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Biomedical subjects

G A Awad

Publications and source records attributed to G A Awad.

26 records · Page 2Linked to original sources
PubMed1983

Joint custody: preliminary impressions.

Joint custody is currently a popular and debatable issue. It is felt that some of the controversy is due to the lack of agreement on a definition. Following some examples of the differences in personal and judicial definitions of joint custody, a classification of custody is offered. Four types of custody arrangements are described: Absolute Sole Custody, Sole Custody, Non-Alternating Joint Custody (disputed and undisputed) and Alternating Joint Custody (disputed and undisputed). A critical review of the literature follows. Finally, clinical impressions about the two types of joint custody are discussed.

Adaptation, Psychological↗
PubMed1981

The early phase of psychotherapy with antisocial early adolescents.

Adolescence is a developmental stage with specific defenses, styles, and ego functions and thus requires a specific psychotherapeutic technique. The task of early adolescence is the establishment of a sense of autonomy during major biological, psychological, familial and social changes. Antisocial behaviour is understood as having multiple etiology and to be a manifestation of different diagnostic entities including reactive disorder, depression, neurosis, narcissistic, impulsive and borderline personalities, or psychosis. The main goal of the early phase of therapy is the establishment of a therapeutic relationship. This is achieved through the therapist's ability to help the adolescent to talk and explore, without fear of exposure, in the context of an active, empathic relationship. Specific guidelines helpful in establishing this relationship in the early phase of adolescent therapy are discussed.

Adolescent↗
PubMed1978

Basic principles in custody assessments.

The paper discusses some of the principles of custody assessments in divorce proceedings. It is felt that such assessments should be undertaken only upon the request of the judge or both lawyers. The assessment should be extensive and should include collecting and collating all available data obtained through interviews or letters. The report should include historical material, the formulation, and the reasons for the recommendations. Clinically, the important issue is to decide under whose care the child's growth and development is enhanced. Factors that help in this decision include the emotional ties between the parent and the child, the capacity of each parent to provide physically and emotionally, the preference of the child, and the need for continuity. The psychiatric and moral "fitness" of parents is critically reviewed. It is maintained that no parent should be given an inherent preference in custody rulings. Finally, it is argued that access should be expected after divorce and should be changed or eliminated only under strict conditions.

Adult↗
PubMed1976

Father-son incest: a case report.

A case of father-son incest is presented. There were three sexual involvements over a period of 6 weeks that ranged in activity from genital fondling to anal penetration. The father was the initiator of the activity and was drunk during each of the episodes. The son passively submitted while the mother denied the activity when told about it after the first episode. The marital situation had deteriorated over the years to an almost complete breakdown of communication. The father had been struggling with latent homosexuality for a long time, and the alcohol triggered the incidents. There was no evidence of any special relationship between father and son, except for the acting-out behavior and the challenging of parental authority by this particular son. Short term, behavior-oriented marital sessions helped to improve the situation at home.

Father-Child Relations↗
PubMed1976

A female fire-setter: a case report.

A case of a 12 1/2-year-old female fire-setter is presented. The symptom was the result of long term developmental problems precipitated by the onset of puberty. Psychoanalytically oriented individual psychotherapy combined with marital and family therapy were the modes of treatment. The continuous struggle to establish a therapeutic alliance with an early adolescent is discussed. A patient whose main mechanisms of defense are repression, suppression, denial, and projection presents a challenge for the therapist.

Age Factors↗
PubMed1975

Psychiatric consultations in a pediatric hospital.

The authors conducted a study of 30 hospitalized children who were referred for psychiatric consultation and 60 hospitalized children who were not. They studied the medical charts of these children and administered a questionnaire including a checklist of behavioral symptoms to their parents. More psychopathology was found in the children referred for consultation, but about 20 percent of the children not referred also showed a high degree of psychopathology. Factors found to be associated with referral for psychiatric consultation were older age, longer hospital stay, many previous hospitalizations, and ambiguous diagnoses.

Age Factors↗