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Results for “Child Reactive Disorders”

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Twins in a child psychiatry clinic.

The authors found that 22 of the 2,015 referrals to a children's psychiatric clinic during a six-year period were twins--half the number that would be expected on the basis of the national incidence of twins. Evidence of minimal brain dysfunction was found in a higher percentage of the twins than in a matched nontwin group. The authors suggest that factors often inherent in twins (e.g., prematurity and birth difficulties) may be related to this finding.

Adolescent↗

Analysis of a little girl with an autistic syndrome.

This paper is a clinical one, relating to a four-year analysis of a 28-month-old girl who developed an autistic syndrome as a reaction to the violent abduction of her parents which she had seen. The reality of the violence of the political situation in the country helped blur the distinction between fantasy and reality for both analyst and patient. The author introduced melodic singing (after the failure of singing with lyrics) as a means of communication with the little girl. Her eventual recovery seems to have been possible because of the soundness of her upbringing during the first two years of her life.

Autistic Disorder↗

Some guidelines for uses of hypnotherapy in pediatrics.

Hypnotherapy has many uses in pediatrics, and its value, not only as a adjunct but also as a primary therapy for certain conditions, justifies its inclusion in pediatric training programs. Suggestion and expectation have long been related to therapeutic outcomes in medicine, but not all physicians know how to apply them constructively and systematically in communication with patients. In pediatrics there is a tendency to overlook opportunities in which hypnosis might be the treatment of choice. Because children engage in imagination and fantasy easily without the cognitive inhibitions of adults, they are able to use hypnosis more readily than adults. More research into the imaginative skills of children may facilitate understanding of learning mechanisms and make it possible for professionals to prevent the loss of the natural imaginative capacities in children and, therefore, enhance the ability of mature members of society to use these skills. In addition to reduction of specific symptoms through hypnotherapy, children benefit by the sense of mastery which they acquire, a sense which is surely needed to overcome the feelings of hopelessness, loss of control, and depression induced by many diagnostic and therapeutic procedures in medicine.

Adolescent↗

Nonstandard therapies in the developmental disabilities.

The complexity of management issues with regard to developmentally disabled children has led to a broad acceptance of a number of therapeutic approaches that purport to be effective for a wide range of problems. These are generally empiric in origin, and the efficacy of most of them cannot be supported by controlled research studies. In addition, there has been little or no investigation of potential or actual side effects. Acceptance of new therapies and validation of older approaches need to be based on appropriately designed, controlled studies.

Adolescent↗

A comparison of DSM-II and DSM-III in the diagnosis of childhood psychiatric disorders. III. Multiaxial features.

A major feature of DSM-III is its multiaxial format. One purpose of this study was to examine the purported advantages of a multiaxial system as compared to those of a multicategory system, eg., DSM-II. We found that the multiaxial system led to a more complete and reliable diagnosis of complex clinical cases. Concomitant medical disorder and psychosocial stressors were coded with high levels of interrater agreement. We conclude that the multiaxial framework is a major strength of DSM-III.

Adolescent↗

The psychologically orientated pediatrician and the provision of psychoanalytic psychotherapy.

The experiences of a consultant pediatrician attempting to introduce into his practice an additional mode of treatment that he wished to offer to some of his patients, namely psychoanalytical psychotherapy, is described. Having previously operated successfully as an analytic psychotherapist with patients referred to him by a child psychiatrist, he attempted to function formally as an analytic psychotherapist with selected patients from his own pediatric practice. However, this significant change of role was not accepted by the children and their parents. Reasons are looked for to explain this finding, the significance of which may be of importance to pediatric practice in general and may have wider implications in the whole area of the doctor/patient relationship.

Adolescent↗

Constancy and change in the growth of human characteristics.

Neither genetic programmes nor social influences necessarily unfold in a constant way, and their interactions are complex. The role of chance events adds a further and sometimes potent uncertainty in prediction equations. Both constancies and changes of ordinal position and/or level occur for most characteristics in normal circumstances but, following significant ecological improvement, personal changes among the disadvantaged can be much larger. Recent research emphasises the inadequacy of considering either genetic or environmental effects during one period of development outside the context of preceding and subsequent influences. It is to long-term consistent influences that importance must be ascribed.

Adolescent↗

Effects of rapid urbanisation on child behaviour and health in a part of Khartoum, Sudan.

A study of child behaviour and health in a newly urbanised part of Khartoum was carried out in 1979-1980 on 245 children aged 3-15 yr. The same area had been investigated in 1965. Results show improvement in somatic health in older children. Behavioural symptoms increased more in boys than in girls, and more in older than in younger children, probably in proportion to the extent of their exposure to new external influences. In general there were still fewer behavioural problems in this population than has been reported from other developing and developed countries. Favourable aspects of community life still operating include extended family relations, durable marital commitments and mutually supportive communal interdependence and traditions of social control.

Adolescent↗