Problems in Early Problems in Early Development:Development:
Child PsychopathologyChild Psychopathology Michael Hoerger
Child Psychopathology Day
ADHD
Sleep
Mania
Abuse
Grief
Depression
Anxiety
Enuresis
Habit
Pain
0% 10% 20% 30% 40% 50% 60% 70%
BackgroundBackground
Sleeper effectSleeper effect Washout effectWashout effect
What matters most?What matters most?1.1. WarmWarm
2.2. Not too strictNot too strict
3.3. Empty threatsEmpty threats
AnxietyAnxiety
Problems: fear, worries, tearsProblems: fear, worries, tears Temperament: inhibitionTemperament: inhibition Parental factors: modeling anxiety, Parental factors: modeling anxiety,
granting less autonomy, more criticalgranting less autonomy, more critical Risk factorRisk factor
Video clipVideo clip
DepressionDepression
Problems: sad, irritable, low self-esteemProblems: sad, irritable, low self-esteem Withdrawal from peersWithdrawal from peers Physical complaintsPhysical complaints Adolescent concerns of body imageAdolescent concerns of body image Suicide ratesSuicide rates
Matt Stone interviewMatt Stone interview
ADHD/Behavior ProblemsADHD/Behavior Problems
Problems: inattentive, hyper, Problems: inattentive, hyper, impulsive, disruptive, aggressiveimpulsive, disruptive, aggressive
Make up most of child cases seenMake up most of child cases seen Boys, age 3+Boys, age 3+
Source variabilitySource variability
Video interviewVideo interview
SleepSleep
Problems: resist going to bed, Problems: resist going to bed, nightmares, sleep terrors, sleep nightmares, sleep terrors, sleep walkingwalking
Stable difficulties falling asleep: Stable difficulties falling asleep: 6 months 6 months 10 years 10 years
Nightmares among 50%, fadesNightmares among 50%, fades Sleepwalking among 5%, fadesSleepwalking among 5%, fades
Habit DisordersHabit Disorders
Problems: frequent, repetitive Problems: frequent, repetitive behaviorsbehaviors
Extreme Example: TrichotillomaniaExtreme Example: Trichotillomania Mild Example: Thumb suckingMild Example: Thumb sucking
Don’t treat before age 4Don’t treat before age 4 Aversive-tasting solutionAversive-tasting solution RewardsRewards
PainPain
Half of children experience Half of children experience significant pain during medical significant pain during medical treatments, especially dentaltreatments, especially dental
Younger, girlsYounger, girls Distract the kids!Distract the kids! Think happy thoughtsThink happy thoughts Often undertreatedOften undertreated
Encopresis/EnuresisEncopresis/Enuresis
Encopresis: “involuntary loss of stool Encopresis: “involuntary loss of stool in inappropriate places”in inappropriate places” Changes in diet, toilet trainingChanges in diet, toilet training
Nocturnal Enuresis: bed wettingNocturnal Enuresis: bed wetting Age 3: 40%Age 3: 40% Age 10: 10%Age 10: 10% Age 15: 3%Age 15: 3% ““Bell and pad”Bell and pad”
Child TherapyChild Therapy
Operant conditioningOperant conditioning Attention + rewards for positive behaviorAttention + rewards for positive behavior Ignore / punish negative behaviorIgnore / punish negative behavior ““House rules”House rules”
ModelingModeling Model desired behavior + speechModel desired behavior + speech
ConsistencyConsistency EducationEducation
Child PsychiatryChild Psychiatry
Adult studiesAdult studies 700% increase in Ritalin use700% increase in Ritalin use Teachers/parents refuse responsibilityTeachers/parents refuse responsibility Effective?Effective? Long-term physical side effects are Long-term physical side effects are
unknownunknown Psychological side effects?Psychological side effects?
Michael HoergerMichael Hoerger
To cite this lecture:To cite this lecture: Hoerger, M. (2007, February 14). Hoerger, M. (2007, February 14).
Child PsychopathologyChild Psychopathology. Presented at . Presented at a PSY 220 lecture at Central a PSY 220 lecture at Central Michigan University.Michigan University.