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Differential Classification in School Refusal

Published online by Cambridge University Press:  02 January 2018

Leslie Atkinson ,
Bruce Quarrington ,
James J. Cyr  and
Frederick V. Atkinson
Leslie Atkinson*
Affiliation:
Early Intervention and Developmental Evaluation Services, Surrey Place Centre, Toronto, and Department of Psychology, Whitby Psychiatric Hospital, Whitby, Ontario
Bruce Quarrington
Affiliation:
Department of Psychology, York University, Downsview, Ontario
James J. Cyr
Affiliation:
Department of Psychology, Whitby Psychiatric Hospital
Frederick V. Atkinson
Affiliation:
Department of Mathematics, University of Toronto
*
∗Surrey Place Centre, 2 Surrey Place, Toronto, Ontario, Canada M5S 2C2
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Abstract

It has been argued that school refusal may not be a unitary syndrome, but a common presenting symptom founded on differing underlying dynamics. The paper explores this hypothesis empirically. The clinical files of 100 refusers were scored for several variables which could potentially differentiate between school refusal subtypes, and for several commonly accepted beliefs about school refusal. The data were subjected to a variety of analyses, culminating in cluster analysis. Cluster (C) 1 consisted of children who feared separation from dependent, overprotective mothers. C2 youngsters were perfectionistic and depressed. They dominated mothers who had been deprived in childhood. C3 consisted of extensively disturbed children from multiproblem families, who had suffered early separation or loss, and who were fearful and depressed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 155 , Issue 2 , August 1989 , pp. 191 - 195
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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Footnotes

1.

The modified Kennedy criteria are available in tabular form from the authors on request.

2.

A more detailed description of the analyses and results can be obtained from the authors.

References

Armenakis, A., Field, H. & Wilmoth, J. (1977) An alogorithm for assessing factor structure congruence. Educational and Psychological Measurement, 37, 213–214.Google Scholar
Atkinson, L. (1986) Depression in school phobia. British Journal of Psychiatry, 148, 335–336.Google Scholar
Atkinson, L., Quarrington, B. & Cyr, J. (1985) School refusal: the heterogeneity of a concept. American Journal of Orthopsychiatry, 55, 83–101.Google Scholar
Berg, I., Nichols, K. & Pritchard, C. (1969) School phobia - its classification and relationship to dependency. Journal of Child Psychology and Psychiatry and Allied Disciplines, 10, 123–141.Google Scholar
Bowlby, J. (1973) Attachment and Loss, Volume II. Separation: Anxiety and Anger. Harmondsworth: Penguin.Google Scholar
Coolidge, J., Hahn, P. & Peck, A. (1957) School phobia: neurotic crisis or way of life. American Journal of Orthopsychiatry, 27, 296–306.Google Scholar
Davidson, S. (1960) School phobia as a manifestation of family disturbance: its structure and treatment. Journal of Child Psychology and Psychiatry and Allied Disciplines, 1, 270–287.Google Scholar
Eisenberg, L. (1958) School phobia: a study in the communication of anxiety. American Journal of Psychiatry, 114, 712–718.Google Scholar
Estes, H., Haylett, C. & Johnson, E. (1956) Separation anxiety. American Journal of Psychotherapy, 10, 682–695.Google Scholar
Gordon, D. & Young, R. (1976) School phobia: a discussion of aetiology, treatment and evaluation. Psychological Reports, 39, 783–804.Google Scholar
Hersov, L. (1977) School refusal In Child Psychiatry: Modern Approaches (eds Rutter M. and Hersov L.). Oxford: Blackwell.Google Scholar
Johnson, A., Falstein, E., Szureck, S., et al (1941) School phobia. American Journal of Orthopsychiatry, 11, 702–711.Google Scholar
Kaiser, H. (1970) A second generation Little Jiffy. Psychometrika, 35, 401–416.Google Scholar
Kaiser, H. & Rice, J. (1974) Little Jiffy, Mark IV. Educational and Psychological Measurement, 34, 111–117.Google Scholar
Kennedy, W. (1965) School phobia: rapid treatment of fifty cases. Journal of Abnormal Psychology, 70, 285–289.Google Scholar
Kolvin, I., Berney, T. & Bhate, S. (1984) Classification and diagnosis of depression in school phobia. British Journal of Psychiatry, 145, 347–357.Google Scholar
Leventhal, T. & Sills, M. (1964) Self-image in school phobia. American Journal of Orthopsychiatry, 34, 685–695.Google Scholar
McDonald, J. & Sheppard, G. (1976) School phobia: an overview. Journal of School Psychology, 14, 291–306.Google Scholar
Millar, T. (1961) The child who refuses to attend school. American Journal of Psychiatry, 118, 398–404.Google Scholar
Mojena, R. (1977) Hierarchical group methods and stopping rules: an evaluation. The Computer Journal, 20, 359–363.Google Scholar
Quay, H. (1977) Measuring dimensions of deviant behaviour: the Behaviour Problem Checklist. Journal of Abnormal Child Psychology, 5, 277–287.Google Scholar
Quay, H. (1979) Classification In Psychopathological Disorders of Childhood (eds Quay H. & Wherry J.). Toronto: John Wiley & Sons.Google Scholar
Quay, H. (1983) A dimensional approach to behaviour disorder: the Revised Behaviour Problem Checklist. School Psychology Review, 12, 244–249.Google Scholar
Quay, H. & Parsons, L. (1971) The Differential Behavioral Classification of the Juvenile Offender. West Virginia: Robert F. Kennedy Youth Centre.Google Scholar
Radin, S. (1967) Psychodynamic aspects of school phobia. Comprehensive Psychiatry, 8, 119–128.Google Scholar
Scott, W. (1955) Reliability of content analysis: the case of nominal coding. Public Opinion Quarterly, 19, 321–325.CrossRefGoogle Scholar
Smith, S. (1970) School refusal with anxiety: a review of sixty-three cases. Canadian Psychiatric Association Journal, 15, 257–264.Google Scholar
Waldfogel, S., Coolidge, J. & Hahn, P. (1957) The development, meaning and management of school phobia. American Journal of Orthopsychiatry, 27, 754–776.Google Scholar
Weinberg, W., Enslie, G. & Wilkes, C. (1986) Depression in school phobia. British Journal of Psychiatry, 148, 335.CrossRefGoogle Scholar
Weiss, M. & Cain, B. (1964) Residential treatment of children and adolescents with school phobia. American Journal of Orthopsychiatry, 34, 103–114.Google Scholar
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