Bindung von Kindern in familienrechtlichen Fragestellungen bei Gericht: Erkenntnisse und Missverständnisse

Psychological judicial expert reports for family law cases can include errors in the assessment of children’s attachments, their origins, their consequences, and the subsequent recommendation for the court. The article specifies potential sources of such errors and reviews several topics that are relevant for the evaluation and use of attachment assessments in psychological family law expert reports. These topics include attachment to mother and father, attachment hierarchy, the role of quantity and quality of contact to caregivers for attachment development and the use of results from attachment research on developmental consequences of attachment security and insecurity for psychological family law expert reports.

Loss of Fgfr1 and Fgfr2 in Scleraxis-lineage cells leads to enlarged bone eminences and attachment cell death

Tendons and ligaments are structural tissues that attach to bone and are essential for joint mobility and stability in vertebrates. Tendon and ligament attachments (i.e., entheses) are often found at bony protrusions (i.e., eminences), and the shape and size of these protrusions depends on both mechanical forces and cellular cues during growth and development. The formation of tendon eminences also contributes to mechanical leverage for skeletal muscle. Fibroblast growth factor receptor (FGFR) signaling plays a critical role in bone development, and Fgfr1 and Fgfr2 are highly expressed in the perichondrium and periosteum of bone where tendon and ligament attachments can be found. However, the role of FGFR signaling in attachment development and maintenance in the limb remains unknown. In this study, we used transgenic mouse models for combinatorial knockout of Fgfr1 and/or Fgfr2 in tendon/ligament and attachment progenitors using ScxCre and measured eminence size and bone shape in the appendicular skeleton. Conditional deletion of both, but not individual, Fgfr1 and Fgfr2 in Scx progenitors led to enlarged eminences in the postnatal appendicular skeleton and smaller secondary ossification centers in long bones. In addition, Fgfr1/Fgfr2 double conditional knockout mice had more variation in the size of collagen fibrils in tendon, narrowed synovial joint spacing, and increased cell death at sites of ligament attachments, as well as decreased plasticity of mature bone compared to age-matched wildtype littermates. These findings identify a role for FGFR signaling in regulating growth and maintenance of tendon/ligament attachments and the size and shape of bony eminences.

Efficacy of parent-infant psychotherapy compared to care as usual in children with regulatory disorders in clinical and outpatient settings: study protocol of a randomised controlled trial as part of the SKKIPPI project

Background The first years of life are a significant period for child development, when children are particularly sensitive and prone to crises. This early phase lays the foundation for healthy growth. Clinical assessment of psychological symptoms in early infancy and adequate treatment are both important in improving the diagnostic outcome and preventing later long-term developmental consequences. The most common psychological problems in the first 3 years of life are regulatory disorders. The aim of this trial is to investigate the efficacy of Parent-Infant Psychotherapy (PIP) for infants and young children (aged 0–36 months, diagnosed with at least one regulatory disorder) and their mothers, compared to care as usual (CAU). Methods In this open multicentre randomised controlled trial, 160 mother-infant dyads are randomised to receive PIP or CAU for 6 weeks of intervention in clinical or outpatient (including home treatment) settings. The primary outcome is the maternal sensitivity (sensitivity scale of the Emotional Availability Scales (EAS)) after 6 weeks. Secondary outcomes include assessment of interaction, mental health problems, attachment, development, psychological factors, treatment adherence, health care system utilisation, and costs, after 6 weeks and 12 months. Discussion This study will evaluate whether a manualised focus-based short-term psychodynamic psychotherapeutic intervention in mother-child dyads improves the care situation for families of children diagnosed with regulatory disorders, and helps prevent long-term psychopathologies. Assessment of the intervention in different settings will support the development of more tailored interventions for affected infants and their mothers. Trial registration German Clinical Trial Register, ID: DRKS00017008. Registered 03/20/2019.

Attachment Development is “In”

The current focus of research in the discipline of child and youth development is upon attachment development. In the fields of child and youth care practice, efforts are beginning to apply these recent findings to care approaches. In order to sustain the trend, this article outlines concretely, and step-by-step, a study of attachment development and, subsequently, the application of this knowledge to the day-by-day practice of the care of children and youth having to live away from their families.

Support Needs and Post-Adoption Resources for Adopted Adults: A Systematic Review

Post-adoption services provide guidance to adoptive families concerning common and specific circumstances. Despite adoption is a lifelong experience, most of the post-adoption resources are oriented towards children, adolescents and their adoptive parents. However, it is also necessary to focus on the demands and interventions with adult adoptees. The aim of this article is to review adult adoptees’ demands for post-adoption resources, applicants’ characteristics and resources offered to them. A systematic search was conducted in several databases, finding forty studies that fulfilled the selection criteria (about adults, domestic/international adoptions and published between 2005 and 2018). The included studies showed mainly three needs: contact with birth family, ethnic identity and birth culture, and psychological support. Additionally, adoptees who demand post-adoption resources are a heterogeneous group. This review collects structured programmes focused on different topics: search for origins, attachment development and professionals’ training in adoption. In addition, we also found some specific post-adoption services and other tools, such as support groups or cultural events. Finally, adoptees also have access to other resources that are not specifically for them, such as mental health services. The scarce existence of evidence-based interventions is an important weakness in this work. Recommendations for future research and practice are included.