Effects of Institutionalisation

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EFFECTS OF INSTITUTIONALISATION

 An institution refers to a place like a hospital or an orphanage where children may live for a long continuous period of time
 Staying in places like this for a long duration can lead to disruption of attachment

AO1:
Effects of institutionalisation: Rutter’s English and Romanian Adoptee study: Bucharest Early Intervention Project:

Disinhibited attachment Procedure Procedure


 As a result of being cared for by multiple  Followed a group of 165 Romanian orphans  Zeanah et al. assessed attachment in
carers during the sensitive period, children are adopted in Britain to test the extent to which institutionalised children
affectionate towards strangers as they are good emotional care can make up for poor early  Their attachment was measured using strange
with familiar people experiences in institutions situation
 Further symptoms include attention seeking  Physical, cognitive and emotional development
and clinginess towards adults was assessed in these children at the age of 4, Findings
6, 11 and 15 years  The description of disinhibited attachment
Mental retardation  They were compared to a group of children applied to 44% of the institutional group
 Rutter shows that most of the from a from British institutions that were also adopted compared to less than 20% for the control
Romanian orphanage showed signs of mental at around the same time group
retardation when they arrive to Britain
 This demonstrated that being raised without Findings
adequate care during the sensitive period, can  When the orphans first arrived in the UK, half of
lead to intellectual deficits too the adoptees showed signs of mental
retardation and the majority severely
undernourished
 The mean IQ of those children adopted…
 Before the age of 6 months was 102
 6 months – 2 years was 86
 After 2 years 77
 These differences remained till the age of 16.
Based on this, Rutter

AO2/AO3:
 Longitudinal studies  Real life application ー Effects into adulthood are ー Influence of confounding
unclear variables
P A strength of Rutter’s research is P Another strength of research into P A weakness of research on P A weakness of Rutter’s research is
that it was an in-depth institutionalisation is studying institutionalisation is that is the that there may be confounding
longitudinal study Romanian orphans and other effects on adulthood are unclear variables that had an influence on
E It provides rich data on how institutions has enhanced our E For example, Rutter’s study has intellectual development
institutionalisation affects understanding of effects of followed up the fostered and E For example, because he couldn’t
intellectual development over institutionalisation adopted orphans into their mid- randomly allocate orphans to
time and is not a one-off snap E For example, orphanages and teens and found some lasting adoption groups, there may be
shot as is the case with lab children’s home try to minimise effects of living in institutions, independent differences that
studies staff turnover and ensure that especially for those adopted late. affected later intellectual
E This helped us understand that each carer has a small group to However, it is too soon to say development aside from age of
early adoption is important in look after. Carers in such whether children suffered short adoption
preventing long-term damage to situations are known as the key or long-term effects E This is an issue as it could be
intellectual development. This carers, and having a key carer E This is an issue as it may be that those who were adopted before
would not have been possible means that children have a the children who spent longer in 6 months were actually the most
with a short-term assessment of chance to develop normal institutions just currently lag sociable/interactional orphans
children attachments and avoid behind in their ability to form who would have been okay
L This increases the validity of the disinhibited attachment healthy attachments and may intellectually, later
research E This is a strength as such results catch up as adults. Furthermore, L Therefore can be argued to be an
have led to improvements in the it may be the case that the early- incomplete explanation
way children are cared for adopted children who show no
L Therefore, this shows that issues may develop emotional
research on institutionalisation problems later in life. It could be
can help guide care practices and too soon to conclude the life-time
improve lives effects of institutionalisation
L This decreases the validity of the
findings from Rutter’s study

NOTE: Only select the relevant AO1s (e.g. 2/3 points) and four evaluation points (AO2/AO3)

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