Social and Family Relationships of Ex-Institutional Adolescents

Jill Hodges and Barbara Tizard (1989)

This is a longitudinal study of institutionalised children. 25 children returned to biological parent and 25 adopted after the age of 2. Attachments formed, but more developed for adopted children. Children typically sought adult attention and were not popular amongst their peers.

Introduction

Maternal deprivation (Bowlby 1951 and Goldfarb 1945). More emotionally withdrawn. Earlier studies by Tizard and co-workers found that although institutions provided an adequate environment for cognitive growth, a policy of many staff looking after each individual child, left the children with emotional problems (eg running to any familiar adult and crying when they left the room). First chance for children to form attachments was when they joined a family upon leaving the institution (normally between ages 2 to 7 years). These children did form attachments to their new parents, but a third were over-friendly with strangers. Does an improvement in the child’s environment bring about an improvement in the child’s emotional stability? It is becoming increasingly more common for children to be adopted at later ages, what are the repercussions of this?

At age 8 the children were seen by adopting parents as normal, however, teachers saw them as restless, disobedient and with poor peer relationships. Goldfarb (1945) found that, for his sample of institutionalised children, language and cognitive skills were impaired. This was not the case with Tizard’s (1978) sample. Why do you think this is? So situation is not as bad as Bowlby would have predicted, but some emotional problems remain.

1. How enduring are these effects? Can they be reversed after the age of 8 years?

2. Does the improvement in emotional behaviour found when the child is adopted, compared with when the child is restored to his or her biological parent(s), improve, remain stable or deteriorate, beyond the age of 8? Adolescence can bring difficulties (Mackie, 1982). Lambert & Streather (1980) found that at age of 11, there had been a deterioration. Restored children would have had problems with members of step-families (Robinson 1980). Bohman and Sigvardsson (1985) found that up to age 18 years, adopted children fared better than fostered or restored children. As the adolescent becomes independent, how do they cope with their peers? Children studied at age 8, therefore traced and reassessed at age 16.

Attrition in the sample

51 studied at age 8, 9 of these unavailable for study at age 16.

Whereabouts of adopted children

26 of 28 still in adoptive homes. Further late adopted child added, the 2 not in adoptive homes excluded, 1 in psychiatric unit during weekdays included, 3 still with foster parents included.

Whereabouts of restored children

12 out of 13 still with parents. 1 in a secure unit included. 3 had been away from home, but were back again at time of study, they were included.

Whereabouts of children in Residential of Foster Care

1 remained in residential care, 5 back in residential care after many changes.

Numbers seen at 16.

17 adopted boys, 6 adopted girls, 6 restored boys, 5 restored girls, 3 boys and 2 girls in institutional care.

Stability of different types of placement between two and 16.

Adoptive placements most stable, then restored, with institutional care being the least stable.

Effects of attrition and changes in placement groups upon characteristics of sample.

No systematic loss of children with fewer problems at age 8 from sample studied at age 16.

Comparison Groups

Previous group, set up when children were 2, no longer relevant. New group matched on sex, one or two parent family, occupation of main breadwinner and position in family. Families contacted via G.P. 30% live in London, whereas study children spread throughout British Isles, Classmate of similar age for each study child also used, so as to compare data from schools.

Assessment Procedure.

This section explains how data was gathered. 3 questionnaires used. Adolescent or parents (careworker, etc). Interviews tape-recorded and school contacted with adolescents and/or adult’s approval. School contacted by post, teacher filled in questionnaires for study adolescent and classmate control.

Results

Relationship within the family
  Adopted Restored
Level of attachment normal low
Change in attachment slight rise slight drop
Attachment to father normal drop
Relationship with siblings below normal bad
Showing affection normal less affectionate
Parents able to show affection easier than restored more difficult than adopted


Closeness
  Adopted Restored
Mother realised when adolescent upset normal less likely to
Adolescent feels parents would know when upset slightly less likely more likely
Adolescent feels he could ask for support normal less likely


Who would they turn to?
  Adopted Restored
Nobody more likely less likely to
Peer less likely less likely
Parent's view on level of disagreement low low
Adolescent's view on level of disagreement higher highest


Peer relationships
  Adopted Restored
Adolescents feel they belong to the crowd less likely less likely
Have a special friend less likely less likely

Relationships between attachment and peer relations

Basically, if the child shows a strong attachment to parents, at age 8, then more likely to have good peer relationships, at age 16, and vice versa.

Relationships to Teachers

The institutional children (adopted and restored) were seen as more attention seeking than school controls, but not when compared with the London family controls.  The restored children were seen as more aggressive compared with both controls (school and family).

Discussion

Ex-institutional children differ from controls with regard to relationships outside the family. Restored differ from adopted and controls with regard to relationships within the family. Restored children were not liked by parents as much as other siblings. Restored children less likely than adoptees to get along with siblings. It seems that this is because adoptive families put a greater effort into building a relationship, and had been more tolerant; Whereas, the restored group, had few resources, more children, had been more ambivalent about the child living with them and expected greater independence from them. Both groups more likely to seek adult attention, and are less likely to have a close friend (friendly to any peer instead), compared with controls.

Possible reasons:

  1. Unlikely to be owing to class as adoptive parents spent more time interacting with children than comparative middle-class parents, and restored parents spent less time interacting with children than comparative working-class children.
  2. Restored parents uncertainty about their own reactions communicated to the children.
  3. Adopting parents spent time on building relationships with their child, but did not find time to help the child form meaningful relationships with outsiders. Also, teachers and peers are less likely to want to respond favourable to an adolescent lacking in social skills; This becomes self-perpetuating.
  4. Experiences in institutions are long lasting.
  5. Developmental delay. Attachment to parents develops first, then friendships outside the family. Finally, we do not know whether adolescents will form close friendships in later life, or will be permanently affected by their early experiences.

Commentary

Aim and Nature.

A longitudinal study. Independent variable - environment - adopted or restored to natural parent (s). Dependent variable - social relationships. Matched subjects, independent groups. Groups compared with each other and matched controls; also subjects at 16 years with themselves at age 8.

Context and Background

It was popular during the fifties to think of early experiences having a profound influence on children’s social development. Basically, if things went wrong in the first few years of life, there was little hope for the future! Later longitudinal studies evidenced an improvement in initial impoverished social skills, thereby demonstrating the inadequacy of the critical period theory. Additionally, some interesting case studies are described that illustrate this. Nonetheless, language does seem to have a critical period (although Mary’s case doesn’t support this view).

Evaluation

  1. A lot of material is presented here. the debate is whether people who have deprived childhoods also have poor relationships when adult, and also make poor parents. It does seem as though many are adversely affected, but there is no inevitability about it.
  2. Bowlby felt that the first two years is the only time that children can become attached to others. Although this can be considered an optimum period, it seems that children can learn how to form friendships in later childhood, if placed in a supportive environment.
  3. Although this is a ‘natural’ experiment, what would have been the point of the research if the more socially responsive children had been the ones chosen for adoption?
  4. There was a certain amount of attrition. This is a problem with longitudinal studies. How could this bias the results? Another problem is that the researchers might die before the research is due to end!
  5. How objective can family members be about each other? How objective can teachers be about pupils?
  6. ‘The strange situation’ (Ainsworth et al 1971/78) is a test to see how a child responds to the mother, (father) and a stranger, coming and going from a room.

Questions

  1. What were the disadvantages of institutional care? )
  2. Give two findings of the study, and give possible reasons.
  3. Describe the differences you might expect in the way the adopted child was treated at home, compared with the restored child.
  4. Why have a control group?
  5. What are the problems of selecting a control group in this kind of study?
  6. Are the effects of maternal deprivation permanent?
  7. What are the practical implications of this research?

Guardian article concerning the adoption process

Guardian article about teens and their relationships with their parents

Guardian article about children of working mothers at risk


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