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Impact of Social & Psychological Factors on Child Development in Deprived Communities, Exams of Epidemiology

The relationship between social class and child development, focusing on the negative effects of poverty and deprivation on children's growth and development. various studies that have identified the social and psychological factors contributing to these issues, including inadequate childcare, poor education, and lack of resources. The document also highlights the impact of these factors on children's cognitive development, language usage, and academic performance.

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PSYCHOSOCIAL FACTORS CONTRIBUTING
TO
DEPRIVATION
IN
CHILD
DEVELOPMENT
Stephen
A.
Richardson,
Ph.D.
Deprivation
is
a
broad general
term
which
cannot
be
translated
directly
into
a
precise,
quantitative
definition.
Rather,
it
is
a
concept
covering
a
broad territory
which
must
be
mapped
out
into
a
series
of
more
carefully
defined
areas
that
lend
themselves
to
precise
measurement
and
research.
The meaning
of the
verb
"deprive"
encompasses
such
synonyms
as
"disposses",
"take away,"
"hinder
froni
possessing,"
"shut
out," "keep
from
having."
There
is
also
the
connotation
that
deprivation
occurs because
of
some inequity,
-
that
a
child
died
of
starvation
in
an
environment
in
which
food
was
available
but
was
not
given
him
because
of
the
fault
or
neglect
of
some
person or persons
or
of
the
economic
or political
system
as
a
whole.
Deprivation
occurs
when
a
person
does
not
have
something
that
is
important
to
which
he
has
a
right.
There
is
also inherent
in the
term
a
value
judgment.
The
person
who
makes
the
judgment
of
whether
any
particular
case
involves
deprivation
does
so
always
from
a
position
of
membership
in
a
particular
society
and
in
terms
of the
values
and
positions he
holds within
the
society.
To
some
*xtent
he
may
modify or
change
his
judgment
on
the
basis
of
the
time,
place
and
set of
conditions
in
which
the
case
of
deprivation
occurs.
For
example,
he may
not
regard
as
deprived
a
12
year-old
child
who
has
not
learned
to
read
in
a
nomadic
or
peasant
society
where few
learn
to
read,
but
will
proba-
bly
judge
a
child
of
the
same
age
in
a
western
urban
environment
as
deprived
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f

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PSYCHOSOCIAL FACTORS CONTRIBUTING TO^ DEPRIVATION^ IN^ CHILD^ DEVELOPMENT

Stephen A. Richardson, Ph.D.

Deprivation is^ a^ broad^ general^ term^ which^ cannot^ be^ translated directly into a precise, quantitative definition. Rather, it is a^ concept covering a broad territory which must be mapped out into a series of^ more carefully defined areas that lend themselves to precise measurement and research. The meaning of the verb "deprive" encompasses such synonyms^ as "disposses", "take away," "hinder froni possessing," "shut^ out,"^ "keep from having." There is also the connotation that deprivation^ occurs^ because of some inequity,^ -^ that^ a^ child^ died^ of^ starvation^ in^ an^ environment^ in which food was available but was not given him because of the fault^ or neglect of some person or persons or of the economic or^ political^ system as a whole. Deprivation occurs when a person does not^ have^ something^ that is important to which he has a right.

There is also inherent in the term a value judgment. The^ person^ who makes the judgment of whether any particular^ case^ involves^ deprivation does so always from a position of membership in a^ particular^ society^ and^ in terms of the values and^ positions^ he^ holds^ within^ the^ society.^ To^ some *xtent he^ may^ modify^ or^ change^ his^ judgment^ on^ the^ basis^ of^ the^ time,^ place and set of conditions in^ which^ the^ case^ of^ deprivation^ occurs.^ For^ example, he may^ not^ regard^ as^ deprived^ a^12 year-old^ child^ who^ has^ not^ learned^ to read in^ a^ nomadic^ or^ peasant^ society^ where^ few^ learn^ to^ read,^ but^ will^ proba- bly judge a child of the same age in a western urban^ environment^ as^ deprived

if he has been given no training in reading when^ almost^ all^ other^ chil- dren read by this age. Unless the positions of^ the^ judge^ and^ person^ judged are carefully considered, there is real danger^ of^ ethnocentrism^ in^ deciding whether or not deprivation^ occurs.

Twa kinds of evidence can lead us to^ suspect^ the^ existence^ of deprivation, The first is whether the^ child^ is^ able^ to^ perform^ at^ a^ given age within the level of expectations and^ demands^ commonly^ expected^ by^ his society. Some of these expectations will^ be^ general^ to^ many^ societies,^ such as remaining alive, in^ good^ health^ and^ without^ any^ permanent^ handicap.^ Evi- dence for deprivation then^ is^ mortality,^ morbidity^ and^ the^ presence^ of^ a permanent handicap.^ Other^ expectations^ for^ the^ child^ will^ vary^ depending^ on the skills^ and^ talents^ needed^ by^ the^ society^ in^ which^ the^ child^ lives.^ Some societies may^ stress^ for^ boys^ physical^ stamina,^ agility^ and^ strength^ for hunting; others^ may^ emphasize^ intellectual^ and^ conceptual^ abilities^ for^ the skills needed^ in^ a^ technologically^ advanced^ industrialized^ urban^ way^ of^ life.

The second kind^ of^ evidence^ needed^ to^ judge^ a^ case^ of^ deprivation involves the upbringing and experiences which^ the^ child^ has^ had.^ Every society through time has^ evolved^ child-rearing^ practices^ which^ gives^ the child a complex array of^ experiences^ designed^ to^ preserve^ life,^ maintain health and seek^ to^ avoid^ chronic^ or^ handicapping^ conditions.^ They^ also develop physical motor, intellectual, sensory and^ social^ skills^ so^ the^ child is prepared for life as an adult in his society.^ If^ a^ child^ does^ not^ receive

than the child's life. Wc have evidence that mental subnormality is^ asso- ciated with pregnancy complications of the mother (R. Masland, et^ al,^ 1958; R. Illsley and D. Fairweather, 1960). But we also know^ from^ the^ work^ of Baird and his associates that pregnancy and delivery complications^ occur more frequently in lower- than^ upper-class^ women.^ There^ appears^ to^ be^ some complex intarraction then among^ lower-class^ membership,^ complications^ of pregnancy and delivery and mental subnormality.^ Kwashiorkor^ in^ infancy would be taken as^ strong^ evidence^ of^ deprivation.^ But^ the^ range^ of^ evidence needed to identify the^ essential^ experiences^ that^ lead^ to^ kwashiorkor^ is extremely complex, as^ is^ shown^ by^ a^ case^ of^ a^ child^ in^ a^ Central^ American country. The^ child^ was^ admitted^ to^ a^ hospital^ at^2 years^ of^ age^ with kwashiorkor. The^ mother^ reported^ that^ her^ husband^ had^ become^ an^ alcoholic and deserted her 18 months previously. She had five children and,^ to^ support them, went to work in a tortilla factory^ for^ approximately^ six^ hours^ a^ day. For this work she was paid 15 cents a day^ plus^ a^ dozen^ tortillas.^ While^ she worked at the factory, the children were left without any^ adult^ care.^ The youngest child developed chronic diarrhea, and she placed the^ child^ on^ an atole diet.^ Kwashiorkor^ developed^ and^ she^ then^ brought^ the^ child^ to^ the hospital.

The experiences of this child are^ related^ to^ the^ general^ historic and political conditions of the country, the social and^ economic^ conditions of the urban slums surrounding the^ city,^ the^ level^ of^ hygiene,^ the^ social pathology of the family, the mother's being forced to work,^ her^ values^ and training in how to care^ for^ chronic^ diarrhea,^ and^ the^ kinds^ of^ advice^ which she felt were available to her and she would use.

The value of the concept of deprivation for scientific research

is to direct inquiry into areas^ where^ we^ need^ more^ knowledge^ about^ what

are necessary experiences for children in order that they meet^ the^ expec-

tations of the society in^ which^ they^ live.^ In^ terms^ of^ social^ and^ psycholo-

gical factors, for example, to^ explore^ whether^ certain^ patterns^ of^ child

care differentiate children with different rates of physical growth; whether

certain forms of residential^ institutional^ care^ for^ rearing^ children^ do

not provide children with certain experiences such as love and support,

play and opportunities to explore a colorful and varied physical environment,

sufficient time with adulta for adequate development of speech, and whether

these are necessary for adequate^ socialization.^ Much^ work^ of^ this^ kind^ has

been attempted and will be the subject of this paper. It^ was^ nearly^ done,

however, in westernized industrial societies^ and^ we^ should^ remain^ alert^ to

the danger of both the ethnocentric view of the investigator and^ the^ cultural

conditions in which the work took place.^ There^ can^ be^ ethnocentrism^ in

adherence to a particular scientific approach, theory or viewpoint as well

as in the selection of topic for investigation.

Mortality,Social^ Factors Morbidity,^ Associated and Handicap^ With

An important body of research findings relating childhood mortal-

ity, morbidity and handicapping conditions to social environmental factors

has been obtained through use of epidemiology. Although epidemiology^ devel-

oped in the search for the causes of diseases such as pellagra, cholera,

typhoid and malaria,^ it^ has^ increasingly^ been^ used^ for^ the^ study^ of^ disabling

groups such as Spanish Americans, French Canadians and Indians in Central America are frequently found to have higher infant mortality rates and childhood morbidity. Ethnic and racial minority groups are found most often in the lowest social class where there is the greatest degree of poverty. And along with this poverty are other factors which have been shown to be associated with higher mortality and morbidity -- high parity, close spacing of children, prenuptial conception and illegitimacy, poor hygiene, broken homes and mothers leaving young children to take unskilled employment to achieve a minimu level of subsistence.

Shifts in the Viewpoint and Interests of Scientists

The close association between poverty and a wide variety of indi- cators of physical (^) and social pathology has been known for a long time, but until recently few (^) scientists have gone further than demonstrating the

existence of this association. Perhapa the apathy in the face of such power-

ful findings may be (^) accounted for in part by the widespread belief in theo- ries of constitutional inferiority, the procese of natural selection, and such economic views as the iron law of oligarchy. These theories led to a viewpoint and values rather similar to those of Mc Farland who, in 1782, (in Encyclopedia Britannica, edition of 1960) wrote: "in tracing the causes of poverty, 1 have endeavored to show that the greatest number of those who are now objects of charity are either such as have reduced (^) themselves to this situation by sloth and vice, or such as, by a very moderate degree of industry and frugality might have prevented indigence".

There is, however, increasing interest^ and^ attention^ being^ paid to the view that poverty with^ all^ the^ deprivation^ associated^ with^ it^ is not a necessary state of any^ society.^ There^ are^ many^ forces^ encouraging^ this view: the growing^ number^ of^ independent^ nations^ who^ previously^ were^ under colonial rule;^ the^ civil^ rights^ movement,^ which^ is^ challenging^ the^ tradi- tional caste treatment of^ the^ Negro;^ the^ growing^ demand^ for^ training^ and education as technological development reduces^ the^ need^ for^ unskilled^ labor, and en increasing recognition of^ the^ needs^ for^ dealing^ with^ a^ wide^ variety of deprivation^ and^ social^ pathology^ through^ prevention^ rather^ than^ treat- ment in such forms as social welfare, crime detection and punishment, provision of^ health^ services,^ etc.^ In^ the^ United^ States,^ this^ interest is manifested by the antipoverty program,^ the^ new^ educational^ legislation for providing enrichment programs to^ deprived^ children,^ and^ recent^ and pending civil^ rights^ legislation.

Tht general developing interest^ in^ factors^ that^ contribute^ to deprivation in children^ has^ influenced^ research^ interests.^ Although^ scientific interest still continues in genetics and biochemistry and^ on^ innate^ mecha- nisms that influence growth, greater emphasis^ is^ now^ being^ given^ to^ environ- mental factors both biological and social. In^ recent^ reviews^ of^ mental^ sub- normality (Masland, et al, 1958; Penrose, 1954;^ Knobloch,^ 1962),^ the^ authors estimate that geneticand chromosomal abnormalities^ contribute^ only^ a^ minor proportion of all^ cases^ of^ mental^ subnormality^ as^ compared^ with^ biological and social environmental factors^ before^ and^ after^ birth.^ This^ shift^ in emphasis is strongly expressed by Pasamanick: exogenous...Except^ forinjury^ a^ few to^ hereditaryneural integration,^ clinical deficienciesbehavior variation^ and^ for doesstructural not^ seem origin.^ to^ be Itthe is^ resultnow possible^ of^ genetically to entertain^ determined a new tabula rasa theory hypothecating that at conception individuals^ are

  • 10 - investigators found that children in lower-class families had bronchitis, pneumonia, staphylococcal disease, convulsions and infections disease^ more frequently than children of higher social status. Going beyond the gross classification of social class, investigators described, defined, and classified for purposes of analysisfeatures of the children's family environrent which they believed contributed to the level of health of the child: the mother's care of the child, the structural environment of the housing, the human environment of the family; and a series of factors by which an index could^ be^ constructed^ of^ problem^ families.^ When^ these measures of social and physical environment were releted to the children's diseases, associations were obtained^ where^ none^ had^ been^ evident^ on^ the basis of the unrefined classifications^ of^ social^ class.^ For example, although no significant relationship was found between alimentary infec- tions and social class, significant relationships were found between^ the disease and deficiency of supervision and clothing, personal cleanliness, and sleep and sleeping arrangements. The investigators were impressed by the importance of the quality of the mothers'care as the chief single factor in the welfare of the infants. In their conclusions, they also emphasize the complex interrelationships and cumulativeness of biological^ and^ social environmental factors in the causation of^ disease.

a - 1 1 -

Social and Psychological Factors That

Influence Social Psychological Development

There have been a number of careful sociological descriptions of

child development in socially and culturally deprived children. Davis and

Dollard (1940), through case histories of Negro children in Louisiana, make

vivid the ways in which the white person is taught the social dogma of his

caste with regard to Negroes, the rigidity of the caste system and its effect

on the personality development and aspirations of Negro children; and

particularly the human bitterness and resentment that is engendered by their

childhood experiences.

Oscar Lewis, in Five Families and Children of Sanchez, presents

detailed case histories of Mexican families in rural and urban environments

and shows some of the social environmental factors that influence the

children's growth and development. Although not dealing specifically with

children, Caudill (1962), shows the social effects of industrial exploitation

in Kentucky and the poverty of the region when the mines closed down. The

following composite description which Martin Deutsch (Merrill Palmer

Quarterly, July 1964), gives of lower-class life illustrates the kinds of

leads for further work which such descriptions provide. *

... Geographically, there are crowded and dilapidated tenements

quite at variance with the TV image of how people live. If the

people are Negro, Puerto Rican or Mexican-American, or poor

mountain white, life is in a more-or-less segregated community.

There are likely to be extremely crowded apartments, high rates

of unemployment, chronic economic insecurity, a disproportionate

*See also Frank Riessman: The Culturally Deprived Child, Harper and

Row, New York, Evanston and London, 1962, for "a portrait of the

underprivileged, " page 26-35.

time spent in teaching (James B. Conant, 1961; Patricia C. Sexton, 1961;

and James Douglas, 1964), Studies by Martin Deutsch and his colleagues

(Merrill-Palmer Quarterly, 1964) have shown that differences in school

performance between children of lower and higher social classes emerge at

early ages.

.. The overwhelming finding of studies on the relationship

between social class and learning, school performance, and

the like is that children from backgrounds of social marginality

enter the first grade already behind their middle-class counter-

parts in a number of skills related to scholastic achievement.

They are simply less prepared to meet the demands of the school

and the classroom situation. Conversely, though, the school has

failed to prepare to meet their needs. The failure of the educa-

tional institution to overcome the children's environmentally

determined handicaps too often results in early failure, increasing

alienation, and an increasingly greater gap between the lower-

class and middle-class youngsters as they progress through school.

In other words, intellectual and achievement differences between

lower-class and middle-class children are smallest at the first grade level,

and tend to increase through the elementary school years. (page 254)

The findings of poorer performance at school entry for lower-class

marginal children did not have any beneficial consequences for these children

as long as the explanation was genetic, or intelligence was regarded as inate

and fixed. With increasing evidence of the postulated importance of the social

environment in influencing cognitive development, however, differences in

performance at school entry have led to two rapidly developing bodies of re-

search and action. In research,studies are now investigating the nature of

the early environment to determine whether the socially marginal children

are being deprived of experiences necessary for later adequate growth and

development. In action, a widespread program is getting under way in the

United States to[better prepare the child to meet the expectations and

C

d -14-

demands of the school when he enters school. A great deal of thought and

attention is going into the nature of these pre-school "enríchment" programs.

In this paper, however, we shall focus on some of the social science research

on socially marginal children. Because many of these studies are still under

way, perhaps the most useful form of reporting is to illustrate the kinds of

questions and hypotheses that guide the work and some of the variables being

studied.

A major emphasis in these recent studies has been in sensory

development - in identifying the kinds of environment and experiences

necessary for the adequate development of auditory reception and discrimina-

tion, and the development of language, visual and tactile learning. This

probably stems from the interest of educators in the development of

cognitive skills, from some evidence that sensory development is more

sensitive to environmental influences than motor development (See J. McV.

Hunt in Merrill-Palmer Quarterly, July 1964), and from reports of differences

in perception between and within cultures (Allport & Pettigrew, 1957; Bagby,

1957; Nissen, Machover, & Kinder, 1935; Rivers, 1901, 1905; Segall,

Campbell, & Herskovits, 1963; Sherif, 1935; Tresselt, 1948; Woodworth,

J. McV. Hunt has speculated that infants exposed to the crowded

conditions of lower-class slums may not be handicapped by the diversity

and level of visual and auditory inputs during the first year of life but that

during the second year,

  • -16-

lower-class mothers provided less^ information^ for^ the^ child^ and^ less

opportunity for the child to share in planning the^ task.

It is widely belíeved that the^ parents^ or^ caretaker^ of^ a^ young^ child

are of crucial importance in^ the^ child's^ acquisition^ of^ language.^ Factors

that influence the learning process include the^ amount^ and^ nature^ of^ the

adult speech the child Iistens to, the extent^ to^ which^ the^ child's^ attempts

at speech^ are^ encouraged^ and^ corrected,^ whether^ the^ development^ of^ the

child's questioning is helped or^ hindered,^ and^ the^ quality^ and^ quantity^ of

adult speech. If the young child spends little time^ with^ adults^ and^ learns

speech more from^ older^ brothers^ and^ sisters^ or^ other^ children,^ the^ speech

he learns from will be more rudimentary than^ adult^ speech.^ M.^ Deutsch

(in A. H.^ Passew,^ 1963),^ studying^ the^ nature^ of^ conversation^ between^ adults

in middle- and lower-class families,^ has^ found^ that^ sustained conversation

in lower-class homes is far shorter. Studies^ by^ Bernstein^ (1965),^ of

middle- and lower-class language^ usage^ by^ British^ children^ show^ that

lower-class children use far less complex^ patterns^ of^ speech,^ short,

grammatically simple,^ often^ unfinished^ sentences,^ and^ less^ conceptual

language. Although their vocabulary may^ be^ quite^ rich^ expressively,^ it^ is

not the vocabulary likely to^ be^ encountered^ among^ teachers^ in^ school,^ (K.

Eells et al,^ 1951).^ Y.^ P.^ John^ and^ L.^ S.^ Goldstein^ (Merrill-Palmer

Quarterly, July 1964), in examining social^ conditions^ that^ affect^ language

acquisition are^ studying^ "....^ the^ gradual^ shift^ in^ the^ child's^ use^ of^ words,

from labeling specific and often single referents^ to^ the^ use^ of^ words^ for

signifying categories of objects, actions,^ or^ attributes"^.^ They^ hypothesize

f

  • 17-

"... that the rate and breadth of this shift varies from one social context to

another, and that it has differential consequences for cognitive development

dependent on the social context in which it occurs". Nisbett (1953), has

carefully reviewed ".. the slight but definitely established tendency for

intelligent children to be found in small families and dull children in large

families. " This tendency persists even when such factors as parents'

occupation or overcrowding in the home have been controlled for. He

believes the results in part may be explained b; "... the environmental

influence of the size of the family on verbal ability and through it on

general mental development."

Although the influences of an impoverished social en vironment

on oral discrimination and speech development is a major issue now under

investigation, there is also interest in what influences the development of

visual and motor sensory skills. In impoverished homes, there is likely to

be an absence or paucity of toys and especially the kinds of objects which

will be encountered later in schools--pencil and paper, crayons, blocks,

modeling clay, etc. The home and immediate environment in slum areas

is less likely to have a wide variety of pictures and books, and the child is

less likely to be taken to a variety of environments beyond his home and its

immediate surroundings. In a survey, as yet unpublished, of reading ability

for the total population of 7- to 12-year-old children in Aberdeen, Scotland,

we have found that reading test performance of children whose fathers are

manual workers is poorer than that of children whose fathers have nonmanual

g

...they As are minority-group assigned and observechildren thatlearn they^ the areinferior usually^ status segregated^ to^ which and isolatedreact with from desp the feelings more privileged of inferiority^ members and^ of withtheir a^ society,sense of^ personalthey humiliation.worth. Like allMany other of themhuman become beings, confused they requireabout theira sense own ofpersonal personal dignityin the largerand social society, support however, for positivedo we find self-esteem. Almost their own dignity nowhereas grouphuman beingschildren^ respected develop^ orconflicts^ protected. with^ Underregard^ these to theirconditions, feelings^ minority- about themselvesidentified.... and aboutThese theconflicts, values ofconfusions, the group andwith doubts which givethey riseare underown group. certain circumstances to self-hatred and rejection of their oftenMinority-group react to their^ childrengroup conflicts^ of^ all^ socialby the^ and adoption^ economic of aclasses generally defeatist attitude and a lowering of personal ambition

There are some specific^ skills^ expected^ of^ children^ in^ school^ by the teachers, who^ predominantly^ are^ middle-class^ in^ their^ orientation^ and values. They expect the children to have good time-sense, to know how to approach a task in an orderly manner, to be able to^ pay^ attention^ to^ them. But many of the children from lowsocial-class backgrounds^ have^ received^ little training in developing a sense of time, in approaching tasks^ in^ a^ systematic orderly manner, and in carrying through and completing a task within prescribed time limits. Their parents have generally not been good examples or role models for developing these skills and values. The children have^ had^ little^ experience in listening to sustained adult talk, particularly middle-class speech patterns. Because they live in crowded and noisy homes, they may,^ in^ fact,^ have^ learned to be inattentive to talk. Studies of schools have shown that reading and other textbooks used generally portray^ scenes^ of^ upper-^ and^ middle-class^ suburban and rural life, and there is considerable evidence that the various standard aptitude tests^ discriminate^ against^ lower-class^ children^ by^ the^ selection^ of items which include words, scenes, and events with which lower-class children

  • 20 -

have little or no familiarity. Teachers live (^) in a social milieu and set of conditions very different from those of the deprived child and have generally learned the middle-class set of values. They have had little experience of the day-to-day conditions (^) in which the child lives and little understanding of his behavior. Furthermore, not only may their expectations and demands be unmeetable by the deprived child but his failure to meet them may well (^) be interpreted as evidence of poor heredity and a low and fixed level of intelligence. On the basis of this interpretation, teachers may feel that there is little (^) they can do, and hence they may adopt a defeatist attitude.

Possibly one of the factors most damaging to self-esteem is failure to live up to the expectations and demands of others. The (^) widespread evidence of poorer performance (^) by lower-class children suggests a frequency of such failure which may kill any early (^) interest the child may have had in school and cause him to seek his successes (^) and satisfaction with his peers, with whom in general he has far more contact, (^) and te seek less contact with adults than the middle-class child enjoys.

The segregation of the deprived child along class, racial, and ethnic lines frequently occurs not only in his (^) home environment but also in his school. Almost all his social and learning (^) experiences, with the exception of his teachers, the mass media, and occasional brief encounters with middle-class (^) people, reinforce the norms and values of his subculture and cumulate behavior patterns which increasingly make it difficult for