Explores the reasons that dementia is poorly understood and managed and suggests ways in which obstacles to optimal management of dementia can be overcome through research and through development of evidence-based services. (Author/JOW)

A 13-year-old boy presents with treatment-resistant symptoms of major depression. This is his first episode of depression, initially treated with 200 mg sertraline for 12 weeks with no significant benefit. The severe depression has shown a partial response to weekly cognitive-behavioral therapy (CBT) and fluoxetine, which was titrated up to 60 mg…

This article features the response to the important commentary by Dr. Carlson. The Amish Study represents, as she notes, a special research population for investigation of "classic" bipolar disorder viewed against a homogeneous cultural landscape where emerging biological and behavioral prodromal features can be identified. Dr. Carlson questions…

This paper presents comments on the article by D. Westen and J. Weinberger, which stated that '...science can be viewed as the history of confirmatory biases" (p. 609). This comment's authors prefer an alternative formulation: The history of science can be viewed as a constant and largely successful struggle to overcome confirmatory biases.…

This is the first of two articles that provide a critique of categorisation and of the biomedical interpretation of personal adjustment issues experienced by children and youth. In this paper the appraisal is made by the devising of an imaginary mental illness, through the presentation of some important theoretical frameworks, by considering…

The increasing age of the American population and the current emphasis on cost containment in health care make the 1980s an ideal time for building bridges to span the health care needs of elderly persons in acute care and long-term care. While hospitals often discharge patients to nursing homes as an intermediate step between hospitalization and…

Suicide prevention techniques, from a clinical perspective, need to be as diversified as the population they serve. In certain special population groups, suicide has reached epidemic proportions, and there is a significant public health need for specific suicide prevention strategies. Special populations need to be identified and their suicide…

The general nature of neuropsychiatric disorders of childhood, and the areas in which gains in understanding such disorders have been made are discussed in the first portion of this paper. Thereafter, discussion focuses on the contemporary approach to neuropsychiatric disorders of childhood as exemplified by three serious disturbances: attention…

An interview with parents of a child with cerebral palsy recount their struggles to find a diagnosis and treatment for their daughter and express their anger over the lack of information and help they were given by professionals. They emphasize the need for honesty and straightforwardness in professionals dealing with parents. (CL)

Discusses diagnostic and functional classification, assessment, and treatment approaches for school refusal behavior. Diagnostic classification focuses on separation anxiety disorder, specific phobia, social phobia, depression, and truancy. Functional classification focuses on the maintaining consequences of the behavior, such as avoidance of…

Themes that emerged during the author's doctoral research suggest the following: anatomically based drawings may be useful in the diagnosis of certain physical pathologies, and a combination of abstract and visual modes of thinking may aid a client's cognitive understanding and verbal description of physiological processes, which may in turn aid…

This tutorial in nonlinear phonology introduces the basic concepts and assumptions of this new theoretical approach and then demonstrates clinical applications of the theory for assessment and intervention. Data from a child with a severe phonological disorder are used to illustrate aspects of nonlinear theory. (Author/DB)

This paper responds to a critique (EC 601 489) of a paper on the possible involuntary nature of self-injurious movements in persons with mental retardation, resulting from undiagnosed frontal lobe seizures. The response discusses electroencephalographic techniques, the importance of observable ictal phenomena, the need for other corroborating…

Discusses what children with developmental language disorders should be called, how they should be defined, and how we might differentiate children with specific language impairments from other children with developmental language disorders. The lack of congruence between clinical and research constructs is discussed. (Author/CR)

Suggests that counselors of all types need an understanding of and an ability to work with issues described by the Diagnostic and Statistical Manual of Mental Disorders. Explains that the traditional approach to the DSM-IV tends to locate the problem in the client, whereas the developmental approach focuses on the client in social and historical…