[Pediatric psychiatry: a discipline relatively independent of adult psychiatry].
Explore the source record for details and available documents.
SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Only recently have we begun to examine systematically the effect of dysfunctional children on other family members. This article addresses several issues: (1) It presents two models of family stress, the ABCX and the social ecology model, and discusses how they can be employed for a systematic mapping of known key variables that, in complex interplay, appear to influence the family's ability to cope with a dysfunctional child. (2) It reviews evidence from our own work and research by others related to the main elements of the ABCX model of family stress. (3) It offers an outline of what appear to us to be the key methodologic considerations for improving quality of research in this area. (4) It provides a few recommendations to clinicians working with families of severely dysfunctional children based on the evidence and our clinical experience.
The authors present a research project on the ways children suffering from early psychosis communicate non-verbally. These children are studied in their regular treatment center, using a behavioral method using a set of possibilities described for a normal young child. For the three children who were studied, rather different means of non-verbal communication were highlighted, which changed and were enriched when the adult taking care of them "improved" the way his interaction with the child was organized. Our findings raise questions concerning the semiology of these conditions and it's treatment.
During the last 25 years the author has been a leader of six multi-family groups. The first started in close connection with a psychiatric emergency unit with up to 11 families at the same time. Later, treatment has been defined for four up to six families with generation problems. The patients were children with drug addiction or psychosis, mostly schizophrenia. The dynamic steps of the therapeutic process were information, support, discussion insight and change.
Explore the source record for details and available documents.
Working with very young children who are placed, on a part-time basis, in a facility affording associated psychoanalytical treatment, points up special parent-child relationships. For children showing personality structures of a psychotic nature, these relationships coincide with the psychic core of the parent's personality structure. This is a very real pathological "meeting of the minds" that partoof the therapeutic treatment is based on.
From the results of 25 epidemiological studies, most of which were Anglo-Saxon and Scandinavial, the socio-demographic profile of children and teenagers having problems is evaluated and compared to that of French patients seeking treatment. It appears that most of the socio-demographic variables are discriminatory in child psychiatry but not in a regular way for the prevalence of it and for undertaking treatment. But, to go from observing a covariation between a socio-demographic trait and a state of mental health to identifying a risk factor requires specifying the nature and the meaning of the relationship and trying to understand the mechanisms involved.
This study presents a descriptive approach to communication and interactions in a psychotic group children, without adult intervention. This investigation use a ethological method. The results show correlation between children's non verbal communication degree and the degree of severity in psychiatric troubles.
Explore the source record for details and available documents.
Two girls are described who had normal physical and mental development during the first few months of life, documented on home movies in one. Gross motor development slowed during the second half of the first year followed by loss of acquired vocabulary and deterioration of fine motor skills. Linear growth and head growth decelerated. Stereotyped hand movements appeared around 2 to 3 years of age. Early appropriate social responses faded into a vacant stare. Neurological development was characterized by early hypotonia followed by ataxia and finally spasticity. One girl has been followed through adolescence. Additional symptoms in later childhood and adolescence included scoliosis, episodes of hyperpnea, vasomotor disturbances of the legs, and precocious puberty. The patients fit the criteria for a progressive neurological disorder called Rett's syndrome, which results in profound developmental disability and occurs only in girls. Etiology remains unknown.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Two major questions derived from social-interactional theory were addressed: What are the effects of an in-home communication training program for parents on (1) the acquisition of child-training skills (imitating/animating and expectant waiting) by parents of developmentally delayed children who have severe language impairments and autistic features and (2) the acquisition of communication behaviors in the children themselves? Questions regarding the social value of the intervention and effects on parent-child interactions were also addressed. Four mothers were taught two parent-training skills (imitating/animating and expectant waiting) during two in-home training sessions. Following the parent training, the mothers conducted training sessions in their homes with their children for 10 minutes, three times per week for 8-12 weeks. All sessions were videotaped and frequency counts taken of the target parent skills and child target behaviors. A single subject experimental research design was used incorporating a multiple baseline across two parental child-training skills (i.e., imitating/animating, expectant waiting). Data were analyzed visually as is customary in single subject experimentation, and direct behavioral counts showed that all four mothers demonstrated increases in the frequency with which they used the child-training skills following treatment. Increases in four child behavior frequencies (i.e., vocal utterances, social responding, social initiating, and intelligible words spoken) were also noted. The ECO Scales Interaction Profile results supported direct behavioral count data, showing significantly improved parent-child interactions for the subject dyads over three conditions (p < .034). Additionally, Parental Consumer Satisfaction Questionnaire results indicated that the intervention was positively perceived by the parents. Furthermore, the utility of single subject experimentation procedures in clinical nursing practice was clearly demonstrated in this research, and the findings support nurse-conducted, in-home parent training as a practical and socially valid means of addressing the complex needs of chronically disabled children and their families.