The preceding article by Hawton and colleagues reporting on a prospective study of adolescents presenting with self-harm to Accident and Emergency departments (A&E) is one of the largest epidemiological studies to examine the long-term outcomes of self-harm in children and adolescents. After a median of 6 years nearly 30% re-presented to A&E with…

Research on intensity of therapy services is limited and perspectives often vary considerably among families, therapists, administrators, policy makers, and health insurers. In this commentary, the authors share their perspectives on intensity of physical therapy and/or occupational therapy services for children with developmental conditions. Five…

Over the second half of the twentieth century, changes occurred in parent reports of their engagement in cognitive activities with their young children in the United States. This article argues that the growing trend of "parenting for cognitive development" in young children in the latter half of the twentieth century is associated with the…

Examines the prevalence, developmental course, and predictive power of child mental health problems for young children in general and low-income, diverse populations in particular. Notes discrepancies between Head Start agency-level data, national estimates, and intensive studies of similar populations. Describes new collaborative federal…

Addresses the controversy regarding the conceptual overlap between difficult child temperament and behavior problems using treatment outcome study data. Forty mothers of preschool children were randomly assigned to either a temperament-focused parent-training program or a wait-list control group. Results suggest that the observed associations…

Suggests incorporating into practice those findings that emerge repeatedly in different foster care studies. Identifies four characteristics of children that have been linked to particular outcomes: age at time of placement, contact with biological family, length of time in care, and behavior problems. Shows how incorporation of these factors into…

This article comments on a study that found children (ages 0-3) who were disadvantaged, from minority groups, or without health insurance were 2 to 30 times more likely to have unmet health care needs. The "medical home" philosophy is discussed, in which medical care is accessible, comprehensive, and family centered. (Contains 8 references.) (CR)

This paper considers methodological issues related to the independent variable in early intervention research. Three standards are proposed: (1) use theory to guide research; (2) provide operational definitions of independent variables, quantify them, and describe how they relate to theory; and (3) measure treatment fidelity. Three levels of…

Examines two independent data sets to support argument that although onset-rime sensitivity typically predicts school entrants' later word reading skills, phoneme sensitivity predicts more variation. Maintains that multiple regression analyses do not reveal level of phonological sensitivity needed to understand alphabetic reading instruction and…

Provided is a commentary on articles written for a special section on temperament and childhood disorders. Temperament's contributions to the development of childhood disorders are considered both generally and specifically. Questions are raised about the use of terminology in the field, particularly the term difficult. Differentiation of outcomes…

Reiterates hypothesis that there are two routes from onset and rime awareness to reading: one indirect and one direct. Asserts that the evidence that Hulme et al. present against the hypothesis is not convincing, partly because the hypothesis predicts most of the Hulme et al. results and partly because of weaknesses in the design of Hulme et al.'s…

Study assessed compliance and internalization for 99 preschoolers previously studied as toddlers. Compliance and internalization were assessed in multiple observational contexts using maternal reports. Found that committed and situational compliance had distinct developmental trajectories, and only committed compliance was associated with…

Challenges the use of ethnicity as a predictor of school-level achievement because of its lack of manipulability, lack of intrinsic association with home processes, and inability to advance the understanding of models of school-level achievement. The use of socioeconomic status as a more robust predictor of school-level achievement is recommended.…

Desegregation does not appear to be a significant factor promoting learning. Rather, more individual attention to students in the schools and educational support and stimulation at home (irrespective of race or social status) can greatly boost student achievement. (Author/GC)

This paper reviews factors in the professional neglect of multiple personality disorder (MPD) and sexual abuse in childhood, as well as recent diagnostic developments in childhood dissociative disorders. The identification of subtle dissociative symptomatology in children is illustrated, and two case examples are presented. (Author)