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The use of a narrative story stem technique with maltreated children: Implications for theory and practice

Published online by Cambridge University Press:  31 October 2008

Helen K. Buchsbaum ,
Sheree L. Toth ,
Robert B. Clyman ,
Dante Cicchetti  and
Robert N. Emde
Helen K. Buchsbaum*
Affiliation:
University of Colorado
Sheree L. Toth
Affiliation:
Mt. Hope Family Center, University of Rochester
Robert B. Clyman
Affiliation:
University of Colorado
Dante Cicchetti
Affiliation:
Mt. Hope Family Center, University of Rochester
Robert N. Emde
Affiliation:
University of Colorado
*
Address reprint requests to: Helen K. Buchsbaum, Ph.D., 4200 East 9th Avenue, Box C 268, Denver, CO 80262.
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Abstract

Maltreatment can impact the earliest stages of development during which time patterns of emotion regulation and attachment begin to be established (Carlson, Cicchetti, Barnett, & Braunwald, 1989b; Cicchetti, Ganiban, & Barnett, 1991). These disruptive patterns are problematic for early moral development and are likely to play a role in the development of conduct disorders (Aber & Cicchetti, 1984). Thus, maltreated children are clearly in a high-risk situation. To examine emotion regulation, internal representations of relationships, and early moral development, the use of a play narrative story stem technique (Bretherton, Ridgeway, & Cassidy, 1990; Buchsbaum & Emde, 1990) with maltreated children and a nonmaltreated disadvantaged comparison group of children is described. Representative case examples from each group are used to illustrate the effectiveness of this technique for eliciting themes about family relationships, conflicts, and their resolution or lack thereof as well as defenses and coping styles. The potential usefulness of this paradigm for clinical assessment and intervention are discussed.

Type
Articles
Information
Development and Psychopathology , Volume 4 , Issue 4 , October 1992 , pp. 603 - 625
Copyright
Copyright © Cambridge University Press 1992

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References

Aber, L. L., Allen, J., Carlson, V., & Cicchetti, D. (1989). The effects of maltreatment on development during early childhood: Recent studies and their theoretical, clinical, and policy implications. In Cicchetti, D. & Carlson, V. (Eds.), Child maltreatment: Theory and research on the causes and consequences of child abuse and neglect (pp. 579–619). New York: Cambridge University Press.CrossRefGoogle Scholar
Aber, J. L., & Cicchetti, D. (1984). Socioemotional development in maltreated children: An empirical analysis. In Fitzgerald, H., Lester, B., & Yogman, M. (Eds.), Theory and research in behavioral pediatrics (Vol. II, pp. 147–205). New York: Plenum.CrossRefGoogle Scholar
Abramson, L. Y., Seligman, M. E. P., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.CrossRefGoogle ScholarPubMed
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the Strange Situation. Hillsdale, NJ: Erlbaum.Google Scholar
Borke, H. (1971). Interpersonal perception of young children. Developmental Psychology, 5, 263–269.CrossRefGoogle Scholar
Borke, H. (1973). The development of empathy in Chinese and American children between three and six years of age. Developmental Psychology, 9, 102–108.CrossRefGoogle Scholar
Bowlby, J. (1969–1980). Attachment and loss, 3 vols. New York: Basic Books.Google Scholar
Bretherton, I. (1985). Attachment theory: Retrospect and prospect. In Bretherton, I. & Waters, E. (Eds.), Growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 50, 3–35.Google Scholar
Bretherton, I., Ridgeway, D., & Cassidy, J. (1990). The role of internal working models in the attachment relationship. In Greenberg, M., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment during the preschool years (pp. 3–39). Chicago: Chicago University Press.Google Scholar
Bretherton, I., & Waters, E. (1985) (Eds.). Growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 50 (1–2, Serial No. 209).Google Scholar
Buchsbaum, H. K., & Emde, R. N. (1990). Play narratives in 36-month-old children: Early moral development and family relationships. Psychoanalytic Study of the Child, 45, 129–155.CrossRefGoogle ScholarPubMed
Carlson, V., Cicchetti, D., Barnett, D., & Braunwald, K. G. (1989a). Disorganized/disoriented attachment relationships in maltreated infants. Developmental Psychology, 25.4, 525.CrossRefGoogle Scholar
Carlson, V., Cicchetti, D., Barnett, D., & Braunwald, K. G. (1989b). Finding order in disorganization: Lessons from research on maltreated infants' attachments to their caregivers. In Cicchetti, D. & Carlson, V. (Eds.), Theory and research on the causes and consequences of child abuse and neglect (pp. 494–528). New York: Cambridge University Press.Google Scholar
Cicchetti, D. (1990). The organization and coherence of socioemotional, cognitive, and representational development: Illustrations through a developmental psychopathology perspective on Down syndrome and child maltreatment. In Thompson, R. (Ed.), Nebraska Symposium on Motivation: Vol. 36. Socioemotional development (pp. 259–366). Lincoln: University of Nebraska Press.Google Scholar
Cicchetti, D., & Aber, J. L. (1980). Abused children-abusive parents: An overstated case? Harvard Educational Review, 50, 244–255.Google Scholar
Cicchetti, D., & Barnett, D. (1991). Attachment organization in preschool aged maltreated children. Development and Psychopathology, 3, 397–411.CrossRefGoogle Scholar
Cicchetti, D., & Beeghly, M. (1987). Symbolic development in maltreated youngsters: An organizational perspective. New Directions for Child Development, 36, 47–68.CrossRefGoogle Scholar
Cicchetti, D., Cummings, E. M., Greenberg, M. T., & Marvin, R. S. (1990). An organizational perspective on attachment beyond infancy: Implications for theory, measurement, and research. In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment in the preschool years (pp. 3–51). Chicago: University of Chicago Press.Google Scholar
Cicchetti, D., Ganiban, J., & Barnett, D. (1991). Contributions from the study of high risk populations to understanding the development of emotion regulation. In Garber, J. & Dodge, K. A. (Eds.), The development of emotion regulation and dysregulation (pp. 15–48). New York: Cambridge University Press.CrossRefGoogle Scholar
Cicchetti, D., Toth, S. L., & Bush, M. (1988). Developmental psychopathology and incompetence in childhood: Suggestions for intervention. In Lahey, B. & Kazdin, A. (Eds.), Advances in clinical child psychology (pp. 1–71). New York: Plenum.Google Scholar
Cicchetti, D., & White, J. (1988). Emotional development and the affective disorders. In Damon, W. (Ed.), Child development: Today and tomorrow (pp. 177–198). San Francisco: Jossey-Bass.Google Scholar
Clyman, R. B. (1991). The procedural organization of emotions: A contribution from cognitive science to the psychoanalytic theory of therapeutic action. Journal of the American Psanalytic Association Supplement, 39, 359–383.Google Scholar
Crittenden, P. M. (1988). Relationships at risk. In Belsky, J. & Nezworski, T. (Eds.), Clinical implications of attachment theory (pp. 136–174). Hillsdale, NJ: Erlbaum.Google Scholar
Cummings, E. M., & Cicchetti, D. (1990). Attachment, depression, and the transmission of depression. In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment during the preschool years (pp. 339–372). Chicago: University of Chicago Press.Google Scholar
Dodge, K., Bates, J., & Pettit, G. (1990). Mechanisms in the cycle of violence. Science, 250, 1678–1683.CrossRefGoogle ScholarPubMed
Dunn, J. (1988). The beginnings of social understanding. Cambridge: Harvard University Press.CrossRefGoogle Scholar
Dunn, L. M., & Dunn, L. (1981). The Peabody Picture Vocabulary Test-Revised. Circle Pines, MN: American Guidance Service.Google Scholar
Egeland, B., & Sroufe, L. A. (1981). Developmental sequelae of maltreatment in infancy. In Rizley, R. & Cicchetti, D. (Eds.), Developmental perspectives in child maltreatment (Vol. II, pp. 77–92). San Francisco: Jossey-Bass.Google Scholar
Emde, R. N. (1983). The prerepresentational self and its affective core. Psychoanalytic Study of the Child, 38, 165–192.CrossRefGoogle ScholarPubMed
Emde, R. N. (1988). Development terminable and interminable: I. Innate and motivational factors from infancy. International Journal of Psychoanalysis 69, 23–42.Google ScholarPubMed
Emde, R. N. (1992). Social referencing research: Uncertainty, self, and the search for meaning. In Feinman, S. (Ed.), Social referencing and the social construction of reality in infancy (pp. 79–94). New York: Plenum.CrossRefGoogle Scholar
Emde, R. N., Biringen, Z., Clyman, R. B., & Oppenheim, D. (1991). The moral self of infancy: Affective core and procedural knowledge. Developmental Review, 11, 251–270.CrossRefGoogle Scholar
Emde, R. N., & Buchsbaum, H. K. (1990). “Didn't you hear my mommy?” In Cicchetti, D. & Beeghly, M. (Eds.), Development of the self through the transition (pp. 35–60). Chicago: University of Chicago Press.Google Scholar
Emde, R. N., Gaensbauer, T. J., & Harmon, R. J. (1976). Emotional expression in infancy: A biobehavioral study. Psychological Issues: A Monograph Series, 10 (37). New York: International Universities Press.Google Scholar
Emde, R. N., Johnson, W. F., & Easterbrooks, M. A. (1988). The do's and don'ts of early moral development. In Kagan, J. & Lamb, S. (Eds.), The emergence of morality (pp. 245–277). Chicago: University of Chicago Press.Google Scholar
Field, T. M. (1981). Social perception and responsivity in early infancy. In Field, T. M., Huston, A., Quay, H. C., Troll, L., & Finley, G. E. (Eds.), Review of human development (pp. 20–320). New York: John Wiley & Sons.Google Scholar
Fivush, R., & Fromhoff, F. (1988). Style and structure in mother-child conversations about the past. Discourse Processes, 11, 337–355.CrossRefGoogle Scholar
Fonagy, P., Steele, H., & Steele, M. (1991). Maternal representations of attachment during pregnancy predict the organization of infant-mother attachment at one year of age. Child Development, 62, 891–905.CrossRefGoogle ScholarPubMed
Fox, N. A., & Davidson, R. J. (1984). Hemispheric substrates of affect. In Fox, N. A. & Davidson, R. J. (Eds.), The psychobiology of affective development (pp. 353–381). Hillsdale, NJ: Erlbaum.Google Scholar
Freud, A. (1936). The ego and the mechanisms of defense. New York: International Universities Press.Google Scholar
Gaensbauer, T. J., & Harmon, R. J. (1982). Attachment behavior in abused/neglected and premature infants: Implications for the concept of attachment. In Emde, R. N. & Harmon, R. J. (Eds.), Attachment and affiliative systems (pp. 245–279). New York: Plenum.Google Scholar
George, C., & Main, M. (1979). Social interactions of young abused children: Approach, avoidance, and aggression. Child Development, 50, 306–318.CrossRefGoogle ScholarPubMed
Goodman, G., Batterman-Faunce, J. M., & Kenney, R. (in press). Optimizing children's testimony: Research and social policy issues concerning allegations of child sexual abuse. In Cicchetti, D. & Toth, S. L. (Eds.), Child abuse, child development, and social policy. Norwood, NJ: Ablex.Google Scholar
Greenspan, S. I. (1989). The development of the ego: Implications for personality theory, psychopathology, and the psychotherapeutic process. Madison, CT: International Universities Press.Google Scholar
Hoffman, M. L. (1983). Affective and cognitive processes in moral internalization. In Higgins, E. T., Ruble, D. N., & Hartup, W. W. (Eds.), Social cognition and social development. New York: Cambridge University Press.Google Scholar
Izard, C. E., & Malatesta, C. Z. (1987). Perspectives on emotional development I: Differential emotions theory of early emotional development. In Osofsky, J. (Ed.), Handbook of infant development (2nd ed., pp. 494–554). New York: Wiley.Google Scholar
Kagan, J. (1981). The second year. Cambridge: Harvard University Press.CrossRefGoogle Scholar
Kaufman, J. (1991). Depressive disorder in maltreated children. American Journal of Child and Adolescent Psychiatry, 30, 257–265.CrossRefGoogle ScholarPubMed
Kaufman, J., & Cicchetti, D. (1989). The effects of maltreatment on school-aged children's socioemotional development: Assessments in a day camp setting. Developmental Psychology, 25, 516–524.CrossRefGoogle Scholar
Kaufman, J., & Zigler, E. (1989). The intergenerational transmission of child abuse and the prospect of predicting future abusers. In Cicchetti, D. & Carlson, V. (Eds.), Child maltreatment: Theory and research on the causes and consequences of child abuse and neglect (pp. 129–150). Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Kaye, K. (1982). The mental and social life of babies. Chicago: University of Chicago Press.Google Scholar
Kelly, M. A. (1986). Relations between moral judgement and moral actions in abused, neglected, and nonmaltreated children. Unpublished doctoral dissertation, University of Rochester, Rochester, NY.Google Scholar
Kennedy, H., & Yorke, C. (1982). Steps from outer to inner conflict viewed as superego precursors. Psychoanalytic Study of the Child, 37, 221–228.CrossRefGoogle ScholarPubMed
Klinnert, M. D., Campos, J., Sorce, J. F., Emde, R. N., & Svejda, M. J. (1983). Social referencing. In Plutchik, R. & Kellerman, H. (Eds.), Emotion (pp. 57–86). Orlando, FL: Academic Press.Google Scholar
Kobak, R. R., & Sceery, A. (1988). Attachment in late adolescence: Working models, affect regulation, and representations of self and others. Child Development, 59, 135–146.CrossRefGoogle ScholarPubMed
Kohut, H. (1971). The analysis of the self. New York: International Universities Press.Google Scholar
Kohut, H. (1977). The restoration of the self. New York: International Universities Press.Google Scholar
Kopp, C. (1982). Antecedents of self-regulation. Developmental Psychology, 18, 199–214.CrossRefGoogle Scholar
Kopp, C. (1989). Regulation of distress and negative emotions: A developmental view. Developmental Psychology, 25, 343–354.CrossRefGoogle Scholar
Lewis, M., & Brooks-Gunn, J. (1979). Social cognition and the acquisition of self. New York: Plenum.CrossRefGoogle Scholar
Lynch, M., & Cicchetti, D. (1991). Patterns of relatedness in maltreated and nonmaltreated children: Connections among multiple representational models. Development and Psychopathology, 3, 207–226.CrossRefGoogle Scholar
Main, M., & George, C. (1985). Responses of abused and disadvantaged toddlers to distress in agemates: A study in the day care setting. Developmental Psychology, 21, 407–413.CrossRefGoogle Scholar
Main, M., & Goldwyn, R. (1984). Predicting rejecting of her infant from mother's representation of her own experience: Implications for the abused-abusing intergenerational cycle. Child Abuse and Neglect, 8, 203–217.CrossRefGoogle ScholarPubMed
Main, M., & Hesse, P. (1990). Parents' unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parent behavior the linking mechanism? In Greenberg, M., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment during the preschool years (pp. 161–182). Chicago: University of Chicago Press.Google Scholar
Main, M., & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth strange situation. In Greenberg, M., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment during the preschool years (pp. 121–160). Chicago: University of Chicago Press.Google Scholar
Masten, A., Best, K., & Garmezy, N. (1990). Resilience and development: Contributions from the study of children who overcome adversity. Development and Psychopathology, 2, 425–444.CrossRefGoogle Scholar
Mueller, E., & Silverman, N. (1989). Peer relations in maltreated children. In Cicchetti, D. & Carlson, V. (Eds.), Maltreatment: Theory and research on the causes and consequences of child abuse and neglect (pp. 529–579). New York: Cambridge University Press.CrossRefGoogle Scholar
Nelson, K. (1985). Event knowledge and cognitive development. In Nelson, K. (Ed.), Event knowledge (pp. 1–19). Hillsdale, NJ: Erlbaum.Google Scholar
Nelson, K., & Gruendel, J. (1981). Generalized event representations. In Lamb, M. E. & Brown, A. L. (Eds.), Advances in developmental psychology (Vol. 1, pp. 131–158). Hillsdale, NJ: Erlbaum.Google Scholar
Oppenheim, D., Sagi, A., & Lamb, M. (1988). Infantadult attachments on the kibbutz and their relation to socioemotional development 4 years later. Developmental Psychology, 24, 427–433.CrossRefGoogle Scholar
Rieder, C., & Cicchetti, D. (1989). Organizational perspective on cognitive control functioning and cognitive affective balance in maltreated children. Developmental Psychology, 25, 382–393.CrossRefGoogle Scholar
Sander, L. (1975). Infant and caretaking environment. In Anthony, E. J. (Ed.), Explorations in child psychiatry (pp. 129–166). New York: Plenum.CrossRefGoogle Scholar
Smetana, J. (1983). Social-cognitive development: Domain distinctions and coordinations. Developmental Review, 3, 131–147.CrossRefGoogle Scholar
Smetana, J. G., Kelly, M., & Twentyman, C. T. (1984). Abused, neglected, and nonmaltreated children's conceptions of moral and conventional transgressions. Child Development, 55, 277–287.CrossRefGoogle ScholarPubMed
Spitz, R. A. (1957). No and yes. New York: International Universities Press.Google Scholar
Sroufe, L. A. (1979). The coherence of individual development. American Psychologist, 34, 834–841.CrossRefGoogle Scholar
Sroufe, L. A. (1983). Infant-caregiver attachment and patterns of adaptation in preschool: The roots of maladaptation and competence. In Perlmutter, M. (Ed.), Minnesota Symposium in Child Psychology 16 (pp. 14–83). Minneapolis: University of Minnesota Press.Google Scholar
Sroufe, L. A. (1989). Relationships and relationship disturbance. In Sameroff, A. & Emde, R. N. (Eds.), Relationship disturbance in early childhood (pp. 97–124). New York: Basic Books.Google Scholar
Sroufe, L. A. (1990). An organizational perspective on the self. In Cicchetti, D. & Beeghly, M. (Eds.), The self in transition: Infancy to childhood (pp. 281–307). Chicago: University of Chicago Press.Google Scholar
Starr, R., & Wolf, D. (Eds.). (1991). The effects of child abuse and neglect: Issues and research. New York: Guilford.Google Scholar
Stern, D. N. (1985). The interpersonal world of the human infant. New York: Basic Books.Google Scholar
Thompson, R. (1990). Emotions and self-regulation. In Thompson, R. (Ed.), Nebraska Symposium on Motivation, Vol. 36: Socioemotional development (pp. 367–467). Lincoln: University of Nebraska Press.Google Scholar
Toth, S. L., Manly, J. T., & Cicchetti, D. (1992). Child maltreatment and vulnerability to depression. Development and Psychopathology, 4, 97–112.CrossRefGoogle Scholar
Troy, M., & Sroufe, L. A. (1987). Victimization among preschoolers: The role of attachment relationship history. Journal of the American Academy of Child Psychiatry, 26, 166–172.CrossRefGoogle ScholarPubMed
Turiel, E. (1983). The development of social knowledge: Morality and convention. Cambridge: Cambridge University Press.Google Scholar
Vondra, J., Barnett, D., & Cicchetti, D. (1989). Perceived and actual competence among maltreated and comparison school children. Development and Psychopathology, 1, 237–255.CrossRefGoogle Scholar
Waters, E., Wippman, J., & Sroufe, L. A. (1979). Attachment, positive affect, and competence in the peer group: Two studies in construct validation. Child Development, 50, 821–829.CrossRefGoogle ScholarPubMed
Watson, M. W., & Fischer, K. W. (1980). Development of social roles in elicited and spontaneous behavior during the preschool years. Developmental Psychology, 15, 483–494.CrossRefGoogle Scholar
Winnicott, D. W. (1971). Playing and reality. New York: Basic Books.Google Scholar
Wolf, D., & Grollman, S. H. (1982). Ways of playing. In Pepler, D. & Rubin, K. (Eds.), The play of children (pp. 43–46). Basel: Springer-Verlag.Google Scholar
Wolf, D., & Hicks, D. (1989). The voices within narrative. In Forman, G. E. (Ed.), Action and thought. New York: Academic Press.Google Scholar
Wolf, D., Moreton, J., & Camp, L. (in press). Children's acquisitions of different kinds of discourse: Genres and lines of talk. In Sokolov, J. L. & Snow, C. E. (Eds.), Handbook of research in language development using CHILDES. Hillsdale, NJ: Erlbaum.Google Scholar
Zahn-Waxler, C., Cole, P., & Barrett, K. C. (1991). Guilt and empathy: Sex differences and implications for the development of depression. In Garber, J. & Dodge, K. A. (Eds.), The development of emotion regulation and dysregulation (pp. 243–272). New York: Cambridge University Press.CrossRefGoogle Scholar
Zahn-Waxler, C., Radke-Yarrow, M., & King, R. A. (1979). Child-rearing and children's prosocial initiations toward victims of distress. Child Development, 50, 319–330.CrossRefGoogle ScholarPubMed