Reviews studies on suicidal behavior in depressed patients, including study showing that depressed patients who had attempted suicide had significantly reduced CSF concentrations of dopamine metabolite homovanillic acid (HVA) and significantly lower urinary outputs of HVA than patients who had not attempted suicide. Considers role of diminished…

Objective: This literature review describes evaluation and treatment of minority youth with ADHD. Method: A search of databases for reports of ADHD in minority children was conducted. Results: Interpretation of behavior varies among parents, as does their trust in health care providers and school personnel. Parents desire to avoid stigmatization…

In clinical practice, we have come across people with intellectual disability who have gender dysphoria and cross-dress. Here, we review the literature on this subject and present an illustrative case example. We searched databases, followed-up references from relevant articles, and contacted colleagues in the field. We found nine papers with case…

Attention deficit/hyperactivity disorder (ADHD) has received much attention over the past several years in both the scientific literature and the popular press, yet confusion still exists with respect to the origin of the disorder, factors that trigger or aggravate it, the trajectory of symptoms, and treatment options, particularly for young…

Recent literature suggests that, like midrange eating disorders among college women, male muscle dysmorphia is emerging as a physical as well as a health concern among college men. The authors define the disorder, review diagnostic and etiological considerations, and discuss the added complication of creatine use to self-manage muscle dysmorphic…

Reviewed studies in which clinicians made judgments and then rated the degree of confidence that they had in each of their judgments. Results reveal little support for the hypothesis that clinicians are overconfident. Confidence ratings were related positively to the validity of judgments in a number of studies. Experienced clinicians made more…

Research on pragmatics and its significance for children with language impairments is reviewed. Topics addressed include the development of speech acts (communicative intentions) and the linguistic orientation of speech acts. The value of a pragmatic orientation in clinical intervention is considered. (CL)

This handbook examines the similarities and differences in continuous performance test (CPT) techniques and their research literature, with thorough reviews of the four major CPTs in use today and overviews of their applications. The chapters are: (1) "Neurobiology of Attention and Executive Control"; (2) "Continuous Performance…

Long-term follow-up studies show that children diagnosed as hyperactive are at risk for severe problems during adolescence and adulthood. However, no common diagnostic criteria exist for hyperactivity, which can refer to many different behaviors, and children diagnosed as hyperactive may also exhibit one or more concomitant difficulties. Journal…

Selectively reviews the literature on the diagnostic criteria for eating disorders (anorexia nervosa, bulimia nervosa, and binge-eating disorder) as described in "Diagnostic and Statistical Manual of Mental Disorders" (4th ed.) and "International Classification of Diseases" (10th ed.). Discusses the prevalence and course of…

This article compares the experience of people working in the area of the World Trade Centers on September 11th to the experience of refugees. Positive and negative aspects of diagnosing victims of disasters are discussed both in general and specifically related to post-traumatic stress disorder. Information regarding the refugee experience is…

Presents overview of medical aspects of human immunodeficiency virus Type 1 (HIV-1) disease. Addresses structure and replication of virus, current methods for detecting HIV-1 in infected persons, effects of the virus on immune system, and clinical course of HIV-1 disease. Emphasizes variable causes of progression through HIV-1 infection stages;…

Notes that substantial confusion exists regarding comparative diagnostic criteria and treatment implications for school phobia and separation anxiety. Literature survey demonstrates tendency of school personnel to put all students exhibiting these disorders into group of "school refusers." Sees treatment issues handled similarly despite evidence…

Presents suicide risk assessment in a two-tiered model comprising background/contextual factors and subjectivity. The subjectivity portion is formulated around Shneidman's concepts of perturbation and lethality. Discusses decision of hospital admission versus ambulatory care. Suggests that theoretically informed approach should serve both…

Suggests considerations and strategies for identifying and modifying a client's defense mechanisms in counseling. Provides definitions of individual defenses and indicators for identifying the mechanisms. Literature review focuses on counseling implications of defenses. Process of defense mechanism modification is illustrated through case example.…