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T 0 e t m t c p a p h n tion is to demonstrate how a technocentric culture grossly neglects to provide the infant brain that which it vitally needs for optimal development, using the Speaker’s Direction of Gaze (SDG) strategies as an empirical framework. The

IACAPAP 2012 – 20th World congress / Neuropsychiat

erious and early symptoms. In the beginning of the decade prevailed attention eficit disorders with or without hyperkinesia, coming with great reluctance ecause the word “psychiatry” was even associated with the term “madness” ith all the implications that this partnership entailed, especially for children. eferrals were received from the various services of child neurology, and that as the usual gateway, for teachers, who were those who suggested the consulta-

ion, it was considered neurological disorders, either through ignorance or taboo gainst the “psy”. This produced a rapprochement with the school, allowing us o present our field, favoring an opening in the inter-Psychiatrists Home-School hildren. It was at this walk that we trusted various psychopathologies, some merging face of increased family violence and child abuse specifically, others elated to the consumption of alcohol and illicit substances, getting into the rea of juvenile courts and family, world hitherto unknown to us, where we oved with great caution. Gradually we got the trust of parents, who, overco- ing his fear, consulted spontaneously by difficulties in various developmental ilestones of their children, breaking well, Pervasive Developmental Disorders,

orcing us to sharpen the pencil of our knowledge to perform discovery every ver earlier. So we were also making contact with adolescents with various disor- ers then we would know as early personality disorders and psychotic disorders, he latter accompanied by their pediatricians, step in Children and Adolescents

ental Health. Despite the progress made, we are in the beginning. We expect ajor challenges, many walls to overcome, but we are encouraged by the hope

f arriving in time to meet our goal.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.796

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raining to teach: A structured approach for achieving ompetency in teaching and supervision in child and dolescent psychiatry .D.G. Dominguez Barrera a,∗, A. Mayordomo Aranda b, M. Hodes b, . Mahon c

Academic Unit Child and Adolescent Psychiatry, Imperial College London, ondon, UK Child and Adolescent Psychiatry, Imperial College, London, UK Educational Development Unit, School for Professional Development, mperial College London, London, UK Corresponding author.

ntroduction.– Teaching and supervision are considered amongst the major com- etencies for Child and Adolescent Psychiatry Specialists (UK). The initiative f running the PG Cert in University Learning and Teaching developed by Impe- ial College London offers a structured approach that contributes to professional evelopment on teaching and supervision. ethod.– The competencies of Teaching and Supervision required in the Child

nd Adolescent Psychiatry curriculum are presented and linked to the way in hich the PG Cert ULT helps in achieving them. esults.– Receiving formal training in teaching methods and interactive tech- iques, workplace assessments and feedback, and the theoretical understanding nd the complexities of supervision, qualitatively improves your teaching per- ormance, your capability of giving constructive criticism to trainees and peers, nd your supervisory practice. onclusions.– Through formal training you can acquire competency in teaching nd supervision, which is an important part of clinicians’ career development in hild and Adolescent Psychiatry.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.797

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estational health problems and low birthweight ssociated with maternal insecure attachment style . Sabuncuoglu

Department of Child and Adolescent Psychiatry, Marmara University School f Medicine, Istanbul, Turkey

bjective.– The purpose of this study was to explore the association between aternal attachment style and perinatal health variables.

r

l’enfance et de l’adolescence 60S (2012) S254–S309 S287

ethods.– A sociodemographic data sheet, Pregnancy Health Questionnaire, and he Turkish versions of Edinburgh Postnatal Depression Scale (EPDS) and Adult ttachment Style Questionnaires (AAQs) were administered to 122 mothers, ho were within 2 to 18 months postpartum. esults.– Hot flashes, vaginal discharge, back pain, breast tenderness, hair hanges, psychological problems and EPDS scores were found to be associated ith insecure attachment as measured by AAQs. Babies born to mothers with

nsecure attachment were more likely to have low birthweight (P = 0.04, P = 0.05 or AAQ1 and AAQ2, respectively). onclusions.– Maternal insecure attachment style may impact perinatal period nd a baby’s life through different mechanisms. It is vital to increase awareness f this risk factor among perinatal health care providers and further research s definitely needed in order to establish effective intervention and prevention trategies.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.798

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he effectiveness of child psychiatric treatment . Forsman a, A. Lundh b,∗, E. Serlachius a, P. Lichtenstein a, M. Landén c

Stockholm, Sweden Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden Gothenburg, Sweden Corresponding author.

ackground.– There is a dearth of studies of the effectiveness of child psychiatry. ims.– To investigate the effectiveness of outpatient treatment as measured by hange in Children’s Global Assessment Scale (CGAS) ratings and to identify redictive factors for CGAS change. ethod.– Naturalistic follow-up study with routinely collected data from 12,613

utpatients in Stockholm, Sweden. esults.– CGAS improved across all diagnostic groups ranging from a mean hange of 4 (mental retardation) to 16 (suicide attempts). CGAS was two times igher in the mood disorder group compared to the ADHD group. In the for- er group, several psychotherapies were associated with better outcome. In the DHD group, stimulants were not associated with better outcome. onclusions.– For the ADHD group, the outcomes were not as favourable as revious clinical trials have reported. This suggests that the results from clini- al trials cannot be extrapolated to routine care and/or that there is room for mprovement of routine ADHD care.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.799

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ynaptic apokalypsis: Infant attachment in a technocentric orld .M. Rench

Infant Attachment, Independent Researcher, Steubenville, OH, USA

hroughout the lifespan the brain is a work in progress, and intensely so from –3 years. Although genes begin the process of brain development, it is the xperiences of the infant that trigger the electrical activity necessary to enable he phenomenal synaptogenesis of this developmental period. By the age of 8

onths, 500 trillion connections will have been sparked in a favorably stimula- ing environment. By the age of 2, the infant brain has twice as many synaptic onnections as its parents, attaining around 1000 trillion. The root brain structure roviding for future functioning is in place by age 3, and its cognitive, linguistic, nd emotional foundations are now built in to the brain’s design. Current inter- ersonal neurobiological models based on attachment theory and brain imaging ighlight secure, loving, reciprocal affect regulation as providing the essential ourishment to our brains that favor this growth. The purpose of this presenta-

esulting possible synaptic weakness that occurs at the developmental period of