[PDF] The Story Stem Assessment - Tallinna Lastehaigla



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The Story Stem Assessment

Gabrielle Lees

Estonia, April 2016

thout permission in writing from the author.

The story stem assessment

for assessment tool for clinical teams, (Expert Witness work for the Courts) by Dr Jill Hodges et al. nonthreatening and child-based retains clinical richness of individual play displays mental representations of attachment relationships verbal and nonverbal channels displacement reduces inhibition - and avoids leading questions clinical and research uses

Clinical assessment with maltreated

children

Parents potentially unreliable as informants

New carers may be unfamiliar with the child.

Children are often in a situation of conflict or fear.

Long-term maltreatment may lead children to

perceive and report their experiences as normal.

Children may lack verbal means for self-

expression.

The Story Stem Assessment Profile

Children are presented with the beginnings of a

sequence of stories, both spoken and played out with doll and animal figures, in a dramatic way so as to activate the attachment system. Then they are invited to complete the story in their own way

The SSAP battery and procedure

13 stems

Age range approximately 4-8 years

Administration takes about 1 hour.

Interview recorded

Manual for rating (Hodges, Hillman, Steele and

Henderson, 2004)

Videotaped

Transcribed nonverbal and verbal

narratives

Rated according to manual (good

reliability)

Ratings can be aggregated into construct

scores (eg indicators of security)

Comparison of groups, and standardisation

sample.

Stories

Burnt Hand

Lost Keys

Bathroom Shelf

Monster in the dark

Exclusion

Little Pig

Stamping

Elephant

Picture from

School

Crying Outside

Bikes

Spilt Juice

Little Pig Story

This is a story about this little pig. It lived over here with all the other pigs, big ones and little ones: and one day it went for a long walk. It went past the cows, and past the camels, and past the crocodile, and past the lions and tigers it went

Displacement

own family produces more identificatory themes.

But in some children, explicitly suggesting

such identification inhibits play.

We use a standard doll family, and animals

in two stories. thout permission in writing from the authors.

Verbal and non-verbal narratives

Society generally privileges verbal

discourse over nonverbal.

The different narratives can represent

different aspects of experience and different systems of memory.

The two narratives may be congruent or in

conflict.

The Story Stem assessment gives equal

thout permission in writing from the authors.

The nonverbal narrative may be a

crucial part of the story:

The verbal narrative:

Rosie the hen went for a walk

Verbally retrievable, but consciously

withheld

Children may be unwilling to speak about

their abuse, out of loyalty, fear - of consequences or of losing the parent, or out of shame because they feel that the maltreatment indicates their own badness.

The nonverbal narrative can sometimes

give access to memories which the child is unwilling or unable to put into words.

Types of memory retrievable through

verbal narratives

Semantic memories - generalisations

from repeated experience

Specific autobiographical memories of

particular events

Types of memory which are not

verbally retrievable

Procedural -

behaviour and interaction with the world; that underlies a skill but need not be represented in consciousness in order for an individual to manifest the skill

Relatively slow to establish

Very resistant to change

Not represented verbally

Some traumatic memories - Individuals may show

repetitive traumatic memories through behaviour and interpersonal interactions, of which they are not conscious, or which they do not connect to an original traumatic context.

Verbal and non-verbal channels

example of a family narrative of what the coded at the sensorimotor level (how the mother actually treats her children) may

Pipp, S. (1990) Sensorimotor and Representational Internal Working Models of Self, Other and Relationship: Mechanisms of Connection and Separation. In The Self in Transition, eds D.Cicchetti and M.Beeghly, University of Chicago

Press.

Internal working model of an

attachment relationship quotesdbs_dbs4.pdfusesText_7