PSYCHIATRIC ASSESSMENT OF TODDLERS BASED ON MOTHER-CHILD INTERACTION

这个项目结合了临床精神病学和 发展心理学在发展两种适应评估方法中的作用 以及蹒跚学步的孩子的适应障碍。孩子和他/她的母亲被观察在 在六种情况下的相互作用，包括压力的变化， 放松和愉悦。到目前为止，已经有90对母子二人 得分了。儿童后天风险的临床判断 精神病理学的发展与儿童的行为评分 风险在0.79的水平上相关，P<0.001。所显示的内容 这一发现是：我们现在有了一个合理的临床医生模型 在综合他对孩子行为的观察时发挥作用； 临床医生判断中的差异是通过 行为观察总结。行为观察 系统在将高或中等风险分值给予 儿童，因为它需要一个整体功能不良的模式(12% 这些儿童的风险评分为中度或重度)。除了……之外 这些儿童，临床医生的判断也给出了高或中等的风险 儿童可能表现出罕见但严重的 问题行为(21%的儿童)。后续研究将 指出这些漏洞模式中哪一种最具预测性 后来出现了精神问题。

This project brings together the strengths of clinical psychiatry and developmental psychology in developing two means of assessing adaptation and maladptation in toddlers. The child and his/her mother are observed in interaction in six situations which include variations in stress, relaxation, and pleasure. To date, 90 child-mother dyads have been scored. The clinical judgment of the child's risk for the later development of psychopathology and the behavioral rating of the child's risk correlate at the level of .79, p. less than .00l. What is indicated by this finding is: We now have a reasonable model of the clinician's functioning as he synthesizes his observation of the child's behavior; 64% of the variance in the clinician's judgment is accounted for via the summarization of the behavioral observation. The behavioral observation system is more conservative in giving high or moderate risk scores to the child in that it requires an overall pattern of poor functioning (12% of the children received risk scores of moderate or severe). In addition to these children, the clinician's judgment also gives high or moderate risk status to children who may show infrequent, but severe patterns of problematic behavior (21% of the children). Follow-up research will indicate which of these patterns of vulnerability is most predictive of later psychiatric problems.