Effects of diagnostic label,race, gender,educational placement,and definitional information on prognostic outlook for children with behavior problems

Across the United States, children with behavioral and emotional problems receive one of a variety of labels if they are determined eligible for special education services. Labels like SED, EBD, and BD can result in lowered or negative expectations that others have for these children. This study investigated the effects of label, child's gender and race, child's educational placement, and availability of definitional information on prognostic judgments for children with behavior problems. Three‐hundred‐sixty‐three undergraduate students enrolled in teacher education courses read a vignette and completed a prognostic outlook questionnaire. The questionnaire items asked for judgments about the likelihood of further behavioral disruption, the likelihood of developing and maintaining adequate interpersonal relationships, and requested an estimate of overall adjustment of the child. The vignette described an elementary school child with behavior problems and its content was held constant. Gender (boy vs. girl), race (African American vs. Caucasian), educational placement (receiving special education services full‐time through inclusion vs. self‐contained), diagnostic label (BD vs. EBD vs. SED) and definition of the disorders (present vs. absent) were varied. There was a label × race × placement interaction and a label × definition interaction for the behavioral disruptiveness dependent measure. Under the inclusion condition White children who had the SED or EBD label were rated to be significantly more likely to be disruptive than children with the BD label. For the 2‐way interaction when no definitional information was given children who had the SED label were rated more likely to be disruptive than children who had either the EBD or BD labels. There was also a significant gender × race × definition interaction on the overall adjustment measure. However, post hoc contrasts were not significant and no conclusions were drawn other than that the effect was minimal. There was a significant main effect of gender on the interpersonal relationships variable. Girls were judged as significantly more likely to develop appropriate interpersonal relationships with others than were boys. No other significant effects were noted. © 1999 John Wiley & Sons, Inc.     

The prevalence of social maladjustment among school-age children

PL 94-142 mandates that students who are seriously emotionally disturbed be provided with a free and appropriate public education. Embedded in the federal definition of serious emotional disturbance is a clause that excludes socially maladjusted students from the diagnostic category. Although socially maladjusted children may therefore not receive special education services, their presence in the schools may have implications for society and particularly for the educational system. However, there is little data concerning the prevalence of socially maladjusted students in the schools. The purpose of this study was to investigate the prevalence of social maladjustment in two rural/suburban school systems in the southeastern United States. Results of the study indicate that the percentage of students reported as exhibiting characteristics of social maladjustment is sufficiently high to indicate that services beyond special education may be necessary to meet their educational and social needs.     

Differentiating emotionally impaired from socially maladjusted students

This paper addresses the issue of whether serious emotional disturbance in children can be distinguished reliably from social maladjustment. Educational authorities at the local, state, and federal levels have expressed concern over the inclusion of socially maladjusted youths in special education programs for the seriously emotionally disturbed. For multidisciplinary teams to enforce the exclusionary clause of PL 94–142, which denies socially maladjusted students services for the seriously emotionally impaired unless it is determined that they are seriously emotionally disturbed, practitioners must be able to distinguish between these two conditions. The literature on taxonomies of childhood psychopathology was reviewed and a set of items based on research and clinical experience was developed to differentiate between these two groups. These items were submitted to eight school psychologists. Eleven items met the criterion of agreement by at least six of the eight psychologists. Implications for school psychologists are discussed.     

Effects of professional group membership,intervention type,and diagnostic label on treatment acceptability

Differences in ratings of treatment acceptability among groups of individuals who are often involved in the recommendation, selection, implementation, and evaluation of behavioral interventions in educational settings were examined. Teachers, school psychologists, and school social workers were presented with a vignette of a 3rd grade student exhibiting a pattern of disruptive problem behavior. The vignette was held constant but diagnostic labels (LD, BD, ADD) and interventions (verbal praise and token economy program versus time out from reinforcement program and verbal praise) for the child in the vignette were varied. After examining the vignette, participants rated the acceptability of the interventions. There was a significant interaction for professional group membership by intervention type on ratings of treatment acceptability. No significant effects of diagnostic label occurred. Implications of the present study and future research directions are discussed. © 1997 John Wiley & Sons, Inc.     

Social maladjustment and emotional disturbance: Problems and positions II

Three controversial issues surrounding the differentiation between the socially maladjusted (SM) and the seriously emotionally disturbed (SED) are examined. The first issue addresses the question whether treatment methods should differ for these two groups. Some have argued that the same treatment methods should be used with both groups, while others advocate that differentiated treatment is necessary if these two groups are to receive an appropriate education. The second issue focuses on whether the SM are truly handicapped. Drawing upon professional opinion, research findings, and rational analysis, it is argued that the socially maladjusted as a group are free from serious emotional disturbance. The third issue pertains to the education of the SM. It is pointed out that many provisions for the SM are already available, although perhaps overlooked. The call for a continuum of services is made.     

Expectancy and halo effects as a result of artificially induced teacher bias

This investigation examined the effects of deviancy labels on teachers' expectations of child behavior and their ability to evaluate child behavior objectively. One hundred elementary school teachers were randomly assigned to one of four label groups. Each group dealt with one label (emotionally disturbed, learning disabled, mentally retarded, normal), and each group participated in two separate treatment phases. During Phase I teachers identified behaviors they expected to be displayed by hypothetical children characteristic of the label condition. They were asked to complete a referral form for either a hypothetical normal, mentally retarded, learning disabled, or emotionally disturbed child. During Phase II, each group saw the same videotape of a normal fourth grade boy and completed a second referral form based on the behaviors displayed during this presentation. Experimental procedures were identical for the four groups, except each group was told the child was a member of a different category.Results indicated that teachers hold negative expectancies toward children categorized with a deviancy label and maintain expectancies even when confronted with normal behavior, behavior inconsistent with the stated label. Maintenance of this bias is sufficient to cause teachers to misinterpret actual child behavior, resulting in a halo effect. Results further indicated that the label of educable mentally retarded generated a greater degree of negative bias than did the labels learning disabled or emotionally disturbed, although all three deviancy labels produced negative expectancies and halo effects significantly different from those found under control conditions.     

Social maladjustment and emotional disturbance: Problems and positions I

Several controversies continue to surround the differentiation between the socially maladjusted (SM) and seriously emotionally disturbed (SED). Central to the controversy is the interpretation of social maladjustment. At one extreme, some restrict the definition of SM to include (a) the socialized aggressive and (b) adjudicated delinquents. At the other extreme, SM is construed broadly and includes (a) Conduct Disorder (group type, solitary aggressive, and undifferentiated), (b) Oppositional Defiant Disorder, and (c) antisocial personality. An intermediate position presented herein argues for the inclusion of the socialized aggressive and unsocialized aggressive under the rubric of SM. Given that those in the anxious-withdrawn-dysphoric group are viewed as both SM and SED, they should be eligible for special education services assuming adverse educational impact is evident.     

First Years at Warleigh School

Developing an environment in which to teach emotionally disturbed children is the theme of John Dwyfor Davies, headteacher at Warleigh School, an independent school for maladjusted boys, near Bath     

A brief behavior rating scale for children in a school setting

A brief behavior rating scale consisting of 28 items divided into 7 categories was developed for use in a school setting. Reliability coefficients for each of the categories ranged from.79 to.91; total reliability was.92. Test validity was based upon the successful discrimination between neurologically impaired, socially maladjusted, emotionally handicapped, and normal children.     

Service Provision for Disturbed Children

Service provision for children classified as emotionally disturbed, behaviourally disordered or maladjusted involves a variety of service agencies including health, education and welfare. Recently a collaborative approach to service delivery, which recognises the multi‐disciplinary nature of the problem area and the necessity to avoid wastage of resources through duplication has been adopted. To determine priorities for service delivery the present study involved a multi‐disciplinary sample of experienced professionals working in the area of emotional disturbance. Using the Delphi technique, goals for service delivery in terms of system, instructional, adjustment and social objectives were assembled, clarified, rated in terms of their importance, and rank‐ordered to more clearly determine priorities. Results indicate that a collaborative multi‐disciplinary approach to service provision for disturbed children is feasible and that, despite diverse theoretical and professional backgrounds, competent workers in the field are able to arrive at substantial consensus in setting objectives.     

WISC-R subtest patterns of severely emotionally disturbed students

The diagnostic category of “emotionally disturbed” is extremely difficult to define. This study attempts to use a subtest grouping approach to analyze the WISC-R performance of a representative sample of severely emotionally disturbed children. A pattern of performance on the WISC-R would aid greatly in diagnosis. A similar approach has obtained significant results for other specific diagnostic groups.     

The ADHD label,analogue methodology,and participants' geographic location on judgments of social and attentional skills

Two hundred fifty‐nine preservice teachers at a medium‐sized university in the Southwest participated in the current study. The participants were randomly assigned to a labeled condition, Attention Deficit Hyperactivity Disorder, or nonlabeled condition, and were presented a vignette in one of three forms: a written case study, a video clip, or a written case study with a video clip. The vignette described an elementary school aged child displaying disruptive behavior, while the video portrayed a similar aged child exhibiting disruptive behavior in the classroom. Following the presentation of the vignette, participants made judgments about the child's social skills and attentional skills by completing an examiner‐made rating scale. There was a significant main effect for the label condition on judgments of attention; participants in the labeled condition made significantly more negative judgment than did those in the nonlabeled condition. There were also significant main effects for the participants' high school location and vignette treatment. © 2004 Wiley Periodicals, Inc. Psychol Schs 41: 221–234, 2004.     

Predictors of successful transition from self-contained special education to regular class settings

The adjustment of 129 newly mainstreamed learning disabled, emotionally disturbed, and mildly developmentally disabled pupils was rated by regular classroom teachers at the end of the children's first year in regular class. While the teachers were, in general, very satisfied with the pupils' progress in both academic and behavioral areas, satisfaction declined after grade six. IQ data did not predict satisfactory adjustment. WRAT arithmetic score was associated with ratings of satisfactory classroom behavior. Pupils who had spent one to two years in special classes were rated as having more acceptable classroom behavior than those who were enrolled for shorter or longer periods of time.     

The Effects of Training in Social Perspective Taking on Socially Maladjusted Girls

A paucity of research exists concerning training programs for the development of interpersonal functioning in socially maladjusted or delinquent adolescent females. Females in a residential institution participated in a role-play program designed to enhance social perspective-taking ability. In 15 sessions girls were coached in specific social skills and acted multiple role perspectives in typical problem situations. Compared to girls in a fitness training program, girls in the role-play training program showed enhanced performance on a measure of social perspective taking. Generalized effects were also found for performance on tests of interpersonal problem analysis, empathy, and the acceptance of individual differences. Additionally, observational data indicated that role-play training resulted in increased prosocial behaviors. Role-play training had no effect on a measure of referential communication.     

An analysis of behavioral differences of emotionally disturbed children assessed high on creativity

One hundred and seventy-two emotionally disturbed children ages 7 to 12 in self-contained classrooms were nominated by their teachers as potentially highly creativein either verbal or performance creativity. Eighty-three of the 172 were found to be highly creative as assessed by the Torrance Test of Creative Thinking. The discussion focuses on the behavioral differences among groups of highly emotionally disturbed children as revealed through factor analysis.     

Loss of loved ones and the drawing of dead or broken branches on the HTP

The HTP technique is commonly used in the assessment of children and adults. Theoretically, only seriously maladjusted individuals perceive the Tree drawing as dead; broken and dead branches are presumed to reflect traumatic experiences. In my clinical experience, I have found that maladjusted children, more often than the learning disabled or children who manifest behavioral disturbances, do perceive their Trees as dead. I have observed, further, that children who have lost a loved one through death frequently label a portion of the Tree as dead. This phenomenon appears unrelated to age, sex, socioeconomic status, or race Whether it is a normal occurrence within the general population or a reflection of unresolved grief is a matter for further research.     

Teachers' instruction of noncategorically grouped handicapped children

Abstract

The sample for this study consisted of 46 noncategorically identified handicapped students who had been assigned to functionally grouped self‐contained classes. For purposes of this research, only a child study team reevaluated the students and supplied a label, learning disabled or emotionally disturbed. We observed all students on at least nine occasions on three behaviors: teachers' academic questions directed toward them, extended feedback from teachers, and dyadic work interactions. Although the special education classroom teachers did not know the labeled identity of any student in the class, they instructed the two groups differently. They instructed the emotionally disturbed children with fewer instances of academic questioning, less extended feedback for their responses, and fewer dyadic work interactions.     

Relations between Social Competence and Academic Achievement in Early Adolescence

Relations between academic performance and 3 aspects of social competence--socially responsible behavior, sociometric status, and self-regulatory processes (goal setting, interpersonal trust, and problem-solving styles)--were studied. Based on a sample of 423 12- and 13-year-old students, correlational findings indicate that each aspect of social competence is related significantly to students' grades. Results from multiple regression analyses suggest that when accounting for students' IQ, sex, ethnicity, school absence, and family structure, socially responsible behavior mediates almost entirely the relations between students' grades and the other 2 aspects of social competence. Socially responsible behavior and peer status appear to be related by way of their joint association with goals to be socially responsible, interpersonal trust, and problem-solving styles. Similarly, relations between socially responsible behavior and the background variables are explained by joint relations with the self-regulatory processes. The social nature of learning and the role of self-regulation in both interpersonal and behavioral aspects of social competence are discussed.     

The early entrance option: Academic and social/emotional outcomes

This review examines how early kindergarten entrants fare academically and socially/emotionally in their schooling. In general, the literature is pessimistic about academic achievement and social/emotional adjustment of early entrants. The exception to this seems to be when screening procedures are required to identify children with exceptional ability and to eliminate from early entrance children likely to have adjustment difficulties. Typically, the screening battery includes measurements of academic readiness, social/emotional maturity, and a physical examination, followed by a trial entrance period. Much additional research is needed to identify variables that will add significantly in predicting future school success of early entrants. However, rather than predicting which children will fit the educational system, a more effective use of educational research would be investigation into developing educational programs that are flexible in meeting the needs of each child.     

Preservice teachers’ self‐efficacy in managing students with symptoms of attention deficit/hyperactivity disorder: The roles of diagnostic label and students’ gender

The present study investigated preservice teachers’ self‐efficacy in classroom management involving students with symptoms of Attention Deficit/Hyperactivity Disorder (ADHD). A total of 137 Chinese preservice teachers were randomly presented with one of four vignettes involving a student character with ADHD symptoms, with manipulations including the character’s gender and diagnostic label of ADHD. Upon reading the vignette, participants responded to questions concerning their self‐efficacy in inclusive classroom management involving the character. Findings based on analysis of covariance indicated an interaction effect of the vignette character’s gender and label on teachers’ self‐efficacy. Specifically, teachers perceived greater self‐efficacy in a classroom involving a girl with an ADHD label than in a classroom involving a girl with no label or a boy with a label. Findings enriched the literature concerning the roles of gender and label in preservice teachers’ self‐efficacy toward inclusive classroom management.