Abstract
Cognitive and emotional aspects of development in four infants reared in a reverse isolation environment because of congenital severe combined immunodeficiency disease were studied by psychological test performance and formal observation. The chidren were studied while they were inpatients and following their discharge after successful medical treatment was accomplished. Treatment time in reverse isolation varied from 10 to 52 months. Deficient self-generated activity, including motor and motor-based cognitive skills such as expressive language, were observed in two of the four children. Deficits were also observed to be at least moderately reversible either upon discharge or in relation to an inpatient intervention program. Case material is discussed with reference to severe disruption of oral feeding experience, quality of parental involvement, and sensory isolation inherent in the environment.
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References
Beratis, S., Kolb, R., Sperling, E., & Stein, R. E. K. (1981). Development of a child with long lasting deprivation of oral feeding.Journal of the American Academy of Child Psychiatry, 20, 53–64.
Dalton, R. (1981). The assessment and enhancement of development of a child being raised in reverse isolation.Journal of the American Academy of Child Psychiatry, 20, 611–622.
Dennis, W., & Najarian, P. (1957). Infant development under environmental handicap.Psychological Monographs,72, No. 7.
Dowling, S. (1977). Seven infants with esophageal atresia. In R. S. Eissler, A. Freud, M. Kris, P. Neubauer, & A. Solnit (Eds.),The psychoanalytic study of the child (pp. 215–256). New Haven: Yale University Press.
Dowling, S. (1980). Going forth to meet the environment.Psychosomatic Medicine, 42, (1:11, suppl.), 153–161.
Freedman, D., Montgomery, J., Wilson, R., Bealmer, P., & South, M. (1976). Further observations on the effect of reverse isolation from birth on cognitive and affective development.Journal of the American Academy of Child Psychiatry, 15, 593–602.
Goldfarb, W. (1945). Effects of psychological deprivation in infancy and subsequent stimulation.American Journal of Psychiatry, 102, 18–33.
Lazar, R. M., Tamaroff, M., Nir, Y., Freund, B., O'Reilly, R., Kirkpatrick, D., & Kapoor, N. (1983). Language recovery following isolation for severe combined immunodeficiency disease.Nature, 306, 54–55.
Resch, R., & Nir, Y (1984). Why not transparent facemasks?New England Journal of Medicine, 3, 923–924.
Simons, C., Kohle, K., Genscher, U., & Dietrich, M. (1973). The impact of reverse isolation on early childhood development.Psychotherapy and Psychosomatics, 22, 300–309.
Spitz, R. A. (1945). Hospitalism: An inquiry into the genesis of psychiatric conditions in early childhood. In A. Freud, H. Hartmann, & E. Kris (Eds.),The psychoanalytic study of the child (Vol. 1, pp. 53–74).
Yarrow, L. J. (1964). Separation from parents during early childhood. In M. Hoffman & S. L. Hoffman (Eds.),Review of child developmental research (pp. 89–136). New York: Russell Sage.
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Tamaroff, M.H., Nir, Y. & Straker, N. Children reared in a reverse isolation environment: Effects on cognitive and emotional development. J Autism Dev Disord 16, 415–424 (1986). https://doi.org/10.1007/BF01531708
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DOI: https://doi.org/10.1007/BF01531708