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Adjustment in adolescents with cleft lip and palate: A preliminary investigation into experiences of shame and bullying

By Jayne Eaton

Abstract

For some young people, the experience of having a facial disfigurement such as a cleft lip and palate can result in negative social interactions, often originating from the stereotyping reaction of others. Using the social rank theory of shame, the effects of bullying and teasing were investigated in a patient group of 16, 12-18 year olds with cleft lip or cleft lip and palate. The patient group were compared with a group of 16 of their peers with regards to their experiences of bullying and teasing, shame-proneness and the focus of their shame. The interactional effects of shame and bullying were also investigated in order to test a shaming-loop model of negative social interaction. The investigation necessitated two separate studies. The first study involved 215 adolescents from a secondary school and was required for the development of a focus of shame scale and the gathering of data for establishing its psychometric properties. It also enabled data to be collected regarding the experiences of shame and bullying in adolescents without cleft lip and palate, in order that a random sample of 16 school adolescents matched with the patient sample on age and gender, may act as a comparison group. Participants completed self-report questionnaires concerning shame-proneness and focus of shame, and a semi-structured interview regarding their experiences of bullying. The second study involved the administration of the same measures to the patient sample. Results showed high levels of bullying for both groups although there was no overall difference between the groups. Differences were seen in focus of shame scores, with the patient group having higher scores on shame related to facial appearance than their comparisons. No overall differences were seen on scores of shame-proneness. The implications of the findings are discussed and limitations of the study acknowledged

Publisher: University of Leicester
Year: 1999
OAI identifier: oai:lra.le.ac.uk:2381/7762

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  1. (1986). A developmental study of children's stereotyping of facially deformed adults. doi
  2. (1998). A heuristic investigation: Is there a need for a counselling/psychotherapy service for people with cleft lips? doi
  3. (1981). A schematic processing model of sex typing and stereotyping in children. Child Development, doi
  4. (1975). A study of the psychological effects of facial deformity in children. Child: Care, Health and Development, doi
  5. (1986). Acts, dispositions and clinical assessments: The psychopathology of everyday conduct. doi
  6. (1994). Adolescence and Shame. Unpublished master's thesis,
  7. (1991). Adolescent depression: Why more girls? doi
  8. (1985). Adolescents with cleft lip and palate: Self-perceptions of appearance and behavior related to personality ad'
  9. (1970). Age and sex differences in values towards physical handicaps. doi
  10. (1994). An exploration of shame measures: 1. The "Other as Shamer Scale. " Personality and Individual Dýfferences, 17,713 -717. doi
  11. (1994). Annotation: Bullying at School: Basic facts and effects of a school based intervention program. doi
  12. (1986). April) The great American shapeup: Body image survey report. Psychology Today,
  13. (1971). Association (CLAPA). A leafletfor children: What can I do about teasing?
  14. (1990). Body Images, Development Deviance and Change. doi
  15. (1991). Bully/victim problems among schoolchildren: Basic facts and effects of a school based intervention program. In doi
  16. (1963). Childhood and Society. doi
  17. (1986). Children's return to school after treatment for solid tumours. Social Science andMedicine, doi
  18. (1996). Children's treatment by peers: victims Of relational and overt aggression. Development and Psychopathology, doi
  19. (1993). Congenital malformation statistics for England and Wales for 1991. In
  20. (1985). Depression and causal attributions: What is their relation? doi
  21. (1994). Depression and shame in adolescents. Paper presented at the Howard Morton Symposium,
  22. (1992). Depression: The Evolution ofPowerlessness.
  23. (1992). Developing Minds: Challenge and Continuity across the Lýfe Span.
  24. (1978). Development of the concept of physical attractiveness in children and the operation of the matching hypothesis. Dissertation Abstracts International,
  25. (1995). Developmental teasing about physical appearance: Retrospective descriptions and relationships with body image. Social Behaviour and Personality, doi
  26. (1990). Developmental trends in face recognition. The Psychologist:
  27. (1984). Early interactions between infants with craniofacial anomalies and their mothers. doi
  28. (1991). Early superego development: The emergence of shame and narcissistic affect regulation in the practicing period. Psychoanalysis and Contemporary Thought:
  29. (1994). Effects of visible and invisible orofacial defects on self-perception and a4justment across developmental eras and gender. doi
  30. (1995). Emotional effects of plastic surgery on the adolescent with a cleft. doi
  31. (1990). Facial deformity in childhood: severity and psychological doi
  32. (1991). Factors that influence ratings of facial appearance for children with cleft lip and palate. doi
  33. (1997). Feb) Construction of scales: classical techniques.
  34. (1985). Fundamental Statistics for the Behavioural Sciences.
  35. (1990). Genetic aspects of cleft lip and palate. doi
  36. (1992). Habilitation of patients with clefts: parent and child ratings of satisfaction with appearance and speech. doi
  37. (1992). Human emotions: Function and dysfunction. Annual Review qfPsychology, doi
  38. (1989). Human Nature and Suffering. doi
  39. (1902). Human Nature and the Social Order, cited in
  40. (1990). Identification with Peers as a strategy to muddle through the troubles of the adolescent years. doi
  41. (1979). Imaginary audience behaviour in children and adolescents. doi
  42. (1991). Language input of mothers interacting With their young children with cleft lip and palate. doi
  43. (1988). Measuring shame: The internalized shame scale. Alcoholism Treatment Quarterly, doi
  44. (1980). Nicknames, teasing, harassment and the salience of dental features among school children. doi
  45. (1978). Observable stigmata and perceived maternal behavior.
  46. (1991). Parents of children with cleft lip and palate. doi
  47. (1989). Pathways from childhood to adult life'. doi
  48. (1994). Peer and self-estimated aggression and victimization in 8-year old children from five ethnic groups. Aggressive Behavior, doi
  49. (1963). Peer group attitudes toward the amputee child. doi
  50. (1978). Personality profiles of physically impaired adolescents. doi
  51. (1977). Physical attractiveness research: toward a developmental social psychology of beauty. Human Development.
  52. (1977). Physical stigma and academic performance as factors affecting children's first impressions of handicapped peers.
  53. (1990). Psychological and sociocultural aspects of cleft lip and palate. In
  54. (1995). Psychological interventions for the adolescent With cleft lip and palate. doi
  55. (1995). Psychosocial adjustment in Norwegian adults who had undergone standardised treatment of complete cleft lip and palate. doi
  56. (1987). Putting gender into context: an integrative model of gender-related behaviour. Psychological Review, doi
  57. (1991). Questionnaire survey of attitudes and concerns of patients with cleft lip and palate and their parents. doi
  58. (1995). Relational aggression, gender, and social- psychological aqjustinent. Child Development, doi
  59. (1994). School Bullying: Insights and Perspectives. doi
  60. (1979). Self-concept of the child with cleft lip and/or palate. doi
  61. (1996). Self-esteem, response style and victimization: Possible ways of preventing victimization through parenting and school based training programmes. doi
  62. (1983). Self-reported social, speech and facial concerns and personality adjustment of adolescents with cleft lip and palate.
  63. (1997). Shame, early abuse and course of depression in a Educational Psychology, doi
  64. (1998). Shame, Interpersonal Behaviour, Psychopathology and Culture.
  65. (1984). Shame: An object-relational formulation.
  66. (1988). Social aspects of dentofacial anomalies. In
  67. (1991). Social Cognition. doi
  68. (1989). Social stigma and self-esteem: The self-protective properties of stigma. doi
  69. (1975). Sociological aspects of cleft palate adults: 11 education. doi
  70. (1992). Sources of stress: A contrast between pupil perspective and pastoral teacher's' perceptions'. doi
  71. (1986). Stereotyping based on physical attractiveness: Issues and conceptual perspectives. In
  72. (1968). Stigma: Notes on the Management of Spoiled Identity. doi
  73. (1988). Stimulus factors in face learning. In
  74. (1979). Symbolic interactionist view of the selfconcept: through the looking glass darkly. doi
  75. (1986). The early development of stigmatizing reactions to physical differences. doi
  76. (1986). The effects of facial disfigurement on social interaction. Human Learning, doi
  77. (1990). The evolution and manifestation of social anxiety. In doi
  78. (1977). The incentive value of physical attractiveness for young children. doi
  79. (1989). The psychosocial adjustment of paediatric craniofacial patients after surgery.
  80. (1985). The quest for perfection: Avoiding guilt or avoiding shame. doi
  81. (1977). The Restoration of the seýf
  82. (1992). The role of context and autobiography in cognitive assessment. doi
  83. (1982). The role of physical appearance in infant and child development. In doi
  84. (1988). The Social Psychology of Facial Appearance. doi
  85. (1981). The symptomatology of abnormal appearance: an anecdotal survey. doi
  86. (1991). The teasing syndrome in facially deformed children. doi
  87. (1993). Victimization by peers: antecedents and long term outcomes. In
  88. (1994). What"s distinctive about a distinctive face? The Quarterly JournalqfExperimental Psychology, doi
  89. (1975). When beauty may fail. doi
  90. (1973). Young children's stereotyping of facial attractiveness. doi

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