exposing the dark side of adoption
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Charles A. Nelson, Ph.D. chairs the research network on Early Experience and Brain Development. Dr. Nelson received his undergraduate degree in Psychology from McGill University, a Master's degree in Psychology from the University of Wisconsin, and his Ph.D. in Child Psychology from the University of Kansas. After completing a
postdoctoral fellowship in electrophysiology at the University of Minnesota, he joined the faculty of psychology at Purdue University. In 1986 he moved back to the University of Minnesota, where he is currently the Distinguished McKnight University Professor of child psychology, neuroscience, and pediatrics, and the Nancy M. and John E. Lindahl Professor for Excellence in Teaching and Learning. Dr. Nelson serves on numerous government committees, and has received regular funding from the NIH for nearly 20 years. Dr. Nelson currently chairs the MacArthur Foundation / McDonnell Foundation research network on Early Experience and Brain Development. Along with Dr. Floyd Bloom Dr. Nelson has co-authored the text Brain, Mind, and Behavior (3rd edition) and along with Dr. Monica Luciana has edited the Handbook of Developmental Cognitive Neuroscience. Dr. Nelson's expertise lies in developmental cognitive neuroscience, with specific interests in face and emotion recognition, memory development, the neurocognitive sequelae of neurological injury, and in neural plasticity. His laboratory employs a variety of methodological tools, including low- and high-density event-related potentials, low- and high-field fMRI (1.5T, 4T), and experimental neuropsychological tasks.

Nathan A. Fox, Ph.D. is Professor of Human Development at the University of Maryland College Park. He received his Ph.D from Harvard University in Developmental Psychology and his area of research interest is in social and emotional development of infants and young children. Professor Fox has completed research on the biological
bases of social and emotional behavior developing methods for assessing brain activity in infants and young children during tasks designed to elicit a range of emotions. He has published over 100 empirical papers plus chapters. His work is funded by the National Institutes of Health that recently awarded him a MERIT award for excellence of his research program examining social and emotional development of young children. Professor Fox has served as Associate Editor of the journals Developmental Psychology and Psychophysiology and as Editor of the journal Infant Behavior and Development. He is past President of the International Society of Infant Studies and is currently President-Elect of Division 7 (Developmental Psychology) of the American Psychological Association.

Stefan Milea, M.D. is Professor of Child Psychiatry and serves as Head of Child and Adolescent Neuropsychiatry Clinic of the University of Bucharest, School of Medicine. Prof. Milea is a corresponding member of the Romanian Academy of Medical Sciences, Société Française de Psychiatrie de l'Enfant et de l'Adolescent, and the New

York Academy of Sciences. Up to date Prof. Milea has served in many international psychiatric forums such as the World Psychiatric Association, the European Society for Child and Adolescent Psychiatry and the World Health Organization. He is Former President of the Romanian Association of Child and Adolescent Psychiatry and Neurology, and editor and co-editor of several journals and psychiatric textbooks. Prof. Milea has a special interest in the neurobiology of behavior and attachment disorders.

Charles H. Zeanah, M.D. is Professor of Psychiatry and Pediatrics and Executive Director of the Institute of Infant and Early Childhood Mental Health at the Tulane University School of Medicine in New Orleans. Dr. Zeanah studies the effects of
psychological trauma on infants and young children, especially those who are exposed to family violence. Dr. Zeanah is the Chair of the Research Committee of the American Academy of Child and Adolescent Psychiatry.

My major academic interest has been in the area of infant mental health, especially in understanding infants' development in the context of the infant-parent relationships in high and low-risk families. This has included a major interest in infant-parent attachment and in internal representations of attachment in infants and parents. More recently, I have become interested in psychopathology in infancy, and in particular in the effects of violence on infant adaptation. This includes research on disturbances and disorders of attachment, posttraumatic symptomatology in young children, and the effects of family violence on infant development. Questions include: what is similar and different about psychopathology in the early years, what are the salient risk and protective factors for high-risk infant development, and what are the neurobiological correlates of behavioral disturbances in young children?

Gwen Werner, J.D. is Attorney at Law and has been practicing Family and Juvenile Law for the past 18 years. Ms. Werner is currently the supervisor of the child protection unit at the Ramsey County Attorney's Office in St. Paul, Minnesota and is actively involved in litigation relating to child protection, termination of parental rights and adoption cases.


Alin Stanescu, M.D., is General Medical Director of the Institute of Maternal and Child Health of the Romanian Ministry of Health and Family. Trained as a specialist pediatrician and medical researcher, Dr. Stanescu also serves as Associate Professor in the Faculty of Sociology and Social Work at the University of Bucharest, teaching the

courses relevant to child welfare, adoption and familial placement, and alternatives to institutionalization. Dr. Stanescu's main research activities are centered around population studies on the influence of psychosocial factors on maternal and child health. Some of his projects include studies on: the causes of institutionalization in Romania, nutritional status of infants and toddlers, prenatal nutrition of mothers, infant mortality, medico-social determinism, children's rights violations in institutions, and reproductive health in young people. Dr. Stanescu is also involved in the development and implementation of public health policies and programs aimed at improving child and family health at a national level. He is an active promoter of the development of integrated preventive services meant to monitor and ensure appropriate development during infancy and toddlerhood.

Dana Johnson, M.D., Ph.D. is Professor of Pediatrics, Director and founder of the International Adoption Clinic and the Director of the Division of Neonatology at the University of Minnesota. Dr. Johnson received an honors degree in biology from North Park College in Chicago Illinois and his M.D. and Ph.D. in Anatomy from the University

of Minnesota. He completed his post-graduate training in pediatrics at the University of Minnesota where he joined the faculty in Pediatrics in 1979. Dr. Johnson is trained as a pediatrician, neonatologist and anatomist. Specifically, he is interested the short- and long-term effects of early childhood institutionalization on child health and early development and the outcomes of international adoption. The International Adoption Clinic that he directs sees over 300 international adoptees/year from dozens of countries and a wide variety living conditions. Children drawn from this clinic population allow comparisons of outcomes from a variety of developmental environments. His specific interests center on the effects of profound deprivation (stress) on brain and somatic growth, communication skills and emotional tone. A current collaboration with Dr. Megan Gunnar focuses on the medical and developmental status of international adoptees in Minnesota the nurturing environment of the adoptive family nurturing environment and specific challenges faced by their adoptive parents. Research Interests: effects of early childhood institutionalization on child health and early development, effects of deprivation on brain and somatic growth, communication skills and emotional tone

Peter Mundy, Ph.D. is Professor of Psychology and Pediatrics and Director of the Child Division as well as the Center for Autism and Related Disabilities (CARD) at the University of Miami. He is also the Associate Director of the Linda Ray Intervention Center (LRIC). Dr. Mundy studies the early social-communicative development of

children affected by autism, as well as those who are at risk for developmental disturbance due to bio-social factors, such as in utero cocaine exposure. Prof Mundy is Director of Child & Developmental Psychopathology Division, Executive Director of the University of Miami Center for Autism and Related Disabilities, and Director of Psychological Services Center, University of Miami. Prof. Mundy is the Editor of the Journal of Abnormal Child Psychology and Development and Psychopathology, and Consulting Editor to the following journals: American Journal of Mental Retardation, Infant Behavior and Development, Journal of Autism and Developmental Disorders, Developmental Psychopathology, and the Journal of Experimental Child Psychology.

My major academic interest has been in the study of the development of nonverbal, social-communication skills, especially joint attention skills, in the first 2 years of life. Joint attention skills refer to the capacity of infants to coordinate their attention with a social partner. Over the last 20 years my collaborators and I have been trying to understand both the environmental and biological processes that give rise to individual differences in early joint attention development. The adequate development of joint attention appears to be important for social learning and, therefore, for subsequent cognitive and social development. Impaired joint attention development is a diagnostic marker of early forms of psychopathology such as autism, and may contribute to young children's risk for language impairment, intellectual disturbance and behavioral disorders . Therefore, we are trying to understand the interplay between environmental, care-giving factors and constitutional, central nervous system processes that contribute to individual differences in joint attention development in infancy.

Susan W. Parker is a doctoral candidate in Child Psychology and Neuroscience at the Institute of Child Development at the University of Minnesota in Minneapolis, Minnesota. Ms. Parker has conducted her graduate work as a National Science Foundation Fellow and University of Minnesota Eva O. Miller Fellow. Her research

interests include the impact of early experience on brain development, specifically the neural systems underlying emotion recognition. Ms. Parker will complete her graduate work in July of 2002 and has accepted a post-doctoral position to continue her research and training with Dr. Charles Nelson.

Anna T. Smyke, Ph.D. is Research Instructor at Tulane University School of Medicine, and Coordinator of the Jefferson Parish Human Services Authority Foster Care Team in New Orleans. Following a Master's in Audiology, Dr. Smyke received her Ph.D. in Developmental Psychology from the University of New Orleans.


My academic interests have been primarily in the area of high-risk parenting and its influence on child development. I have studied at-risk mothers' beliefs about spoiling their young children and, more recently, examined the influence of maltreating status on mothers' representation and on their interactions with their young children. Other areas of interest involve the impact of maltreatment on young children's development and the provision of support to children who have come into foster care and to their foster parents. An emerging area of interest is the nature of attachment disorders. Current research projects include: attachment disturbances/disorders in homeless, maltreated, and community children living in poverty as well as the nature of such disorders in institutionalized preschoolers in Romania.

Brian Stafford, M.D., is a graduate of Tulane School of Medicine. He completed training in Pediatrics, Adult, and Child and Adolescent Psychiatry at the University of Kentucky. He is a faculty member in the Departments of Pediatrics and Child

Psychiatry at Tulane. He serves as a consultant psychopharmacologist to a large center for the developmentally disabled. In addition, Dr. Stafford is a consultant to the Tulane Children's Hospital and works with abused and neglected infants and toddlers.

Cristian Tabacaru, M.D. is currently Head of Special Projects at the Council of Europe Development Bank. Dr. Tabacaru is trained as a Public Health Specialist, but has spent the last decade in humanitarian work as founder and long-time director of the NGO SERA Romania. Dr. Tabacaru's commitment to child welfare is reflected

in the relentless efforts of his organization to deinstitutionalize and aid children in difficulty and children with handicaps. As the youngest member ever to be appointed to the Romanian Government, Dr. Tabacaru served as Secretary-of-State for Child Protection between 1997 and 1999. His leadership marked the beginning of the reform process with the introduction of significant administrative and legislative changes.

Sandi Wewerka, MPH has been employed as a researcher at the University of Minnesota Institute of Child Development for the past eleven years. The research projects she has been involved with focus on early brain and cognitive development and later

cognitive outcomes in both normally developing children as well as infants and children with known neurological insults. Sandi has her Master's degree in Public Health with an emphasis in Maternal and Child Health.

Paula Zeanah, Ph.D. is Associate Professor of Clinical Psychiatry and Pediatrics at Tulane University School of Medicine. Following a distinguished career in Pediatric Nursing Dr. Zeanah pursued a Ph.D. in Clinical Psychology at the University of Connecticut. Currently Dr. Zeanah is an active clinical child psychologist and serves as Child Mental Health Specialist at the Lousiana Office of Public Health.


My clinical and research interests are diverse, centering primarily on child and adolescent issues. A longstanding focus has been sexual development in "atypical" children and adolescent, specifically those with medical or psychiatric illnesses. I developed a multidimensional self-report measure of sexual self-esteem for women. Initial studies examined the psychometric properties and provided validation for the subscales. It has shown promise in understanding the effects of childhood sexual abuse in late adolescent women, and work is ongoing in refining the measure and examining its validity for a variety of populations.My work in pediatric consultation-liaison and with the Office of Public Health provides opportunities to educate pediatric professionals about the mental health issues of children and families, to provide direct mental health services in non-psychiatric settings, and to integrate understanding about issues common across settings such as sexual abuse, domestic violence, and effects of exposure to community violence. Developing research includes examining the effects of an intensive public health nurse home visitation program aimed at high risk families.

Conference Organizer: Sebastian F. M. Koga


Following medical studies in California, Japan, and the UK, I am very encouraged to find myself working in my native country during such a dynamic period, when the efforts of all individuals and organizations, large and small, can play a role in shaping Romania's future. As Manager of the "Bucharest Early Intervention Project" I have spent the past two years working closely with American academics and Romanian child protection officials in implementing a longitudinal child development study in Bucharest. This conference brings together not only our neuroscientist colleagues, but all those who have made common cause with us in updating child-protection practice with the latest scientific knowledge.

Contact Organizer

 

For the past two years our research group (the MacArthur Foundation's Early Experience and Brain Development Research Network) has been implementing a longitudinal randomized control trial studying the effects of early institutionalization on 210 Romanian infants and toddlers, and creating a foster care network in Bucharest. We have found that establishing a developmental laboratory and implementing a neuropsychological study has been both fraught with difficulty, and also much needed in the local community. From this experience has sprung the idea that our research group should attempt to formally introduce the Romanian research community to cutting edge knowledge of child and brain development. In consultation with our local contacts, including individuals from the Institute for Maternal and Child Health and the NGO SERA Romania with whom we have been working closely for two years, we have concluded that an excellent venue for accomplishing this goal would be to support a workshop that combines lectures and hands-on training activities. We have established this workshop to take place at the Bucharest Marriott Grand Hotel on June 12-15, 2002.

As described in the accompanying materials, we envision that the workshop will begin with a welcoming event for the presenters and invited guests on the evening of June 12, 2002. The workshop proper will include key members of our research group (notably Charles A. Nelson, Nathan Fox, and Charles H. Zeanah) as well as several other experts with whom we have been in contact. Importantly, the workshop will also include Romanian academics and key Romanian policy makers with whom we have consulted and continue to consult as our study progresses (such as individuals from the Ministry of Health, National Authority for Child Protection). In consultation with our Romanian colleagues, coupled with our own observations of the needs of the Romanian research community, we have decided that the topics to be covered should include early child development (including cognitive, social, and emotional development), early brain development (both pre- and postnatal, and also neural plasticity), nutrition and physical growth, psychopharmacology, and a discussion of issues related to child maltreatment/child protection, including a discussion of foster care and adoption.

The two main days of the workshop, June 13 and 14, will consist of plenary sessions during the morning and workshop sessions during the afternoon. Each plenary will contain 3 lectures (translated simultaneously) on the key topics of the workshop. Each lecture will be presented by one member of our group paired with an appropriate representative of the Romanian academic community. Each afternoon will contain up to 6 workshops of 2 hours each that will allow for more in-depth covering of subjects and more interaction between speakers and those attending the workshop. Similar to the lecture format, each workshop will be jointly led by a member of our group and an appropriate member of the Romanian academic community. As for the audience, we anticipate between 150-220 participants consisting of Romanian faculty, students and practitioners. Our budget includes scholarship funds for up to 40 individuals from more remote regions of the country to attend this meeting.

The workshop will conclude on June 15th with two separate sessions. The first, to run approximately 4 hours, will consist of an interactive session during which we hope to arrive at a number of key recommendations for how we might be able to help in the further dissemination of state-of-the-art knowledge in the Romanian research community. More informally, we will have identified through their participation in workshops and informal discussion groups, a number of individuals whom we will seek to support most immediately, either by closer association with the project or Network or by helping them find placement in American institutions for research apprenticeships or other training.

In the second session, a smaller subset of conference presenters will meet to concretize possible next steps toward the goal of facilitating collaborative research. This smaller group will consist of the individuals with expertise that spans both psychology and neuroscience. (Note that neuroscience as a field is very underdeveloped in Romania, and we have specifically sought out two individuals with specific expertise in that field). Over an extended lunch, this group will focus its discussion on the following topics:

  • The development of closer ties to the faculty of psychology at the University of Bucharest. Here the goal would be to identify both junior and senior faculty in developmental and cognitive psychology who might benefit from involvement in our MacArthur Foundation-sponsored Bucharest Early Intervention Project. A very specific goal would be to train such individuals in the methods we are employing in this project in the hope that they might be able to develop independent programs of research. Such training might entail brief apprenticeships in relevant laboratories in the United States
  • Similar to the above, we hope to develop a closer working relationship with the Department of Child and Adolescent Psychiatry at the University of Bucharest, with on-site training in the lab and extension of research methods to other populations that his residents and students are involved with.
  • .Finally, we may be able to collaborate with the Ministry of Health, Institute of Maternal and Child Health, about the development of a systematic data base on early childhood mental health problems in their clinics.
Since our ultimate goal is to advance the science of developmental psychology and neuroscience in Bucharest as well as outlying areas of Romania, we will also consider possible funding venues for such research. Such future sponsorships may include:
    1. examining the effects of early experience (e.g., deprivation) on cognitive development
    2. the development of tools and methods that can facilitate an understanding of brain-behavioral development
    3. examining the psychopathological sequelae of early institutionalization, child abuse, and neglect
    4. developing better estimates of fetal alcohol exposure and the effects of such exposure on cognitive development as well as physical growth and development
    5. documenting the incidence and severity of hearing impairment and visual impairment in institutionalized children
    6. examining sensitive periods for the effects of early institutionalization on growth retardation, and the timing of reversing such effects when children are placed in foster care
    7. soliciting financial support to facilitate apprenticeship training of Romanian scientists in US universities

MacArthur Foundation EEBD Research Network | National Science Foundation | I.O.M.C. | SERA Romania

www.koga.ro
2002 Jun 12