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             Background
            
             Sigmund Freud developed the psychoanalytic
            approach to child development. Freud believed that the unconscious
            mind contained repressed memories of childhood experiences and, in
            particular, of early childhood conflicts and emotions.
            
             Freud was convinced that the first five years
            of life had a permanent effect on development. 
            (Freud's ideas are covered in more detail in his case study
            of Little Hans).
            
             There are, of course, many criticisms of
            Freud's theory of child development. However many psychoanalysts (or
            neo-Freudians) still accept Freud's basic approach and have modified
            his ideas in several ways.
            
             A theory, which was influenced from the
            psychoanalytic emphasis on the first few years of life as
            all-important in development, was developed by Bowlby, in 1951.  Bowlby considered that relationships between infants and
            their mothers developed as a result of a process known as
            imprinting. This was a kind of learning, which occurred in the first
            stage of infancy, and which established a deep attachment on the
            part of a young animal towards its parent. Imprinting has been
            studied extensively in animals, and Bowlby considered that a similar
            process was responsible for the development of attachments between
            human infants and their mothers, at the age of about seven months.
            
             Because of this Bowlby developed the idea of
            monotropy: the idea that a human infant would develop only one
            special attachment to its mother, which was completely different
            from the other relationships which it developed, and that it would
            cause the child great distress and lasting damage if it was broken.
            It was essential, he thought, that the infant remained in almost
            continual contact with its mother during the first five years of
            life.
            
             Bowlby concluded that juvenile delinquency was
            one effect of the lasting damage which maternal deprivation could
            produce, and that separating young children from their mothers, even
            temporarily, could have this kind of effect. Other studies claimed
            to have demonstrated similar damaging affects of maternal
            deprivation, such as maternally deprived children being less
            intelligent, or suffering from 'affectionless psychopathy' i.e. a
            complete lack of social conscience or social relationships.
            
             Therefore, according to Bowlby, maternal
            deprivation can have damaging effects for the child.
            
             However, most psychologists are highly
            sceptical about Bowlby’s findings but this has stimulated much
            research into the importance of attachments. 
            The study by Hodges and Tizard is an example of a study which
            has attempted to investigate the importance of attachments by
            looking at children who spent their first two years of life in
            institutions before being adopted into families.
            
              
            
             
               
  
            
             Aim
            
             The aim of Hodges and Tizard's study was to
            examine the effect of institutional upbringing on later attachments.
            
             Related to this they were also investigating
            if early deprivation effects could be reversed or at least modified
            and investigating whether there are critical or sensitive periods
            for the development of behaviour.
            
             
               
  
            
             Method/Procedure
            
             To study the effects of early experience on
            later development Hodges and Tizard used a longitudinal approach. A
            longitudinal approach is where a group of participants are followed
            up after a period of time, in this case 16 years. 
            
             Longitudinal studies are usually found in the
            area of developmental psychology because they are ways of studying
            change over time. It is important to recognise that longitudinal
            studies represent an approach and not an actual method of collecting
            data. To collect their data Hodges and Tizard used various
            self-report measures, interviews, and assessment scales, with the
            participants themselves (adolescents) and their parents and
            teachers.
            
             The participants in the study were all aged 16
            and had all been in institutional care until at least two years of
            age.  At this age most
            of the children had either been adopted or restored to biological
            parents.  The study
            focused on 31 ex-institutional children.
            
             A comparison group was also studied. Hodges
            and Tizard compared their group of children with a matched group who
            had been with their families throughout their lives. Two comparison
            groups of children were established. One was drawn from the London
            area, and was made up of 16-year-old children who were matched one
            for one with the ex-institutional children on the basis of sex,
            position in the family, whether they were from one- or two-parent
            families, and the occupation of their family's main breadwinner. The
            other comparison group consisted a same-sex school friend (of the
            same age) for each of the ex-institutional children.
            
             Hodges and Tizard refer to their study as a
            type of natural experiment. That is, some change is, in the natural
            course of events, brought about (here the child's environment - the
            independent variable) which can be studied for its effect on some
            aspect of the child's development (here social relationships - the
            dependent variable). Those children whose environment is changed are
            compared with controls whose environments have not changed, so this
            represents an independent measures design. The independent variable
            has two main values (adoption and restoration) and this allows the
            two ex-institutional groups to be compared with each other (as well
            as with the comparison groups). Natural experiments are also
            referred to as quasi-experiments.
            
             Five main methods were used to collect data on
            all the adolescents (including those in the comparison groups):
            
             1. an interview with the adolescent subject;
            
             2. an interview with the mother (in some cases
            with their father present);
            
             3. a self-report questionnaire concerning
            'social difficulties';
            
             4. a questionnaire completed by the subjects'
            school teacher about their relationships with their peers and their
            teachers;
            
             5. the Rutter 'B' scale. This comprises 26
            items and is used for psychiatric screening.
            
             The researchers collected data on the
            following issues:
            
             attachment to parents;relations with siblings;
 showing affection;
 similarity and assimilation;
 confiding and supporting;
 disagreements over control and discipline;
 involvement in the family;
 peer relationships;
 specific difficulties with peer relations;
 special friends;
 relationships between attachment and peer relationships;
 relationships between current and earlier peer relations;
 over friendly behaviour;
 relationships to teachers.
 
               
 Results/Findings
            
             An early finding of the study was that the
            children all received good physical care in the institutions, which
            also appeared to provide adequately for their cognitive development.
            However, staff turnover, and an explicit policy against allowing too
            strong an attachment to develop between children and the nurses who
            looked after them, had given the children little opportunity to form
            close, continuous relationships with an adult. This would seem to
            fit Bowlby's description of maternal deprivation.
            
             As a result of the above, the children’s'
            attachment behaviour was very unusual. At two, they seemed to be
            attached to a large number of adults, i.e., they would run to be
            picked up when anyone familiar entered the room and cry when they
            left. At the same time they were more fearful of strangers than a
            home reared comparison group. 
            
              A
            total of 33 children were placed in adoptive families after age 2.
            
             A total of 25 children were restored to
            biological parents after age 2.
            
             Age 4
            
             At age 4 most of the ex-institutional children
            formed attachments to their parents although they did show some
            differences compared to the comparison group in terms of social
            development. About a third were markedly attention seeking and over
            friendly to strangers, and a few were indiscriminately affectionate
            to all adults. 
            
             Age 8
            
             By 8, the majority of adopted children and
            some of the restored children had formed close attachments to their
            parents, despite their lack of early attachments in the
            institutions. According to their parents, the ex-institutional
            children did not present more problems than the comparison group;
            but according to their teachers, more of them showed problems,
            notably attention seeking behaviour, especially from adults,
            restlessness, disobedience, and poor peer relationships; they were
            quarrelsome and unpopular. Their earlier over-friendliness also
            persisted. However the children had adequate language and cognitive
            skills.
            
             At this stage of the study it appeared that
            early institutional care and the lack of close attachments had not
            had the drastically damaging effects predicted by Bowlby, but on the
            other hand there were indications that, despite in many cases the
            formation of deep and lasting attachments to parents once the child
            entered families, some of the children still showed lasting effects
            of their earlier institutional rearing.
            
             Age 16
            
             At 16 the majority of the adoptive mothers
            felt that their child was deeply attached to them. By contrast only
            a half of the restored children were described as deeply attached.
            Adopted adolescents were also more often said by their mothers to be
            attached to their father than the restored group.
            
             Ex-institutional children had greater problems
            with siblings than a comparison group.
            
             There were no differences regarding the number
            of contacts with opposite sex friends, or whether the 16 year-old
            currently had a boy/girl friend compared to non-institutionalised
            adolescents.
            
             However, ex-institutional children had poorer
            relationships with peers than a comparison group. Teachers rated the
            ex-institutionalised group as more often quarrelsome, less often
            liked by other children and as bullying other children more than the
            comparison group. According to their mothers, the ex-institutional
            adolescents were less likely to have a definite special friend.
            
             At age 8 a number had been described as being
            indiscriminately friendly towards adults. This behaviour was now
            less present.
            
             In summary Hodges and Tizard found that
            maternal deprivation did not necessarily prevent the children
            forming strong and lasting attachments to parents once placed in
            families. Whether such attachments developed, depended on the family
            environment, being much more common in adopted children than in
            those restored to a biological parent. Both groups were, however,
            more oriented towards adult attention and had more difficulty with
            peers and fewer close relationships than matched comparison
            adolescents, indicating some long term effects of their early
            institutional experiences. 
            
             Therefore children who are deprived of close
            and lasting attachment to adults in their first years of life can
            make such attachments later. But these do not arise automatically if
            the child is placed in a family, but depends on the adults concerned
            and how much they nature such attachments. Yet despite these
            attachments, certain differences and difficulties were found over 12
            years after the child joined a family; these were not related to the
            type of family, but seem to originate in the children's early
            institutional experience.
            
             
               
  
            
             Explanation
            
             Importantly, the findings of Hodges and
            Tizard's study can be used to criticise Bowlby's theory of maternal
            deprivation.
            
             Bowlby believed that the first few years of a
            child could be seen as a critical period for the later development
            of behaviour. However Hodges and Tizard demonstrate that Bowlby
            greatly oversimplified the effects of maternal deprivation. They
            found that children who are deprived of close and lasting
            attachments to adults in their first years of life can make such
            attachments later, although this does depend on the adults concerned
            and how much they nurture such attachments. Rather than there being
            a critical period it is possible to argue that there is a sensitive
            period for the development of behaviour.
            
             It is also important to note here that Hodges
            and Tizard offer an explanation for why the adopted children were
            more likely to overcome some of the problems of early institutional
            upbringing better than the restored children. 
            The financial situation of the adoptive families was often
            better, they had on average fewer children to provide for, and the
            adoptive parents were particularly highly motivated to have a child
            and to develop a relationship with that child. The biological
            parents in Hodges and Tizard's sample seemed to have been 'more
            ambivalent about their child living with them'.
            
             
               
  
            
             Evaluation
            of Procedure
            
             The major advantage of a longitudinal approach
            is that the children are being compared with themselves over a
            period of time. However, ideally a follow up study for another 20 or
            30 years would need to be carried out by Hodges and Tizard. It would
            be interesting, for instance, to discover how the ex-institutional
            children nurture children of their own.
            
             The major disadvantage of using a longitudinal
            approach is attrition. Of the 51 ex-institutional children studied
            at eight, nine were unavailable: two families restored adolescents
            refused contact, as did four adoptive families (all these
            adolescents were still with their families). The remaining three
            consisted of one girl who had been in a foster family at eight, but
            disappeared in between being traced and interviewed, and another two
            who had left care after eight, one to parents abroad and one to
            adoptive parents who did not reply to the original letter. Because
            of such attrition we have to question the representativeness of the
            remaining 16 year-olds.
            
             A further disadvantage of the longitudinal
            approach is lack of control of variables. The design was a natural
            or quasi-experiment as the variables could not be controlled as in a
            true experiment and therefore cause and effect statements cannot be
            made. Therefore other possible explanations could be found for why
            the children turned out how they did. For example throughout the
            study there is mention of a comparison or control group. The control
            group allowed comparisons to be made and was chosen in order to
            match the ex-institution children in terms of sex, one or two parent
            family, social class and position in family. However any differences
            between the ex-institutional group and the comparison groups at 16
            years old could be put down to other factors other than other than
            the early experiences of the institutionalised children. For
            example, there may have been things going on in these families after
            the child had been (re-) placed which could equally well have
            accounted for the findings, and which had nothing to do with the
            child's early institutional experience. Because of a lack of control
            of variables plausible competing explanations for findings are
            characteristic of quasi-experiments.
            
             Longitudinal approaches take a long time and
            are consequently expensive and once started the design cannot be
            modified. It is also impossible to replicate a longitudinal study
            because of societal changes.
            
             A further limitation of the study was the
            methods of collecting data. The main methods were interviews and
            questionnaires. The major problem with the use of these methods is
            demand characteristics.  It
            is difficult to know how honest parents will be about their children
            and vice versa.  Similarly
            we do not know how honest teachers 
            would be, given that they may have known which pupils were
            ex-institution children?
            
             However the methods of collecting data do
            provide quantitative data which can be analysed statistically.
            
             It is difficult to see how an alternative
            approach could have been as successful as the longitudinal approach
            used by Hodges and Tizard. One approach has been the use of case
            studies. A number of case studies have been carried out on
            individuals who have had particularly deprived backgrounds and
            studied the effect this has had on later development. A major
            disadvantage of the case study approach is the difficulty of
            generalising the findings from such a small sample. 
            
             A further approach which has been used is the
            cross-sectional approach in which groups of individuals of different
            ages are compared at the same point in time. A major limitation of
            this approach is that it is difficult to match the relevant
            variables because we are not studying changes in the same person.
            
             
               
  
            
             Evaluation
            of Explanation
            
             Hodges and Tizard were successful in
            demonstrating that Bowlby greatly oversimplified the effects of
            maternal deprivation. Most psychologists would now agree that
            children who are deprived of close and lasting attachments to adults
            in their first years of life can make such attachments later,
            although this does depend on the adults concerned and how much they
            nurture such attachments. It is also accepted that rather than there
            being a critical period it is better to argue that there is a
            sensitive period for the development of behaviour.
            
             The study however, can be seen as ethnocentric
            in that there is an assumption in the study that there is a
            particular style of family life. In reality family structure and the
            norms of everyday living show cultural diversity. There is a danger
            that by recognising only a particular style of family life this type
            of family is seen as normal and desirable.
            
               
			
            Reference 
			Hodges, J. & Tizard, B.  (1989b)  Social and family relationships of 
			ex-institutional adolescents. Journal of Child Psychology and 
			Psychiatry, 30, 77-97.      
            
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