From amnesia to auditory hallucinations, the symptoms of pathological dissociation are among the most devastating effects of childhood maltreatment. Ways in which therapists can provide a comprehensive developmental approach to understanding, diagnosing, and treating this challenging clinical population are presented in this text. After reviewing…

This paper discusses the results of a study that investigated the need for services across the continuum of child/adolescent mental health services in Virginia. Specific objectives of the study were to: (1) describe the youth receiving services; (2) determine where and to what extent gaps in services exist; (3) determine the reasons why youth do…

The way a particular clinician judges, from data, the degree to which a child is in the category "learning disabled" was modeled on the basis of clinician's statement of the traits that comprise the handicap. The model illustrates the use of fuzzy set theory. (Author/RL)

Over 13 weeks during two periods in 1978 the diagnostic rate for acute otitis media was monitored among febrile children in the emergency room of a large children's hospital. Temporal variation in diagnostic rates by physicians was largely attributable to differences among individual providers and independent of level of training. (Author/MLW)

Reviews approaches to attention deficit hyperactivity disorders (ADHD) that are alternatives to the biomedical model. Addresses the general problem of description and classification of behaviors into the ADHD diagnosis and discusses perspectives on sociocultural factors in ADHD behaviors, diagnosis, and treatment approaches. Maintains that ADHD…

This study examined whether raising a child with Down's syndrome affects a family (n=34) differently than does raising a child with another developmental disability (n=74). Results found that long-term adjustment to raising children with other disabilities was comparable to that of raising children with Down's syndrome. (CR)

Investigates several aspects of childhood sexual abuse to determine the "best model" for predicting long-term symptoms found both in male and female survivors. Results indicate that the level of severity accounted for the most variation for both men and women for each of five measures of trauma symptoms. (RJM)

The treatment of children with Gender Identity Disorder is laden with important ethical and moral considerations. Gender-typed behavior is defined by culture; therefore, it is of paramount importance that therapists clarify their own biases and expectations of gender-based behavior before attempting treatment. Two case studies are presented. (LSR)

Provides recommendations for improving the accuracy of diagnosing Attention Deficit/Hyperactivity Disorder using rating scales of procedures. Outlines strategies for managing the error intrinsic to the use of diagnostic measures, specifically behavior rating scales. Recommends a multiple stage procedure involving one or more levels of screening…

A study involving 41 mothers explored the relation of severity of functional impairment on the Childhood Autism Rating Scale-Parent Version to diagnosis, parenting stress, and child age. Children with autism received significantly higher ratings than did children with pervasive developmental disorder-not otherwise specified. Severity predicted…

It is proposed that the identification and description of students with communication problems requires assessments in four domains: (1) linguistic ability; (2) cognitive ability; (3) social skill; and (4) pragmatic competence. Evidence from research on individuals with mental retardation and other developmental disorders is presented. (SLD)

Only the Social Withdrawal and Social Competence subscales of the Child Behavior Checklist (CBCL) tapped a Social Competence factor in common with Social Competence subscales from a parent rating scale (Social Skills Rating System) and a scale (Pupil Evaluation Inventory) for teachers. Mothers of 93 boys (aged 7 to 11 years) completed the CBCL.…

Comparison of scores from a normative sample of 880 children and 276 sexually abused children on the Child Sexual Behavior Inventory (CSBI), a checklist for 2- through 12-year-old children, supports the reliability and validity of the instrument. The CSBI is directly related to specific features of sexual abuse. (SLD)

Discusses identifying children infected with human immunodeficiency virus (HIV) through sexual abuse. Reviews testing guidelines. Sees social workers contributing to test decision making when perinatal HIV transmissions is possibility, when assailant may be tested, and when parents/legal guardians insist on testing child. Discusses family…

Provides an overview of seizure disorders. They are more common than previously thought, and most have their onset in adolescence. Types of seizure disorders common in children, their symptoms, and treatment are described. A case example illustrates behavior in school and a paradoxical medication effect. (EMK)