Story Stem Narratives Research Articles

Antidote to Developmental Trauma: A Report on Findings from the “Adoption and Attachment Representations” Study

ABSTRACT This paper is a summary of findings from the “Adoption and Attachment Representations” study which was a collaboration between the Anna Freud Centre, Great Ormond Street, and Coram that focused on the nature and development of parent and child attachment representations in an adoption context. The study began with Adult Attachment Interview assessments of both mothers and fathers who would go on to adopt a group of 58 previously maltreated children aged four to eight years. There was also a comparison group of 42 children, also aged four to eight years but who had been adopted in their infancy. The children were assessed early in their adoptive placement, with the Story Stem Assessment Profile in order to focus on their attachment representations along with a range of cognitive and psychological functioning assessments. The parents were interviewed using the Parent Development Interview to access their attachment representations of their children. These assessments were repeated one year and two years later with subsequent follow-ups in early adolescence and a recently completed phase in the adoptees’ adulthood. The study is unique in exploring aspects of intergenerational patterns of attachment in nonbiologically related parents and children in a longitudinal design. The findings suggest that parental attachment states of mind are associated with their children’s attachment representations and the “intervention” of adoption is powerful with “late placed” children adopting more secure themes in their story stem narratives over time while also retaining some less optimal features such as avoidance and disorganization. The paper makes links with previous developmental and psychoanalytic work in the field of adoption and explores the potential policy implications of the study.

1.95 Examining Changes in Conflict-Resolution Strategies in Depressed Children With Suicidality Following Parent-Child Psychotherapy

1.95 Examining Changes in Conflict-Resolution Strategies in Depressed Children With Suicidality Following Parent-Child Psychotherapy

Young children with suicidal thoughts and behaviors more likely to resolve conflicts with violence, homicide, or suicide: A study of internal working models using narratives.

There is mounting evidence that young children who express suicidal ideation (SI) have a different conceptualization of death than their peers. This study characterizes 3- to 6-year-olds' depictions of violence, death, and suicidal themes in a story completion task as a function of their history of SI. Participants were 228 children with depression (3.0-6.9 years) who completed a comprehensive psychiatric assessment and four story stem narratives. For each narrative, an interviewer began a story with a conflict that the child was encouraged to resolve. Children's resolutions were coded for standard themes and negative atypical themes including violence and homicide, accidental harm or death, and suicidal ideation/acts. Themes were examined as a function of children's SI status: active-SI (n = 25), passive-SI (n = 28), or no history of SI (n = 175). Across the narratives, 89 children described at least one negative atypical theme: violence or homicide (n = 78), accidental harm or death (n = 22), and suicide (n = 13). The responses of children with active-SI included significantly more violence or homicide than children without SI. Moreover, current active-SI predicted suicidal themes. There were no group differences in accidental harm or death, nor in common aggressive or punitive acts (e.g., hitting, yelling, spanking), indicating specificity between active-SI and more intense violence and death-related themes. In sum, young children with active SI are more likely than their depressed peers without SI to incorporate violence, homicide, and suicide into their narratives around conflict resolution. These themes appear more salient to depressed children with SI and pervasive in their thoughts and problem-solving strategies. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Children’s family drawings: association with attachment representations in story stem narratives and social and emotional difficulties

ABSTRACT We examined representations of attachment security using story stem narratives (Manchester Attachment Story Task, MCAST) and a family drawing task in 50 Greek children between 4 and 6 years old. Additionally, we examined the association between attachment classification based on the family drawing task and maternal reports of social and emotional symptoms assessed using the Strengths and Difficulties Questionnaire. Attachment security classification based on the MCAST was not significantly associated with attachment security classification based on the family drawings. There was a small to medium strength significant association between drawing-based insecure attachment classification and higher scores on conduct problems and inattention/hyperactivity ratings. However, the associations were not statistically significant after controlling for the effects of child gender, and maternal education and age. The findings are discussed in relation to the properties of the family drawing task to measure attachment security in the preschool and early middle childhood years.

Narrative story stem methodologies

AbstractWe review three decades of literature across multiple disciplines that demonstrate the efficacy ofnarrative story stem methodologies(NSSM) to elicit responses that are projective of mental processes and to reveal what would otherwise be too complex or sensitive to communicate. The review synthesizes evidence for the extensive and diverse utility of NSSM. To accomplish this, we provide theoretical framing and historical background, describe assessment methods, resulting data and analytic approaches, and chart the empirical work of the past decade that relates story stem narratives to a range of developmental outcomes, and meaning-making processes. This synthesis of cross-disciplinary research provides the first comprehensive review of a truly innovative narrative methodology and includes work across periods of development, representing research that has primarily focused on children with increasing emphasis on adolescents and adults.

Maternal stress and internalizing symptoms in preschoolers: the moderating role of narrative coherence.

In the present study, we examined whether maternal psychosocial stress and children's coherence in story-stem narratives are associated with preschool children's internalizing symptoms and disorders, and whether narrative coherence moderates the association between maternal stress and children's internalizing symptoms and disorders. The sample consists of 236 preschool children (129 girls, 107 boys; Mage = 5.15 years) and their mothers. Mothers completed questionnaires on their psychosocial stress burden and on child symptoms. A diagnostic interview (the Preschool Age Psychiatric Assessment; Egger & Angold, 2004) was conducted with one of the parents to assess children's psychiatric diagnoses. Children completed 8 story stems of the MacArthur Story Stem Battery (Bretherton & Oppenheim, 2003). Story-stem narratives were coded for narrative coherence. Multivariate analyses were controlled for children's age, gender, verbal performance, and externalizing symptoms. Results showed that maternal psychosocial stress was significantly associated with child internalizing symptoms and disorders. Neither maternal stress nor children's internalizing symptoms or disorders were associated with narrative coherence. However, narrative coherence moderated the association between maternal stress and child internalizing symptoms. For children with more incoherent narratives, the association between maternal psychosocial stress and children's internalizing symptoms was significantly stronger than for children with more coherent narratives. The moderation effect of narrative coherence concerning children's internalizing disorders was found not to be significant. Our findings indicate that preschool children's cognitive-emotional organization in dealing with relational conflict themes seems to buffer their mental health when exposed to adverse circumstances in their everyday family life.

유아 내적 표상 유형과 가정에서의 코티솔 패턴 변화

ABSTRACT The purposes of this study were to explore the relations of preschoolers‘ narrative representation profile types to diurnal cortisol regulation pattern at home. Fourteen story stems from the MacArthur Story Stem Battery (MSSB, Bretherton, et al., 1990) were administered to 40 preschoolers(22 boys, 18 girls, aged 5) recruited from 8 kindergartens in the Seoul and Gyeonggi areas. And also, their saliva cortisol was collected. The children's responses were aggregated into 5 dimensions, based on content themes and performance scores, which included emotions expressed and narrative coherence using the MacArthur Narrative Coding System(Robinson, et al., 2004). Data were analyzed by means of cluster analysis. Five response profiles emerged over the course of this research: Prosocial, Anxiety, Dyregulated aggression, Restricted, and Avoidance profiles. Cortisol at home showed decrease diurnal cortisol regulation patterns, however it showed a difference according to narrative response profiles. Restricted, Prosocial, and Avoidance profiles showed decrease diurnal cortisol regulation patterns. Anxiety profiles showed flat pattern, and Dyregulated aggression profile showed rising diurnal cortisol regulation pattern. These results show the preschoolers' internal representation may affect the diurnal cortisol reaction in daytime. ▶Key Words : internal representation type, story stem narrative, diurnal cortisol regulation pattern at home

Mother-Child Attachment Representation and Relationships Over Time in Mexican-Heritage Families

Continuity and intergenerational transmission of representations of attachment were examined in a longitudinal sample of 88 Mexican immigrant mothers and their children who participated in the local intervention group of the Early Head Start Evaluation Study. The authors interviewed mothers with the Adult Attachment Interview (AAI) and Parent Attachment Interview (PAI). Mothers and children were observed when the children were 14 months old with the Attachment Q-Set (AQS), and children were interviewed at 54 months with the MacArthur Story Stem Battery. Early maternal AAI and PAI scores were associated with toddler-age children's AQS scores and preschool Story Stem scores. Mothers who were more secure in their attachment representations in the AAI had children who were also more secure, as measured by the AQS and in their Story Stem narratives. Mothers' high comfort and low enmeshment PAI scores predicted children's Story Stem security. Mothers' AAI security scores predicted children's Story Stem narrative coherence.

유아의 나레이티브 반응 프로파일 유형별 어머니-유아의 정서적 가용성

The purpose of this study was to explore and examine the relationship between mother-child emotional availability and preschoolers` story stem narrative response. Eighty two 4-year-old preschoolers and their mothers participated in this study. This study used the following translated evaluation tools: Emotional Availability Scales(EA, 3rd edition) designed by Biringen and colleagues(1998) to examine the quality of the emotional relationship between mother and her child, and the MacArthur Story Stem Battery(MSSB) developed by Bretherton and colleagues with the MacArthur Narrative Group(1990) to measure preschoolers` narrative responses. The following statistical analyses were preformed descriptive, cluster analysis, and One-way ANOVA. The findings were as follows: First, 4 clusters of the narrative responses of 4-year-old preschoolers were prosocial story tellers, avoidant/dysregulated story tellers, constrained story tellers, and anxious story tellers. Second, the preschoolers in the prosocial cluster showed a high level of mother-child emotional availability and the preschoolers in the avoidant/dysregulated cluster showed a low level of mother-child emotional availability.

Story stem responses of preschoolers with mood disturbances

Observing the young child's affect regulation and thought processes during a clinic assessment visit is of critical importance although challenging for children referred for mood disturbance. In this study, parents reported symptoms using standardized clinical interviews and story stems narratives were administered to 20 referred and 12 typically developing preschool age children. Comparison of the referred and typically developing children in our sample showed that specific story contexts varied in eliciting responses reflecting disorganization and thought disturbance from the referred children. The experience of using story stem narratives in the clinical assessment process suggests it provides a valuable complement to parent report for children referred for mood disturbance and mania symptoms but additional development and study of the method is necessary.

Story stem narratives with young children: Moving to clinical research and practice

Story stem narrative methods have demonstrated reliability and validity as assessments of the young child's representations of parent – child and peer relationships. Most, but not all, prior research has been conducted with samples of typically developing children. Growing interest in the method from clinical researchers and child psychiatry clinics brings forward a number of critical issues in its use with children referred for severe behavioural disruption and mood disorder. This special issue of Attachment & Human Development provides a collection of papers that demonstrates some of the unique theoretical contributions of the method for clinical research. Practical aspects of using story stem methods with the referred child are also considered.

Story stem narratives of clinical and normal kindergarten children: Are content and performance associated with children's social competence?

This study examined whether content and performance in story stem narratives were associated with children's social competence, and whether children's symptom levels moderated these associations. Five-year-old children from a clinically enriched Swiss sample completed eight stories (N = 187). Teachers rated children's social competence. Parents and teachers rated behavioral/emotional symptoms that were used to categorize children into clinical (n = 80), borderline (n = 31), and normal (n = 74). Controlling for gender and verbal competence, no differences were found in story responses between normal and clinical children. However, pro-social/moral and disciplinary themes, and coherence and quality of narration were significantly associated with children's social competence. The associations between narratives and social competence were prominent in the clinical children, suggesting that narrative assessments may help to identify resources on which psychotherapeutic approaches can build.

Caregiver traumatization adversely impacts young children's mental representations on the MacArthur Story Stem Battery

The aim of our study was to investigate the impact of maternal exposure to family violence, maltreatment, and related posttraumatic stress disorder (PTSD) on young children's mental representations of self and caregivers. Participant mothers (n = 24) and children (n = 25) were recruited from a referred sample when they were 4 – 7 years old. Maternal report and child story stem narratives were used. Mothers' experience of domestic violence and severity of violence-related PTSD symptoms robustly predicted more dysregulated aggression, attentional bias to danger and distress, as well as more avoidance of and withdrawal from conflicts presented in the children's story stems. Less narrative coherence was also noted. Traumatized mothers experience and symptoms prior to their child's turning 4 years old adversely affected their child's mental representations from ages 4 – 7 years.

Engaging imagination and the future: Frontiers for clinical work

Narrative theory indicates that assessment using narratives is expectant, collaborative, and has the potential to begin a process of change. A shift from thinking exclusively about meaning (subjectivity in the child) to thinking also about shared meaning (intersubjectivity between child and clinician-examiner) seems appropriate in the clinical context. Recent knowledge from the cognitive neurosciences makes a shift of this sort compelling and has further implications. More story stem narrative research at the level of assessing individual children needs to be done so there can be explicit links to treatment.