Institutionalisation

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  • Institutionalisation
    • Whats it like? Places like care homes and orphanages, children rarely receive consistent or sensitive care, staff change so much during the day; hard to have stable child-caregiver relationship, some experience abuse or neglect, research suggests that the longer you spend there the worse effects become. Children often suffer from emotional privation.
      • Institutional care: Child care provided outside of the family/family home which results in the child adopting the rules and norms of the institution that can impair functioning and healthy attachment development.
        • Institutionalisation: The distinct patterns of attachment behaviour that have occurred as a result of living within institutional care. These patterns of behaviour are often negative and irreversible.
    • Effects of institutionalisation: Dis-inhibited attachment: form of insecure attachment where they do not discriminate between people they choose as attachment figures.: overly friendly with strangers and constantly seek attention.
      • Physical underdevelopment: children in institutional care are often physically small and research shows it is due to a lack of emotional care rather than nourishment.
        • Intellectual under functioning: Children in institutional care often show signs of intellectual impairment where they typically display a below average IQ level.
    • Research evidence to support: Rutter et al conducted research on adopted children from romanian orphanages, before 6 months and after age of 6 months, findings showed they lagged behind in physical and cognitive development when compared to control group. Supporting the effects of institutionalisation as all children who spend time in institutional care had negative effects.
    • The children adopted before the age of 6 months appeared to have caught up development wise at 4 years with the control group; adopted after 6 months still showed negative effects and had problems with peers
      • Effects may not be long lasting as thought and other factors contribute to the effects such as age when they leave and type of care once left.
    • Most studies are longitudinal so they stop after 18 months so we have no idea if the effects are long term it could be these individuals need longer to get over the effects and will eventually catch up. Or the children who showed no effects may have developed emotional problems in adulthood.
    • Important practical application: A lot of research into the effects has led to the way children are cared for in institutions to change. Large children homes are avoided and each child will have one or more 'key workers' - immensely beneficial as it gives the child the chance to form normal attachments and reduce risks of negative effects.

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