Developmental psychopathology and the reciprocal patterning of behavior and environment: distinctive situational and behavioral signatures of internalizing, externalizing, and mixed-syndrome children.

In contrast to assessment approaches that conceptualize traits as generalized response tendencies, this research develops a conditional approach that conceptualizes traits as patterns of relations between contexts and behaviors. Using extensive observations of social interactions, this study investigated internalizing, externalizing, and mixed-syndrome children identified by T. M. Achenbach's (1993) measures. Children in these groups differed in the patterning of their responses to social contexts and in the likelihood of encountering them. Mixed-syndrome children showed a distinctive behavior pattern consisting of aggressive and withdrawn responses to nonaversive contexts. The results demonstrate how measures of overall tendencies confound person and environment influences and obscure differences between children that are revealed by contextualized measures. The need to incorporate contexts more fully into clinical assessment is discussed.

RCT Entities:   Population Interventions Outcomes