LT7 - Institutionalisation

LT7 - Institutionalisation

1. AO1

   • Effect
     • Living
       • Insitutional Setting
         • Long time
           • ELIL
   • Privation
     • Complete lack of opportunity
       • To form attchment bond
   • Rutter's ERA
     • Procedure
       • 165 Romanian Orphan Adoptees
         • 52 Briish Ctrl Group
       • Physical, Emotional, Cognitive development Assessed
       • Ages 4,6,11,15
     • Findings
       • Arrival To UK
         • Half - Mental Retardation + Malnourished
       • Adopted before 6 Months
         • 102IQ
           • Normal Attachment
       • Adopted After 6 Months
         • 86IQ
           • Disinhibited Attachment
       • Adopted after 2 years
         • 77IQ
           • Disinhibited Attachment
   • Bucharest Intervention Project
     • Procedures
       • 95 Children
         • 50 Controls
         • Institutionalised 90% of life
           • 12-31 months old
       • SS used
       • Caregivers interviewed abt unusual behaviour to unfamiliar adults
         • Hugging, inappropraite attachment
     • Findings
       • Control
         • 74% Securely Attached
         • 20% Disinhibied
       • Experimental
         • 19% Securely Attached
         • 65% Disorganised Attachment
         • 44% Disinhibited
   • Effects of Institutionalisation
     • Disinhibited Attachment
       • Indiscriminate to who they direct attachment to
       • Attention seeking
       • Over-familiar to strangers
       • Adaptation
         • Living with many caregivers (50)
           • Sensitive Period
     • Mental Retardation
       • Low ass IQ
       • 6 Months
       • Lack of language development

2. AO3

   • Weaknesses
     • P: Specific Group
       • E1: Extreme conditions, Crowding in cots, physical/sexual abuse, no intellectual stimulation
         • E2: More common forms of institutionalisation EG Social care, hospitalisation
           • L: Low generalisability
   • Strengths
     • P: Applications
       • E1: Changing social care policy
         • E2: Key worker schemes
           • E3: One person responsible for provision of emotional care
             • L: QoL
             • Avoid large amnt of caregivers
     • P: High internal validity
       • E1: Factors BEFORE Instituionalisation (Bereavement, loss, taruma, abuse)
         • E2: Hard to isolate instituionalisation in causing Disinhibited Attachment/MR
           • E3: However, Most romanian orphans were abandoned at birth; Limits impact of CVs
             • L: They measured what they wanted to measure

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