Search PubMed⌕ Search

Biomedical subjects

B D McCreary

Publications and source records attributed to B D McCreary.

9 recordsLinked to original sources

Psychiatric aspects of sexual abuse involving persons with developmental disabilities.

OBJECTIVE: To consider psychiatric issues that relate to the prevention and management of sexual abuse involving persons with developmental disabilities as either abusers or victims. METHOD: Seven case descriptions illustrate the clinical challenges raised by allegations of sexual abuse. RESULTS: Mental disorders and communication problems often coexist with the cognitive impairment that is primary in developmental disabilities. Pedophilic behaviour prompts allegations of abuse, and posttraumatic stress disorder often follows abuse. Difficulties communicating with others may preclude the detection of abuse or normal legal proceedings once an allegation is made. CONCLUSIONS: Psychiatric expertise applied both directly and indirectly through others is relevant in the prevention of sexual abuse and the management of those with developmental disabilities who are abusers or abused.

Adult↗

Educating physicians for contemporary responsibilities in the field of developmental disabilities.

In 1977, an academic division concerned with developmental disabilities was established in the Department of Psychiatry at Queen's University in Kingston, Ontario. This paper describes the division's educational programs for undergraduate and post-graduate students. Reference is made to the resources (i.e. faculty, practicum settings) and the curricula required. Both are considered in relation to published information on such endeavours. The contemporary public policy for shifting the care of persons with developmental disabilities from institutions to the community is noted. Successful implementation of this policy depends in part on preparing physicians to meet the challenges of providing medical and psychiatric care in mainstream health care services.

Child↗