By Jon M. Aase (auth.), Marvin I. Gottlieb M.D., Ph.D., John E. Williams M.D. (eds.)
"Child improvement" has continuously been a conventional component to good baby care and a specific niche for pediatricians, baby neu rologists, and psychologists. even if, it was once no longer until eventually the early Nineteen Sixties that kids with developmental disabilities (i. e. , persistent handicapping problems) turned an incredible concentration of public recognition. in this interval, youngsters with "special wishes" have been dramatically catapulted into the limelight and "exceptional" turned the buzzword of the day. Public expertise of those matters reached new peaks and popularity of the aptitude psychosocial impairments of chil dren with developmental disabilities created nationwide nervousness. quite a few components contributed to an extraordinary societal advocacy for chil dren with developmental difficulties: (1) a countrywide quandary generated through President Kennedy'S specific curiosity in psychological retardation; (2) in creased job and visibility of dad or mum advocacy/lobbying teams (e. g. , the organization for kids with studying Disabilities); (3) the enact ment of federal laws designed to guard the rights of the handi capped (e. g. , PL94-142); and (4) the popularization of developmental behavioral disabilities by means of some of the communications media. Cumulatively those occasions caused a redefinition of the genuine suggest ing of "comprehensive well-being take care of children," leading to an empha sis at the kid's neurodevelopmental, academic, mental, and social wishes. For the pediatrician, a myriad of latest administration respon sibilities have been mandated, as well as the conventional future health care con cerns.
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Extra resources for Developmental-Behavioral Disorders: Selected Topics
Sage Publications, Be,·erly Hills. CA. , 1984. th H(mdica~ Mt7fIbt7l U. ), p. 96, Aspen Systems Corporation. Rockville. MD. Huizenga. J .. 1983. Eslum ill Childhood U. Mack and S. ). pp. 15 1- 162. Imer· national Uni versities Press, New York. ). f'iythOlilnapy 37:533- 543. , ,I al. , 1985, Adolescent sexual behavior. M td. A:;puts H um. Stxuality 19:28-51. Pless, I ,and Pinkerton. , 1975, Chronic Childhood DuortUT: PromotillK PalltmS of Adjllll. IIItnl. Year Book, Chicago. Pless. I.. and Zvagul is, I..
Pp. 15 1- 162. Imer· national Uni versities Press, New York. ). f'iythOlilnapy 37:533- 543. , ,I al. , 1985, Adolescent sexual behavior. M td. A:;puts H um. Stxuality 19:28-51. Pless, I ,and Pinkerton. , 1975, Chronic Childhood DuortUT: PromotillK PalltmS of Adjllll. IIItnl. Year Book, Chicago. Pless. I.. and Zvagul is, I.. 1981, The health of children ..... ith special needs. S. Department of Heallh and I-Inman Services. C. 2. , 1983, Guidelines for preparing girls for menstruation, J Am Acad Child Psychiatry 22:480-486.
At a certain developmental age, when external and internal stresses on the individual are great enough to bring about four possible critical responses in that individual, a developmental-behavioral disorder can result. These responses include the following: (1) inducement ofbehaviors that are not age appropriate; (2) interference with the development of the individual's (ego) coping skills; (3) internalization of (intrapsychic) conflicts that interfere with the mastery of sexual and aggressive drives, and that may result in neurotic symptoms or in unresolved conflicts; and (4) insidious manipulation of the spouse to recapitulate levels of childhood gratification that then stress the marriage.