Developmental psychopathology

Last updated

Developmental psychopathology is the study of the development of psychological disorders (e.g., psychopathy, autism, schizophrenia and depression) with a life course perspective. [1] Researchers who work from this perspective emphasize how psychopathology can be understood as normal development gone awry. [2] Developmental psychopathology focuses on both typical and atypical child development in an effort to identify genetic, environmental, and parenting factors that may influence the longitudinal trajectory of psychological well-being.

Contents

Theoretical basis

Developmental psychopathology is a sub-field of developmental psychology and child psychiatry characterized by the following (non-comprehensive) list of assumptions: [3] [4]

  1. Atypical development and typical development are mutually informative. Therefore, developmental psychopathology is not the study of pathological development, but the study of the basic mechanisms that cause developmental pathways to diverge toward pathological or typical outcomes;
  2. Development leads to either adaptive or maladaptive outcomes. However, development that is adaptive in one context may be maladaptive in another context, and vice versa;
  3. Developmental change is influenced by many variables. Research designs in developmental psychopathology should incorporate multivariate designs to examine the mechanisms underlying development;
  4. Development occurs within nested contexts (see Urie Bronfenbrenner);
  5. This field requires that development arises from a dynamic interplay of physiological, genetic, social, cognitive, emotional, and cultural influences across time.

Origins of the academic field

In 1974, Thomas M. Achenbach authored a book entitled, "Developmental Psychopathology [5] ", which laid the foundations for the discipline of Developmental psychopathology. The book was an outgrowth of his research on relations between development and psychopathology.

Dante Cicchetti is acknowledged to have played a pivotal role in defining and shaping the field of developmental psychopathology. [6] While at Harvard University, Cicchetti began publishing on the development of conditions such as depression and borderline personality disorder, in addition to his own work on child maltreatment and mental retardation. In 1984, Cicchetti edited both a book and a special issue of Child Development on developmental psychopathology. In that special issue he himself wrote, "The emergence of developmental psychopathology". [7]

These efforts launched developmental psychopathology, [8] a subfield of developmental science. In 1989, nine volumes of the Rochester Symposium on Developmental Psychopathology were published, as was the first issue of the journal Development and Psychopathology .

Homotypic and heterotypic continuity

One central concept of developmental psychopathology is homotypic and heterotypic continuity. [9] Some children will develop different symptoms across development (heterotypic continuity), while others will develop similar types of problems (homotypic continuity). [10] While homotypic continuity of emotional and behavioural problems tends to be the norm across development, [11] the transitions between early childhood and late childhood, and between preadolescence and adolescence are associated with higher heterotypic continuity. [10]

Development of conduct problems

Gerald R. Patterson and colleagues take a functionalist view of conduct problems in line with a behavior analysis of child development. They have found considerable evidence that the improper use of reinforcement in childhood can lead to this form of pathology. [12]

See also

Related Research Articles

Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior that includes theft, lies, physical violence that may lead to destruction, and reckless breaking of rules, in which the basic rights of others or major age-appropriate norms are violated. These behaviors are often referred to as "antisocial behaviors", and is often seen as the precursor to antisocial personality disorder; however, the latter, by definition, cannot be diagnosed until the individual is 18 years old. Conduct disorder may result from parental rejection and neglect and can be treated with family therapy, as well as behavioral modifications and pharmacotherapy. Conduct disorder is estimated to affect 51.1 million people globally as of 2013.

Antisocial personality disorder is a personality disorder characterized by a limited capacity for empathy and a long-term pattern of disregard or violation of the rights of others. Other notable symptoms include impulsivity and reckless behavior, a lack of remorse after hurting others, deceitfulness, irresponsibility, and aggressive behavior.

Attachment disorder is a broad term intended to describe disorders of mood, behavior, and social relationships arising from unavailability of normal socializing care and attention from primary care giving figures in early childhood. Such a failure would result from unusual early experiences of neglect, abuse, abrupt separation from caregivers between three months and three years of age, frequent change or excessive numbers of caregivers, or lack of caregiver responsiveness to child communicative efforts resulting in a lack of basic trust. A problematic history of social relationships occurring after about age three may be distressing to a child, but does not result in attachment disorder.

Reactive attachment disorder (RAD) is described in clinical literature as a severe and relatively uncommon disorder that can affect children, although these issues do occasionally persist into adulthood. RAD is characterized by markedly disturbed and developmentally inappropriate ways of relating socially in most contexts. It can take the form of a persistent failure to initiate or respond to most social interactions in a developmentally appropriate way—known as the "inhibited form". In the DSM-5, the "disinhibited form" is considered a separate diagnosis named "disinhibited attachment disorder".

Child psychopathology refers to the scientific study of mental disorders in children and adolescents. Oppositional defiant disorder, attention-deficit hyperactivity disorder, and autism spectrum disorder are examples of psychopathology that are typically first diagnosed during childhood. Mental health providers who work with children and adolescents are informed by research in developmental psychology, clinical child psychology, and family systems. Lists of child and adult mental disorders can be found in the International Statistical Classification of Diseases and Related Health Problems, 10th Edition (ICD-10), published by the World Health Organization (WHO) and in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published by the American Psychiatric Association (APA). In addition, the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood is used in assessing mental health and developmental disorders in children up to age five.

Relational aggression, alternative aggression, or relational bullying is a type of aggression in which harm is caused by damaging someone's relationships or social status.

Emotional dysregulation is a range of emotional responses that do not lie within a desirable scope of emotive response, considering the stimuli.

Psychopathy is a mental health condition characterized by persistent antisocial behavior, impaired empathy and remorse, and bold, disinhibited, and egotistical traits. Different conceptions of psychopathy have been used throughout history that are only partly overlapping and may sometimes be contradictory.

Childhood trauma is often described as serious adverse childhood experiences (ACEs). Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse, witnessing abuse of a sibling or parent, or having a mentally ill parent. These events have profound psychological, physiological, and sociological impacts and can have negative, lasting effects on health and well-being such as unsocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Similarly, children whose mothers have experienced traumatic or stressful events during pregnancy have an increased risk of mental health disorders and other neurodevelopmental disorders.

Child and adolescent psychiatry is a branch of psychiatry that focuses on the diagnosis, treatment, and prevention of mental disorders in children, adolescents, and their families. It investigates the biopsychosocial factors that influence the development and course of psychiatric disorders and treatment responses to various interventions. Child and adolescent psychiatrists primarily use psychotherapy and/or medication to treat mental disorders in the pediatric population.

Personality disorders (PD) are a class of mental disorders characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual's culture. These patterns develop early, are inflexible, and are associated with significant distress or disability. The definitions vary by source and remain a matter of controversy. Official criteria for diagnosing personality disorders are listed in the sixth chapter of the International Classification of Diseases (ICD) and in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM).

In psychology, grandiosity is a sense of superiority, uniqueness, or invulnerability that is unrealistic and not based on personal capability. It may be expressed by exaggerated beliefs regarding one's abilities, the belief that few other people have anything in common with oneself, and that one can only be understood by a few, very special people. The personality trait of grandiosity is principally associated with narcissistic personality disorder (NPD), but also is a feature in the occurrence and expression of antisocial personality disorder, and the manic and hypomanic episodes of bipolar disorder.

Callous-unemotional traits (CU) are distinguished by a persistent pattern of behavior that reflects a disregard for others, and also a lack of empathy and generally deficient affect. The interplay between genetic and environmental risk factors may play a role in the expression of these traits as a conduct disorder (CD). While originally conceived as a means of measuring the affective features of psychopathy in children, measures of CU have been validated in university samples and adults.

<span class="mw-page-title-main">Dante Cicchetti</span> Psychologist known for developmental psychopathology research

Dante Cicchetti is a developmental psychology and developmental psychopathology scientist specializing in high-risk and disenfranchised populations, including maltreated children and offspring of depressed parents. He holds a joint appointment in the Department of Psychiatry at the University of Minnesota Medical School and in the Institute of Child Development. He is the McKnight Presidential Endowed Chair and the William Harris Endowed Chair.

Arnold J. Sameroff is an American developmental psychologist. He researches and writes about developmental theory and the factors that contribute to mental health and psychopathology, especially related to risk and resilience. Together with Michael Chandler he is known for developing the transactional model of development. He is one of the founders of the field of developmental psychopathology.

Externalizing disorders are mental disorders characterized by externalizing behaviors, maladaptive behaviors directed toward an individual's environment, which cause impairment or interference in life functioning. In contrast to individuals with internalizing disorders who internalize their maladaptive emotions and cognitions, such feelings and thoughts are externalized in behavior in individuals with externalizing disorders. Externalizing disorders are often specifically referred to as disruptive behavior disorders or conduct problems which occur in childhood. Externalizing disorders, however, are also manifested in adulthood. For example, alcohol- and substance-related disorders and antisocial personality disorder are adult externalizing disorders. Externalizing psychopathology is associated with antisocial behavior, which is different from and often confused for asociality.

Robert Frank Krueger is Hathaway Distinguished Professor of Clinical Psychology and Distinguished McKnight University Professor in the Department of Psychology at the University of Minnesota. Robert attended the University of Wisconsin-Madison and completed his clinical internship at Brown University. He is known for his research on personality psychology, clinical psychology, quantitative psychology, developmental psychology, personality disorders, behavioral genetics, and psychopathology. According to Krueger, the goal of his work is to "reduce the burden these problems place on society by working to understand why some people experience psychopathology, while others remain resilient." Krueger primarily studies the comorbidity between personality disorders and anxiety, as well as twins, heritability, personality development, conduct disorder, and antisocial personality disorder. He is the co-editor-in-chief of the Journal of Personality Disorders. He received the American Psychological Association's Award for Distinguished Scientific Early Career Contributions to Psychology in 2005. Krueger helped work on the section III diagnostic criteria of the Personality and Personality Disorders in the DSM-5. He is also one of the highest cited researchers according to the Web of Science.

<span class="mw-page-title-main">Hierarchical Taxonomy of Psychopathology</span>

The Hierarchical Taxonomy Of Psychopathology (HiTOP) consortium was formed in 2015 as a grassroots effort to articulate a classification of mental health problems based on recent scientific findings on how the components of mental disorders fit together. The consortium is developing the HiTOP model, a classification system, or taxonomy, of mental disorders, or psychopathology, aiming to prioritize scientific results over convention and clinical opinion. The motives for proposing this classification were to aid clinical practice and mental health research. The consortium was organized by Drs. Roman Kotov, Robert Krueger, and David Watson. At inception it included 40 psychologists and psychiatrists, who had a record of scientific contributions to classification of psychopathology The HiTOP model aims to address limitations of traditional classification systems for mental illness, such as the DSM-5 and ICD-10, by organizing psychopathology according to evidence from research on observable patterns of mental health problems.

The influence of childhood trauma on the development of psychopathy in adulthood remains an active research question. According to Hervey M. Cleckley, a psychopathic person is someone who is able to imitate a normal functioning person, while masking or concealing their lack of internal personality structure. This results in an internal disorder with recurrent deliberate and detrimental conduct. Despite presenting themselves as serious, bright, and charming, psychopathic people are unable to experience true emotions. Robert Hare's two factor model and Christopher Patrick's triarchic model have both been developed to better understand psychopathology; however, whether the root cause is primarily environmental or primarily genetic is still in question.

Koraly Elisa Pérez-Edgar is a developmental psychologist who studies the temperament of young children and connections between temperament, anxiety disorders, and other forms of psychopathology. She is known for her studies of shy children who may develop behavioral inhibition or social anxiety.

References

  1. Cicchetti, D. (1989). Developmental psychopathology: Some thoughts on its evolution. Development and Psychopathology, 1, 1-4.
  2. Kerig, P., Ludlow, A., & Wenar, C. (2012). Developmental Psychopathology (6th edition).
  3. "What is Child and Adolescent Psychiatry?". www.aacap.org. Retrieved 2021-01-20.
  4. DAVIES, P. T., CUMMINGS, E. M., & CAMPBELL, S. B. (2003). Developmental Psychopathology. In J. J. Ponzetti (Ed.), International Encyclopedia of Marriage and Family (2nd ed., Vol. 1, pp. 438-444). New York, NY: Macmillan Reference USA.
  5. Achenbach, Thomas M. (1974). Developmental Psychopathology. New York: Ronald Press. ISBN   0471068896.
  6. Cicchetti, D., & Cannon, T. (1999). Neurodevelopmental processes in the ontogenesis and epigenesis of psychopathology. Development and Psychopathology, 11, 375-393.
  7. Cicchetti, D. (Ed.). (1989). Rochester symposium on developmental psychopathology: The emergence of a discipline (Vol. 1). Hillsdale, NJ: Lawrence Erlbaum Associates.
  8. Hyatt, Courtland S.; Crowe, Michael L.; Lynam, Donald R.; Miller, Joshua D. (2019-07-13). "Components of the Triarchic Model of Psychopathy and the Five-Factor Model Domains Share Largely Overlapping Nomological Networks". Assessment. 27 (1): 72–88. doi:10.1177/1073191119860903. PMID   31304764. S2CID   196618231.
  9. Roza, Sabine J.; Hofstra, Marijke B.; van der Ende, Jan; Verhulst, Frank C. (2003-12-01). "Stable Prediction of Mood and Anxiety Disorders Based on Behavioral and Emotional Problems in Childhood: A 14-Year Follow-Up During Childhood, Adolescence, and Young Adulthood". American Journal of Psychiatry. 160 (12): 2116–2121. doi:10.1176/appi.ajp.160.12.2116. hdl: 1765/10246 . ISSN   0002-953X. PMID   14638580.
  10. 1 2 Picoito, João; Santos, Constança; Nunes, Carla (2020-06-19). "Heterogeneity and heterotypic continuity of emotional and behavioural profiles across development". Social Psychiatry and Psychiatric Epidemiology. 56 (5): 807–819. doi:10.1007/s00127-020-01903-y. ISSN   1433-9285. PMID   32561937. S2CID   219935864.
  11. Wichstrøm, Lars; Belsky, Jay; Steinsbekk, Silje (2017). "Homotypic and heterotypic continuity of symptoms of psychiatric disorders from age 4 to 10 years: a dynamic panel model". Journal of Child Psychology and Psychiatry. 58 (11): 1239–1247. doi: 10.1111/jcpp.12754 . ISSN   1469-7610. PMID   28543077. S2CID   206035310.
  12. James Snyder, Mike Stoolmiller, Gerald R. Patterson, Lynn Schrepferman, Jessica Oeser, Kassy Johnson, and Dana Soetaert (2003): The Application of Response Allocation Matching to Understanding Risk Mechanisms in Development: The Case of Young Children's Deviant Talk and Play, and Risk for Early-Onset Antisocial Behavior. The Behavior Analyst Today, 4 (4), 435-452 BAO