Nurses and euthanasia: a tale of two studies.
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Attitude of Health Personnel↗
Biomedical subjects
B Harty
Publications and source records attributed to B Harty.
Minor congenital malformations and mental characteristics during childhood: high-risk and normal-risk groups.
Among children with normal psychiatric risk, those born with (even minor) congenital malformations (CMs) evidenced significantly poorer attention persistence in early childhood, as well as greater anxiety-proneness, poorer interpersonal relational competency, and more mental disturbance at six years of age. No significant relationship between CMs and mental characteristics was found in children at heightened psychiatric risk.
Aggression↗
A prospective study of postpartum psychoses in a high-risk group. 7. Relationship to later offspring characteristics.
Among the offspring of 88 pregnant index women with a history of nonorganic psychosis, offspring whose mothers developed postpartum psychotic episodes (PPPs) following birth (maximum n = 17) were compared with the remaining index offspring on emotional development during the first year of life, temperament characteristics during the first 2 years, and mental characteristics at 6 years of age. The maternal PPPs were not associated with any negative consequences for offspring development, and the offspring of PPP cases evidenced a number of more positive mental developmental characteristics than did other index offspring. Further comparison with offspring of normal-risk controls also supported the conclusion of no negative effect caused by maternal PPPs. Choice of an appropriate comparison group for PPP cases is discussed.
Adult↗
Identifying children at high somatic risk: long-term effects on mother-child interaction.
The identification of alpha 1 antitrypsin deficiency (ATD) by neonatal screening was hypothesized to have had negative long-term effects on the mother-child relationship. This hypothesis was tested by studying selected aspects of mother-child interaction in a structured task situation in the home, and comparing 53 cases with clinically healthy 5-7-year-old children with ATD versus 52 control cases with children without ATD. The mothers in the two groups did not differ notably from each other. However, as compared with controls, ATD-children were found to evidence considerably more problematic behavior in interacting with their mothers (being e.g. inappropriately childish, silly, precocious, inhibited, tense, irritated). The findings were interpreted as supporting the hypothesis of a negative long-term effect of identifying the child's ATD.
Child↗
Psychological factors in cost-benefit analysis of somatic prevention. A study of the psychological effects of neonatal screening for alpha 1-antitrypsin deficiency.
Nation-wide neonatal screening for alpha 1-antitrypsin deficiency (ATD) in Sweden was discontinued due to observations that identification of ATD in newborns seemed in some cases to have negative psychological effects on the parents and the parent-child relationship. A multifaceted study was developed to investigate systematically the psychological and psychosocial consequences of the identification of ATD in the neonatal period, as studied five to seven years after it took place. The study's basic goals, hypotheses, design, samples and methods are described.
Attitude to Health↗
Neuromotor deviation in offspring of psychotic mothers: a selective developmental deficiency in two groups of children at heightened psychiatric risk?
As part of a longitudinal investigation begun in the neonatal period, selected neuromotor behaviors and different facets of general mental development were investigated blind at 6 years of age in 64 index offspring of women with a history of schizophrenic, schizoaffective, affective and unspecified functional psychosis and in 95 control offspring of women with no history of psychosis. Compared with the controls, the offspring of psychotics (total index group) showed a significantly increased frequency of both multiple and specific neuromotor deviations. The offspring of women with schizophrenia and with unspecified functional psychosis showed increased rates of multiple neuromotor deviations, not found in the offspring of women with schizoaffective and affective psychoses. The neuromotor deviations were confirmed on Griffiths Developmental Test subscales reflecting gross and fine motor performance, and the deficits did not extend to subscales measuring cognitive ability and personal-social competence. No relationship was found between the individual subject's neonatal and 6-year deviation scores. The results suggest the existence of a selective neuromotor developmental deviation in the offspring of schizophrenics and women with unspecified functional psychosis. Different possible etiological factors are discussed.
Child↗