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Biomedical subjects

H U Grunebaum

Publications and source records attributed to H U Grunebaum.

At least 19 recordsLinked to original sources

Infants at social risk: maternal depression and family support services as mediators of infant development and security of attachment.

31 infants at high social risk due to the combined effects of poverty, maternal depression, and caretaking inadequacy were assigned to weekly home-visiting services. At 18 months infant age, the home-visited infants were compared with 2 groups of socioeconomically similar unserved infants on measures of infant development, infant attachment, mother-infant interaction, maternal depression, and maternal social contacts. Home-visited infants of depressed mothers outperformed unserved infants of depressed mothers by an average of 10 points on the Bayley Mental Scale and were twice as likely to be classified as securely attached, with unserved high-risk infants showing a high rate of insecure-disorganized attachments. Duration of services was positively correlated with maternal involvement at 12 months. Results of the study point both to the negative developmental consequences associated with severe social risk conditions and to the buffering effects of developmentally oriented home-visiting services for infants at greatest social risk.

Child Abuse

Children of psychotic mothers. Performance of 3-year-old children on tests of attention.

Children of mentally ill mothers (N = 21), believed to be at risk for the subsequent development of psychopathology (high-risk group) were compared with children of well mothers (N = 21)(low-risk group) on the Embedded Figures Test (EFT) and the Peabody Picture Vocabulary Test (PPVT). Results indicated that children in the high-risk group perform less well than low-risk children on the EFT (particularly on the more difficult stimuli), but do not differ from low-risk children on the PPVT. These results are interpreted as showing greater impairment of attention among children of mentally ill mothers than among children of well mothers.

Attention

The teaching of clinical administration: opportunities and problems of role ambiguity.

The challenge of teaching clinical administration can felicitously be met by the ward director of the psychiatric inpatient ward. The theory of patient management centers around formation of an administrative alliance such that the patient becomes "coadministrator" of his treatment. The ward director must convey this and other basic principles; must deal with a variety of resistances to learning and practice of clinical administration; must function as supervisor while simultaneously administrating; and, finally, must orchestrate power and influence in relation to his role to achieve the most effective functioning of the ward team.

Attitude of Health Personnel

Child care attitudes and adaptation to the maternal role among mentally ill and well mothers.

Discharged psychiatric hospital patients who were mothers of young children were compared with a group of well mothers on child rearing attitudes and adaptation to adult social roles. Mentally ill mothers were found to believe less in the importance of developing a reciprocal mother-child relationship or in differentiating between own needs and those of child, and were more likely to deny ambivalent feelings regarding child care. In each group, less adaptive child-care attitudes were related to greater impairment in adapting to other adult roles.

Adaptation, Psychological

The accompanier.

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