Child Psychiatrists and Psychologists

2021 ◽  
Vol 30 (4) ◽  
pp. 809-826
Author(s):  
Mark S. Borer ◽  
Susan H. McDaniel
Keyword(s):  
Child Psychiatrists

scholarly journals Diagnosis despite clinical ambiguity: physicians’ perspectives on the rise in Autism Spectrum disorder incidence

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael Davidovitch ◽  
Dorit Shmueli ◽  
Ran Shmuel Rotem ◽  
Aviva Mimouni Bloch
Keyword(s):  
Autism Spectrum Disorder ◽  
Autism Spectrum ◽  
Mental Illnesses ◽  
Spectrum Disorder ◽  
Medical Community ◽  
Categorical Variables ◽  
Diagnostic Process ◽  
Child Neurology ◽  
Chi Square ◽  
Child Psychiatrists

Abstract Background To provide insight on physicians’ perspectives concerning recent changes in the incidence and diagnostic process of Autism Spectrum Disorder (ASD) compared to other mental and neurodevelopmental disorders. Method A questionnaire was sent to 191 specialists in child neurology and child development, and 200 child psychiatrists in Israel. Information was collected on professional background, as well as on physicians’ opinions concerning the accuracy and rate of ASD diagnosis compared to that of cerebral palsy (CP), mental illness, and Attention Deficit Hyperactivity Disorder (ADHD). For each closed-ended question, a global chi-square test for categorical variables was performed. Results 115 (60.2%) of specialists in child neurology and development, and 59 (29.5%) of child psychiatrists responded. Most physicians (67.2%) indicated that there was a moderate/significant increase in the incidence of ASD, which was higher than similar responses provided for CP (2.9%, p < 0.01) and mental illnesses (14.4%, p < 0.01), and similar to responses provided for ADHD (70.1%, p = 0.56). 52.8% of physicians believed that in more than 10% of clinical assessments, an ASD diagnosis was given despite an inconclusive evaluation (CP: 8.6%, p < 0.01; mental illnesses: 25.8%, p = 0.03; ADHD: 68.4%, p = 0.03). Conclusion The clinicians perceive both ASD and ADHD as over-diagnosed disorders. The shared symptomology between ASD and other disorders, coupled with heightened awareness and public de-stigmatization of ASD and with the availability of ASD-specific services that are not accessible to children diagnosed with other conditions, might lead clinicians to over-diagnose ASD. It is advisable to adopt an approach in which eligibility for treatments is conditional on function, rather than solely on a diagnosis. The medical community should strive for accurate diagnoses and a continuous review of diagnostic criteria.

The Sick Child's Predicament

1985 ◽  
Vol 19 (2) ◽  
pp. 130-137 ◽  
Author(s):  
David C. Taylor
Keyword(s):  
Good Faith ◽  
Social Organisation ◽  
Social Situations ◽  
Environmental Agents ◽  
Made In ◽  
Child Psychiatrists

There is widespread criticism of medicine which contrasts with its manifest success in biotechnology. Medicine's failure to convince stems partly from the fact that its successful biotechnology distracts it from the mundane task of responding appropriately to components of commonplace sicknesses which do not stem from disease (things) or illness (symptoms) but from predicaments. Predicaments are painful social situations or circumstances, complex, unstable, morally charged and varying in their import in time and place, which are readily discernible from a good history. Predicaments are distinguished from environmental agents by being an aspect of social organisation rather than structures. Dangerous and excruciating predicaments are described as well as the predicaments of being sick, and being in hospital. Child psychiatrists are often presented with problems where diagnosis of disease or illness in the child is inappropriate and resolution of its predicament alleviates the distress that had been presented in the language of sickness. The model is capable of broader application in psychiatry and medicine. Doctors should be more concerned to know about the context and background of their patients' sickness, as patients give this information very freely if asked. If patients' complaints are misunderstood then medical responses, made in good faith, may be seen as dangerous intrusions leading to a loss of trust, anger, and litigiousness.

Interferences in Collaboration between Child Psychiatrists and Pediatricians

1986 ◽  
Vol 7 (3) ◽  
pp. 186???193 ◽  
Author(s):  
NORBERT B. ENZER ◽  
DIANNE S. SINGLETON ◽  
LYNN A. SNELLMAN ◽  
MARY ELLEN MACCIO
Keyword(s):  
Child Psychiatrists

scholarly journals The Delivery of Diagnosis by Child Psychiatrists: Process Characteristics and Correlates of Distress

2021 ◽  
Vol 12 ◽  
Author(s):  
Ayelet Brand-Gothelf ◽  
Ilanit Hasson-Ohayon ◽  
Nimrod Hertz-Palmor ◽  
Dana Basel ◽  
Doron Gothelf ◽  
...  
Keyword(s):  
Personal Experience ◽  
Emotional Experience ◽  
Autism Spectrum ◽  
Hyperactivity Disorder ◽  
Process Characteristics ◽  
Negative Perceptions ◽  
Depth Interviews ◽  
Linear Regressions ◽  
Israeli Child ◽  
Child Psychiatrists

We describe the attitudes of child psychiatrists toward diagnosis delivery (DD) and explore potential stressful factors associated with the process. Eighty Israeli child psychiatrists completed a questionnaire on their perceptions of DD of schizophrenia, autism spectrum disorder (ASD), and attention deficit/hyperactivity disorder (ADHD). We also conducted semi-structured in-depth interviews with 12 child psychiatrists who were asked to share their personal experience with DD. The questionnaire responses revealed that child psychiatrists perceived schizophrenia and ADHD as the most and least severe disorders, respectively, and its treatment as being ineffective and effective, respectively. They expressed negative perceptions toward DD of schizophrenia and positive perceptions toward DD of ADHD. The results of linear regressions revealed that some factors predicted distress accompanying DD in all three diagnoses, such as lack of professional experience, negative perceptions of DD, and the effect of parents' attitudes of opposition to the diagnosis. The interviews revealed that DD was often described by psychiatrists as an emotional experience and that the psychiatrists' age, and whether the psychiatrists identified more with the child or the parent, affected their attitude toward DD. Lastly, the psychiatrists expressed feelings of loneliness in the procedure of DD and their wish to share and reflect on their experiences with others. These findings may contribute to a better understanding of the clinically important topic of DD in child psychiatry that has not been adequately addressed and help deal with psychiatrists' challenges in this task.

Childhood through the Eyes of Child Psychiatrists and Paediatricians

1992 ◽  
Vol 26 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Jenny Lawrence ◽  
Robert Adler
Keyword(s):  
New Zealand ◽  
Working Relationship ◽  
Child Psychiatric ◽  
Significant Difference ◽  
Child Psychiatrists

Attitudes to childhood in general and towards one's own childhood in particular are compared in a survey of 152 Australian and New Zealand child psychiatric and paediatric trainees. Results confirm the findings of Enzer et al [1] that paediatricians view childhood more positively than do child psychiatrists. Although there is a significant difference between the two groups on measures of their perceptions of the parenting they received with child psychiatrists rating their own parents as less caring than do paediatricians, there is no relationship between attitudes to childhood and perceptions of the parenting they received. Implications of these findings are examined, both in terms of motivation for choosing one or other speciality and for the working relationship between the two professions.

Pediatric Psychologists and Child Psychiatrists: Birds of a Different Feather

PEDIATRICS ◽  
1981 ◽  
Vol 68 (1) ◽  
pp. 142-143
Author(s):  
Glen P. Aylward
Keyword(s):  
Residency Program ◽  
Child Psychiatrist ◽  
Pediatric Practice ◽  
Residency Programs ◽  
Developmental Problems ◽  
Pediatric Residency ◽  
General Impression ◽  
Child Psychiatrists

Pierog and Hill's letter1 underscores the value of involving a pediatric psychologist in a pediatric residency program. Although I agree with their cònclusions, I feel that their apparent emphasis on substituting a pediatric psychologist for a child psychiatrist may leave the wrong general impression. I would therefore like to suggest why pediatric psychologists, on their own merit, should be involved in pediatric residency programs. As these authors state, in addition to physical ailments, a pediatric practice typically includes behavioral, social, and developmental problems.

China’s new child psychiatry training programme

2021 ◽  
Vol 4 (2) ◽  
pp. 247-252
Author(s):  
Myron L. Belfer ◽  
Gordon Harper ◽  
Jianping Lu
Keyword(s):  
United States ◽  
Child Psychiatry ◽  
Training Programme ◽  
The United States ◽  
Chinese Child ◽  
Psychiatry Training ◽  
National Model ◽  
Child Psychiatrists

Chinese child psychiatrists have recognised a need to secure training that represents the most advanced ideas in their field. Turning to senior child psychiatrists in the United States, Dr Jianping Lu worked with them to design a training programme for child psychiatrists in Shenzhen, which then expanded to become a national model. This article details the reasons for the programme, its origins and history, and the outline of the current programme that now reaches child psychiatrists throughout China.

Remarks on Receiving the C. Anderson Aldrich Award

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 332-334
Author(s):  
Anna Freud
Keyword(s):  
Child Care ◽  
Child Psychology ◽  
Body Part ◽  
The Other ◽  
Hospitalized Children ◽  
Child Guidance ◽  
Other Hand ◽  
The Many ◽  
Medical Specialities ◽  
Child Psychiatrists

I take the honour which is being bestowed on me today as another welcome sign that the estrangement between pediatrics and child psychology is nearing its end and the partners on either side are contemplating a serious engagement, if not the propect of future marriage with each other. There are many other indications which point in the same direction. I only need to mention the fact that there are now places of learning where the head of the department combines in his own person training and functions in physical as well as mental child care; or that pediatricians are considered essential consultants in child guidance clinics, or that some pediatricians participate in the discussions of interdisciplinary hospital groups, or that, occasionally, child psychiatrists and even child analysts are called to the bedside of hospitalized children for consultation. There is no reason, on the other hand, to feel entirely optimistic and to relax efforts towards further re-alignment. Cooperative attitudes between the two disciplines can also be regarded still as few and far between and, above all, confined to selected medical specialities and a small number of selected, furthest advanced, and enlightened centers. There exist still many children's wards where bodily care is so paramount that any thought about the child's mental concerns is excluded as intrusive and disruptive. There are, above all, the many surgeons who, rightly or wrongly, feel that their difficult task cannot be accomplished except by determined and exclusive concentration on the defective body part which needs repair.

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