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212 EFFECTS OF EARLY MALTREATMENT AND STRESSpreference for any adult caregiver, and has difficulties with emotion regulation, and (2)an indiscriminately social/disinhibited pattern, in which the child fails to check back witha caregiver in unfamiliar settings, lacks reticence around strangers, and is willing to “gooff” with a stranger. In the first instance, the child’s social behavior is inhibited, and inthe second, the social behavior is disinhibited.5. Whereas latency to peak reflects the rate of information transmission through thebrain, amplitude is typically taken to reflect the summation of synchronous neuronal activity;as such, larger amplitudes are taken to reflect a more normative response.6. It should be noted that at the outset of our project, it was decided that any child livingin an institution would be moved to state-run foster care or reunited with his/her biologicalfamily should the opportunity present itself. Indeed, as of December 2005, only17 of our original IG children still reside in an institution.ReferencesAinsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment:A psychological study of the strange situation procedure. Hillsdale, NJ: Erlbaum.Ames, E. W. (1997). The development of Romanian orphanage children adopted intoCanada: Final report to Human Resources Development Canada. Burnaby, Canada:Simon Fraser University Press.Bzoch, K. & League, R. (1972). Receptive–Expressive Emergent Language (REEL) Scale.Baltimore, MD: University Park Press.Chisholm, K. (1998). A three year follow-up of attachment and indiscriminate friendlinessin children adopted from Romanian orphanages. Child Development, 69, 1092–1106.Chugani, H. T., Behen, M. E., Muzik, O., Juhasz, C., Nagy, F., & Chugani, D. C. (2001).Local brain functional activity following early deprivation: A study of postinstitutionalizedRomanian orphans. Neuroimage, 14, 1290–1301.Crowell, J. A., & Feldman, S. S. (1988). Mothers’ internal models of relationships andchildren’s behavioral and developmental status: A study of mother-child interactions.Child Development, 59, 1273–1285.de Haan, M., & Nelson, C. A. (1997). Recognition of the mother’s face by 6-month-oldinfants: A neurobehavioral study. Child Development, 68, 187–210.Edwards, S., Garman, M., Hughes, A., Letts, C., & Sinka, I. (1997). Assessing the comprehensionand production of language in young children: An account of the ReynellDevelopmental Language Scales III. International Journal of Language and CommunicationDisorders, 34, 151–171.Egger, H. L. (April, 2005). Psychiatric disorders at age 5 in the children participating inthe Bucharest Early Intervention Project. Paper presented at the biennial meeting ofthe Society for Research in Child Development, Atlanta, GA.Egger, H. L., & Angold, A. (2004). The Preschool Age Psychiatric Assessment (PAPA):A structured parent interview for diagnosing psychiatric disorders in preschool children.In R. DelCarmen-Wiggins & A. Carter (Eds.), Handbook of infant, toddler, andpreschool mental assessment (pp. 223–243). New York: Oxford University Press.Egger, H. L., Ascher, B. H., & Angold, A. (1999). The Preschool Age Psychiatric Assessment:Version 1.1. Unpublished interview schedule, Center for Developmental Epidemiology,Department of Psychiatry and Behavioral Sciences, Duke University MedicalCenter, Durham, NC.

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