetable Michaelmas Weeks 1 and 2 (Tues 14th & 21st October) Module 1: Theory of Mind (CH) o Development of ToM in Typical and Atypical Groups o Origins of Individual differences – the nature / nurture debate o Siblings and parents as facilitators of ToM o Social and academic consequences of individual differences in ToM Weeks 3 and 4 (28th October, 4th November) Module 2: Executive Function (CH) o Measuring EF in different age groups o EF deficits in ADHD and Conduct Disorder o Social and academic consequences of individual differences in EF o How do families help or hinder children’s EF skills? Week 5 – Reading week Weeks 6, 7 and 8 (18th, 25th November and 2nd December) Module 3: Risk & resilience (CH, DP, SW) o Orchids and Dandelions: Gene-Environment Interactions o Developmental perspectives on risk and resilience o Prematurity o Pre and Post-natal environments o Development and clinical disorders (DP) o Infant cognition in the context of risk (SW) 2 Lent Term Weeks 1 and 2 (20th & 27th January) Module 4: Relationships within the family and beyond (CH, VJ, DP o Family processes and the intergenerational transmission of risk (VJ) o Siblings: the bad news (CH) o School influences (DP) o Peer influences (CH) Weeks 3, 4 and 5 (3rd, 10th and 17th February) Module 5: Externalizing and Internalizing Disorders (CH, CL, MT, DP) o Conduct Disorder (CH) o Prisoners and their families (CL) o Bullying (Cog & social perspectives) (CH) o Anti-bullying interventions (MT) o Anxiety disorders (Veronica Dobler) o Interventions for internalizing problems (DP) Week 6: Reading week Week 7 and 8 (3rd & 10th March) Module 6: Disorders in Adolescence (SBH, DP, PW) o The adolescent social brain (Stephanie Burnett Heyes) o Externalizing problems in adolescence (DP) o Depression (Paul Wilkinson) o Self harm (Paul Wilkinson) 3 Examination. There is one three hour written examination at the end of the year. This paper affords many opportunities for successful dissertations. Students who wish to pursue a career in psychology are strongly urged to do a dissertation for this or one of the other psychology papers. Supervisions. Students and supervisors should download the suggested supervision topics and reading list. Students will find that they need to supplement this basic list of references when they begin to study particular topics in depth. It is important to become familiar with the general concepts taught in this paper, and to study an inter-related set of topics. Students should have 3 supervisions in each of Michaelmas and Lent terms, and at least one revision supervision in Easter term. Individual supervisors may have particular requirements, but as a general rule, supervisors expect essays in hard copy 24 hours before the supervision (or on a Friday evening for Monday supervisions). Sign up sheets for supervisions are on the noticeboard of the CFR corridor (just outside Claire Hughes’ office). The majority of supervisions will be provided by Claire Hughes – who will keep Monday (all day) and Friday (am) free of other commitments. Supervisions will also be given by three of her research group: Sarah Foley and Naomi White (PPS) and Adelle Pushparatnam (BBS). Students not on the Psychology track will have priority in signing up for supervision slots, as their time tables are likely to be more complicated. A note from Debra Potel, NHS Consultant Clinical Psychologist The material and approach will be similar to the type of conversations that might take place within clinical supervision on a child and adolescent placement on the Doctoral Clinical Psychology Training. Given that mental health is on a continuum, with all of us and our families experiencing varying levels of mental wellbeing at different points in our lives, it is possible that different aspects of the lectures may resonate at a personal level with different people. I will be available at the end of every lecture so that if any of the material touched a “raw nerve” for and you would like to “debrief” we can do that quietly. Alternatively you would be welcome to email me on debra@dpotel.com The overarching aim of my four lectures (1 in Michaelmas and 3 in Lent) will be to: describe the different ways in which children’s and adolescents’ distress may show itself illustrate the central role attachment scripts play in the development and maintenance of emotional wellbeing highlight the importance of a scientific, hypothesis driven approach to assessment and treatment The lectures will be based on clinical material and in so doing will offer the opportunity to reflect on links between: different areas of research and practice and the application of one to the other the breadth of clinical evidence base and practice, and the tensions that sometimes exist between the two Please note that the reading list (given later) for Debra Potel’s lectures is quite succinct and aims to provide some essential material on the core concept of attachment and 4 examples of different types of theories and approaches. Please note that there are no supervision questions or exam questions directly related to these lectures – instead, each lecture has been paired with another lecture and aims to supplement the academic perspectives of these lectures with material that should give you the beginnings of a feel for the clinical literature Supervision Essay Titles Theory of Mind 1) Why do 3-year-olds fail classical false belief tasks when evidence from violation of expectation (VOE) tasks suggests that the awareness of mental states first emerges in infancy? 2) Compare and contrast the evidence from studies of parental and sibling influences on children’s growing understanding of mind. 3) How might age-related developments in theory of mind influence children’s peer relationships? And why might this influence be rather weak? 4) What factors might mediate the association between early success on theory of mind tasks and children’s academic achievement? What kind of research is needed to establish these mediation effects? Executive Functions 1) Self-control has been reported to be a key predictor of long-term positive outcomes. How should this predictive effect be explained? 2) Can parents do anything to enhance their children’s executive functions? 3) In what ways might early success on executive function tasks foster children’s academic performance? What are the challenges that face researchers investigating this topic? Risk and Resilience 1) What are the promises and pitfalls of research on rats for understanding risk and resilience in children? 2) How useful are ‘orchids’ and ‘dandelions’ as metaphors for differential susceptibility? 3) Why are studies of pre- and peri-natal risk factors important needed to elucidate the mechanisms that underpin individual differences in risk and resilience? Risk and infancy 1) Can we predict based on early behaviours which babies will go on to perform well and which less well? If so, on which behaviours are these predictions based? 5 2) Some scientists have advocated that in future years it might be possible to use early behavioural assessments to predict which infants are at risk of going on to develop ADHD later in life. Having identified these infants, it might then be possible to put them into a specially targeted cognitive intervention to prevent, or lessen the degree, of their later impairment. Do you agree that such an approach might be possible? If not,why not? Parenting 1) Is Baumrind right that ‘parents create their children psychologically’? 2) ‘When it comes to parenting, history repeats itself’. Discuss. 3) “I blame the parents”: Discuss Siblings 1) Why is a developmental perspective useful in understanding sibling relationships? 2) Explain how siblings can help or hinder children’s social or cognitive development 3) From peas in a pod to chalk and cheese: Why do sibling relationships show such striking variability? Peer Influences Assess the relative influence of friendship and popularity on at least two distinct child outcomes. What mechanisms underpin the influence of peers on children's adjustment? How have ideas about social influences on adjustment beyond the family changed over time and why? Anxiety Why does anxiety show intergenerational stability? What lessons from research anxiety can be applied to interventions? Bullying Compare and contrast cognitive and social accounts of bullying in childhood. How might research on bullying inform interventions? Why are 'bully victims' of such concern to educationalists and mental-health professionals? 6 Conduct Disorder 1) Compare the cognitive and social mechanisms underlying antisocial behaviour 2) Can you have a ‘theory of nasty minds’? 3) How does recent work on callous and unemotional traits contribute to our understanding of conduct disorder? Prisoners and their families 1) What are the known effects of parental incarceration on children? 2) What are the methodological challenges faced by researchers investigating the impact of parental incarceration on children? Depression 1) Which are more important in conferring risk of depression – genetic or environmental factors? 2) The 2005 UK NICE guidelines on treatment of depression in children and adolescents recommend that the first line treatment for moderate to severe depression should be a specific psychological therapy (individual cognitive behavioural therapy [CBT], interpersonal therapy or shorter-term family therapy). What are the problems with these recommendations? Self Harm 1) Why do people harm themselves? 2) Should we distinguish suicidal from non-suicidal self-harm? 3) Self-harm often stops spontaneously in late adolescence/early adulthood. So why do we worry about it? 4) A teenager tells her teacher she has been self-harming. How should the teacher respond? What treatments may help the teenager? 7 8 Reading for Psy 4: A non-exhaustive bibliography The lists below provide a good starting point for students to get an overview of each topic (Note: * = review paper). Ideas for additional reading may be given at the end of individual lectures, or by supervisors. However, students are also encouraged to become adept at using Scopus or other search engines to gain a more in-depth understanding of topics in which they have a special interest. A very useful web-link for searching and downloading articles is www.scopus.com. Students not familiar with Scopus should ask their supervisors for advice about how to enter search terms that provide efficient but comprehensive searches, identify landmark papers etc. Module 1: Theory of Mind (ToM) This module assumes familiarity with the classic literature on the development of an understanding of mental states in the preschool years, and impairments among children with Autism Spectrum Disorders (ASD). Instead, we focus on research into the origins and consequences of individual differences. The first lecture provides an introduction to studies that extend the developmental scope of research on theory of mind, both in infancy and in older children and adolescents. The next two lectures are devoted to social influences on theory of mind and encompass both a broad overview of studies relevant to the nature / nurture debate for theory of mind and a specific focus on siblings and parents as facilitators of theory of mind. In the last lecture in this module we consider how individual differences in theory of mind can contribute to children’s social and academic success. For example, recent years have seen growing interest in children’s metacognitive skills and their influence on children’s success as learners. Theory of Mind Two good place to start: Hughes, C. & Devine, R.T. (2013). Theory of Mind. In D.S. Dunn (Ed.). Oxford Bibliographies in Psychology. New York: Oxford University Press. (this is an annotated guide to key readings in theory of mind research – & a good place to look for recommended books) Hughes, C. & Devine, R.T. (in press). A social perspective on theory of mind. To appear in M. Lamb (Ed.). Handbook of Child Psychology and Developmental Science (7th ed.), Volume III: Social, Emotional and Personality Development. Hoboken, NJ: Wiley (this is a 120 page review chapter, with different sections of particular relevance to different parts of this module on theory of mind). Lecture 1: Development of ToM in Typical and Atypical Groups Theory of Mind in Infancy 9 Brunetti, M., Zappasodi, F., Marzetti, L., Perrucci, M.G., Cirillo, S., Romani, G.L., Pizzella, V., Aureli, T. (2014) Do you know what I mean? Brain oscillations and the understanding of communicative intentionsFrontiers in Human Neuroscience, 8 (1 FEB), art. no. 36, Falck, A., Brinck, I., Lindgren, M. (2014)Interest contagion in violation-of-expectationbased false-belief tasks Frontiers in Psychology, 5 (Article 23). * Heyes, C.M., Frith, C.D. (2014). The cultural evolution of mind reading Science, 344, art. no. 1243091, . *Heyes, C. (2014) False belief in infancy: A fresh look.Developmental Science, . Article in Press. *Ruffman, T. (2014) To belief or not belief: Children's theory of mind. Developmental Review, 34, 265-293. Skerry, A.E., Spelke, E.S. (2014) Preverbal infants identify emotional reactions that are incongruent with goal outcomes. Cognition, 130, 204-216. Southgate, V., Vernetti, A. (2014)Belief-based action prediction in preverbal infants Cognition, 130,1-10. ToM in preschoolers: Recent research Chiarella, S.S., Kristen, S., Poulin-Dubois, D., Sodian, B. (2013) Concurrent Relations Between Perspective-Taking Skills, Desire Understanding, and Internal-State Vocabulary Journal of Cognition and Development, 14. 480-498. Choe, D.E., Lane, J.D., Grabell, A.S., Olson, S.L. (2013) Developmental precursors of young school-age children's hostile attribution bias Developmental Psychology, 49, 2245-2256. Dore, R.A., Lillard, A.S. (2014). Do children prefer mentalistic descriptions? Journal of Genetic Psychology, 175, 1-15. Hsu, Y.K., Cheung, H. (2013) Two mentalizing capacities and the understanding of two types of lie telling in children Developmental Psychology, 49, 1650-1659. Kühn-Popp, N., Sodian, B., Sommer, M., Döhnel, K., Meinhardt, J. (2013). Same or different? ERP correlates of pretense and false belief reasoning in children Neuroscience, 248, 488-498. Lillard, A.S., Lerner, M.D., Hopkins, E.J., Dore, R.A., Smith, E.D., Palmquist, C.M. (2013) The impact of pretend play on children's development: A review of the evidence Psychological Bulletin, 139, 1-34. 10 Ornaghi, V., Grazzani, I., Cherubin, E., Conte, E., Piralli, F. (2014) 'Let's Talk about Emotions!'. The Effect of Conversational Training on Preschoolers' Emotion Comprehension and Prosocial OrientationSocial Development, in Press. Priewasser, B., Roessler, J., Perner, J. (2013) Competition as rational action: Why young children cannot appreciate competitive games Journal of Experimental Child Psychology, 116, 545-559. Sommerville, J.A., Bernstein, D.M., Meltzoff, A.N. (2013) Measuring beliefs in centimeters: Private knowledge biases preschoolers' and adults' representation of others' beliefs Child Development, 84 1846-1854. Wertz, A.E., German, T.C. (2013) Theory of Mind in the Wild: Toward Tackling the Challenges of Everyday Mental State Reasoning PLoS ONE, 8,art. no. e72835. ToM beyond the pre-school years: Apperly, I.A., Samson, D. & Humphreys, G.W. (2009). Studies of adults can inform accounts of theory of mind development. Developmental Psychology, 45, 190 – 201. Devine, R., & Hughes, C. (2013). Silent Films and Strange Stories: Theory of Mind, Gender, and Social Experiences in Middle Childhood. Child Development, 84, 989-1003. Dumontheil, I., Apperly, I.A., & Blakemore, S-J. (2010). Online usage of theory of mind continues to develop in late adolescence. Developmental Science, 13, 331 – 338. Dodell-Feder, D., Lincoln, S.H., Coulson, J.P., Hooker, C.I. (2013) Using fiction to assess mental state understanding: A new task for assessing theory of mind in adults PLoS ONE, 8 (art. no. e81279, Kidd, D.C., Castano, E. (2013) Reading literary fiction improves theory of mind Science, 342, 377-380 Miller, S.A. (2009). Children’s understanding of second-order mental states. Psychological Bulletin, 135, 749 – 773. Lecture 2: Origins of Individual differences – the nature / nurture debate I: Genetic influences on ToM Hughes, C., Happé, F., Taylor, A., Jaffee, S.R., Caspi, A., Moffitt, T.E. (2005)Origins of individual differences in theory of mind: From nature to nurture? Child Development, 76, 356-370. 11 Lackner, C., Sabbagh, M.A., Hallinan, E., Liu, X., Holden, J.J. (2012)Dopamine receptor D4 gene variation predicts preschoolers' developing theory of mind Developmental Science, 15, 272-280. Parker, K.J., Garner, J.P., Libove, R.A., Hyde, S.A., Hornbeak, K.B., Carson, D.S., Liao, C.-P., Phillips, J.M., Hallmayer, J.F., Hardan, A.Y. (2014)Plasma oxytocin concentrations and OXTR polymorphisms predict social impairments in children with and without autism spectrum disorder Proceedings of the National Academy of Sciences of the United States of America, 111 1225812263. Ronald, A., Happé, F., Hughes, C., Plomin, R. (2005) Nice and nasty theory of mind in preschool children: Nature and nurture Social Development, 14,664-684 Ronald, A., Viding, E., Happé, F., Plomin, R. (2006) Individual differences in theory of mind ability in middle childhood and links with verbal ability and autistic traits: a twin study. Social neuroscience, 1, 412-425. *Skuse, D.H., Gallagher, L. (2011)Genetic influences on social cognition Pediatric Research, 69 (5 PART 2), pp. 85R-91R. Wade, M., Hoffmann, T.J., Wigg, K., Jenkins, J.M. (2014)Association between the oxytocin receptor (OXTR) gene and children's social cognition at 18 months Genes, Brain and Behavior, in press II: Social influences on ToM: See papers cited in pages X to Y of: Hughes, C. & Devine, R.T. (in press). A social perspective on theory of mind. To appear in M. Lamb (Ed.). Handbook of Child Psychology and Developmental Science (7th ed.), Volume III: Social, Emotional and Personality Development. Hoboken, NJ: Wiley Lecture 3: Siblings and parents as facilitators of ToM ToM and interactions with siblings or peers Cutting, A.L., Dunn, J. (1999) Theory of Mind, emotion understanding, language, and family background: Individual differences and interrelations Child Development, 70, 853-865 Brown, J.R., Donelan-McCall, N., Dunn, J. (1996) Why Talk about Mental States? The Significance of Children's Conversations with Friends, Siblings, and Mothers Child Development, 67, 836-849 Foote, R.C., Holmes-Lonergan, H.A. (2003) Sibling conflict and theory of mind British Journal of Developmental Psychology, 21, 45-58. Hughes, C., Fujisawa, K.K., Ensor, R., Lecce, S., Marfleet, R. (2006) Cooperation and conversations about the mind: A study of individual differences in 2-year-olds 12 and their siblings. British Journal of Developmental Psychology, 24, 53-72. Jenkins, J.M., Astington, J.W. (1996) Cognitive factors and family structure associated with theory of mind development in young children Developmental Psychology, 32, 70-78. McAlister, A., Peterson, C. (2007) A longitudinal study of child siblings and theory of mind development Cognitive Development, 22 (2), pp. 258-270. Perner, J., Ruffman, T., & Leekam, S. (1994). Theory of mind is contagious: You catch it from your sibs. Child Development, 65, 1228-1238. Ruffman, T., Perner, J., Naito, M., Parkin, L., Clements, W.A. (1998) Older (but not younger) siblings facilitate false belief understanding. Developmental psychology, 34 ,161-174. Tompkins, V., Farrar, M.J., Guo, Y. (2013)Siblings, language, and false belief in lowincome children Journal of Genetic Psychology, 174, 457-463 Parents as facilitators of ToM / related interventions Adrian, J.E., Clemente, R.A., Villanueva, L., Rieffe, C. (2005) Parent-child picture-book reading, mothers' mental state language and children's theory of mind Journal of Child Language, 32, 673-686. Hughes, C., Deater-Deckard, K., Cutting, A.L. (1999) 'Speak roughly to your little boy'? Sex differences in the relations between parenting and preschoolers' understanding of mind. Social Development, 8, Lecce, S., Bianco, F., Devine, R.T., Hughes, C., Banerjee, R. (2014) Promoting theory of mind during middle childhood: A training program. Journal of Experimental Child Psychology, 126, 52-67. Lundy, B.L. (2013) Paternal and Maternal Mind-mindedness and Preschoolers’ Theory of Mind: The Mediating Role of Interactional Attunement, Social Development, 22, 58 -74. Meins, E., Fernyhough, C., Wainwright, R., Das Gupta, M., Fradley, E., & Tuckey, M. (2002).Maternal mind-mindedness and attachment security as predictors of theory of mind understanding. Child Development, 73, 1715–1726. Meins, E., Fernyhough, C., Wainwright, R., Clark-Carter, D., Das Gupta, M., Fradley, E. & Tuckey, M. (2003), Pathways to Understanding Mind: Construct Validity and Predictive Validity of Maternal Mind-Mindedness. Child Development, 74, 1194–1211. 13 Meins, E., Fernyhough, C., Arnott, B., Turner, M. and Leekam, S. R. (2011), MotherVersus Infant-Centered Correlates of Maternal Mind-Mindedness in the First Year of Life. Infancy, 16, 137–165. O'Reilly, J., Peterson, C.C. (2014) Theory of mind at home: linking authoritative and authoritarian parenting styles to children's social understandingEarly Child Development and Care, . Article in Press. * Pavarini, G., de Hollanda Souza, D., Hawk, C.K. (2013) Parental Practices and Theory of Mind DevelopmentJournal of Child and Family Studies, 22, 844-853. Ruffman, T., Perner, J., Parkin, L. (1999). How parenting style affects false belief understanding Social Development, 8, 394-410. Sharp, C., & Fonagy, P. (2008) The Parent’s Capacity to Treat the Child as a Psychological Agent: Constructs, Measures and Implications for Developmental Psychopathology. Social Development, 17, 737 – 754. Lecture 4: Social and academic consequences of individual differences in ToM Theory of mind and social success Caputi, M., Lecce, S., Pagnin, A., Banerjee, R. (2012) Longitudinal effects of theory of mind on later peer relations: The role of prosocial behavior, Developmental Psychology, 48, 257-270. Fink, E., Begeer, S., Peterson, C.C., Slaughter, V., de Rosnay, M. (2014). Friendlessness and theory of mind: A prospective longitudinal studyBritish Journal of Developmental Psychology, in press. Grueneisen, S., Wyman, E., Tomasello, M. (2014)"I Know You Don't Know I Know..." Children Use Second-Order False-Belief Reasoning for Peer Coordination Child Development, . Article in Press. Hughes, C., Ensor, R., Marks, A. (2011) Individual differences in false belief understanding are stable from 3 to 6 years of age and predict children's mental state talk with school friends. Journal of Experimental Child Psychology, 108, 96-112 Hughes, C., Lecce, S., Wilson, C. (2007)"Do you know what I want?" Preschoolers' talk about desires, thoughts and feelings in their conversations with sibs and friends. Cognition and Emotion, 21, 330-350. Slaughter, V., Peterson, C.C., Moore, C. (2013) I can talk you into it: theory of mind and persuasion behavior in young children. Developmental psychology, 49,227231. Theory of mind and academic success: 14 Lecce, S., Bianco, F., Demicheli, P., Cavallini, E. (2014) Training Preschoolers on FirstOrder False Belief Understanding: Transfer on Advanced ToM Skills and Metamemory Child Development, In Press. Lecce, S., Caputi, M., Hughes, C. (2011). Does sensitivity to criticism mediate the relationship between theory of mind and academic achievement Journal of Experimental Child Psychology, 110, 313-331. Lecce, S., Caputi, M., Pagnin, A. (2014). Long-term effect of theory of mind on school achievement: The role of sensitivity to criticism. European Journal of Developmental Psychology, 11, 305-318 Lecce, S., Zocchi, S., Pagnin, A., Palladino, P., Taumoepeau, M. (2010). Reading Minds: The Relation Between Children's Mental State Knowledge and Their Metaknowledge About Reading. Child Development, 81, 1876-1893. Strasser, K., Del Río, F. (2014) The role of comprehension monitoring, theory of mind, and vocabulary depth in predicting story comprehension and recall of kindergarten children Reading Research Quarterly, 49, 169-187. Module 2: Executive Function Executive functions have become a hot topic for developmental research for many different reasons. Lecture 1 provides an introductory overview, encompassing: (i) historical roots and definitions; (ii) the measurement of executive function in different age groups, from infancy through to adolescence; and (iii) the distinction between ‘hot’ and ‘cool’ executive function. Lectures 2 and 3 each consider a set of findings that have catalysed research interest in executive functions. These findings highlight the importance of executive functions to (i) disruptive behaviour disorders such as ADHD and Conduct Disorder and (ii) academic success. Lecture 4 adopts a rather different perspective to focus on social influences upon individual differences in executive function (e.g., culture, bilingualism and parental sensitivity or stimulation). A few books Brown, T.E (2013). A new understanding of ADHD in children and adults: Executive Function impairments. Routledge. Goldberg, E (2009). The New Executive Brain: Frontal Lobes in a Complex World Mischel, W. (2014). The Marshmallow Test: Mastering Self Control Lecture 1 Part I- EF: meta-analyses and review papers – TD children Devine, R.T., Hughes, C. (2014) Relations Between False Belief Understanding and Executive Function in Early Childhood: A Meta-AnalysisChild Development, Article in Press. 15 Friso-Van Den Bos, I., Van Der Ven, S.H.G., Kroesbergen, E.H., Van Luit, J.E.H. (2013) Working memory and mathematics in primary school children: A metaanalysis Educational Research Review, 10, 29-44. Jurado, M.B., Rosselli, M. (2007)The elusive nature of executive functions: A review of our current understanding Neuropsychology Review, 17, 213-233. Moriguchi, Y., Hiraki, K. (2013)Prefrontal cortex and executive function in young children: A review of NIRS studies Frontiers in Human Neuroscience, 7 Toplak, M.E., West, R.F., Stanovich, K.E. (2013)Practitioner Review: Do performancebased measures and ratings of executive function assess the same construct? Journal of Child Psychology and Psychiatry and Allied Disciplines, 54, 131143. Yeniad, N., Malda, M., Mesman, J., Van Ijzendoorn, M.H., Pieper, S. (2013) Shifting ability predicts math and reading performance in children: A meta-analytical study Learning and Individual Differences, 23, 1-9. Lecture I, Part II - Executive Function: Assessments for different age groups and hot versus cool EF Brevers, D., Bechara, A., Cleeremans, A., Noël, X. (2013) Iowa Gambling Task (IGT): Twenty years after - gambling disorder and IGT Frontiers in Psychology, 4 art. no. Article 665. Brock, L.L., Rimm-Kaufman, S.E., Nathanson, L., Grimm, K.J. (2009) The contributions of 'hot' and 'cool' executive function to children's academic achievement, learning-related behaviors, and engagement in kindergarten, Early Childhood Research Quarterly, 24, 337-349. Castellanos-Ryan, N., Rubia, K., Conrod, P.J. (2011) Response Inhibition and Reward Response Bias Mediate the Predictive Relationships Between Impulsivity and Sensation Seeking and Common and Unique Variance in Conduct Disorder and Substance Misuse Alcoholism: Clinical and Experimental Research, 35, 140-155. Castellanos, F.X., Sonuga-Barke, E.J.S., Milham, M.P., Tannock, R. (2006)Characterizing cognition in ADHD: Beyond executive dysfunction Trends in Cognitive Sciences, 10,117-124. De Brito, S.A., Viding, E., Kumari, V., Blackwood, N., Hodgins, S. (2013) Cool and Hot Executive Function Impairments in Violent Offenders with Antisocial Personality Disorder with and without Psychopathy PLoS ONE, 8 art. no. e65566, . Dolan, M., Lennox, C. (2013) Cool and hot executive function in conduct-disordered adolescents with and without co-morbid attention deficit hyperactivity disorder:Relationships with externalizing behaviours Psychological Medicine, 43, 2427-2436. 16 Geurts, H.M., Van Der Oord, S., Crone, E.A. (2006)Hot and cool aspects of cognitive control in children with ADHD: Decision-making and inhibition Journal of Abnormal Child Psychology, 34, 813-824. Hongwanishkul, D., Happaney, K.R., Lee, W.S.C., Zelazo, P.D. (2005) Assessment of hot and cool executive function in young children: Age-related changes and individual differences Developmental Neuropsychology, 28, 617-644. Huizinga, M., Dolan, C.V. & Van der Molen, M.W. (2006). Age-related change in executive function: Developmental trends and a latent variable analysis. Neuropsychologia, 44, 2017 – 2036. Kerr, A., Zelazo, P.D. (2004) Development of "hot" executive function: The children's gambling task Brain and Cognition, 55 148-157. Mulder, H., Hoofs, H., Verhagen, J., van der Veen, I., Leseman, P.P.M. (2014) Psychometric properties and convergent and predictive validity of an executive function test battery for two-year-olds Frontiers in Psychology, 5 art. no. 733. Prencipe, A., Kesek, A., Cohen, J., Lamm, C., Lewis, M.D., Zelazo, P.D. (2011) Development of hot and cool executive function during the transition to adolescence Journal of Experimental Child Psychology, 108 621-637 Welsh, M., Peterson, E. (2014). Issues in the conceptualization and assessment of hot executive functions in childhood Journal of the International Neuropsychological Society, 20 152-156. Lecture 2 - EF: Meta-analyses and Review papers – Children with ADHD / CD Barkley, R.A. (1997) Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD Psychological Bulletin, 121, 65-94 Biederman, J., Monuteaux, M.C., Doyle, A.E., Seidman, L.J., Wilens, T.E., Ferrero, F., Morgan, C.L., Faraone, S.V. (2004). Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children Journal of Consulting and Clinical Psychology, 72, 757-766. Boonstra, A.M., Oosterlaan, J., Sergeant, J.A., Buitelaar, J.K. (2005) Executive functioning in adult ADHD: A meta-analytic review Psychological Medicine, 35, 1097-1108. De La Fuente, A., Xia, S., Branch, C., Li, X. (2013) A review of attentiondeficit/hyperactivity disorder from the perspective of brain networks Frontiers in Human Neuroscience, Fassbender, C., Schweitzer, J.B. (2006) Is there evidence for neural compensation in attention deficit hyperactivity disorder? A review of the functional neuroimaging literature Clinical Psychology Review, 26, 445-465. 17 Kempton, S., Vance, A., Maruff, P., Luk, E., Costin, J., Pantelis, C.(1999) Executive function and attention deficit hyperactivity disorder: Stimulant medication and better executive function performance in children Psychological Medicine, 29, 527-538 Nigg, J.T., Blaskey, L.G., Huang-Pollock, C.L., Rappley, M.D. (2002) Neuropsychological Executive Functions and DSM-IV ADHD Subtypes Journal of the American Academy of Child and Adolescent Psychiatry, 41 5966. Pauli-Pott, U., Roller, A., Heinzel-Gutenbrunner, M., Mingebach, T., Dalir, S., Becker, K. (2014) Inhibitory control and delay aversion in unaffected preschoolers with a positive family history of attention deficit hyperactivity disorder Journal of Child Psychology and Psychiatry and Allied Disciplines, . Article in Press. Pennington, B.F., Ozonoff, S. (1996)Executive functions and developmental psychopathology Journal of Child Psychology and Psychiatry and Allied Disciplines, 37 51-87. Rapport, M.D., Orban, S.A., Kofler, M.J., Friedman, L.M. (2013) Do programs designed to train working memory, other executive functions, and attention benefit children with ADHD? A meta-analytic review of cognitive, academic, and behavioral outcomes Clinical Psychology Review, 33, 1237-1252 Séguin, J.R., Boulerice, B., Harden, P.W., Tremblay, R.E., Pihl, R.O. (1999)Executive functions and physical aggression after controlling for attention deficit hyperactivity disorder, general memory, and IQ Journal of Child Psychology and Psychiatry and Allied Disciplines, 40 1197-1208 Shallice, T., Marco Marzocchi, G., Coser, S., Del Savio, M., Meuter, R.F., Rumiati, R.I. (2002) Executive function profile of children with attention deficit hyperactivity disorder, Developmental Neuropsychology, 21, 43-71 Lecture 3 - Executive function and school success Biederman, J., Monuteaux, M.C., Doyle, A.E., Seidman, L.J., Wilens, T.E., Ferrero, F., Morgan, C.L., Faraone, S.V. (2004). Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children Journal of Consulting and Clinical Psychology, 72, 757-766. Blair, C., Diamond, A. preventing school failure (2008). Biological processes in prevention and intervention. Development and Psychopathology, 20, 899-911. Barnett, W.S., Jung, K., Yarosz, D.J., Thomas, J., Hornbeck, A., Stechuk, R., Burns, S. (2008). Educational effects of the Tools of the Mind curriculum: A randomized trial. Early Childhood Research Quarterly, 23,299-313. Clark, C., Prior, M., & Kinsella, G. (2002). The relationship between executive function abilities, adaptive behaviour, and academic achievement in children with 18 externalising behaviour problems. Journal of Child Psychology and Psychiatry, 43, 785-796. Diamond, A., Lee, K. (2011).Interventions shown to aid executive function development in children 4 to 12 years old. Science, 333, 959-964. Gathercole, S.E., Pickering, S.J. (2000)Working memory deficits in children with low achievements in the national curriculum at 7 years of age. British Journal of Educational Psychology, 70, 177-194. McClelland, M.M., Cameron, C.E., Connor, C.M., Farris, C.L., Jewkes, A.M., Morrison, F.J. (2007)Links Between Behavioral Regulation and Preschoolers' Literacy, Vocabulary, and Math Skills Developmental Psychology, 43, 947-959. Thorell, L.B. (2007) Do delay aversion and executive function deficits make distinct contributions to the functional impact of ADHD symptoms? A study of early academic skill deficits. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48,1061-1070. Lecture 4 - Social Influences on Executive Function. Bernier, A., Carlson, S.M., Whipple, N. (2010)From external regulation to selfregulation: Early parenting precursors of young children's executive functioning. Child Development, 81, 326-339. Hughes, C., Ensor, R. (2005). Executive function and theory of mind in 2 year olds: A family affair? Developmental Neuropsychology, 28, 645-668. Lawson, G.M., Duda, J.T., Avants, B.B., Wu, J., Farah, M.J. (2013) Associations between children's socioeconomic status and prefrontal cortical thickness. Developmental Science, . Article in Press. Shonkoff, J.P. (2011). Protecting brains, not simply stimulating minds. Science, 333, pp. 982-983. Sarsour, K., Sheridan, M., Jutte, D., Nuru-Jeter, A., Hinshaw, S., Boyce, W.T. (2011). Family socioeconomic status and child executive functions: The roles of language, home environment, and single parenthood. Journal of the International Neuropsychological Society, 17, 120-132. Obradović, J. (2010). Effortful control and adaptive functioning of homeless children: Variable-focused and person-focused analyses. Journal of Applied Developmental Psychology, 31, 109-117. Blair, C., Granger, D.A., Willoughby, M., Mills-Koonce, R., Cox, M., Greenberg, M.T., Kivlighan, K.T., Fortunato, C.K. (2011). Salivary Cortisol Mediates Effects of Poverty and Parenting on Executive Functions in Early Childhood Child Development, 82, 1970-1984. 19 Bernier, A., Carlson, S.M., Deschênes, M., Matte-Gagné, C. (2012). Social factors in the development of early executive functioning: A closer look at the caregiving environment.Developmental Science, 15, 12-24. Hammond, S.I., Müller, U., Carpendale, J.I.M., Bibok, M.B., Liebermann-Finestone, D.P. (2012). The effects of parental scaffolding on preschoolers' executive function. Developmental Psychology, 48, 271-281. Hackman, D.A., Farah, M.J., Meaney, M.J. (2010) Socioeconomic status and the brain: Mechanistic insights from human and animal research. Nature Reviews Neuroscience, 11, 651-659. Hughes, C., Ensor, R. (2005) Executive function and theory of mind in 2 year olds: A family affair? Developmental Neuropsychology, 28, 645-668. Module 3: Risk and Resilience Often theorists and researchers become very narrow in their focus. In this module we attempt to take a step back in order to see the bigger picture, which often includes a complex interplay between various factors (related to the child, the family and the wider community). The first lecture in this module will outline recent theoretical advances in this field that hinge on the use of sophisticated statistical approaches. These allow one to model the cumulative nature of risk and the combination of factors (typically those that promote healthy relationships) that serve to promote resilience. The topic of risk and resilience also provides many excellent examples of the close interplay between method and theory – beginning with the shift from retrospective to prospective work leading to a change in focus, from vulnerability to resilience (i.e., from victim to victor). Advances in genetic studies over recent years have produced a further shift, with researchers increasingly recognizing that factors that make a child susceptible to negative influences may also increase the likelihood of that child responding positively to supportive interventions. That is, some children are more ‘permeable’ (rather than more vulnerable) than others – this difference is captured in the terms ‘orchid’ and ‘dandelion’ to describe different groups of children. Another key distinction for students to grasp is that between ‘mediation’ and ‘moderation’. The former concerns questions of how factors influence outcomes – what carries or ‘mediates’ this influence? The latter concerns questions of who is affected by a particular risk factor, or what contextual factors amplify or attenuate a particular risk. Typically, moderators are ‘distal’ factors (e.g., age, gender, SES, IQ) while mediators are ‘proximal’ factors (e.g., hostile attribution bias, parenting, emotional control). Logically however, it is possible for a factor to be both a mediator and a moderator! Having adopted a broad-ranging approach in the first lecture in this module, the second lecture will focus on one specific topic, namely that of risk factors that are active in the prenatal (and perinatal) periods – recent research has generated numerous exciting findings in this field. Lecture 1 – General overview: Bergman, L. R., & Vargha, A. (2013). Matching method to problem: A developmental science perspective. European Journal of Developmental Psychology, 10(1), 9–28. doi:10.1080/17405629.2012.732920 20 Buckner, J.C., Mezzacappa, E., Beardslee, W.R. (2003). Characteristics of resilient youths living in poverty: The role of self-regulatory processes Development and Psychopathology, 15, 139-162. Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., McClay, J., et al. (2003). Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science, 301(5631), 386–9. doi:10.1126/science.1083968 Cicchetti, D. (2010). Resilience under conditions of extreme stress: a multilevel perspective. World Psychiatry, 9(3), 145–154. Flouri, E., & Tzavidis, N. (2008). Psychopathology and prosocial behavior in adolescents from socio-economically disadvantaged families: the role of proximal and distal adverse life events. European Child & Adolescent Psychiatry, 17(8), 498–506. doi:10.1007/s00787-008-0693-9 Hanson, D. R., & Gottesman, I. I. (2012). Biologically flavored perspectives on Garmezian resilience. Development and Psychopathology, 24(2), 363–9. doi:10.1017/S0954579412000041 Masten, A.S., Narayan, A.J. (2012). Child development in the context of disaster, war, and terrorism: Pathways of risk and resilience. Annual Review of Psychology, 63, 227-257. Obradović, J., Long, J.D., Cutuli, J.J., Chan, C.-K., Hinz, E., Heistad, D., Masten, A.S. (2009). Academic achievement of homeless and highly mobile children in an urban school district: Longitudinal evidence on risk, growth, and resilience. Development and Psychopathology, 21, 493-518. Martinez-Torteya, C., Anne Bogat, G., Von Eye, A., Levendosky, A.A. (2009) Resilience among children exposed to domestic violence: The role of risk and protective factors Child Development, 80. 562-577 Shannon, K.E., Beauchaine, T.P., Brenner, S.L., Neuhaus, E., Gatzke-Kopp, L. (2007). Familial and temperamental predictors of resilience in children at risk for conduct disorder and depression. Development and Psychopathology, 19, 701727. Garmezy, N. (1993) Children in poverty: Resilience despite risk Psychiatry, 56, 127136. Lecture 2 - Pre and peri-natal risk Aarnoudse-Moens, C.S.H., Weisglas-Kuperus, N., Van Goudoever, J.B., Oosterlaan, J. (2009) Meta-analysis of neurobehavioral outcomes in very preterm and/or very low birth weight children. Pediatrics, 124 (2), pp. 717-728. 21 Bergman, K., Sarkar, P., O'Connor, T.G., Modi, N., Glover, V. (2007). Maternal stress during pregnancy predicts cognitive ability and fearfulness in infancy. Journal of the American Academy of Child and Adolescent Psychiatry, 46 (11), pp. 1454-1463. Bhutta, A.T., Cleves, M.A., Casey, P.H., Cradock, M.M., Anand, K.J.S. (2002) Cognitive and behavioral outcomes of school-aged children who were born preterm: A meta-analysis. Journal of the American Medical Association, 288 (6), pp. 728737. Betts, K.S., Williams, G.M., Najman, J.M., Alati, R. (2014) Maternal depressive, anxious, and stress symptoms during pregnancy predict internalizing problems in adolescence. Depression and Anxiety, 31 (1), pp. 9-18. Gatzke-Kopp, L.M., Beauchaine, T.P. (2007) Direct and passive prenatal nicotine exposure and the development of externalizing psychopathology. Child Psychiatry and Human Development, 38 (4), pp. 255-269. Hay, D.F., Pawlby, S., Waters, C.S., Sharp, D. (2008) Antepartum and postpartum exposure to maternal depression: Different effects on different adolescent outcomes. Journal of Child Psychology and Psychiatry and Allied Disciplines, 49 (10), pp. 1079-1088. Mattson, S.N., Crocker, N., Nguyen, T.T. (2011) Fetal alcohol spectrum disorders: Neuropsychological and behavioral features. Neuropsychology Review, 21 (2), pp. 81-101. Rodriguez, A., Bohlin, G. (2005) Are maternal smoking and stress during pregnancy related to ADHD symptoms in children? Journal of Child Psychology and Psychiatry and Allied Disciplines, 46 (3), pp. 246-254 Sharp, H., Hill, J., Hellier, J., Pickles, A. (2014) Maternal antenatal anxiety, postnatal stroking and emotional problems in children: outcomes predicted from pre- and postnatal programming hypotheses. Psychological Medicine, Article in Press Treyvaud, K., Ure, A., Doyle, L.W., Lee, K.J., Rogers, C.E., Kidokoro, H., Inder, T.E., Anderson, P.J. (2013) Psychiatric outcomes at age seven for very preterm children: Rates and predictors. Journal of Child Psychology and Psychiatry and Allied Disciplines, 54 (7), pp. 772-779. Risk in infancy – Dr Sam Wass Can we predict based on early behaviour which babies will go on to perform well, and which less well? Is it possible to predict long-term cognitive outcomes based on early behaviours? First we discuss the relationships that have been noted in typically developing infants between early behaviours and long-term outcomes on behavioural measures such as academic and IQ performance. Secondly we discuss evidence of early atypical behaviours in infants from a variety of 'high-risk' populations - including infants born 22 prematurely,infants from low-socio economic status backgrounds and infants in early stages of developing conditions such as ADHD and autism. We discuss the developmental role that early executive functions may play in mediating subsequent learning in a range of different areas. We also briefly link our discussion to individual differences at the neurobiological, genetic and environmental levels. Cornish, K., G. Scerif and A. Karmiloff-Smith (2007). "Tracing syndrome-specific trajectories of attention across the lifespan." Cortex 43: 672-685. Johnson, M. H. (2012). Executive function and developmental disorders: the flip side of the coin. Trends in Cognitive Sciences. 16, 454-457 (2012). Karmiloff-Smith, A., et al. Genetic and environmental vulnerabilities in children with neurodevelopmental disorders. Proceedings of the National Academy of Sciences of the United States of America. 109, 17261-17265 Karmiloff-Smith, A. (1998). "Development itself is the key to understanding developmental disorders." Trends in Cognitive Sciences 2: 389-398. *Nigg, J. T., Willcutt, E. G., Doyle, A. E. & Sonuga-Barke, E. J. S. (2005) Causal heterogeneity in attention-deficit/hyperactivity disorder: Do we need neuropsychologically impaired subtypes? Biological Psychiatry. 57,1224-1230 Rose, S. A., Feldman, J. F. & Jankowski, J. J. (2011). Modeling a cascade of effects: the role of speed and executive functioning in preterm/full-term differences in academic achievement. Developmental Science. 14, 1161-1175 Rose, S. A., Feldman, J. F. & Jankowski, J. J. (2012).Implications of infant cognition for executive functions at age 11. Psychol Sci. 23, 1345-1355 Rothbart, M. K., Sheese, . E., Rueda, M. R. & Posner, M. I. (2011).Developing Mechanisms of Self-Regulation in Early Life. Emot Rev. 3, 207-213 Rueda, M. R., Posner, M. I. & Rothbart, M. K. (2005). The development of executive attention: contributions to the emergence of self-regulation. Developmental neuropsychology. 28, 573-594 Wass., S. V., Scerif, G. & Johnson, M. H. (2012). Training attentional control and working memory: is younger, better? Developmental Review. 32, 360-387 Development and Clinical Disorders: Debra Potel This lecture will explore the way in which distress shows at different ages, from the kind of problems that might be observed to the likely emotional struggles underpinning them. The role of attachment and secure base scripts in mediating emotional wellbeing across childhood and adolescence will be outlined. The lecture will emphasise the importance of integrating knowledge of child development, together with an appreciation of family and educational context in order to come to an understanding of what is at the heart of the matter. 23 The concept, derived from behavioural theories and functional analysis, of distress (whether it shows as emotional, or behavioural difficulties) being an individual’s attempt to solve a problem they find themselves in, will be introduced. Reading list (for all of Debra Potel’s lectures) Fundamental principle of attachment and secure base scripts: Bowlby, J. (1982). Attachment and loss. Vol. 1: Attachment (2nd ed.). New York, NY: Basic Books (Original work published 1969). ISBN: 0465005438 Bretherton, I. (1990). Open communication and internal working models: Their role in the development of attachment relationships. In R. A. Thompson (Ed.), Nebraska Symposium on Motivation: Vol. 36. Socio-emotional development (pp. 57-113). Lincoln, NE: University of Nebraska Press. Waters, H. S. & Waters, E. (2006). The attachment working models concept: Among other things, we build script-like representations of secure base experiences. Attachment and Human Development, 8 (30), 185-197. Books to give a feel of different theoretical perspectives to conceptualising and treating difficulties: i) Core reference book Rutter, M., Taylor, E., & Hersov, L. A. (Eds.) (1994). Child and Adolescent Psychiatry: Modern Approaches (3rd ed.). Oxford, UK: Blackwell Scientific Publications. ISBN: 063202822X ii) Psychoanalytic perspectives Baruch, G. (Ed.) (2001). Community-Based Psychotherapy with Young People: Evidence and Innovation in Practice. Hove, UK: Brunner-Routledge. ISBN: 0415215102, 0415215110 (pbk) Anderson, R., & Dartington, A. (1998). Facing it Out: Clinical Perspectives on Adolescent Disturbance (The Tavistock Clinic Series). London, UK: Duckworth ISBN: 0715627945 iii) Systemic perspectives Barker, P., & Chang, J. (2013). Basic Family Therapy (6th ed.). West Sussex, UK: Wiley Blackwell. ISBN: 9781119945055 (pbk) iv) Behavioural perspectives Herbert, M. (1987). Behavioural treatment of children with problems: a practice manual. London, UK: Academic Press. v) Cognitive behavioural perspectives 24 Hawton, K., Salkovskis, P., Kirk, J., & Clark, D. M. (Eds.) (1989). Cognitive Behaviour Therapy for Psychiatric Problems: A Practical Guide. Oxford, UK: Oxford Medical Publications. ISBN: 0192618326, 0192615874 (pbk) LENT Family processes and the intergenerational transmission of risk: Dr Vasanti Jadva This lecture focuses on parent-child relationships and factors that can negatively affect child outcomes. It will begin by outlining Baumrind’s typology of different parenting styles and move on to examine how different dimensions of parenting can have a negative (and positive) impact on children’s development. It will examine factors that can have a detrimental impact on parenting by focussing on marital conflict and how different dimensions of conflict can cause risk to the child. Finally, the lecture will look at intergenerational continuity, again focusing on family processes and on factors that may break the intergenerational transmission of risk. General references / reviews: Special issue: Journal of Adolescent Health Volume 53, Issue 4, Supplement, Pages A1A4, S1-S44 (October 2013) Interrupting Child Maltreatment Across Generations Through Safe, Stable, Nurturing Relationships Baumrind, D. (1991). Effective parenting during the early adolescent transition. In P.A. Cowan & E. M. Hetherington (Eds.), Advances in family research (Vol. 2). Hillsdale, NJ: Erlbaum. Borstein, M. (ed) (2002). Handbook of Parenting. Second edition. Mawah, NJ: Erlbaum. This is a multi-volume work. Volume 5 concentrates on social issues. Cummings, E.M. & Davies, P. (1994). Children and Marital Conflict: The Impact of Family Dispute and Resolution. London: Guilford Cummings, E.M., & Davies, P.T. (2010) Marital conflict and children. An emotional security perspective. The Guildford Press, London. Day, R.D. & Lamb, M.E. (2003). Conceptualizing and measuring father involvement. Erlbaum. Göpfert, M., Webster, J. & Seeman, M.V. (2004). Parental psychiatric disorder: Distressed parents and their families. Cambridge: CUP. Jones, T.L. & Prinz, R.J. (2005). Potential roles of self-efficacy in parent and child adjustment: A review. Clinical Psychology Review, 25, 341-363. 25 O’Connor, T.G. (2002). Annotation: The ‘effects’ of parenting reconsidered: findings, challenges, and applications. Journal of Child Psychology & Psychiatry, 43(5), 555-572. Teti, D.M. & Candelaria, M. (2002). Parenting competence. In M.H. Bornstein (Ed.). Handbook of parenting (2nd ed.). Mahwah, NJ: Erlbaum. Individual papers: Adam, E.K., Gunnar, M.R. & Tanaka, A. (2004). Adult attachment, parent emotion and observed parenting behaviour: mediator and moderator models. Child Development, 75(1), 110-122. Andrea B. Erzingera, A.D & Steigerb, A.E.(2014) Intergenerational transmission of maternal and paternal parenting beliefs: The moderating role of interaction quality. European Journal of Developmental Psychology, 11(2), 177-195. Aunola, K. & Nurmi, J. (2005). The role of parenting styles in children’s problem behaviour. Child Development, 76(6), 1144-1159. Belsky, J. (1984). The determinants of parenting: a process model. Child Development, 55, 83-96. Baumrind, D. (1966). Effects of Authoritative Parental Control on Child Behavior, Child Development, 37(4), 887-907. Darling, N. & Steinberg, L. (1993). Parenting style as context: An integrative model. Psychological Bulletin, 113(3), 487-496. Harold, G.T., Pryor, J., & Reynolds, J. (2001). Not in front of the children? How conflict between parents affects children. London: One-Plus-One Marriage and Partnership Research. Lugo-Gil, J. & Tamis-LeMonda, C.S. (2008). Family Resources and Parenting Quality: Links to Children's Cognitive Development Across the First 3 Years. Child Development, 79(4), 1065-1085. Maccoby, E.E. (1992). The role of parents in the socialization of children: An historical overview. Developmental Psychology, 28, 1006-1017. Maccoby, E. E., & Martin, J. A. (1983). Socialization in the context of the family: Parent–child interaction. In P. H. Mussen & E. M. Hetherington, Handbook of child psychology: Vol. 4. Socialization, personality, and social development (4th ed.). New York: Wiley. Pettit, G.S., Keiley, M.K., Laird, R.D., Bates, J.E. & Dodge, K.A. (2007). Predicting the developmental course of mother-reported monitoring across childhood and adolescence from early proactive parenting, child temperament, and parents’ worries. Journal of Family Psychology, 21(2), 206-217. 26 Reynolds, J., Houlston, C., Coleman,, L., & Harold, G. (2014) Parental conflict : outcomes and interventions for children and families. Bristol: The Policy Press. McCoy, K.P., George, M.R.W., Cummings, E.M., Davies, P.T. ( 2013) Constructive and Destructive Marital Conflict, Parenting, and Children’s School and Social Adjustment. Social Development, 22 (4) 641-622. Siblings: CH Most of us grow up with brothers & sisters, and there are striking individual differences in the quality of sibling relationships. Yet the influence siblings may have on development was not recognised until quite recently: it is only in the last 20 years that this topic has received systematic investigation. The sibling relationship is often emotionally charged, and parents frequently compare siblings with each other. From a ‘risk’ perspective, siblings can therefore directly foster both aggression and low self-esteem. Siblings: Developmental issues and General Dunn, J., Slomkowski, C., Beardsall, L. (1994) Sibling Relationships From the Preschool Period Through Middle Childhood and Early Adolescence Developmental Psychology, 30, 315-324. Dunn, J., McGuire, S. (1992) Sibling and peer relationships in childhood Journal of Child Psychology and Psychiatry and Allied Disciplines, 33, 67-105. Dunn, J., Plomin, R. (1991) Why are siblings so different? The significance of differences in sibling experiences within the family. Family Process, 30, 271283. Dunn, J. (2005) Commentary: Siblings in their familiesJournal of Family Psychology, 19, 654-657. Gass, K., Jenkins, J., Dunn, J. (2007) Are sibling relationships protective? A longitudinal study Journal of Child Psychology and Psychiatry and Allied Disciplines, 48, 167-175. Jenkins, J., Rasbash, J., Leckie, G., Gass, K., Dunn, J. (2012) The role of maternal factors in sibling relationship quality: A multilevel study of multiple dyads per family Journal of Child Psychology and Psychiatry and Allied Disciplines, 53, 622-629. Volling, B.L. (2012) Family transitions following the birth of a sibling: An empirical review of changes in the firstborn's adjustment Psychological Bulletin, 138, 497-528 Yeh, H.-C., Lempers, J.D. (2004) Perceived sibling relationships and adolescent development Journal of Youth and Adolescence, 33, 133-147. Siblings and talk about thoughts and feelings 27 Brown, J.R., Donelan-McCall, N., Dunn, J. (1996) Why Talk about Mental States? The Significance of Children's Conversations with Friends, Siblings, and Mothers Child Development, 67, 836-849. Cutting, A.L., Dunn, J. (2006) Conversations with siblings and with friends: Links between relationship quality and social understanding British Journal of Developmental Psychology, 24, 73-87. Dunn, J., Brown, J., Beardsall, L. (1991) Family Talk About Feeling States and Children's Later Understanding of Others' Emotions, Developmental Psychology, 27, 448-455. Dunn, J., Bretherton, I., Munn, P. (1987) Conversations About Feeling States Between Mothers and Their Young Children Developmental Psychology, 23, 132-139. Siblings and problem behaviours Buist, K.L., Vermande, M. (2014) Sibling relationship patterns and their associations with child competence and problem behaviour Journal of Family Psychology, 28, 529-537. Campione-Barr, N., Greer, K.B., Kruse, A. (2013) Differential Associations Between Domains of Sibling Conflict and Adolescent Emotional Adjustment Child Development, 84, 938-954. Coldwell, J., Pike, A., Dunn, J. (2008) Maternal differential treatment and child adjustment: A multi-informant approach Social Development, 17, 596-612. Feinberg, M.E., Neiderhiser, J.M., Simmens, S., Reiss, D., Hetherington, E.M. (2000) Sibling comparison of differential parental treatment in adolescence: Gender, self-esteem, and emotionality as mediators of the parenting-adjustment association Child Development, 71, 1611-1628. Frampton, K.L., Jenkins, J.M., Dunn, J. (2010) Within-family differences in internalizing behaviors: The role of children's perspectives of the mother-child relationship Journal of Abnormal Child Psychology, 38, 557-568. Patterson, G.R., Dishion, T.J., Bank, L. (1984) Family interaction: A process model of deviancy training Aggressive Behavior, 10, 253-267. Recchia, H., Wainryb, C., Pasupathi, M. (2013) "Two for flinching": Children's and adolescents' narrative accounts of harming their friends and siblings Child Development, 84, 1459-1474. Stocker, C.M. (1994) Children's perceptions of relationships with siblings, friends, and mothers: Compensatory processes and links with adjustment Journal of Child Psychology and Psychiatry and Allied Disciplines, 35, 1447-1459. 28 Tippett, N., Wolke, D. (2014) Aggression between siblings: Associations with the home environment and peer bullying Aggressive Behavior, . Article in Press. Tucker, C.J., Finkelhor, D., Turner, H., Shattuck, A.M. (2014) Family Dynamics and Young Children's Sibling Victimization Journal of Family Psychology. Article in Press. Tucker, C.J., Finkelhor, D., Turner, H., Shattuck, A. (2013) Association of sibling aggression with child and adolescent mental health Pediatrics, 132, 79-84. Children’s Friendships and Peer Relationships Friends can provide valuable support during stressful times, or for children with poor familial relationships. Unlike siblings, friends can break the relationship if they are not happy, so that children are (usually) motivated to show prosocial behaviour towards their friends. As a result, observations of friends enable developmental psychologists to witness children at their most mature. However, not all friendships are protective, and researchers now focus on the identity & quality of friendships rather than the simple number of friendships (as indexed in socio-metric studies). Asher, S.R., Wheeler, V.A. (1985) Children's Loneliness. A Comparison of Rejected and Neglected Peer Status Journal of Consulting and Clinical Psychology, 53,500-505. Buck, K.A., Dix, T. (2012) Can Developmental Changes in Inhibition and Peer Relationships Explain Why Depressive Symptoms Increase in Early Adolescence? Journal of Youth and Adolescence, 41 403-413 Fink, E., Begeer, S., Peterson, C.C., Slaughter, V., de Rosnay, M. (2014) Friendlessness and theory of mind: A prospective longitudinal study British Journal of Developmental Psychology, . Article in Press. Gest, S.D., Graham-Bermann, S.A., Hartup, W.W. (2001) Peer experience: Common and unique features of number of friendships, social network centrality, and sociometric status Social Development, 10, 22-40. Hart, C.H., DeWolf, D.M., Wozniak, P., Burts, D.C. (1992) Maternal and paternal disciplinary styles: relations with preschoolers' playground behavioral orientations and peer status. Child Development, 63, 879-892. Hartup, W.W., Stevens, N. (1997) Friendships and adaptation in the life course, Psychological Bulletin, 121, 355-370. Hartup, W.W. (1996) The Company They Keep: Friendships and Their Developmental Significance Child Development, 67, 1-13. 29 Kupersmidt, J.B., Coie, J.D. (1990) Preadolescent peer status, aggression, and school adjustment as predictors of externalizing problems in adolescence. Child Development, 61, 1350-1362 Laursen, B., Hartup, W.W., Koplas, A.L. (1996) Towards understanding peer conflict Merrill-Palmer Quarterly, 42 76-102. Nangle, D.W., Erdley, C.A., Newman, J.E., Mason, C.A., Carpenter, E.M. (2003) Popularity, Friendship Quantity, and Friendship Quality: Interactive Influences on Children's Loneliness and Depression Journal of Clinical Child and Adolescent Psychology, 32 546-555. Newcomb, A.F., Bukowski, W.M., Pattee, L. (1993) Children's peer relations: A metaanalytic review of popular, rejected, neglected, controversial, and average sociometric status Psychological Bulletin, 113,99-128. Poorthuis, A.M.G., Thomaes, S., Denissen, J.J.A., van Aken, M.A.G., Orobio de Castro, B. (2012)Prosocial tendencies predict friendship quality, but not for popular children Journal of Experimental Child Psychology, 112 378-388. Salmivalli, C., Kaukiainen, A., Lagerspetz, K. (2000) Aggression and sociometric status among peers: Do gender and type of aggression matter? Scandinavian Journal of Psychology, 41, 17-24. Cited 90 Peer Rejection Bagwell, C.L., Newcomb, A.F., Bukowski, W.M. (1998) Preadolescent Friendship and Peer Rejection as Predictors of Adult Adjustment Child Development, 69, 140153. Bierman, K.L., Kalvin, C.B., Heinrichs, B.S. (2014) Early Childhood Precursors and Adolescent Sequelae of Grade School Peer Rejection and Victimization Journal of Clinical Child and Adolescent Psychology, . Article in Press. Bolger, K.E., Patterson, C.J. (2001) Developmental pathways from child maltreatment to peer rejection, Child Development, 72, 549-568. Buhs, E.S., Ladd, G.W., Herald, S.L. (2006) Peer exclusion and victimization: Processes that mediate the relation between peer group rejection and children's classroom engagement and achievement? Journal of Educational Psychology, 98, 1-13. Cairns, R.B., Cairns, B.D., Neckerman, H.J., Gest, S.D., Gariépy, J.-L. (1988) Social Networks and Aggressive Behavior: Peer Support or Peer Rejection? Developmental Psychology, 24, 815-823. Coie, J.D., Lochman, J.E., Terry, R., Hyman, C. (1992) Predicting early adolescent disorder from childhood aggression and peer rejection Journal of Consulting and Clinical Psychology, 60, 783-792. 30 DeRosier, M.E., Kupersmidt, J.B., Patterson, C.J. (1994) Children's academic and behavioral adjustment as a function of the chronicity and proximity of peer rejection. Child Development, 65, 1799-1813. Dodge, K.A., Lansford, J.E., Burks, V.S., Bates, J.E., Pettit, G.S., Fontaine, R., Price, J.M. (2003) Peer Rejection and Social Information-Processing Factors in the Development of Aggressive Behavior Problems in Children, Child Development, 74, 374-393. Godleski, S.A., Kamper, K.E., Ostrov, J.M., Hart, E.J., Blakely-McClure, S.J. (2014) Peer Victimization and Peer Rejection During Early Childhood, Journal of Clinical Child and Adolescent Psychology, . Article in Press. Kretschmer, T., Sentse, M., Dijkstra, J.K., Veenstra, R. (2014) The interplay between peer rejection and acceptance in preadolescence and early adolescence, serotonin transporter gene, and antisocial behavior in late adolescence: The TRAILS study Merrill-Palmer Quarterly, 60, 193-216. Ladd, G.W. (2006) Peer rejection, aggressive or withdrawn behavior, and psychological maladjustment from ages 5 to 12: An examination of four predictive models Child Development, 77, 822-846. Laird, R.D., Jordan, K.Y., Dodge, K.A., Pettit, G.S., Bates, J.E. (2001) Peer rejection in childhood, involvement with antisocial peers in early adolescence, and the development of externalizing behavior problems Development and Psychopathology, 13, 337-354. Lansford, J.E., Dodge, K.A., Fontaine, R.G., Bates, J.E., Pettit, G.S. (2014) Peer Rejection, Affiliation with Deviant Peers, Delinquency, and Risky Sexual Behavior Journal of Youth and Adolescence,. Article in Press. Masten, C.L., Eisenberger, N.I., Borofsky, L.A., Pfeifer, J.H., McNealy, K., Mazziotta, J.C., Dapretto, M. (2009) Neural correlates of social exclusion during adolescence: Understanding the distress of peer rejection Social Cognitive and Affective Neuroscience, 4, 143-157. Parkhurst, J.T., Asher, S.R. (1992) Peer Rejection in Middle School: Subgroup Differences in Behavior, Loneliness, and Interpersonal Concerns Developmental Psychology, 28, 231-241. Plaisier, X.S., Konijn, E.A. (2013) Rejected by peers-attracted to antisocial media content: Rejection-based anger impairs moral judgment among adolescents Developmental Psychology, 49, 1165-1173 Platt, B., Kadosh, K.C., Lau, J.Y.F. (2013) The role of peer rejection in adolescent depression Depression and Anxiety, 30 (809-821. Stroud, L.R., Foster, E., Papandonatos, G.D., Handwerger, K., Granger, D.A., Kivlighan, K.T., Niaura, R. (2009)Stress response and the adolescent 31 transition: Performance versus peer rejection stressors, Development and Psychopathology, 21, 47-68 Zimmer-Gembeck, M.J., Nesdale, D., McGregor, L., Mastro, S., Goodwin, B., Downey, G. (2013) Comparing reports of peer rejection: Associations with rejection sensitivity, victimization, aggression, and friendship Journal of Adolescence, 36, 1237-1246. School Influences: Dr Debra Potel Up until 18 school is a person’s day job, and the model in the adult world of work influencing life at home, and life at home influencing one’s ability to manage ones job, is equally relevant to the interplay between home and school life. In order to succeed and feel confident at school one needs to be able to manage each of the following sufficiently well: work, peer relationships, relationships with authority, and self-organisation. The lecture will explore how struggles in any / all of these areas can have a major impact on a child or adolescent’s wellbeing and effect his / her functioning at home and at school. We will also touch on how what looks at first sight like a school based problem may actually, at its heart, relate to a struggle in another part of life, and we will also come back to the role of attachment and secure base scripts in determining an individual’s level of risk and resilience. The role of assessment in generating hypothesis and coming to an understanding of the key issues to be addressed within an intervention will be emphasised. Conduct Disorder This lecture aims to provide a broader, integrative perspective on the problems shown by children with DBD – including effects of genetic factors, adverse environmental influences (both within and outside the family) and transactional effects such as coercive cycles of violence. In response to changes in diagnostic criteria in DSM V, recent research into callous and unemotional traits is also covered. Callous and unemotional traits Note – I’ve included some recent short papers that are replies to other articles – to give you a few ideas about how to critique / question papers that you read. Kochanska, G., Boldt, L.J., Kim, S., Yoon, J.E., Philibert, R.A. (2014) Developmental interplay between children's biobehavioral risk and the parenting environment from toddler to early school age: Prediction of socialization outcomes in preadolescence, Development and Psychopathology, . Article in Press. Ciucci, E., Baroncelli, A. (2014) The emotional core of bullying: Further evidences of the role of callous-unemotional traits and empathy Personality and Individual Differences, 67, 69-74 32 Dadds, M.R., Allen, J.L., McGregor, K., Woolgar, M., Viding, E., Scott, S. (2014) Callous-unemotional traits in children and mechanisms of impaired eye contact during expressions of love: A treatment target? Journal of Child Psychology and Psychiatry and Allied Disciplines, 55, 771-780. Frick, P.J., Ray, J.V. (2014)Evaluating Callous-Unemotional Traits as a Personality Construct Journal of Personality, . Article in Press. Frick, P.J., Ray, J.V., Thornton, L.C., Kahn, R.E. (2014) Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review, Psychological Bulletin, 140, 1-57 Frick, P.J., Ray, J.V., Thornton, L.C., Kahn, R.E. (2014)The road forward for research on callous-unemotional traits: Reply to lahey (2014)Psychological Bulletin, 140, 64-68. Frick, P.J., Ray, J.V., Thornton, L.C., Kahn, R.E. (2014) Annual research review: A developmental psychopathology approach to understanding callousunemotional traits in children and adolescents with serious conduct problems, Journal of Child Psychology and Psychiatry and Allied Disciplines, 55, 532548 Frick, P.J., White, S.F. (2008) Research Review: The importance of callous-unemotional traits for developmental models of aggressive and antisocial behaviour, Journal of Child Psychology and Psychiatry and Allied Disciplines, 49, 359375. Frick, P.J., Cornell, A.H., Bodin, S.D., Dane, H.E., Barry, C.T., Loney, B.R. (2003) Callous-Unemotional Traits and Developmental Pathways to Severe Conduct Problems, Developmental Psychology, 39, 246-260 Frick, P.J., O'Brien, B.S., Wootton, J.M., McBurnett, K. (1994) Psychopathy and conduct problems in children, Journal of Abnormal Psychology, 103, 700-707. Hawes, D.J., Price, M.J., Dadds, M.R. (2014) Callous-Unemotional Traits and the Treatment of Conduct Problems in Childhood and Adolescence: A Comprehensive Review, Clinical Child and Family Psychology Review, 17, 248-267. Kimonis, E.R., Centifanti, L.C., Allen, J.L., Frick, P.J. (2014) Reciprocal Influences between Negative Life Events and Callous-Unemotional Traits Journal of Abnormal Child Psychology, . Article in Press. Lahey, B.B. (2014)What we need to know about callous-unemotional traits: Comment on frick, ray, thornton, and kahn (2014) Psychological Bulletin, 140, 58-63. Rowe, R. (2014) Commentary: Integrating callous and unemotional traits into the definition of antisocial behaviour - A commentary on Frick et al. (2014) 33 Journal of Child Psychology and Psychiatry and Allied Disciplines, 55, 549552. Sebastian, C.L., McCrory, E.J., Dadds, M.R., Cecil, C.A.M., Lockwood, P.L., Hyde, Z.H., De Brito, S.A., Viding, E. (2014) Neural responses to fearful eyes in children with conduct problems and varying levels of callous-unemotional traits Psychological Medicine, 44, 99-109. Van Leeuwen, N., Rodgers, R.F., Gibbs, J.C., Chabrol, H. (2014) Callous-unemotional traits and antisocial behavior among adolescents: The role of self-serving cognitions Journal of Abnormal Child Psychology, 42, 229-237. Viding, E., Blair, R.J.R., Moffitt, T.E., Plomin, R. (2005) Evidence for substantial genetic risk for psychopathy in 7-years-olds Journal of Child Psychology and Psychiatry and Allied Disciplines, 46, 592-597 Waller, R., Gardner, F., Shaw, D.S., Dishion, T.J., Wilson, M.N., Hyde, L.W. (2014)Callous-Unemotional Behavior and Early-Childhood Onset of Behavior Problems: The Role of Parental Harshness and Warmth, Journal of Clinical Child and Adolescent Psychology, Article in Press Wootton, J.M., Frick, P.J., Shelton, K.K., Silverthorn, P. (1997) Ineffective parenting and childhood conduct problems: The moderating role of callous-unemotional traits Journal of Consulting and Clinical Psychology, 65, 301-308. CD & Gender Burnette, M.L., Oshri, A., Lax, R., Richards, D., Ragbeer, S.N. (2012) Pathways from harsh parenting to adolescent antisocial behavior: A multidomain test of gender moderation. Development and Psychopathology, 24, 857-870. Staniloiu, A., Markowitsch, H. (2012)Gender differences in violence and aggression - A neurobiological perspective Procedia - Social and Behavioral Sciences, 33, 1032-1036. Flouri, E., Panourgia, C. (2011) Gender differences in the pathway from adverse life events to adolescent emotional and behavioural problems via negative cognitive errors, British Journal of Developmental Psychology, 29 234-252. Reinke, W.M., Ostrander, R. (2008) Heterotyic and homotypic continuity: The moderating effects of age and gender Journal of Abnormal Child Psychology, 36, 1109-1121. Webster-Stratton, C. (1996) Early-onset conduct problems: Does gender make a difference? Journal of Consulting and Clinical Psychology, 64 540-551. 34 Zahn-Waxler, C., Shirtcliff, E.A., Marceau, K. (2008) Disorders of childhood and adolescence: Gender and psychopathologyAnnual Review of Clinical Psychology, 4, 275-303. Conduct Disorder and ToM Decety, J., Michalska, K.J., Akitsuki, Y. (2008) Who caused the pain? An fMRI investigation of empathy and intentionality in children Neuropsychologia, 46, 2607-2614. Colvert, E., Rutter, M., Beckett, C., Castle, J., Groothues, C., Hawkins, A., Kreppner, J., O'Connor, T.G., Stevens, S., Sonuga-Barke, E.J.S. (2008) Emotional difficulties in early adolescence following severe early deprivation: Findings from the English and Romanian adoptees study Development and Psychopathology, 20 pp. 547-567. Happé, F., Frith, U. (1996) Theory of mind and social impairment in children with conduct disorder. British Journal of Developmental Psychology, 14 385-398. Hughes, C., Dunn, J., White, A. (1998)Trick or treat?: Uneven understanding of mind and emotion and executive dysfunction in 'hard-to-manage' pre-schoolers. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39, 981994. Sebastian, C.L., McCrory, E.J.P., Cecil, C.A.M., Lockwood, P.L., De Brito, S.A., Fontaine, N.M.G., Viding, E. (2012) Neural responses to affective and cognitive theory of mind in children with conduct problems and varying levels of callous-unemotional traits Archives of General Psychiatry, 69, 814-822. O'Nions, E., Sebastian, C.L., Mccrory, E., Chantiluke, K., Happé, F., Viding, E. 2014) Neural bases of Theory of Mind in children with autism spectrum disorders and children with conduct problems and callous-unemotional traits Developmental Science, Article in Press. Sharp, C. (2008) Theory of mind and conduct problems in children: Deficits in reading the "emotions of the eyes"Cognition and Emotion, 22, 1149-1158. Sutton, J., Reeves, M., Keogh, E. (2000) Disruptive behaviour, avoidance of responsibility and theory of mind British Journal of Developmental Psychology, 18, 1-11. Prisoners and their families: Dr Caroline Lanskey, Criminology, For many years there was little awareness of the problems many children faced as a consequence of parental imprisonment and they were referred to as ‘hidden’ or ‘silent victims’ of crime. However in the US and the UK in parallel with the rise in incarceration rates, increasing research attention has been directed towards this group of young people and understanding the impact of having a parent in prison. This is not a 35 straightforward task as it is difficult to disentangle the influence of parental imprisonment from other influences on children’s development. Is there a difference between maternal and paternal incarceration? Are children of different gender, ages, ethnicity affected differently? What role do prior family relationships play? Are there noticeable changes over time? This lecture reflects on these and other questions that are engaging researchers in the field and the answers they are coming up with. Primary Reading Arditti, J. A. (2012), Child Trauma Within the Context of Parental Incarceration: A Family Process Perspective. Journal of Family Theory & Review, 4: 181–219. doi: 10.1111/j.1756-2589.2012.00128.x Besemer, S. (2012): The impact of timing and frequency of parental criminal behaviour and risk factors on offspring offending, Psychology, Crime & Law. DOI:10.1080/ 1068316X.2012.736512. Geller, A., Garfinkel, I., Cooper, C. E. and Mincy, R. B. (2009), Parental Incarceration and Child Well-Being: Implications for Urban Families. Social Science Quarterly, 90: 1186–1202. doi: 10.1111/j.1540-6237.2009.00653.x Harris Y.R., Graham, J.A., Oliver Carpenter, G.J. (2010) Children of Incarcerated Parents. Theoretical, Developmental and Clinical Issues. New York: Springer Publishing Company. (Parts I and II). Lanskey C., Lӧsel. F, Markson, L., & Souza, K. (2014) Re-framing the analysis: a 3dimensional perspective of prisoners’ children’s well-being. Children and Society. DOI: 10.1111/chso.12088. Lee , R. D. , Fang , X. , & Luo , F. ( 2013 ). The impact of parental incarceration on the physical and mental health of young adults . Pediatrics , 131 , 1188 – 1195 . Murray J, Farrington, DP (2008), The effects of parental imprisonment on children Crime and Justice: A Review of Research 37:133-206 Murray, J., Bijleveld, C.C.J.H., Farrington, D.P., & Loeber, R. (2014), Effects of Parental Imprisonment on Children: Cross-national Comparative Studies. Washington, DC: American Psychological Association. (Chps 1,2,3 &10) Murray J, Farrington DP, Sekol I (2012), Children's antisocial behavior, mental health, drug use, and educational performance after parental incarceration: A systematic review and meta-analysis. Psychological Bulletin 138(2): 175-210 Wildeman, C., Kristin Turney, T. (2014) Positive, Negative, or Null? The Effects of Maternal Incarceration on Children's Behavioral Problems. Demography. 51(3): 1041-1068. Dallaire,D.H., Janice L. Zeman, J.L., Todd M. Thrash, T.M. (2014) Children's Experiences of Maternal Incarceration-Specific Risks: Predictions to Psychological Maladaptation. Journal of Clinical Child & Adolescent Psychology . 36 Secondary Reading Arditti J (2012) Parental Incarceration and the Family: Psychological and Social Effects of Imprisonment on Children, Parents, and Caregivers. New York: New York University Press. Besemer S, Geest V, Murray J, Bijleveld CCHJ, Farrington DP (2011), “The relationship between parental imprisonment and offspring offending in England and the Netherlands” British Journal of Criminology 51(2)413-37. Boswell, G. and Wedge, P. (2002 Imprisoned fathers and their children. London: Jessica Kingsley. Lanskey, C., Lӧsel, F., Markson, L.,& Souza, K. (2014) Children’s contact with their imprisoned father and the father child relationship after his release. Families, Relationships and Societies. http://dx.doi.org/10.1332/204674314X14037881746154. Murray J, Loeber R, Pardini D (2012), “Parental involvement in the criminal justice system and the development of youth theft, depression, marijuana use, and poor academic performance” Criminology 50(1): 255-302. Murray J, Murray L (2010), “Parental incarceration, attachment and child psychopathology.” Attachment and Human Development 12(4):289-309 Turney, K., Schnittker, J., Wildeman, C.( 2012) "Those They Leave Behind: Paternal Incarceration and Maternal Instrumental Support". Journal of Marriage and Family. 74(5): 1149-1165. Wildeman, C. (2014) "Parental Incarceration, Child Homelessness, and the Invisible Consequences of Mass Imprisonment". Annals of the American Academy of Political and Social Sciences. 651(1): 74-96. Wakefield, S., Wildeman , C. (2011) "Mass Imprisonment and Racial Disparities in Childhood Behavioral Problems" Criminology and Public Policy. 10(3): 793817. Bullying - CH In this lecture we discuss contemporary research on bullying. Are bullies ‘social oafs’ or deviant social manipulators? Or is this individually-oriented perspective fundamentally inappropriate for investigating group-based interactions? Useful review papers: Ttofi, M.M., Farrington, D.P., Lösel, F., Loeber, R. (2011) The predictive efficiency of school bullying versus later offending: A systematic/meta-analytic review of longitudinal studies Criminal Behaviour and Mental Health, 21 , 80-89. 37 Salmivalli, C. (2010) Bullying and the peer group: A review Aggression and Violent Behavior, 15 112-120. Ferguson, C.J., Miguel, C.S., Kilburn Jr., J.C., Sanchez, P. (2007) The effectiveness of school-based anti-bullying programs: A meta-analytic review Criminal Justice Review, 32. 401-414. Vreeman, R.C., Carroll, A.E. (2007)A systematic review of school-based interventions to prevent bullying Archives of Pediatrics and Adolescent Medicine, 161 7888. Salmon, G., James, A., Cassidy, E.L., Javaloyes, M.A. (2000). Bullying a review: Presentations to an adolescent psychiatric service and within a school for emotionally and behaviourally disturbed children Clinical Child Psychology and Psychiatry, 5. 563-579. Useful individual papers on bullying Barker, E.D., Arseneault, L., Brendgen, M., Fontaine, N., Maughan, B. (2008) Joint development of bullying and victimization in adolescence: Relations to delinquency and self-harm Journal of the American Academy of Child and Adolescent Psychiatry, 47 1030-1038. Ball, H.A., Arseneault, L., Taylor, A., Maughan, B., Caspi, A., Moffitt, T.E. (2008) Genetic and environmental influences on victims, bullies and bully-victims in childhood Journal of Child Psychology and Psychiatry and Allied Disciplines, 49 104-112. Bowes, L., Arseneault, L., Maughan, B., Taylor, A., Caspi, A., Moffitt, T.E. (2009) School, neighborhood, and family factors are associated with children's bullying involvement: A nationally representative longitudinal study Journal of the American Academy of Child and Adolescent Psychiatry, 48 545-553. Huitsing, G., Snijders, T.A.B., Van Duijn, M.A.J., Veenstra, R. (2014) Victims, bullies, and their defenders: A longitudinal study of the coevolution of positive and negative networks Development and Psychopathology, 26, 645-659. Farrington, D.P., Ttofi, M.M. (2011) Bullying as a predictor of offending, violence and later life outcomes Criminal Behaviour and Mental Health, 21, pp. 90-98. Lereya, S.T., Samara, M., Wolke, D. (2013) Parenting behavior and the risk of becoming a victim and a bully/victim: A meta-analysis study Child Abuse and Neglect, 37 1091-1108. Jolliffe, D., Farrington, D.P. (2011). Is low empathy related to bullying after controlling for individual and social background variables? Journal of Adolescence, 34 5971. Lehti, V., Sourander, A., Klomek, A., Niemelä, S., Sillanmäki, L., Piha, J., Kumpulainen, K., Tamminen, T., Moilanen, I., Almqvist, F. (2011) Childhood 38 bullying as a predictor for becoming a teenage mother in Finland European Child and Adolescent Psychiatry, 20 49-55. Oellet-Morin, I., Danese, A., Bowes, L., Shakoor, S., Ambler, A., Pariante, C.M., Papadopoulos, A.S., Caspi, A., Moffitt, T.E., Arseneault, L. (2011). A discordant monozygotic twin design shows blunted cortisol reactivity among bullied children Journal of the American Academy of Child and Adolescent Psychiatry, 50 574-582. Pepler, D., Jiang, D., Craig, W., Connolly, J. (2008) Developmental trajectories of bullying and associated factors Child Development, 79, 325-338. Rodkin, P.C., Hanish, L.D., Wang, S., Logis, H.A. (2014) Why the bully/victim relationship is so pernicious: A gendered perspective on power and animosity among bullies and their victims Development and Psychopathology, 26 689704. Bullying: long-term effects and effective interventions: MT In this lecture we discuss contemporary research on bullying interventions. Different intervention strategies, their merits and problems will then be addressed. Should anti-bullying strategies be part of early intervention research and why? What intervention strategies can best tackle this problem behaviour? Useful review papers: Gini, G., & Pozzoli, T. (2009). Association between bullying and psychosomatic problems: A meta-analysis. Pediatrics, 123(3), 1059-1065. Salmivalli, C. (2010) Bullying and the peer group: A review Aggression and Violent Behavior, 15 112-120. Salmon, G., James, A., Cassidy, E.L., Javaloyes, M.A. (2000). Bullying a review: Presentations to an adolescent psychiatric service and within a school for emotionally and behaviourally disturbed children Clinical Child Psychology and Psychiatry, 5. 563579. Ttofi, M.M. & Farrington, D.P. (2011). Effectiveness of school-based programs to reduce bullying: A systematic and meta-analytic review. Journal of Experimental Criminology, 7, 27 – 56. Ttofi, M.M., Eisner, M., & Bradshaw, C.P. (2014). Bullying prevention: Assessing existing meta-evaluations. In G. Bruinsma & D. Weisburd (Eds.). Encyclopaedia of Criminology and Criminal Justice (pp. 231 - 242). Springer: New York. Ttofi, M.M., Farrington, D.P., Lösel, F., Loeber, R. (2011) The predictive efficiency of school bullying versus later offending: A systematic/meta-analytic review of longitudinal studies Criminal Behaviour and Mental Health, 21 , 80-89. 39 Further useful papers on bullying Barker, E.D., Arseneault, L., Brendgen, M., Fontaine, N., Maughan, B. (2008) Joint development of bullying and victimization in adolescence: Relations to delinquency and self-harm Journal of the American Academy of Child and Adolescent Psychiatry, 47 1030-1038. Ball, H.A., Arseneault, L., Taylor, A., Maughan, B., Caspi, A., Moffitt, T.E. (2008) Genetic and environmental influences on victims, bullies and bully-victims in childhood Journal of Child Psychology and Psychiatry and Allied Disciplines, 49 104-112. Bowes, L., Arseneault, L., Maughan, B., Taylor, A., Caspi, A., Moffitt, T.E. (2009) School, neighborhood, and family factors are associated with children's bullying involvement: A nationally representative longitudinal study Journal of the American Academy of Child and Adolescent Psychiatry, 48 545-553. Farrington, D.P., Ttofi, M.M. (2011) Bullying as a predictor of offending, violence and later life outcomes Criminal Behaviour and Mental Health, 21, pp. 90-98. Huitsing, G., Snijders, T.A.B., Van Duijn, M.A.J., Veenstra, R. (2014) Victims, bullies, and their defenders: A longitudinal study of the coevolution of positive and negative networks Development and Psychopathology, 26, 645-659. Jolliffe, D., Farrington, D.P. (2011). Is low empathy related to bullying after controlling for individual and social background variables? Journal of Adolescence, 34 5971. Lereya, S.T., Samara, M., Wolke, D. (2013) Parenting behavior and the risk of becoming a victim and a bully/victim: A meta-analysis study Child Abuse and Neglect, 37 1091-1108. Oellet-Morin, I., Danese, A., Bowes, L., Shakoor, S., Ambler, A., Pariante, C.M., Papadopoulos, A.S., Caspi, A., Moffitt, T.E., Arseneault, L. (2011). A discordant monozygotic twin design shows blunted cortisol reactivity among bullied children Journal of the American Academy of Child and Adolescent Psychiatry, 50 574-582. Pepler, D., Jiang, D., Craig, W., Connolly, J. (2008) Developmental trajectories of bullying and associated factors Child Development, 79, 325-338. Rodkin, P.C., Hanish, L.D., Wang, S., Logis, H.A. (2014) Why the bully/victim relationship is so pernicious: A gendered perspective on power and animosity among bullies and their victims Development and Psychopathology, 26 689704. The adolescent social brain* Social cognition is the collection of cognitive processes required to understand and interact with others. The term ‘social brain’ refers to the network of brain regions that underlies these processes. Experimental social cognition studies show that during adolescence, a number of social cognitive functions continue to develop, resulting in age differences in tasks that assess cognitive domains including face processing and mental state inference. Concurrently, functional and structural magnetic resonance imaging (MRI) studies show developmental differences in parts of the social brain that subserve these functions. Understanding these observations and the relationships between them may offer insights into typical adolescent social experience and the emergence of suboptimal outcomes 40 (e.g. psychopathology) Recommended reading Chapter 4: The brain and its development. In Spear, L (2010). The neurobiology of adolescence. W W Norton and Company. Blakemore SJ (2008). The social brain in adolescence. Nat Rev Neurosci 9(4):267-77. Burnett S, Sebastian C, Cohen Kadosh K, Blakemore SJ (2011. The social brain in adolescence: evidence from functional magnetic resonance imaging and behavioural studies. Neurosci Biobehav Rev 35(8):1654-64. Mills KL, Lalonde F, Clasen LS, Giedd JN, Blakemore SJ (2014).Developmental changes in the structure of the social brain in late childhood and adolescence. Soc Cogn Affect Neurosci 9(1):123-31. Further reading Nelson, E.E.,Leibenluft,E.,McClure,E.B.,Pine,D.S. (2005). The social re-orientation of adolescence: A neuroscience perspective on the process and its relation to psychopathology. Psychological Medicine 35(2),163–174. Steinberg, L (2008). A social neuroscience perspective on adolescent risk-taking. Developmental Review 28(1),78–106. Externalising Problems in Adolescence: DP This lecture will look at externalising problems such as physical aggression and violence in and out of the home. It will build on the previous lecture by looking at how, while the way individuals demonstrate their distress differ (from internalising, to somatic to externalising difficulties), the underlying emotional distress has a more universal basis. We will look at: how insecurities in relation to place within the family, self-worth and the ability to succeed, be loved and be happy in life are often at the heart of externalising problems. the role of attachments and attachment scripts in mediating externalising problems Emphasis will be placed on the need to identify the distress behind the difficulties and work to resolve this, rather than feeling coerced into trying to stop unwanted behaviours. Examples will be given of both short and long-term interventions, and the role family can sometimes be asked to play in mediating difficulties. Interventions for Internalising Problems: DP 41 This lecture will focus in on the assessment and treatment of children and adolescents presenting with anxiety, looking at: how anxiety can show at different ages use of assessment to identify the key issues generating anxiety the value of targeted and highly individualised packages of care approaches to its treatment at different stages in development We will look at how behavioural, cognitive behavioural, and attachment based interventions can be combined to bring about change the value of recruiting parents as key participants in bringing about change, especially via adjusting interactions to enhance attachments and enable secure base scripts to replace insecure ones. Depression: Dr Paul Wilkinson, Child Psychiatry Depression is more than feeling sad. It is an illness, with emotional, biological, cognitive and physical symptoms and causes significant functional impairment. This lecture will focus on depression in adolescents, a particularly important time, as functional impairment at this crucial developmental stage leads can lead to permanent impairments in social and educational function. The lecture will cover diagnostic issues, aetiology (biological, psychological and social) and treatment. As part of this, the lecture will discuss genetic and environmental risk factors and the interplay between genes and environment. Reading List Dubicka, B., Wilkinson, P., Kelvin, R., & Goodyer, I. (2010). Pharmacological treatment of depression and bipolar disorder in children and adolescents. Advances in Psychiatric Treatment, 16, 402-412. Karg, K., Burmeister, M., Shedden, K., & Sen, S. (2011). The serotonin transporter promoter variant (5-HTTLPR), stress, and depression metaanalysis revisited: Evidence of genetic moderation. Archives of General Psychiatry, 68, 444-445. Kendler, K. S., Gardner, C. O., & Prescott, C. A. (2002). Toward a comprehensive developmental model for major depression in women. Am J Psychiatry, 159(7), 1133-1145. Kendler, K. S., Gardner, C. O., & Prescott, C. A. (2006). Toward a comprehensive developmental model for major depression in men. Am J Psychiatry, 163(1), 115-124. Klein, J. B., Jacobs, R. H., & Reinecke, M. (2007). Cognitive-Behavioral Therapy for Adolescent Depression: A Meta-Analytic Investigation of Changes in Effect-Size Estimates. Journal of the American Academy of Child & Adolescent Psychiatry, 46(11), 1403-1413. Lau, J. Y. F., & Eley, T. C. (2010). The Genetics of Mood Disorders. Ann Rev Clin Psychol, 6, 313-337. Law, R. (2011). Interpersonal psychotherapy for depression. Advances in psychiatric treatment, 17, 23-31. March, J., Silva, S., Petrycki, S., Curry, J., Wells, K., Fairbank, J., . . . Severe, J. (2004). Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA, 292(7), 807-820. 42 Mufson, L., Dorta, K. P., Wickramaratne, P., Nomura, Y., Olfson, M., & Weissman, M. M. (2004). A randomized effectiveness trial of interpersonal psychotherapy for depressed adolescents. Arch Gen Psychiatry, 61(6), 577-584. NICE. (2015). Depression in children and young people. Identification and management in primary, community and secondary care. from www.nice.org.uk/CG028 Rutter, M. (2010). Gene-environment interplay. Depress Anxiety, 27(1), 1-4. doi: 10.1002/da.20641 Rutter, M., Moffitt, T. E., & Caspi, A. (2006). Gene-environment interplay and psychopathology: multiple varieties but real effects. J Child Psychol Psychiatry, 47(3-4), 226-261. Supervision Questions 1) Which are more important in conferring risk of depression – genetic or environmental factors? 2) The 2015 UK NICE guidelines on treatment of depression in children and adolescents recommend that the first line treatment for moderate to severe depression should be a specific psychological therapy. Medication can be given as an adjunctive treatment to this psychological therapy. What are the problems with these recommendations? Self-harm: Dr Paul Wilkinson, Child Psychiatry Self-harm is a common behaviour, especially in adolescents. People self-harm for a variety of reasons, including suicide attempts, reducing distressing affects, and to communicate distress. There is current international controversy as to whether suicidal and non-suicidal self-harm should be distinguished. This lecture will discuss the functions and epidemiology of self-harm; the relationship between self-harm and mental illness; the long-term outcomes; the similarities and differences between suicidal and non-suicidal self-harm; and the treatment of self-harm. Asarnow, J., Porta, G., Spirito, A., Emslie, G., Clarke, G., Wagner, K. D., . . . Brent, D. (2011). Suicide Attempts and Nonsuicidal Self-Injury in the Treatment of Resistant Depression in Adolescents (TORDIA) Study. JAACAP, 50(8), 772781. doi: 10.1016/j.jaac.2011.04.003 Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial. Am J Psychiatry, 156(10), 1563-1569. Bateman, A., & Fonagy, P. (2008). 8-year follow-up of patients treated for borderline personality disorder: mentalization-based treatment versus treatment as usual. Am J Psychiatry, 165(5), 631-638. *Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005). Suicide after deliberate self-harm: a 4-year cohort study. Am J Psychiatry, 162(2), 297-303. Cox, L. J., Stanley, B., Melhem, N., Oquendo, M. A., Birmaher, B., Burke, A., . . . Brent, D. A. (2012). A longitudinal study of nonsuicidal self-injury in offspring at high risk for mood disorder. J Clin Psychiatry, 73, 821-828. Dougherty, D. M., Mathias, C. W., Marsh-Richard, D. M., Prevette, K. N., Dawes, M. A., Hatzis, E. S., . . . Nouvion, S. O. (2009). Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide. Psychiatry Research, 169, 22-27. 43 Hawton, K., Rodham, K., Evans, E., & Weatherall, R. (2002). Deliberate self harm in adolescents: self report survey in schools in England. BMJ, 325(7374), 12071211. *Hawton, K., Saunders, K. E., & O'Connor, R. C. (2012). Self-harm and suicide in adolescents. Lancet, 379(9834), 2373-2382. *Hjelmeland, H., Hawton, K., Nordvik, H., Bille-Brahe, U., De Leo, D., Fekete, S., . . . Wasserman, D. (2002). Why people engage in parasuicide: a cross-cultural study of intentions. Suicide Life Threat Behav, 32(4), 380-393. *Kapur, N., Cooper, J., O'Connor, R. C., & Hawton, K. (2013). Non-suicidal self-injury v. attempted suicide: new diagnosis or false dichotomy? British Journal of Psychiatry, 202, 326-328. Klonsky, E. D., & May, A. M. (2014). Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research. Suicide Life Threat Behav, 44(1), 1-5. doi: 10.1111/sltb.12068 Lynch, T. R., Trost, W. T., Salsman, N., & Linehan, M. M. (2007). Dialectical behavior therapy for borderline personality disorder. Annu Rev Clin Psychol, 3, 181-205. Mars, B., Heron, J., Crane, C., Hawton, K., Kidger, J., Lewis, G., . . . Gunnell, D. (2014). Differences in risk factors for self-harm with and without suicidal intent: findings from the ALSPAC cohort. J Affect Disord, 168, 407-414. doi: 10.1016/j.jad.2014.07.009 *Mars, B., Heron, J., Crane, C., Hawton, K., Lewis, G., Macleod, J., . . . Gunnell, D. (2014). Clinical and social outcomes of adolescent self harm: population based birth cohort study. BMJ, 349, g5954. doi: 10.1136/bmj.g5954 Mehlum, L., Tormoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., . . . Groholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: a randomized trial. J Am Acad Child Adolesc Psychiatry, 53(10), 1082-1091. doi: 10.1016/j.jaac.2014.07.003 Moran, P., Coffey, C., Romaniuk, H., Olsson, C., Borschmann, R., Carlin, J. B., & Patton, G. C. (2012). The natural history of self-harm from adolescence to young adulthood: a population-based cohort study. Lancet, 379(9812), 236-243. *Muehlenkamp, J. J., & Kerr, P. L. (2010). Untangling a complex web: how nonsuicidal self-injury and suicide attempts differ. The Prevention Researcher, 17(1), 8-10. *Plener, P. L., Libal, G., Keller, F., Fegert, J. M., & Muehlenkamp, J. J. (2009). An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychological Medicine, 39, 15491558. Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry, 51(12), 1304-1313 e1303. doi: 10.1016/j.jaac.2012.09.018 Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014). Prevalence of Nonsuicidal Self-Injury in Nonclinical Samples: Systematic Review, Meta-Analysis and Meta-Regression. Suicide Life Threat Behav. doi: 10.1111/sltb.12070 Tang, T. C., Jou, S. H., Ko, C. H., Huang, S. Y., & Yen, C. F. (2009). Randomized study of school-based intensive interpersonal psychotherapy for depressed adolescents with suicidal risk and parasuicide behaviors. Psychiatry Clin Neurosci, 63(4), 463-470. doi: 10.1111/j.1440-1819.2009.01991.x 44 Victor, S. E., & Klonsky, E. D. (2014). Correlates of suicide attempts among selfinjurers: A meta-analysis. Clin Psychol Rev, 34(4), 282-297. doi: 10.1016/j.cpr.2014.03.005 *Wilkinson, P. (2013). Non-suicidal self-injury. Eur Child Adolesc Psychiatry, 22 Suppl 1, S75-79. doi: 10.1007/s00787-012-0365-7 Wilkinson, P., Kelvin, R., Roberts, C., Dubicka, B., & Goodyer, I. (2011). Clinical and Psychosocial Predictors of Suicide Attempts and Nonsuicidal Self-Injury in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT). Am J Psychiatry, 168(5), 495-501. 45