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Biomedical subjects

S N Wolkind

Publications and source records attributed to S N Wolkind.

At least 19 recordsLinked to original sources

Patterns of psychiatric disorder in adopted girls: a research note.

Over a 15-year period adopted children were overrepresented in a psychiatric clinic population. The excess was seen in all age groups and there was no rise of referrals of adoptees during adolescence. Adopted boys showed the same range of disorder as all referred boys. Adopted girls were more likely than other girls to have conduct disorders. Those with conduct disorders were more likely than non-adopted girls with the same disorder to be taken into care and to be given inpatient treatment. Differences in family structure and relationships were found both between conduct disordered girls of different adoptive status and between adopted girls with conduct and other disorders.

Adolescent↗

Child placement.

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Child↗

Asperger's syndrome: who is being abused?

Six case histories of children referred and admitted to a psychiatric inpatient unit at a tertiary referral centre because of concerns about poor functioning and possible emotional abuse are presented. On initial assessment the children appeared to be well functioning and the impression was confirmed that their emotional needs were not being met by their parents. After detailed inpatient appraisal the diagnosis of Asperger's syndrome was made in all six cases, exemplified mainly by a formal concrete way of thinking and an inability to identify and understand human emotions and relationships. The impact of the diagnosis on the parents and their consequent relationships with their child and their willingness to work with professionals is discussed.

Affective Symptoms↗

Teenage pregnancy and motherhood.

In a random sample of British-born women from a deprived inner London borough who were expecting their first baby, 31% were teenagers at the time they gave birth. The teenage mothers were compared with a group of older women randomly selected from the sample and both groups were followed up for 6 1/2 years after the birth. The teenage mothers were more likely to have had a deprived background and to have experienced material disadvantage. Despite this, they and their children did as well as the older women on a wide variety of measures of physical and mental health. A comparison of the teenagers with another sample of women who did poorly (those who had been brought up in care) suggests that the lack of an adverse result amongst the teenagers was at least in part due to support from the womens' own mothers.

Adolescent↗

Infant temperament, maternal mental state and child behaviour problems.

In a longitudinal study of firstborn children, interview-based measures of temperament were obtained when the infants were aged four months. From the individual items an 'easy-difficult' scale was constructed. The scale showed a fair internal consistency and reasonable test/retest reliability, and the obtained scores appeared to be independent of previous and current maternal attitudes and mental state. A wide range of scores was obtained. Four-month temperament, as reflected on this scale, related to the presence of behavioural problems when the children were aged 42 months, with 'difficult' children developing higher rates of problems. Problems at 42 months also related strongly to the mother's mental state at the time, with the children of depressed mothers showing more problems. When all three items--four-month temperament, 42-month behavioural problems and 42-month maternal depression-were examined, a strong interaction effect was found. Maternal depression was associated with behavioural problems only if the child had been in the extreme quartiles on the temperament measure. Some evidence suggested that an infant's temperament could affect its mother's later mental state.

Child Behavior Disorders↗

Childhood separation experiences and psycho-social status in primiparous women: preliminary findings.

In a group of British-born primiparous women, admission of a separation experience from parents in childhood was found to be associated with unmarried status, teenage pregnancy, having had psychiatric treatment, housing problems and a high score on a 'Malaise' inventory. Within the separated group the unmarried and teenage status were associated only with separations occurring in the context of a disrupted childhood, but were not related to the age of the separations. The Malaise score, however, was raised both for disrupted separations and for those occurring below the age of 5. It is noted that the factors associated with the separation in the mothers are those which have been found to be more common in the mothers of children with behaviour disorders.

Adolescent↗