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Artists can have a wide variety of relationships with their parents. We have already discussed supportive relationships. Sometimes, artists have parents who are simply uninterested. Other times, they have parents who are worried about their child’s ability to support themselves if they pursue the arts. In these cases, most parents could be won over by their child’s hard work and passion; if not, a taste of success was usually enough to win over a hesitant parent.
Many young artists try their hand at a variety of creative forms. Even those who know their passion early on may still dabble a bit in related domains, often fueled by the need to explore different artforms and endless curiosity. Many artists might use insights or skills learned in one domain throughout their career, even if they ultimately do not keep creating in that area. Some artists whose stories are told in this chapter kept shifting areas into college and young adulthood. Most stayed within the arts, but some found their way to the arts from other areas from sports to science. Other times, artists will work across multiple domains for their whole career.
The human brain follows a clear and reliable timeline of development. Various stages of development are key to specific functions. Decision-making, due to its complexity, cannot be pinpointed to one age in development or a critical period, it undergoes several key stages through the lifespan. In the prenatal stage, myelination is important for cognitively demanding tasks like decision-making. In the newborn stage, the baby is constantly forming new synapses, increasing connectivity. During childhood most children develop the ability to use logic in decisions. Adolescence is a critical period for synaptic pruning, improving efficiency. The prefrontal cortex is considered fully mature in adulthood, around the age of 25.
When do artists feel that first intense pull toward creation? Some artists know early in their lives what they want to do with their lives. Sometimes, artists feel like their specific art choice has always been a key part of their identities. Other times, there is a sudden jolt of insight in which they realize their life path, whether from a gift, a moment of creation, or working on an artistic project in tandem with a friend or sibling. Peer support and approval can be a powerful reinforcement to pursue one’s artistic passion.
Artists can get their first inspiration for what they want to do in their lives when they see another person’s work. Early encounters with theater, television shows, movies, books, or music can serve as catalysts for a lifetime in the arts. At the most fundamental level, experiencing the art of others can demonstrate that such a career pathway is possible. In this chapter, artists remember moments of seeing, hearing, watching, or experiencing a life-changing piece of art. Some artists continue in that specific domain, whereas others might be initially inspired by one domain but find a better artistic home in another domain. An artist’s early efforts may even be directly inspired by another piece of work.
Parents can help their children develop into an artist. Some people are lucky enough to have parents who are supportive right from the start. In this chapter, artists share their experiences with their parents and how that has shaped their artistry. Some artists even had artistic parents who served as role models.
An artist’s entire family can help nurture and mentor them. This can include grandparents and siblings. In this chapter, artists share their experiences with extended family. Sometimes, supportive family members can make up for less supportive parents; other times, it can be a full familial unit that helps a young artist.
The innocence of childhood does not protect against exposure to stress. More than half of US children are exposed to adverse experiences, such as abuse, neglect, witnessing domestic violence, parental psychopathology, or divorce, and all children encounter normative stressors like school transitions and challenges with peers. This Element discusses research on stress psychobiology during childhood, from birth to age ten. The Element focuses on important contexts that shape children's responses to stress and their coping capacities, including the family system, peers, schools, neighborhoods, the broader culture, as well as clinical settings. Sources of stress and resilience in each context are described.
A thorough and detailed understanding of normal development in childhood provides a basis upon which we can build knowledge of children’s mental health difficulties. Development refers to expected patterns of change over time, beginning at conception and continuing throughout the lifespan. It is a lifelong process and encompasses different domains, including the physical, social, emotional, and cognitive.
Is the way my child plays with others suggestive of Autism? Could his bad dreams indicate anxiety? Does the fact she can’t sit through a whole film mean she has ADHD? Only with an in-depth knowledge of what is developmentally ‘normal’, can we begin to elicit whether behaviours that deviate from these norms might indicate disorder. This is the basis of the developmental psychopathology that underpins the practice of Child & Adolescent Psychiatry. What is considered ‘normal’ development involves a complex and continuous interplay between genetic and environmental (including sociocultural) factors. Despite some variation, there is a consistency and reliability of functioning in children that remains steadfast from generation to generation.
In this chapter we will consider areas including the milestones of development in early childhood; attachment theory, temperament and personality; theories of emotional, cognitive and social development; and development in adolescence.
Subtle behavioral and cognitive symptoms precede schizophrenia (SCZ) and appear in individuals with elevated risk based on polygenic risk scores (SCZ-PRS) and family history of psychosis (SCZ-FH). However, most SCZ-PRS studies focus on European ancestry youth, limiting generalizability. Furthermore, it remains unclear whether SCZ-FH reflects common-variant polygenic risk or broader SCZ liability.
Methods
Using baseline data from the Adolescent Brain Cognitive Development (ABCD) study, we investigated associations of SCZ-FH and SCZ-PRS with cognitive, behavioral, and emotional measures from NIH-Toolbox, Child Behavior Checklist (CBCL), and Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS) for 9,636 children (mean age = 9.92 yrs, 47.4% female), specifically, 5,636 European, 2,093 African, and 1,477 Admixed American ancestry individuals.
Results
SCZ-FH was associated with SCZ-PRS (b = 0.05, FDR-p = 0.02) and subthreshold psychotic symptoms (b = 0.46, FDR-p = 0.01) in European youth, higher CBCL scores (b range = 0.36–0.6, FDR-p < 0.001), and higher odds of multiple internalizing and externalizing disorders (OR = 1.10–1.22, FDR-p < 0.001) across ancestries. SCZ-PRS was associated with lower cognition across ancestries (b = −0.43, FDR-p = 0.02), higher CBCL total problems, anxious/depressed, rule-breaking and aggressive behaviors in European youth (b range = 0.16–0.33, FDR-p < 0.04), and depressive disorders in Admixed American youth (OR = 1.37, FDR-p = 0.02). Results remained consistent when SCZ-PRS and SCZ-FH were jointly modeled. Some SCZ-FH associations weakened when income-to-needs was accounted for, suggesting that SCZ-FH may capture both genetic and environmental influences.
Conclusions
SCZ-FH showed associations with broad psychopathology, while SCZ-PRS was associated with cognition and specific symptoms in European youth. Findings highlight their complementary role in SCZ risk assessment and the need to improve PRS utility across ancestries.
Sex-specific division of labour and the associated use of different subsistence techniques by males (e.g. hunting) and females (e.g. gathering) has played an important role in shaping human societies. Skills needed in adulthood are practiced in play during childhood and object play has been proposed to foster tool-use skills necessary for adult subsistence techniques. Here, we investigated sex differences in the ontogeny of object play in Tsimane children in Bolivia to understand its potential role in shaping gender-specific adult roles. We used observational data (>80,000 scan samples) from nine Tsimane communities collected between 2002 and 2007. We analysed age and sex differences in general play, object play, and object types. Our results show that both general play and object play peaked in early to middle childhood (3.5–7.5 years of age), with boys spending more time playing. Moreover, boys engaged more with objects related to male-specific roles (e.g. hunting tools), while girls played more with objects related to female-specific roles (e.g. cooking tools). Our findings suggest that object play serves as an adaptive, culturally embedded pathway to develop gender-specific adult skills. Studying developmental patterns of object play across human cultures enriches our understanding of the evolutionary contexts shaping divisions of labour.
This Element describes the development of a Theory of Mind, or mentalizing, in infancy and early childhood. Theory of Mind is a key social cognitive ability that permits children to predict and explain human behaviors by attributing mental states to other people. Understanding mental states gradually progresses from basic desires to false beliefs. The Element reviews the proximal and distal cognitive and social determinants that facilitate early Theory of Mind development. Discoveries in neuroscience contribute to understanding the ontogeny of Theory of Mind. This Element presents an overview of the main theoretical accounts of Theory of Mind development and offers suggestions for future research.
Impulsivity is among the strongest correlates of substance involvement (i.e. a broad continuum of substance-related behaviors), and distinct domains (e.g. sensation seeking [SS] and urgency) are differentially correlated, phenotypically and genetically, with unique substance involvement stages. Examining whether polygenic influences for distinct impulsivity domains are differentially predictive of early substance use initiation – a major risk factor for later problematic use – may improve our understanding of the role of impulsivity in addiction etiology.
Methods
Data collected from participants of genetically inferred European ancestry enrolled in the Adolescent Brain Cognitive Development StudySM (n = 4,808) were used to estimate associations between polygenic scores (PGSs) for UPPS-P impulsivity domains (i.e. SS, lack of premeditation [LPREMED]/perseverance [LPERSEV], and negative/positive urgency [NU/PU]) and substance (i.e. any, alcohol, nicotine, and cannabis) use initiation by age 15 years. Mediation models examined whether child impulsivity (ages 9–11 years) mediated links between PGSs and substance use initiation.
Results
SS-PGS was significantly associated with any substance and alcohol use initiation (odds ratio [ORs] > 1.10, psFDR < 0.05). LPERSEV and NU/PU PGSs were nominally associated with alcohol and nicotine use initiation, respectively (ORs > 1.06, ps < 0.05, psFDR > 0.05). No significant associations were observed for LPREMED-PGS or cannabis use initiation. Measured impulsivity domains accounted for 5–9% of associations between UPPS-P PGSs and substance use initiation.
Conclusions
Genetic influences for distinct impulsivity domains have differential associations with early substance use initiation, with SS showing the most robust associations, highlighting valuable etiological insight into the earliest stages of substance involvement that may be leveraged to improve prevention and intervention strategies.
This chapter argues that researchers in child development and children’s well-being should take culture seriously by showing how social and cultural settings in which children grow up matter for understanding the varieties of childhoods documented ethnographically. It begins with a historical review of anthropological research on childhood and children’s worlds. Much of the early work on children’s development in culture focused on how children become competent members of their societies. This tended to present children’s development in locally normative terms and social and cultural development as static. Later research focused on the problem of accelerating global social change and documented the struggles children, their families, and communities confronted in the face of social change. It also examined the positive role children played, particularly as sources of innovation in adaptive strategies. Children were seen less as sites of internalization and more as agents of active participation. The chapter concludes with a discussion of the strengths that psychological anthropologists bring to childhood studies and possible future directions for new research.
Howard CH Khoe, National Psychiatry Residency Programme, Singapore,Cheryl WL Chang, National University Hospital, Singapore,Cyrus SH Ho, National University Hospital, Singapore
Chapter 50 covers the topic of child and adolescent mental health services. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the management of young patients with psychiatric disorders from first presentation to subsequent complications of the conditions and its treatment. Things covered include the general principles of prescribing in children and adolescent patients with psychiatric disorders, the use of antidepressants, the use of mood stabilisers, the use of antipsychotics, treatment of anxiety disorders.
Patients diagnosed with hypertension (HT) are at high risk for end-organ damage. With changing living conditions and access to healthcare facilities worldwide, the rate of diagnosis in childhood is increasing. In this study, healthy children were compared with a group of pediatric patients diagnosed with hypertension. Cardiac findings in the hypertensive group were compared at presentation and at six months. We aimed to determine the discriminatory value of epicardial adipose tissue (EAT) measurements as an early imaging marker for cardiac involvement in children with HT compared to healthy children and to determine its prognostic feature for HT treatment response.
Methods:
Fifty-nine primary hypertension patients and 76 control patients aged 0-18 years were compared. EAT values measured between the healthy group and the patient group and at the beginning of treatment and subsequent follow-ups in the patient group were evaluated with M-mode measurements.
Results:
There was no difference between the groups in terms of sex, and age. EAT was found to be significantly higher in the patient group than in the healthy group. There was a statistically significant difference between the EAT measurements evaluated before and after treatment in the patient group.
Conclusions:
Hypertension is an important cause of morbidity and mortality. Using EAT measurements as a noninvasive parameter may provide information about early cardiac involvement due to HT. EAT is promising as an imaging marker that can be used in diagnosis and follow-up.
The study of infant, child, and adolescent remains (non-adult remains) is a topic of growing interest within the fields of archaeology and bioarchaeology. Many published volumes and articles delve into the experiences of childhood and what these small remains may tell us about life, more broadly, in the past. For those interested in exploring infant and child remains, it is an exciting period as more methods and approaches are constantly being incorporated into the archaeological toolkit. This Element introduces the reader to the topic and to common methodological approaches used to consider non-adult remains from archaeological contexts. With this toolkit in hand, readers will be able to begin their own explorations and analyses of non-adult human remains within archaeological contexts.
Epilepsy syndromes (electroclinical syndromes) are well-recognized groupings of clinical (seizure types) and EEG features that occur together. Each syndrome typically shares a common age of onset, deficits (intellectual dysfunction), treatment and prognosis. Syndromes are classified based on their onset, epilepsy type (focal, generalized, or mixed) and development of epileptic encephalopathy (disorder in which epileptic activity contributes to severe impairments in cognition and behavior). Relatively benign syndromes are typically associated with focal, generalized tonic-clonic (GTC), typical absences and myoclonic seizures. Epileptic encephalopathies are typically associated with atonic, tonic, atypical absences, and epileptic spasms in addition to the other seizure types. [106 words/729 characters]
This chapter describes the spectrum of age-related maturation of electrographic patterns through preterm, neonatal, infantile, childhood, and adolescence periods. Neonatal EEGs must be interpreted in the context of corrected age and physiological state. Sustained continuity is the hallmark of maturation. Preterm records are discontinuous irrespective of state while term records are continuous in all states. Between 30 and 37 weeks, the background becomes more continuous during wakefulness and active sleep compared to quiet sleep. At term, activité moyenne is present during wakefulness and active sleep and trace alternans occurs during quiet sleep. Anterior dysrhythmia and graphoelements occur between 32 and 44 weeks corrected age. Sharp transients may be normal in neonates. A reactive posterior dominant rhythm emerges at three months of age and attains alpha range at around 2 to 3 years of age. Asynchronous sleep spindles emerge before 3 months and synchronize at 6 months of age. [144 words/855 characters]
This chapter provides a preliminary Latinx literary history of both the representation of Latinxs in video games and how games shape narratives of Latinidad in the twenty-first century. The chapter first examines how non-Latinxs have dominated Latinx narratives and representation, shaping a narrow concept of who is Latinx and what it means to live as a Latinx person. While AAA games continue to circulate stereotyped images of Latinxs, more recent game narratives authored by Latin American and Latinx creators and distributed through independent publishers challenge these representations. The chapter provides close readings of Guacamelee! and Guacamelee! 2 from Drinkbox Studies and Minority Media’s Papo & Yo, both created by Latin American immigrants to North America. These games subvert gaming tropes and use characterization and worldbuilding to showcase the diversity of Latinidades. Finally, the chapter assesses video games that expand representation (including AfroLatinidades and trans Latinidades) as well as narratives that use ludic structures, such as Carmen Maria Machado’s In the Dream House: A Memoir and Nona Fernández’s Space Invaders.