"How
might an experience early in life shape aspects of adult behaviour?"
& "How useful do you think this model of causation
is in helping a person to change for the better?"
Individuals learn the norms and conventional behaviours of
their culture from the moment they are born via a process
called socialization. Socialisation can be primary, secondary
or tertiary. Primary socialization is perhaps the most powerful
societal influence to be experienced throughout an individual’s
lifetime and is basically the process of being taught, through
parental guidance, the rules and expected behaviour of society
(Fulcher & Scott, 1999). Further socialization, or ‘secondary
socialization’ occurs when the individual begins school
and receives guidance from both peers and teachers. Finally,
tertiary socialization occurs much later and incorporates
the way individuals learn the norms and rules within their
workplace for example (Fulcher & Scott, 1999).
Because of this process, it would hardly seem surprising that
the socialization process may have a profound effect on the
type of adult an individual becomes. This essay proposes that
the primary socialization a child is exposed to, namely the
‘parenting style’ adopted by their parents, will
affect aspects of the behaviour in the adult ‘to be’.
In particular, this essay will focus on the potential effects
of emotional neglect in childhood on the emerging adult. The
essay also offers two theoretical perspectives that differ
in their stance regarding the usefulness of such a ‘cause
& effect’ relationship when assisting the individual
to ‘change’.
The essay begins by offering an overview of the different
parenting styles, and their implications, as proposed by Diana
Baumrind in 1967.
When discussing parenting with others, it is not difficult
to identify several different approaches used parenting styles.
Measuring or defining these differences and quantifying their
potential impact on individual’s subsequent behaviors
was a task set-upon by Diana Baumrind in 1967 (Reber, 1999;
Kaplan, 1993). Based on Baumrind’s initial research
which included one hundred pre-school Californian children,
three different parenting styles were proposed; authoritarian,
permissive and authoritative each reflecting a level of love
and concern for the child (Kaplan, 1993). A further two parenting
styles were soon identified by successive researchers. These
are entitled ‘neglectful parenting’ and ‘indulgent
parenting’. Both styles, as may be indicated by their
labels, are underpinned by abuse and harm (Berger, 2003).
Table 1: The effects of different parenting styles on the
characteristics of the child
PARENTING STYLE
|
DESCRIPTION
|
TYPICAL CHARACTERISTICS PRESENTED BY THE CHILD
|
Authoritarian
|
- Parents word is law
- Strict physical punishment
- Maturity demanded
- Parent-Child communication is
minimal
|
- Conscientious, obedient &
quiet
- Not especially happy and
likely to be depressed
|
Permissive
|
- Few demands are made on the
child
- Does not demand maturity
|
- Even less happy
- Lacks self control
- Is not comfortable with the
idea and practice of reciprocity
|
Authoritative
|
- Sets limits
- Enforces rules
- Listens to the child’s requests
and questions
- High level of parent-child
communication
- Forgiving as opposed to
punishing
|
- More successful
- Articulate
- Intelligent
- High self-esteem
- Generous
|
Neglectful
|
Neglectful
|
- Oppositional behaviour
- Aggression
- Hyperactivity
or
- Low self esteem
- withdraw socially
|
| Indulgent |
- Parents accommodate every
desire the child has
|
- High self confidence
- Abuses substances more often -
misbehaves in school
- Less engaged in school.
|
[Adapted from: Lerner, Ree &Williamson, , 15,1998;
Berger, 2003 pp.310-311; Stormshank, Bierman, McMahon, &
Lengua, 2000; Mental Help, 2003]
Baumrind’s research clearly shows the potential influence
of parental involvement on childhood development in that the
type of parenting style adopted has been found to envoke certain
characteristics in the emerging adult (Lane, 2001). For example,
table 1 suggests that individuals raised by permissive parents
will lack self-control and feel uncomfortable with idea of
reciprocity and sharing and those raised by neglectful parents
on the one hand are likely to display behavioural difficulties
& aggressive tendencies, or on the other hand develop
a very low self-esteem and withdraw socially.
This essay focuses specifically on the effects that ‘neglectful’
parenting can have on the individual once they reach adulthood.
To address each of the parenting styles in table 1 would be
out with the scope of this essay.
The essay continues by investigating how many children are
exposed to a neglectful upbringing in the UK while also considering
how this early experience of emotional abuse or neglect might
influence the adult by presenting data from current research
studies followed by criticisms pertaining to the research
techniques used. This essay proceeds to introduce two opposing
theorists viewpoints regarding the usefulness of a model of
causation in helping an individual to change, Sigmund Freud
and Aaron Beck.
First of all, the question of how many children experience
such an upbringing must be posed.
Table 2: Number of children referred for child protection
because they are at risk of abuse (Neglectful Parenting)
| |
2000
|
2000
|
2001
|
2001
|
Category of Abuse
|
Number
|
% of Total
|
Number
|
% of Total
|
| Physical Injury |
713 |
37.7 |
688 |
38.6 |
| Sexual Abuse |
286 |
15.1 |
256 |
14.4 |
| Emotional Abuse |
235 |
12.4 |
270 |
15.1 |
| Physical Neglect |
639 |
33.8 |
558 |
31.3 |
| Other |
18 |
1.0 |
00 |
.06 |
| Total |
1,891 |
100.0 |
1,783 |
100.0 |
[From: The Scottish Executive: 2002]
In 2002, the number of children exposed to emotional abuse
was 286, representing 12.4% of the total number of children
on the child protection register in Scotland. It can realistically
be assumed that this number doubles, or even triples when
considering the UK as a whole.
So how might an early experience of emotional abuse or neglect
as listed on the previous table influence the adult?
Muser, Goodman, Trumbetta, Rosenberg, Osher, Vidaver, Auciello
& Foy, (1998) found that between thirty four to fifty
three percent of patients with severe mental illnesses report
childhood abuse (Muser et al., 1998:493). Furthermore, individuals
with mental illnesses who have histories of trauma (including
emotional abuse) are more likely to adopt maladaptive coping
mechanisms including substance abuse (Muser et al., 1998 and
Kaplow, 2002). Startling findings have also been reported
by Coll, Law, Tobias, Hawton & Tomais (2001) who studied
adult females (n=36) admitted to hospital following deliberate
self-poisoning. Coll et al., (2001) found that the women who
had taken overdoses and admitted to hospital were significantly
more likely to have been psychological abused as children
when compared to the control group. The subjects were compared
to matched controls in this quasi-experimental design in terms
of their gender, marital status, social class, ethnicity,
age and geographical locality to reduce the likelihood of
any of these aspects acting as confounding variables (Coll
et al., 2001). Similar findings relating the quality of parenting
to self-harming behaviour have also been reported by Gratz,
Dukes-Conrad & Roemer in 2003 and the year before, in
2001, by Sansone, Gaither, & Barclay. Based on these findings
it is clear that the type of parenting style adopted may influence
the adoption of certain behavioural characteristics once reaching
adulthood. For example, the adult may become self-abusive
or substance dependant (Bradley, 2002).
This research puts into perspective the implications of the
findings by the Scottish Executive. The figures reported are
extremely alarming and it is clear to see that when neglectful
parents raise an individual, the implications are not only
immediately devastating, but can also affect the individual
throughout adulthood. However, these studies are open to criticism
because there are great weaknesses in each of these studies
in that they are dependent upon correlation analyses. Correlations
can only show that when one variable increase, so does another
or when one variable increases (e.g. emotional abuse) another
variable decreases (e.g. the individuals self-esteem) thus
showing a negative correlation between two variables. The
results reported do not necessarily reflect a cause and effect
relationship, correlational analyses never can. The reason
for a change in any variable may be caused by an element unaccounted
for by the researcher. For example, regarding alcohol abuse,
some researchers may argue that the reason an individual abuses
a substance is because they are biologically predisposed to
do so and not because they have been neglected during childhood
(Comer, 1993). The only way to establish a cause and effect
relationship between neglect and alcohol abuse is to conduct
an experiment. However, such an experiment would be unethical
and prohibited in today’s society.
The second best alternative is to conduct a longitudinal study
amoung an existing cohort of neglected children and to follow
their development into adulthood. Such a study is underway
at the moment. O’Conner, Rutter, Beckett, Keaveny, &
Kropper, (2000) and Rutter et al., (1998) are currently carrying
out a longitudinal research project investigating the development
of Romanian children who were adopted by caring families in
the UK. The children’s developmental progress is being
monitored following suffering and neglect experienced during
anything up to the first two years of their lives in an orphanage
in Rome (O’Connor et al., 2000 and Rutter et al., 1998).
All the children included were severely developmentally delayed
on entry into the UK. So far, the researchers have found that
if the Romanian children were adopted before they were six
moths old, by the age of four years, they had reached the
same cognitive and physical levels of development as their
UK counter parts. And if the Romanian children were adopted
between the ages of twenty-four and forty-two months, then
their chances of ‘catching up’ were significantly
reduced resulting in a prolonged general development impairment
(O’Connor et al., 2000 and Rutter et al., 1998). The
implications of this early neglect on adulthood have not been
investigated as yet because the children are still growing.
The results, however, will provide interesting and robust
results regarding the implications of this early neglect on
behaviours adopted during adulthood.
Such a model of causation i.e. emotional neglect = an individual
who will abuse substances and self-harm is only useful amoung
those practitioners who believe such a model aids recovery.
The essay will now introduce the researcher who believe this
model to be useful when helping and individual to change (Sigmund
Freud), followed by a researcher who does not (Aaron Beck).
The controversial theory offered by Freud (1900, 1923, 1933)
proposes a causation model between early experiences and adult
characteristics. Freud claims that children progress through
psychosexual stages of development. The first stage is called
the oral stage (birth to eighteen months) where all pleasure
is obtained orally. This is used to explain why many children
like to place things in their mouths when they are young.
The second stage of development occurs between the ages of
eighteen months and four to six years of age. This stage is
called the anal stage of development and at this point the
‘libido’ has relocated itself so that all pleasure
is obtained anally. This stage coincides with when children
are usually being potty trained. Freud argues these first
two stages to be pivotal for adult psychological health [1]and
any neglect during these periods as detrimental to the emerging
adult (Berger, 2003). Psychoanalysis is grounded in uncovering
unconscious conflicts that emerge as a result of unsuccessful
progression through each of these psychosexual stages of development.
Because of this focus on early experiences during therapeutic
intervention it can be argued that psychodynamic therapists
clearly purport this model of causation to be useful when
helping an individual to change (Gross & McIlveen, 1996).
Inline with the focus of the essay psychoanalysts propose
that the individual exposed to emotional neglect during childhood
will feel a great deal of anger towards their parents. The
ID, which Freud describes as the “cauldron of seething
excitement” (Freud, 1993:103-104: as cited in Comer,
1993) is motivated to openly express feelings of anger. However
this is prohibited by the individual’s conscience, or
‘superego’. The superego is “always reminding
us that certain behaviours, feelings or thoughts are good
or bad, right or wrong” (Comer, 1993:38). Therefore
the psychoanalyst would argue that the super ego (acting like
a conscience) would not allow such feelings to be expressed
openly. These conflicting interests cause internal conflict.
This conflict is proposed to be out with the awareness of
the individual although this conflict can have a profound
effect on the individuals functioning (Comer, 1993)
Therefore, using this cause and effect model, the first step
in psychoanalysis would be to attempt to bring the conflicts
into consciousness and help the individual gain insight or
conscious awareness of this repressed conflict stemming from
their anger at being emotionally abused during childhood.
The rationale underpinning this approach is that “once
a person understands the reason for a behaviour…[he
or she] can deal more effectively with it and resolve the
conflict” thus facilitating a change for the better
(Gross & McIlveen 1996:95). Psychoanalysts would propose
this model of causation to be essential in helping a person
and criticize therapies such as the cognitive behavioural
approach not tackling the root of the problem which in this
example would be to resolve their unconscious anger with their
parents/primary caregivers.
Aaron Beck (1960) however would question the focus placed
on early childhood events. Aaron Beck and other cognitive
cehavioural therapists would propose that an adult’s
maladaptive behaviour or emotional responses to the world
are predominantly caused thinking errors or misperceptions
rather than events from the past. Cognitive behavioural therapists
would not be concerned with the clients history or what has
caused the current situation, but on how to change their thinking
styles into ones that are more rational and positive. If an
individual had been subjected to emotional neglect during
childhood, it may be the case that on reaching adulthood the
individuals suffers from low self-esteem, as mentioned earlier,
and depression. Cognitive behavioural therapists would propose
that focusing on these early negative experiences would only
feed into the depression and make an individual feel worse.
Alternately the cognitive behavioural therapist would challenge
the individual’s negative thoughts by asking for evidence
to support their thinking.
For example:
Situation: no one sits beside the individual during lunch
break.
Interpretation: No one likes me, I am a bad person.
The therapist would ask the individual for evidence to support
their belief that no-one likes them and that they are a bad
person by asking questions such as; “has anybody told
you that they don’t like you?” & “were
people sitting beside you yesterday?”. The therapists
may also ask how their best friend would explain the situation
by asking; “what do you think your best friend would
say if you told them what you were thinking?”. Furthermore,
the therapist is also likely to ask for alternative interpretations
of the event such as “does everybody take their brakes
at the same time?” and “are there other people
sitting alone and do you think that they are bad people?”
(Comer, 1993). The individual receiving cognitive behavioural
therapy is given these exercises as homework to encourage
them to challenge their own negative thoughts and decrease
the tendency to think dichotomously (Comer, 1993). Therefore
from a cognitive behavioural perspective, the model of causation
proposing that experiences in early childhood influence subsequent
behaviour is not deemed as a useful and instead focus on the
‘here & now’. Both of these models; Freud
focusing on early childhood experiences and Beck on the ‘here
& now’, attempt to help a person change for the
better. In order to determine the usefulness of this model
of causation i.e. that emotional neglect in childhood leads
to substance abuse or self-harm, the essay will now examine
the efficacy of each therapy in treating individuals with
major depression, a disorder often found amoung cohorts of
self-harmers and individuals who abuse alcohol (Christenson
& Crow, 1996; as cited in Hautmann, 2002 and Comer, 1993:448).
Theoretically, if this model of causation is useful in helping
individuals change, then the psychodynamic therapy will be
more effective as an intervention in comparison to individuals
treated using cognitive behavioural therapy and vice versa.
Comer (1993) reports that researchers have found “long-term
psychodynamic therapies to be helpful only occasionally in
cases of unipolar depression” (Comer, 1993:315). These
cases include depression that is clearly instigated by a history
of childhood trauma, which emotional neglect may well be categorized
as by some individuals. Nevertheless, treatment does tend
to be rather lengthy and is often abandoned by the depressed
individual who begins this course of treatment (Comer, 1993).
Contrastingly, Cognitive Behavioural Therapy usually requires
12 –20 1-hour sessions. The therapy progresses through
four phases. The first phase focusing on increasing the individuals
activities and elevating their mood, the second and third
on identifying and challenging their thinking errors, and
the final stage tackles the individuals primary attitudes
and central beliefs which led to the depression in the first
place Gross & McILveen, 1996). In recent years “hundreds
of studies have concluded that mildly to severely depressed
people who have received cognitive behavioural therapy improve
significantly more than those who receive placebo treatments
or no treatment at all” (Comer, 1993:322). Moreover
between fifty and sixty percent of individuals treated with
cognitive behavioral therapy show a complete reduction in
depressive symptoms when treated on a one to one basis with
a substantially lower rate of relapse than when treated with
medication (Capuzzi-Simon, 2002). From this short overview
it certainly appears that focusing on the here and now is
more effective in aiding an individual to change their behaviour
than focusing on their childhood. Perhaps the greatest difference
between these two methods is that CBT ‘empowers patients,
even outside the sessions’ whereas psychoanalysis depicts
the individual’s behaviour as something the individual
is relatively powerless to control as the medium for change
lies in the unconscious (Capuzzi-Simon, 2002).
In conclusion to this essay, it appears that an experience
such as emotional abuse early in life can influence aspects
of adult behaviour. However, I think a rigid cause and effect
relationship is not as useful in helping a person to change
for the better as an approach which empowers and encourages
the individual to accept that they have the power to change
their behaviour is they wish. This is reflected in the outcomes
of the therapeutic approaches overviewed where cognitive behavioural
therapy, the more empowering of the two, promises a more positive
prognosis amoung individuals who are likely to have experienced
emotional neglect in childhood.
- Readers are referred to Berger
(2003) for further details regarding Freud’s stages
of psychosexual development.[Return]
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