Maternal and paternal insightfulness and reaction to the diagnosis in families of preschoolers with Autism spectrum disorder: associations with observed parental sensitivity and inter-parent interaction.

Sensitivity among parents of children with Autism Spectrum Disorder (ASD) is based on parental insightfulness and on resolution regarding the child's diagnosis. This has been supported in studies of mothers, and we examined whether the same is true regarding fathers. Also, we asked whether parents' Insightfulness and Resolution tap general mentalization and therefore also be expressed in parent-parent interactions. Eighty preschooler boys with ASD and both of their parents participated. As expected, fathers who were more insightful and mothers who were more resolved were more sensitive. Contrary to expectations, no associations were found between fathers' resolution and mothers' insightfulness and their sensitivity. Associations were found between parental insightfulness and resolution and positive parent-parent interaction. The findings are the first to demonstrate the insightfulness-sensitivity link among fathers of children with ASD. Also, they suggest that both insightfulness and resolution involve general mentalization that is evident both in parent-child and parent-parent interactions.

Teacher-child one-on-one playtime: Teachers' non-intrusiveness predicts developmental outcomes of children with developmental delay.

The contribution of dyadic teacher-child interactions to the development of children with special needs has received little research attention. This study examined whether teachers' non-intrusiveness during one-on-one playtime predicts developmental outcomes of children with developmental delay. Participants were 47 teachers and one of their kindergarteners diagnosed with developmental delay. At Time 1, teachers' non-intrusiveness during teacher-child play interactions was assessed. At Time 1 and 12 months later, kindergarten therapists reported on children's adaptive behavior, school performance, and internalizing and externalizing problems. Teachers' non-intrusiveness predicted children's increased adaptive behavior, improved school performance, and decreased externalizing problems across the year. Findings highlight the importance of supporting teachers' non-intrusiveness and including one-on-one teacher-child play as an integral part of special education kindergartens' curriculum.

Coherence of Representations Regarding the Child, Resolution of the Child's Diagnosis and Emotional Availability: A Study of Arab-Israeli Mothers of Children with ASD.

This study examined the interplay of mothers' coherent representations of their child (i.e., multidimensional and balanced view); resolution of the child's ASD diagnosis (i.e., acceptance); and emotional availability to the child in the unique cultural context of Arab-Israeli families. Participants were 46 mothers and their 2-8 year old sons. Coherent representations and resolution of the diagnosis were assessed using narrative measures. Emotional availability (namely, sensitivity, structuring, and lack of intrusiveness and hostility) was observed during mother-child play interactions. Results suggested that coherent and resolved mothers were more emotionally available than incoherent and/or unresolved mothers. These findings highlight the importance of supporting mothers' ability to accept the child's diagnosis and see the unique characteristics of the child beyond his ASD symptoms.

Stability and change in resolution of diagnosis among parents of children with autism spectrum disorder: Child and parental contributions.

The contribution of change over time in parent and child characteristics to parents' resolution of child's diagnosis was examined among 78 mothers and fathers of children with autism spectrum disorder. Children's characteristics (e.g., mental age and severity of symptoms), parental characteristics (e.g., attachment-related anxiety and stress level), and parents' resolution of their child's diagnosis (resolved vs. unresolved) were examined at Time 1, and reassessed 3 years later at Time 2. Results indicated a deferential contribution of change in parent and child characteristics among mothers and fathers. An increase in child symptom severity and in maternal attachment-related anxiety, as well as longer durations of time since receiving the diagnosis, significantly predicted maternal resolved status at Time 2. Conversely, none of the changes in children's or paternal characteristics predicted paternal resolved status at Time 2. Results are discussed in relation to child and parental contributions to resolution, the differences in the adjustment and well-being of mothers and fathers of children with autism spectrum disorder, parental growth following receiving the diagnosis, and the need for intervention components specific to parental resolution and attachment-related anxiety.

Maternal sensitivity mediates the link between maternal insightfulness/resolution and child-mother attachment: the case of children with Autism Spectrum Disorder.

This study examined the hypothesis that maternal sensitivity mediates the association between maternal Insightfulness/Resolution and child attachment in a sample of preschool age boys with Autism Spectrum Disorders. This study used the Insightfulness Assessment to assess insightfulness and the Reaction to Diagnosis Interview to assess mothers' resolution. Maternal sensitivity was assessed from mother-child play observations, and the security of children's attachment was assessed using the Strange Situation Procedure. The results supported the mediation model, and their implications for attachment research, research on intervention in autism, and clinical work are discussed.

Attachment and symbolic play in preschoolers with autism spectrum disorders.

The association between attachment and symbolic play was examined in a sample of 45 preschool age boys with autism spectrum disorders. Attachment was assessed using the strange situation procedure, and the frequency, duration, diversity and complexity of child-initiated symbolic play was assessed from observations of mother-child interactions during free play and doll play. We hypothesized that children with secure attachments will score higher on measures of symbolic play compared to children with insecure attachments, and that children with organized attachments will also score higher on measures of symbolic play compared to children with disorganized attachments. Only the second hypothesis received support, and the reasons for this, as well as the implications of the findings for attachment theory, are discussed.

Maternal insightfulness and resolution of the diagnosis are associated with secure attachment in preschoolers with autism spectrum disorders.

In the current study (a) maternal insightfulness into the experience of the child and (b) resolution with respect to the child's diagnosis and their associations with children's security of attachment were examined in a sample of 45 preschoolers (mean age = 49 months) with autism spectrum disorders (ASD). It was hypothesized that mothers who were insightful and resolved would be more likely to have securely attached children than mothers who were neither insightful nor resolved. The findings supported this hypothesis. The implications of insightfulness and resolution for child attachment in the context of ASD are discussed.

Mothers of securely attached children with autism spectrum disorder are more sensitive than mothers of insecurely attached children.

In the current study we examined the links between maternal sensitivity and children's secure attachment in a sample of 45 preschool-age boys with Autism Spectrum Disorders (ASD). We hypothesized that mothers of securely attached children would be more sensitive to their children than mothers of insecurely attached children. Children's attachment was assessed using Ainsworth's Strange Situation Procedure (SSP; Ainsworth, Blehar, Waters, & Wall, 1978). Mothers' sensitivity and children's responsiveness to their mothers were assessed using the Emotional Availability Scales (Biringen, Robinson, & Emde, 1993). The findings supported our hypothesis: mothers of securely attached children were more sensitive to their children even when controlling for the severity of children's diagnosis (Autism Disorder vs. Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS)), children's level of functioning (high vs. low), and children's levels of responsiveness. The significance of sensitivity for security of attachment in ASD and the implications of these findings for the validity of the SSP in children with ASD are discussed.

Mothers' insightfulness regarding their infants' internal experience: relations with maternal sensitivity and infant attachment.

This study examined the associations among mothers' insightfulness into their infants' internal experience, mothers' sensitivity to their infants' signals, and infants' security of attachment to their mothers. The insightfulness of 129 mothers of 12-month-old infants was assessed by showing mothers 3 videotaped segments of observations of their infants and themselves and interviewing them regarding their infants' and their own thoughts and feelings. Interviews were classified into 1 insightful and 3 noninsightful categories. Mothers' sensitivity was assessed during play sessions at home and at the laboratory, and infant-mother attachment was assessed with the Strange Situation. Mothers classified as positively insightful were rated as more sensitive and were more likely to have securely attached children than were mothers not classified as positively insightful. Insightfulness also accounted for variance in attachment beyond the variance explained by maternal sensitivity. These findings add an important dimension to research on caregiving, suggesting that mothers' seeking of explanations for the motives underlying their infants' behavior is related to both maternal sensitivity and infant attachment.