Early Influences Shaping The Individual NATO ASI Series Advanced Science Institutes Series A series presenting the results of activities sponsored by the NATO Science Committee, which aims at the dissemination of advanced scientific and technological knowledge, with a view to strengthening links between scientific communities. The series is published by an international board of publishers in conjunction with the NATO Scientific Affairs Division A Life Sciences Plenum Publishing Corporation B Physics New York and London C Mathematical Kluwer Academic Publishers and Physical Sciences Dordrecht, Boston, and London o Behavioral and Social Sciences E Applied Sciences F Computer and Systems Sciences Springer-Verlag G Ecological Sciences Berlin, Heidelberg, New York, London, H Cell Biology Paris, and Tokyo Recent Volumes in this Series Volume 157-Plasma Membrane Oxidoreductases in Control of Animal and Plant Growth edited by Frederick L. Crane, D. James Morra, and Hans Low Volume 158-Biocompatibility of Co-Cr-Ni Alloys edited by Hartmut F. Hildebrand and Maxime Champy Volume 159-Biologically Based Methods for Cancer Risk Assessment edited by Curtis C. Travis Volume 160-Early Influences Shaping the Individual edited by Spyros Doxiadis Volume 161-Research in Congenital Hypothyroidism edited by F. Delange, D. A. Fisher, and D. Glinoer Volume 162-Nematode Identification and Expert System Technology edited by Renaud Fortuner Volume 163-Leishmaniasis: The Current Status and New Strategies for Control edited by D. T. Hart Series A: Life Sciences Early Influences Shaping The Individual Edited by Spyros Doxiadis Foundation for Research in Childhood Athens, Greece Technical Editor Susie Stewart Plenum Press New York and London Published in cooperation with NATO Scientific Affairs Division Proceedings of alllATO Advanced Re'search Workshop on Early Influences Shaping the Individual, held January 20-24, 1988, in Athens Greece l Library of Congress Cataloging in Publication Data NATO Advanced Research Workshop on Early Influences Shaping the Individual (1988: Athens, Greece) Early influences shaping the individual I edited by Spyros Doxiadis; technical editor, Susie Stewart. p. cm.-(NATO ASI series. Series A, Life sciences; vol. 160) Proceedings of a NATO Advanced Research Workshop on Early Influences Shaping the Individual, held January 20-24,1988, in Athens, Greece. Includes biblioQraphical references and index. ISBN-13: 978-1-4684-5636-3 e-ISBN-13: 978-1-4684-5634-9 001: 10.1007/978-1-4684-5634-9 1. Child development-Congres!>es.. 2. Prenatal influences-Congresses. I. Doxiadis, Spyros. II. Title. III. Series: NATO ASI series. Series A, Life sciences; v.160. RJ131.N324 89·3563 155.4-dc19 CIP © 1989 Plenum Press, New York Softcover reprint of the hardcover 1s t edition 1 989 A Division of Plenum Publishing Corporation 233 Spring Street, New York, N.Y. 10013 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher EARLY INFLUENCES SHAPING THE INDIVIDUAL Your children are not your. children. They are the sons an4 daughters of Life's longing for itself. They come through you but. not from you, And though they are with yo'u yet. they belong not to you. You may give them your love but not your thoughts, For they have their own thoughts. You may house their bodies but not their souls, For their souls dwell in the house of tomorrow, which you cannot visit, not even in your dreams. You may strive to be like them, but seek not to make them like you. For life goes not backward nor tarries with yesterday. You are the bows from which your children as living arrows are sent forth. (From The Prophet by Kahlil Gibran) v ACKNOWLEDGEMENTS On behalf of the Foundation for Research in Childhood I would like to thank NATO Science Council for its generous support and Bebelac Hellas, S and E and A Metaxa, and Ioniki Insurance Company for assistance with the social programme. Thanks are also due to Christos Bartsocas, Thalia Dragona, and Dimitra Makrynioti who, as members of the Planning Committee, helped with the organization of the Advanced Research Workshop, to Anny Zahopoulou and Anna Frantzi for their administrative and secretarial help, to Andrew Kamoudis who recorded the contributions, and to Anne Etheridge and Melanie Lang of Craigie Hall Business Centre in Glasgow who produced the final manuscript. Without the experience and hard work of our Technical Editor, Susie Stewart, the book would not have been published and we are all greatly indebted to her. Finally sincere thanks to all participants, some of them from far-off countries, for their willingness to present papers and contribute their knowledge and expertise to this project. Spyros Doxiadis Athens July 1988 ~i CONTENTS Prologue 1 1. Concepts of Children and their Development in Greek History ..... . 5 S. Doxiadis 2. Trying to Understand Development . . . . . • . . . . • . . . 15 R.S. Illingworth 3. Advances in Genetic Prediction and Diagnosis . • . . . • . . 23 M. Pembrey 4. Genetics and the Development of Behavior . . . . . . . . . . 37 P. McGuffin 5. Interaction between Technical and Social Developments in Human Genetics 55 H. Galjaard 6. Developmental Behavioral Genetic Research on Infant Information Processing: Detection of Contuinuity and Change .........•..•..•... 67 Lee A. Thompson 7. On Change of Children and Childhood 85 J. Qvortrup 8. Social Theorizing and the Child: Constraints and Possibilities •.. . . • • . . • . . 93 C. Jenks 9. Divided Denmark: A Convoy in Disintegration 103 J. Blum 10. Illegitimate Births: Do They Suffer in the Long Term? . .• III J. Golding 11. Intrauterine Growth Retardation in Developing and Developed Countried 123 C.A. Canosa and F.M. Sopena 12. Intrauterine Influences Related to the 2-5 Postnatal Years' Growth Period . . . . . . . . • 155 F. Falkner ix 13. Care of High-Risk Newborns Today: Advanced Medical Technology and Quality of Life • • • • 163 U. de Vonderweid and S. Nordio 14. Maternal Stress During Pregnancy and the Behavior of the Offspring • . • • • 175 M.O. Huttunen 15. Maternal Depression and its Impact on Early Child Development • • . • • • • 183 16. Development of Infants "At Risk" and Psychosocial Conditions: Results of a Prospective Study 193 G. Neuhauser 17. Development of Self-Regulatory Behavior in Children: Towards Understanding the Origins of Behavioral Misadventures •••••••• • • • 207 L.P. Lipsitt 18. Parental Attitudes in Childhood and Development of Psychological Problems in Adolescence 217 A. Eksi 19. Psychosocial Risk Trajectories and Beneficial Turning Points • • • •• •••••• 229 M. Rutter 20. Influence of Care and Development in Infancy on Health and Educational Progress in Later Life •••• 241 M.E.J. Wadsworth 21. Prediction of Child Competence from Maternal Beliefs and Behaviors During Infancy • • • • . • • • • 257 E.S. Schaefer 22. Genetic and Environmental Influences on Temperamental Development: Longitudinal Study of Twins From Infancy to Adolescence ••••••.••.•• 269 A.M. Torgersen 23. Constitutional Aspects of Personality Beginning in Childhood: Schizoid Personality Disorder (Asperger's Syndrome) •.••••••••. 283 S. Wolf 24. Early Interventions and Pediatric Practice . • • 299 J.C. Gomes Pedro, M. Benedita Monteiro, A. Carvalho, Madelena Patricio, F. Torgal Garcia, I. Fiadeiro, and M. Lourdes Levy Epilogue 319 List of Participants 321 Index 329 x PROLOGUE Spyros Doxiadis Many wonders there are, and yet none is more wonderful than man. (From Antigone by Sophocles) Among the questions most frequently addressed by parents to a pediatrician are the following. Why is my child not developing physically or mentally as other children? Why, although intelligent, is he not doing well at school? Why is he on the go all the time? Why can he not concentrate? Why does he seem so aggressive? For adolescents the questions tend to centre on drug-taking, alcohol abuse and smoking habits. The pediatrician in the hours of inner searching and contemplation repeats the same questions to himself. He tries to find answers in the literature. Sometimes he is satisfied, more often not. And if he is philosophically minded his questions go deeper. He wonders who determines the fate of an individual? Is it blind chance? Is it some other power? Is it purely his family, his microcosm or his social group, his macrocosm? How far are heredity or the intrauterine environment or the mother's mental condition during pregnancy and infancy responsible? And with the questions on lifestyle, can the pediatrician as a doctor do something about it? Or what right has he to interfere in a child's development as a moral agent or as a concerned citizen? All these questions have been turning over in my mind for a long time. In my younger years the strictly clinical were more prominent: how to answer the parents' questions and how to help a particular child. And with advancing years and less pressure to find immediate answers, with more involvement in wider issues, with more responsibility in policy planning, the more theoretical questions came to the foreground - why the differences between individuals, why some face life in a courageous way, why happiness for some and misery for others living under the same conditions? And perhaps all these enquiries and doubts can be summarized in general thus - why are we what we are? what makes us the sort of people we are? what can we do to make children, adolescents, adults happier? To some of these questions there are partial answers but so many remain unanswered that I felt it was worth the effort to gather in Athens experts in the field of human development from many countries and from many disciplines to take part in an Advanced Research Workshop on "Early Influences Shaping the Individual". I asked the main contributors to present their views on this subject, based partly on published reports in their field but mainly on their own work. Furthermore I hoped that the discussions among representatives of five main disciplines involved in the study of children would produce some motivation for new studies. Sixty experts in the fields of genetics, pediatrics, child psychology, child psychiatry, and sociology were invited. Twenty-four papers were given at this multidisciplinary gathering and an extensive discussion followed. This book contains as separate chapters all lectures given and, with some inevitable editing, the discussions. As an introduction I attempted to find and describe in the writings of ancient Greeks their knowledge but mainly their conceptions and ideas on the physical and mental development of children in utero and in the early years of life, and their beliefs as to the factors influencing this development. Illingworth follows and, on the basis of his extensive work on development, expresses his views on the value of psychological and developmental tests, on the meaning of abnormalities, on the importance of understanding and respecting differences in the rate of development. The next four chapters deal with genetic aspects of development. Pembrey describes recent advances in molecular genetics which have revolutionized the study of genetic influences in various hereditary diseases. These advances have made possible carrier detection in many affected families and prenatal diagnosis during the first trimester of pregnancy. Galjaard gives a picture of our present understanding of the molecular basis of genetics and its relationship to rare abnormalities. He expresses the hope that future advances may enable us to understand better the genetic elements of intelligence and behavior. McGuffin then writes on the difficult distinction between the effects of inheritance and of common family environment and hopes that the "new genetics" will advance our knowledge on the inheritance of abnormal traits. Lee Thompson approaches the problems of continuity/discontinuity of development with the use of behavioral genetic methodology to conclude that continuity of individual differences is at least partly genetically determined. The three chapters which follow are based on a sociological approach to childhood and development. Qvortrup rejects the prevailing view that children are only marginally members of the adult society into which they are growing. He proposes that childhood is a permanent and not a transient popUlation group and it is therefore already integrated into society. Jenks examines the concept of "development" and suggests that many and varying forms of discourse, one of them the sociological, contribute to bring the "child" into being. Blum looks at the current social framework in Danish society and suggests that changes and the collapse of norms have had decisive consequences for the conditions of childhood. Next Golding presents the results of the British Births Survey on the influence of illegitimacy on the child and concludes that there is no indication that this social factor has a long-term adverse effect on health or development. The next group of three chapters deal with the effect on the developing child of intrauterine and neonatal factors. Canosa and Sopena, with personal experience from both developing and developed countries, examine the incidence of low birthweight and intrauterine growth retardation in relation to place of residence and social class. They 2