scholarly journals Psychopathy: The Reflection of Severe Psychosocial Dysfunction

Author(s):  
Sevgi Güney
2014 ◽  
Author(s):  
Erin Deneke ◽  
Elizabeth E. Epstein ◽  
Kevin A. Hallgren ◽  
Ann Smith ◽  
Austin Houghtaling

1992 ◽  
Vol 15 (3) ◽  
pp. 258-261 ◽  
Author(s):  
DWARKA PERSHAD ◽  
RAZIA S. SIDDIQUI

1982 ◽  
Vol 3 (7) ◽  
pp. 205-212
Author(s):  
Robert B. McCall

An axiom of medicine is to diagnose and treat a disease in its formative stages before it becomes so advanced that treatment is difficult or impossible. The same theme runs through aspects of neonatology and developmental pediatrics—organ systems and processes are laid down early in development and supportive or deleterious factors operating during these early stages can permanently influence or alter the course of development. Belief in "formative Stages was applied to behavior by Sigmund Freud who emphasized the crucial contribution of early experiences to adult personality. A half century later, the same general principle was used to justify Head Start, an educational program that was supposed to equalize the social classes by providing an intellectual boost to disadvantaged children during their formative years. The principle of "formative years" pervaded theory and practice in developmental psychology for decades, but there were always dissonant findings. For example, five decades of research shows quite clearly that test scores obtained within the first year or two of life do not predict later intelligence for normal children.1 Weight and especially skinfold thickness assessed during infancy do not predict later weight or obesity, and early social disadvantage and stress do not necessarily lead to later psychosocial dysfunction. Indeed, today the emphasis in some quarters of developmental psychology is on change, modifiability, and unpredictability in development rather than on consistency.2


PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 249-255
Author(s):  
Serena Tonstad ◽  
Torunn Stene Nøvik ◽  
Inger Helene Vandvik

Objective. To determine whether children treated for familial hypercholesterolemia (FH) have greater psychosocial dysfunction compared with their peers. Children. Children were 86 boys and 66 girls 7-16 years of age attending a lipid clinic. They were screened and instructed to follow a diet low in saturated fat and cholesterol 18 months to 9 years earlier (mean, 4 years), and their mean dietary intake, estimated by a quantitative food frequency questionnaire, was within recommended limits. One-fourth had lost a parent or had a parent who had had cardiovascular disease due to FH (parental disease group). Methods. Results of the Child Behavior Checklist, Teacher's Report Form, and Youth Self-Report were compared with a population sample. A semistructured interview, the Child Assessment Schedule, was administered to the children with FH and a well-functioning comparison group from the population (epidemiologic cohort; n = 62). Results. Psychosocial scores were similar in the children with FH and the population sample. The Child Assessment Schedule showed that, compared with the epidemiologic cohort, children with FH did not have increased symptoms in any area of function, and scores for family, mood, and expression of anger were lower (less symptomatic). The prevalence of psychiatric diagnoses was 10%, which was not greater than expected. Children from the parental disease group had higher symptom scores in the areas of school and expression of anger than the rest of the children with FH. Their mean Children's Global Assessment Score (CGAS, which gives average children scores of 70-79) was slightly lower (77 vs 79). Belonging to the parental disease group predicted a lower CGAS in multivariate regression analyses, as did male sex, parental divorce, and low parental educational level. These factors explained up to 19% (95% confidence interval, 9%-31%) of the variance in CGAS. Conclusions. We found that the prevalence of psychosocial dysfunction was not greater than expected in children treated for FH. Psychosocial function within the group was associated with the usual demographic characteristics and with the loss or disease of a parent, beyond the period of bereavement or immediately after the event.


PEDIATRICS ◽  
1984 ◽  
Vol 73 (6) ◽  
pp. 749-755
Author(s):  
Kimberly White ◽  
Mary Lee Kolman ◽  
Phyllis Wexler ◽  
Gail Polin ◽  
Robert J. Winter

To investigate the physical and psychological factors associated with labile diabetic control, 30 children and adolescents with recurrent diabetic ketoacidosis were included in a retrospective longitudinal review covering an 8-year period. The details of the ketoacidosis episodes and the psychosocial characteristics of the patient and his family were summarized from the medical record. Only a minority of the ketoacidosis episodes were overtly and solely related to intercurrent illness or poor compliance. A majority of the subjects studied lived in families with substantial psychosocial dysfunction, including chronic unresolved interpersonal conflict, inadequate parenting, father not in home, financial stress, and lack of family involvement with the diabetes. Many of the children displayed behavioral and personality problems. In most of these 30 cases, there was evidence that these dysfunctions existed prior to the onset of diabetes. These psychosocial problems were not immediately apparent in many instances, thus requiring more comprehensive psychosocial assessment and involvement by a social worker and/or a psychologist. Ongoing emotional support and counseling were instrumental in reversing the pattern of recurrent ketoacidosis, in coordination with care by all members of the diabetes team. The findings from this experience suggest that recurrent ketoacidosis warrants prompt evaluation from a psychosocial as well as a physical perspective.


2019 ◽  
Vol 28 (9) ◽  
pp. 1910-1917 ◽  
Author(s):  
Shu‐Ching Chen ◽  
Bing‐Shen Huang ◽  
Tsung‐Min Hung ◽  
Chien‐Yu Lin ◽  
Ya‐Lan Chang

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Danilo Garcia ◽  
Henrik Anckarsäter ◽  
Sebastian Lundström

Background. The acronym ESSENCE (Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations) highlights that children seeking clinical treatment are often multiply impaired, thus requiring treatment from several specialties. The aim was to map and relate, on a population level, ESSENCE to two salient predictors of health and adaptation to adversities, namely, Self-Directedness and Cooperativeness and also to dysfunction and suffering.Methods. Participants were twins(N=1892)aged 9 or 12 whose parents were interviewed with the Autism-Tics, ADHD and other Comorbidities inventory (A-TAC), and the Junior Temperament and Character Inventory (J-TCI). The A-TAC was first used to discern four ESSENCE-related screening diagnoses: autism spectrum disorders, attention deficit hyperactivity disorder, learning disabilities, and developmental coordination disorder; second, to quantify dysfunction and suffering in important social areas.Results. ESSENCE symptoms were continuously and categorically associated with deficiency in Self-Directedness and Cooperativeness and higher ratings of dysfunction and suffering. The impact of ESSENCE symptoms on these measures of mental health was found in a milder form in about 16% of all children and in a severe form in about 2%.Conclusion. Therapeutic interventions focusing on Self-Directedness and Cooperativeness might provide a novel method for child psychiatry in its approach to ESSENCE.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (1) ◽  
pp. 160-160
Author(s):  
R. K. Oates ◽  
I. W. Hufton

We appreciate Dr. Kramer's concern to know whether the cognitive, emotional, and social dysfunctions seen in these children and their families on follow-up are a result of the earlier failure to thrive, the psychosocial dysfunction initially present in these families, or a combination of these factors. Many practicing pediatricians would agree that failure to thrive alone does not cause the abnormalities that were seen on follow-up in this group. Our initial follow-up study of nonorganic failure to thrive1 included a group of children admitted to the hospital during the same period with failure to thrive due to organic causes.


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