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[Disorders of attention in school children: recent results of classification, diagnosis and pedagogic-psychologic perspectives for intervention].

Attention disorders in school children are a frequently occurring phenomenon in the work of clinical psychologists and psychiatrists. The new approach (DSM III) emphasizes the role of attention deficit with/without hyperactivity in contrast to the Hyperkinetics syndrome (ICD 9) and offers an alternative interpretation. Based on experimental results and clinical observation, the following characteristic features of this class of disturbances are accentuated. A deficient central activation (probably related to "weakness" of central norepinephrine and the locus for stimulant drug action), an inadequate inhibitory control function, and a (secondary) disturbance of perceptive and logic processing strategies. A method of cognitive-behavioural intervention is offered which may be applied separately of in connection with drug treatment.

Attention Deficit Disorder with Hyperactivity↗

[Patient education in the treatment of bronchial asthma. Goals, content, pedagogic technics and evaluation of a structured program].

Despite the advances in the understanding of the pathogenic mechanisms, clinical assessment and medical treatment of asthma, an increase of mortality and morbidity has been observed. It is clear from several studies, however, that this discrepancy may be at least partly due to serious short-comings, amongst asthmatic patients, in their ability to judge the severity of their asthma, and their knowledge of medication and correct dosaging, in the event of deterioration. Therefore, to effectively manage asthma structured education programs for adult asthmatics appear to be useful including information about the disease and the medication as well as training of self-management of airflow limitation by the patients. The evaluation of the course of the disease before and after this education revealed a reduction in severe attacks, hospitalization and days lost from work in trained asthmatics.

Adult↗

[Health pedagogic foster families. A model for the rehabilitation of handicapped children from families at-risk].

Rehabilitation of retarded children puts an enormous strain on parents. Families with various social risk factors are frequently not able to cope with these problems. Admission to institutes is a frequent consequence. Since 1982 47 mentally and psychologically handicapped children from families with various psychosocial problems were admitted to foster families. Foster parents were carefully selected and educated by a team of physicians, psychologists and social workers and given continuing supervision. Children were evaluated by medical and psychological testing: The majority of children showed significant improvement of performance in psychologic testing, alleviation in their psychosocial as well as medical problems. Numbers and duration of hospital admissions were substantially reduced. The overall condition of these children was markedly improved by foster families.

Child↗

Cost and quality of psycho-pedagogic institutional care: the case of 56 establishments in the Swiss canton of Vaud.

We studied 56 boarding institutions caring for 834 children and adolescents with different kinds of difficulties or handicaps in the Swiss Canton of Vaud. In order to weigh the purely qualitative approach we performed two different statistical analyses: 1) a correlation matrix between all qualitative and quantitative variables with the daily individual cost of the institutional care. This cost has been calculated in a standard manner and independently of each institution's accounts. 2) a factor analysis of the collected data led us to the identification of different patterns of institutional functioning. This study stresses the importance of the staff/pupil coefficient, i.e. the richness of the pedago-therapeutic framing--the intervention of specialists such as special teachers, psychologists, and speech and/or motor therapists-, and more particularly the higher ratio of specialist help compared to pure educative staff. The severity of the cases, evaluated by independent specialist observers, was in direct relation to this factor independently of the kind of difficulty or handicap.

Adolescent↗