Predictive value of clinical risk indicators in child development: final results of a study based on psychoanalytic theory

Abstract

We present the final results of a study using the IRDI (Clinical Risk Indicators in Child Development). Based on a psychoanalytic approach, 31 risk signs for child development were constructed and applied to 726 children between the ages of 0 and 18 months. One sub-sample was evaluated at the age of three. The results showed a predictive capacity of IRDIs to indicate developmental problems; 15 indicators for the IRDI were also highlighted that predict psychic risk for the constitution of the subject.

Análise da associação entre índices de risco ao desenvolvimento infantil e produção inicial de fala entre 13 e 16 meses

“…To capture such enunciable relations, it was necessary to seek indices of risk for the development which had psychoanalysis as the epistemological basis. Clinical Risk Indicators (CRIs) in Child Development proposed in a Brazilian multicenter research [5][6][7] are based on four pillars of the psychoanalytic theory about development: establishment of demand, supposition of a subject, alternating presence and absence and paternal function, which were designed on items to note in pediatric consultations in four stages (0-4 months, 4-8 months, 8-12 months, 12-18 months) (Figure 1). …”

“…In this perspective, the index functions as a sign that relates to others of the discursive network 7 .…”

O distúrbio de linguagem em dois sujeitos com risco para o desenvolvimento em uma perspectiva enunciativa do funcionamento de linguagem

“…M., on the other hand, showed changes after the third stage, in which the exercise of the paternal function is highlighted. Both presented language impairment, considered here as an enunciative restricted condition, which proves the predictive value of IRDls regarding the risk to development 19 , thus among the instrumental aspects of development, it is the language. The presence of altered states of maternal mood, postpartum depression of MT and the before the delivery of MM, demonstrates the importance of monitoring the mental health of pregnant women, as observed in other studies 12,20 .…”

“…The study of the cases, presented in this paper, are from a longitudinal research carried out in a midsize city of Rio Grande do Sul, in which subjects were monitored through the Risk Indicator to Child Development 19 , whose quantitative results were…”

“…eepening the relationship between the axes changed in IRDls and the observation of the working of language, it is noticed that in T. there were problems with the establishment of demand (ED) and the assumption of subject (AS) 19 . These absences were identified by the difficulty of sustaining a protoconversation between mother and her son.…”