Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of...

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Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Harvard Medical School
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Page 1: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Assessing the Developing

Child

Jane Holmes Bernstein Ph.D.Neuropsychology ProgramDepartment of Psychiatry

Children’s Hospital Boston Harvard Medical School

Page 2: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

MIND, BRAIN and EDUCATION

in 2011

Page 3: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Mary Cassatt, 1898

Collection RauZurich

Page 4: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

4 points…

Page 5: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

POINT #1

traditional models for understanding children’s behavior are inadequate to the current task

Page 6: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Traditionally,

focused on measurement—

of a child’s abilities

Page 7: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Measuring children’s abilities

Psychometric paradigm Skill based Factor analysis of cognitive constructs

underlying skills

Emphasis on inter-child ranking…

Page 8: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

In 2011….

Neuropsychology:

Emphasis on biology

Page 9: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Biological organism behaving in

environment

Page 10: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Emphasis on whole child as unit of analysis

Analysis is intra-child

Page 11: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Clinical goal

…increase success of organism’s behaving in environment

[ecological validity defined in terms of organism acting in niche]

Page 12: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Assessment

Evaluationdata collection

clinical analysis

diagnosis Management

educationintervention

[Rx & Tx]

Page 13: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

POINT #2

Neuro = brain

Page 14: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What “drives” brains….?

Page 15: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

INSERT CLASSROOM IMAGE

Page 16: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

INSERT CLASSROOM IMAGE

NOPE !!

Page 17: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What “drives” brains….?

Page 18: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What “drives” brains….?

Page 19: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.
Page 20: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.
Page 21: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What “drives” brains….?

Perpetuation of the

species

Page 22: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What “drives” brains….?

FoodFightFlightFriends

Page 23: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What “drives” brains….?

FoodFightFlightFriends

Preservation of self

Page 24: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What “drives” brains….?

….survival ….of the individual….of the species….

Page 25: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

“What drives brains?”

Evolutionary context of ‘brain’

Page 26: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What are brains for?

Page 27: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What are brains for?

Thinking….

Page 28: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

What are brains for?

Doing!

Motor action…….

Page 29: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

POINT #3

Page 30: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

How do brains work……

Page 31: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Digression…

You are part of an intellectual tradition….

Page 32: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

A bit of history…… For >500 years:

The person has been at the center of how we think about

ourselves

Page 33: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Fundamental assumption….

“..autonomous individual is center of knowledge and cognition..” (Dumont, 1965)

“..the boundaries of the individual provide the proper framework within which psychological processes can be adequately analyzed..” (Wertsch et al., 1985)

Page 34: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Cognition:

= set of processes that are internal and accessible only to the person to whom they belong

Page 35: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Fits with our experience of the world

Important for our psychological health

Page 36: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Fine…..

BUT…..

It’s wrong!!!!!

And we have NEUROSCIENCE to thank…..

Page 37: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Why is this important?

This long-held belief shapes how we understand learning and

learners.

It shapes psychological and educational research….

It thus shapes our education system.

…and,

Page 38: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

More recent times…. Emphasis has shifted from child-as-

learner To

child-as-owner-of-the-learning-organ

Page 39: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Brain….

Page 40: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Brain…

get builtDoesn’t develop in a vacuum

function

Page 41: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

[BRAIN CONTEXT]

Page 42: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Can you have dyslexia if no-one ever asks you to read?

Page 43: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

No !

Biological vulnerability

versus

Manifest symptom

Page 44: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Brain-Context interaction

Physical

Brain systemsNeurochemical

bath

Physical world[space, light,

sound..]

Psychological

SocialEmotional

Beliefs, goals, values

Page 45: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Context

Tendency to think SPATIAL context

But, not just spatial (here-and-now);

Page 46: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Context

Not just spatial (here-and-now);

but TEMPORAL context is critical to the analysis

(history: how-did-it-get-this-way?)

Page 47: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Context

Temporal context:

evolution of THE brain construction of the current

social setting developmental experience of

THIS brain

Page 48: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Levels in neuroscience

Genes Gene expression Molecules [regulate brain development] Cells Chemical circuits Anatomical circuits Functional circuits Activity of mind/brain [normal and derailed

feeling and thinking]

Recallthis…

Page 49: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Levels in neuroscience

Genes Gene expression Molecules [regulate brain development] Cells Chemical circuits Anatomical circuits Functional circuits Activity of mind/brain [normal and derailed

feeling and thinking]

Page 50: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Levels in neuroscience

Genes Gene expression Molecules [regulate brain development] Cells Chemical circuits Anatomical circuits Functional circuits Activity of mind/brain [normal and derailed

feeling and thinking]

Page 51: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

PARADIGM [monkey]Recording of MT neuronsAnalysis noise correlations

simultaneous recording identical visual stimulus

Behavioral context cooperative interactions & competitive interactions.

Page 52: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

MT neurons receive inputs of central origin whose strength changes with the task structure

Cohen & Newsome, Neuron 2008

Page 53: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Context…

ÉMEANINGto the organism..

at the time..

Page 54: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

How do brains work……

Importance of the

[brain context] interaction

Brain as both independent and dependent variable

Page 55: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

POINT #4

Page 56: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.
Page 57: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Cardinal feature of child ?

Developing…………

Page 58: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Theoretical Matrix…..

BRAIN: substrate for behavior

CONTEXT: brains do not operate in isolation

DEVELOPMENT: dynamic change

Page 59: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Developmental models….

Change – and continuity…………

(Obligatory) transactions with context

Non-linear; successive re-organization

Page 60: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Why?

Page 61: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Implications for assessment ?

For design/methodology

For selection/collection of data

For interpretation of observations

For management/intervention planning

Page 62: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

And also……

For research questions ?

For theories of neurobehavioral development ?

For research design/methodology ?

Page 63: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Remind you…..

Research

investigations: seek universals are variable-

centered maximize

internal validity

Page 64: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Remind you…..

Research

investigations.. seek universals are variable-

centered maximize

internal validity

Clinical investigations.. deal with

individuals are person-

centered maximize

external validity

Page 65: Assessing the Developing Child Jane Holmes Bernstein Ph.D. Neuropsychology Program Department of Psychiatry Children’s Hospital Boston Children’s Hospital.

Remind you…..

Research

investigations.. seek universals are variable-

centered maximize

internal validity

Clinical investigations.. deal with

individuals are person-

centered maximize

external validityHow do you resolve this tension?

How do you apply research-obtained knowledge to the individual

case?