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Problems in Early Development: Child Psychopathology Michael Hoerger Child Psychopathology Day Grief Abuse Pain Mania Sleep Habit Enuresis ADHD Anxiety Depression 0% 10% 20% 30% 40% 50% 60% 70% Background Sleeper effect Washout effect What matters most? 1. 2. 3. Warm Not too strict Empty threats Anxiety Problems: fear, worries, tears Temperament: inhibition Parental factors: modeling anxiety, granting less autonomy, more critical Risk factor Video clip Depression Problems: sad, irritable, low self-esteem Withdrawal from peers Physical complaints Adolescent concerns of body image Suicide rates Matt Stone interview ADHD/Behavior Problems Problems: inattentive, hyper, impulsive, disruptive, aggressive Make up most of child cases seen Boys, age 3+ Source variability Video interview Sleep Problems: resist going to bed, nightmares, sleep terrors, sleep walking Stable difficulties falling asleep: 6 months 10 years Nightmares among 50%, fades Sleepwalking among 5%, fades Habit Disorders Problems: frequent, repetitive behaviors Extreme Example: Trichotillomania Mild Example: Thumb sucking Don’t treat before age 4 Aversive-tasting solution Rewards Pain Half of children experience significant pain during medical treatments, especially dental Younger, girls Distract the kids! Think happy thoughts Often undertreated Encopresis/Enuresis Encopresis: “involuntary loss of stool in inappropriate places” Changes in diet, toilet training Nocturnal Enuresis: bed wetting Age 3: 40% Age 10: 10% Age 15: 3% “Bell and pad” Child Therapy Operant conditioning Modeling Attention + rewards for positive behavior Ignore / punish negative behavior “House rules” Model desired behavior + speech Consistency Education Child Psychiatry Adult studies 700% increase in Ritalin use Teachers/parents refuse responsibility Effective? Long-term physical side effects are unknown Psychological side effects? Michael Hoerger To cite this lecture: Hoerger, M. (2007, February 14). Child Psychopathology. Presented at a PSY 220 lecture at Central Michigan University.