PROBLEMS OF DIAGNOSIS AND TREATMENT: COMMUNICATION BETWEEN PEDIATRICIAN AND PSYCHIATRIST: RETROSPECT AND PROSPECT

PEDIATRICS ◽  
1966 ◽  
Vol 37 (6) ◽  
pp. 1000-1004
Author(s):  
Reginald S. Lourie
Keyword(s):  
Child Psychiatry ◽  
Communication System ◽  
Mental Hygiene ◽  
The Other ◽  
Diagnosis And Treatment ◽  
Basic Assumptions ◽  
Common Complaint ◽  
Opposite Pole ◽  
Communication Difficulties ◽  
Child Psychiatrists

We Have Come a long way from the thirties when Brenneman was writing about "The Menace of Psychiatry"1 and Crothers described the confusion of " The Pediatrician in Search of Mental Hygiene."2 On the surface at least we seem to have come to the opposite pole. A pediatrician sits on the Child Psychiatry Committee of the American Board of Psychiatry and Neurology. Most teaching services in pediatrics have at least a consultant in child psychiatry, and many hospitals and medical have divisions and departments of child psychiatry closely allied to pediatrics. In the late fifties Dr. Janeway3 as a member of a panel with Anna Freud, said that whereas 25 years ago the presence of a professor of pediatrics on such a platform lent respectability to psychoanalysis, "it now lends respectability to the pediatrician." When, however, one looks below the surface where child psychiatrists and pediatricians function together, mutual dissatisfaction is not infrequent. Probably the pediatricians have more complaints about the psychiatrists than the other way. A frank and critical look at these complaints reveals that they are consistently related to problems in orientation and in understanding each other. On analysis, their differences usually fall into the following relatively few patterns. TYPES OF DISAGREEMENT AND COMMUNICATION DIFFICULTIES A common complaint concerns the communication system, or better, the lack of communication between psychiatrist and pediatrician. Starting sometimes with the differences of professional language, this often goes on to involve the psychiatrist's confidently stated basic assumptions which the pediatrician may refuse to take for granted, or may flatly disbelieve.

scholarly journals Don’t just sit there shouting at the television, get up and change the channel

2017 ◽  
Vol 6 (1) ◽  
pp. 40-49
Author(s):  
John Hill
Keyword(s):  
Social Media ◽  
Statistical Model ◽  
Political Communication ◽  
Communication System ◽  
The Other ◽  
The Internet ◽  
Mainstream Media

Understanding political communication using a networked model is not simply a case of opposing linear with nonlinear communication, of mainstream media with social media, or television with the internet. Rather it is about seeing the whole of the communication system as complex, unstable and indeterminate. Networked communication includes within it both broadcast and dialogue but does not separate them out. Each part of the system has the capacity to determine the potential of the other, with meaning a product of the change they effect on the system as a whole. Understanding broadcast as existing within a networked model reopens the potential for invention that the statistical model of information must foreclose in order to function.

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.

Training for Child Psychiatry

2016 ◽  
pp. 299-308
Author(s):  
Donald W. Winnicott
Keyword(s):  
Child Psychiatry ◽  
Emotional Health ◽  
Trainee Doctor ◽  
Child Psychiatrists

In this contribution to a symposium on the training for child psychiatry—a new specialty in medicine at this time—Winnicott proposes that doctors who have trained in paediatrics and psychoanalysis should also train as child psychiatrists. Becoming an adult psychiatrist who then trains in child psychiatry is not advisable because the trainee doctor will have missed the development of child physical and emotional health during its maturation.

Analysis of chromosome movement in crane fly spermatocytes by ultraviolet microbeam irradiation of individual chromosomal spindle fibres. I. General results

1981 ◽  
Vol 59 (9) ◽  
pp. 770-776 ◽  
Author(s):  
Peggy J. Sillers ◽  
Arthur Forer
Keyword(s):  
Ultraviolet Light ◽  
Monochromatic Light ◽  
The Other ◽  
Spindle Fibre ◽  
Chromosome Movement ◽  
Opposite Pole ◽  
Other Hand ◽  
Ultraviolet Microbeam ◽  
The Difference ◽  
Spindle Fibres

Single chromosomal spindle fibres in anaphase Nephrotoma ferruginea (crane fly) spermatocytes were irradiated with monochromatic ultraviolet light focussed to a 4-μm spot by means of an ultraviolet microbeam apparatus. The movement of the half-bivalent associated with the irradiated spindle fibre was either unaffected or the half-bivalent stopped moving; i.e., the effect was all-or-none. When the half-bivalent associated with the irradiated spindle fibre did stop moving, the partner half-bivalent moving towards the opposite pole (i.e., the half-bivalent with which the first half-bivalent was previously paired) also stopped moving: all other half-bivalents moved normally. In over 90% of the 69 cases the movements of the two half-bivalents were only temporarily blocked; when movement resumed both half-bivalents resumed movement at the same time, after stoppage times ranging from 2 min to more than 15 min. In a few cases the half-bivalents never resumed poleward motion.When half-bivalents that had stopped movement finally resumed movement they often did not reach the poles; i.e., they "lagged" and remained separate from the other chromosomes. This result occurred only in spermatocytes of N. ferruginea. In spermatocytes of N. suturalis or N. abbreviata, on the other hand, the stopped half-bivalents did not lag but always reached the poles.Half-bivalent pairs that stopped moving in N. ferruginea spermatocytes did so for shorter times than did those previously reported (after irradiation of chromosomal spindle fibres) in N. suturalis spermatocytes. We suggest that the difference is due to our use of monochromatic ultraviolet light as opposed to the previous use of heterochromatic ultraviolet light. We assume that different wavelengths of monochromatic light produce different effects, that any given monochromatic irradiation produces only one effect (albeit different effects at different wavelengths), but that heterochromatic irradiations can produce multiple effects.Irradiation of the interzone (between separating half-bivalents) had no effect on the chromosome-to-pole movements of the half-bivalents. Therefore the stoppage of movement of half-bivalent pairs is specific for irradiation of chromosomal spindle fibres. On the other hand, irradiation of the interzone often blocked pole-to-pole elongation.

Determine to Slip Surface in Waterfront Soil Slope Analysis

2011 ◽  
Vol 378-379 ◽  
pp. 466-469 ◽  
Author(s):  
Jun Jie Wang ◽  
Hui Ping Zhang ◽  
Tao Liu
Keyword(s):  
Iterative Method ◽  
Slip Surface ◽  
The Other ◽  
New Method ◽  
Soil Slope ◽  
Balance Equations ◽  
Inclined Plane ◽  
Slope Analysis ◽  
Basic Assumptions ◽  
Straight Lines

This study focuses on the method to determine the slip surface in waterfront soil slope analysis under static and seismic conditions. Based on the limiting equilibrium theory and the stress analyzing method, a new method to determine the slip surface is suggested. In the method, the two basic assumptions are considered in order to solve the problem. One is that the slip surface comprises a series of straight lines, and the other is that the interslice boundary is an inclined plane. Three balance equations for any slice are proposed. The iterative method to solve the balance equations is also suggested. In the new method, the slip surface is obtained slice by slice going from downhill to uphill in terms of the balance equations of the slice, not predefined.

The Epistemological Foundations of Natural Philosophy

Philosophy ◽  
1946 ◽  
Vol 21 (78) ◽  
pp. 5-28 ◽  
Author(s):  
G. J. Whitrow
Keyword(s):  
Natural Law ◽  
Scientific Method ◽  
Natural Philosophy ◽  
External World ◽  
The Other ◽  
Philosophical Discussion ◽  
Metaphysical Necessity ◽  
Basic Assumptions ◽  
Other Hand ◽  
History Of

The history of Natural Philosophy is dominated by a paradox; broadly speaking, a vast increase in its range of application to the external world has been accompanied by a sweeping simplification in its basic assumptions. From the standpoint of Empiricism this dual development appears utterly mysterious. On the other hand, Rationalism, which seeks to demonstrate the metaphysical necessity of natural law, and hence might throw light on this development, has been generally discredited, particularly by men of science. It is not surprising, therefore, that philosophical discussion of scientific method has become a Babel of confusing tongues.

Identifying Sets of Four and Five Positions That Generate Distinctive Center-Point Curves

2009 ◽  
Author(s):  
David H. Myszka ◽  
Andrew P. Murray
Keyword(s):  
Closed Form ◽  
The Other ◽  
Specific Design ◽  
Opposite Pole ◽  
Center Point ◽  
Point Curve ◽  
Position Synthesis ◽  
Two Sides ◽  
Cubic Function

The fixed pivots of a planar 4R linkage that can achieve four design positions are constrained to a center-point curve. The curve is a circular cubic function and plots can take one of five different forms. The center-point curve can be generated with a compatibility linkage obtained from an opposite pole quadrilateral of the four design positions. This paper presents a method to identify design positions that generate distinctive shapes of the center-point curves. The form of the center-point curve is dependent on whether the shape of the opposite pole quadrilateral is an open or closed form of a rhombus, kite, parallelogram, or when the sum of two sides equals the other two. Interesting cases of three and five position synthesis are also explored. Four and five position cases are generated that have center points at infinity allowing a PR dyad with line of slide in any direction to achieve the design positions. Further, a center-point curve for five specific design positions is revealed.

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