We present the final results of a study using the IRDI (Clinical Risk Indicators in Child Development). Based on a psychoanalytic approach, 31 risk signs for child development were constructed and applied to 726 children between the ages of 0 and 18 months. One sub-sample was evaluated at the age of three. The results showed a predictive capacity of IRDIs to indicate developmental problems; 15 indicators for the IRDI were also highlighted that predict psychic risk for the constitution of the subject.
This study explores pre-linguistic vocal trajectories in infants with autism spectrum disorder (ASD) during caregiver-infant interaction. Home videos were obtained from 10 infants with ASD and 10 typically developing infants (TD), covering three time periods: 0–6 months (T1, 47 video sequences), 6–12 months (T2, 47 video sequences), and 12–18 months (T3, 48 video sequences). In total 142 video sequences were analyzed. Vocalizations, long reduplicated babbling, 2-syllable babbling, and first words were investigated longitudinally. Face-gazing was also analyzed, to evaluate the social quality of vocal behaviors. Results show a lower rate of vocalizations in the ASD group at T2, and a lower rate of first words at T3, compared to the TD group. However, the prevalence of non-social babbling, appeared higher in the ASD group. The implications of these findings for screening programs are discussed.
Objective: To find evidence of the content, construct, and criterion validity of the LABIRINTO scale for the diagnosis of autism spectrum disorder (ASD) in children aged 24-59 months. Methods: The scale was constructed in four stages: 1) items were defined based on an extensive literature review and discussions with autism and child development specialists; 2) child development specialists evaluated each item; 3) a preliminary version of the scale was applied to children diagnosed with ASD to enable any necessary adjustments; 4) the scale was then applied to 27 children with typical development and no neurodevelopmental disorder and 48 children with ASD. According to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the Childhood Autism Rating Scale (CARS), clinical diagnosis constitutes the gold standard. Results: The scale's psychometric indexes were appropriate for construct validity, with Kaiser-Meyer-Olkin = 0.94 and root mean square error of approximation = 0.000. Only one factor on the scale had a Cronbach alpha of 0.97. The receiver operating characteristic curve indicated a cutoff of 12, with a sensitivity of 100% and specificity of 100% for distinguishing children with ASD from those with typical development.
Conclusion:This study confirmed the validity of the LABIRINTO scale.
Clínica psicanalítica com bebêsuma intervenção a tempoSão Paulo, SP: Casa do Psicólogo, 2005 Daniele de Brito Wanderley Psicanalista, especialista em psicopatologia do bebê e psiquiatria infantil (França). Docente do curso de pós-graduação da FBDC -Salvador, dirige a Coleção De Calças Curtas, da editora Ágalma, e integra o GNP -Grupo Nacional de Psicanálise com a pesquisa multicêntrica sobre indicadores clínicos de risco para o desenvolvimento infantil.Clínica psicanalítica com bebês -uma intervenção a tempo é um gostoso convite a partilhar com a autora Daniela Teperman suas tantas indagações acerca da polêmica clínica do infans.Situar essa clínica precoce no seu contexto atual em que tantos são os modelos de atendimento não é tarefa simples; tanto mais quando a autora se propõe, ao longo de todo o texto, dialogar com os diversos autores, lançando mão de questões muito pertinentes para quem já trabalha com bebês ou já começa a sentir-se fisgada por essa prática, mas ainda não a exerce.É assim que Daniela Teperman traz à tona as diferentes contribuições no campo da observação de bebês. Passando por Esther Bick e Winnicott, analisa o trabalho de autores que se dedicam à psicoterapia mãe/ bebê como Cramer, Palácio Espasa e Rosine Debray, destacando que estes últimos focam sua práxis na interação mãe-bebê, enquanto autores como Françoise Dolto, Caroline Eliacheff, Myriam Szejer e Catherine Mathelin dão um enfoque maior à palavra e à simbolização. Ainda em torno das modalidades de atendimento, a autora investiga a clínica da Estimulação Precoce, numa rica discussão entre o instrumental e
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