The effect of loss of parents during childhood has been the subject of many studies. Although most reports agree that some emotional disturbance occurs in the child, it is not yet clear what are the late effects of such separations in adult psychiatric health and behaviour. Brown (1961) and Munro (1965) pointed out that childhood bereavement before the age of 15 is not a rare experience: both studies report an incidence of over 19 per cent, in non-psychiatric populations. While some studies (e.g. Brown, 1961) reported an increased frequency of bereavement in childhood in depressed patients, other studies (e.g. Hopkinson and Reed, 1966) failed to confirm this. Furthermore, as Ainsworth (1962) pointed out, the term “parental deprivation” requires careful definition. It can refer to insufficiency of parent-child interaction (which cannot be assumed to follow automatically in every separation, because of the presence of parent substitutes), to grief reactions which may be supposed to follow parental loss and predispose to depression (Bowlby, 1961) and to distortions of parent-child relationships. The psychological consequences of parental loss could be expected to differ according to the degree of pre-separation distortions of relationships.
Findings are presented on 42 children of school age, the offspring of 26 adult psychiatric patients. Psychiatric disorder was found in 19 (45 per cent) of the children, compared with 12 (26 per cent) of 47 children from a control group of families. Families with disturbed children differed from the remaining families in the following ways: presence of frank marital discord, the diagnosis of personality disorder in the parents, the inability of the father to tolerate angry situations, and the presence of siblings of under 9 years of age. Six months later 9 of the 19 children had improved considerably. In almost every family this was associated with improvement in the condition of the parents. It is suggested that the psychiatric disorder of these children is reactive to the presence of emotional turmoil in the families.
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