Dimensional and Multicultural Assessment of Preschoolers’ Behavioral, Emotional, and Social Problems

Author(s):  
Thomas Achenbach

This chapter presents nosological models for early childhood psychopathology embodied in the Diagnostic and Statistical Manual of Mental Disorders (DSM), fifth edition, and the International Classification of Diseases, 10th revision. It also presents the revised Diagnostic Classification of Mental Health and Development Disorders of Infancy and Early Childhood as another nosological approach that provides more differentiated diagnostic categories and criteria for early childhood disorders. As an alternative to the top-down nosological approaches based on experts’ concepts of disorders, the chapter presents bottom-up approaches that statistically derive dimensional syndromes from ratings of problems in large samples of children. Statistically derived syndromes have been supported by data from multiple informants in dozens of societies around the world. The data from these societies have been used to construct multicultural norms for the syndromes, for DSM-oriented scales, and for broad-spectrum Internalizing, Externalizing, and Total Problems scales. Case illustrations are provided for translational applications in medical, mental health, educational, and child or family service settings.

2012 ◽  
Vol 21 (1) ◽  
pp. 95-102
Author(s):  
Otília Queirós ◽  
Teresa Golschimdt ◽  
Sara Almeida ◽  
Maria José Gonçalves

As alterações de comportamento são um sintoma, que pela disrupção que provocam na dinâmica familiar constituem um dos principais motivos de consulta pedopsiquiátrica na 1.ª infância (cerca de 1/3 do totaldos casos). Trata-se contudo de um sintoma que é comum a diversos quadros clínicos e que corresponde a diferentes situações do ponto de vista psicopatológico, cuja compreensão é fundamental para uma adequada intervenção terapêutica e prognóstico. Na 1.ª infância, a delimitação clara dos quadros clínicos coloca algumas dificuldades devido às modificações rápidas do desenvolvimento, à falta de especificidade dos factores causais e ao contributo das perturbações relacionais para a patologia da criança. Mais importante do que as manifestações clínicas, é o nível de funcionamento das estruturas psíquicas, nomeadamente da organização do Self e do desenvolvimentodo Eu, que é importante avaliar nestas situações.Neste trabalho, os autores fazem uma revisão da casuística da UPI relativamente às crianças referenciadas por alterações de comportamento durante um período de três anos (1996-1999), sendo apresentados os seus diagnósticos segundo a classificação DC: 0-3 (Diagnostic Classification of Mental health and developmentdisorders of Infancy and Early Childhood), nos eixos I – diagnóstico primário – e II – perturbação da relação. Os autores apresentam também vinhetas clínicas ilustrativas da psicopatologia que pode estar subjacente a este sintoma.


1988 ◽  
Vol 152 (S1) ◽  
pp. 33-37 ◽  
Author(s):  
Jack D. Burke

IntroductionThis paper will review the major objectives and study design of the Field Trials of the draft chapter on Mental Behavioural and Developmental Disorders in the tenth revision of the International Classification of Diseases (ICD-10), now in preparation. The text used in this Field Trial is the Clinical Descriptions and Diagnostic Guidelines, which is more elaborate than the Short Glossary for this chapter that will be published in the main volume of ICD-10. The text for the former will be published together with the Diagnostic Criteria for Research and other parts of the WHO family of instruments relevant to mental health.


1989 ◽  
Vol 154 (S4) ◽  
pp. 21-23 ◽  
Author(s):  
J. E. Cooper

This paper gives a brief outline of the present state of development of the psychiatric chapter of the tenth revision of the International Classification of Diseases (ICD-10). It is written from the point of view of one of the many consultants to the Division of Mental Health, World Health Organization (WHO), Geneva, and thus is not an authoritative or official statement on behalf of WHO. The responsibility for decisions about ICD-10 Chapter V (F) rests with Dr Norman Sartorius, Director of the Division of Mental Health, though many psychiatrists in many countries have contributed to ICD-10 Chapter V (F), and will continue to do so, since much work is still to be done before the final form is officially agreed and published in about 1990. Before he left WHO, Geneva in September, 1986, Dr Assen Jablensky also carried a great deal of responsibility for the arrangements necessary for the production of the drafts of ICD-10 Chapter V (F) that are now being developed.


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