scholarly journals The mental hygiene movement: Institutional response to individual concern. The early years of the Philadelphia Child Guidance Clinic.

1976 ◽  
Vol 66 (1) ◽  
pp. 85-91 ◽  
Author(s):  
B A Dreyer
1955 ◽  
Vol 101 (424) ◽  
pp. 696-703 ◽  
Author(s):  
Anne Bolton

It has long seemed apparent to workers in the child guidance field that many of their patients show evidence of longstanding emotional disturbance; either the symptoms now complained of have been present for many years, or there has been a history of symptoms earlier on which have disappeared only to be replaced by the existing ones. Some of these patients whose present condition may be almost intractable, might have been helped had they been treated at an earlier date, while recent work by Bowlby (1951) and others has emphasized how important are security and satisfactory emotional relationships in the early years for the establishment of a stable personality. Thus it appears that any prophylactic approach, aimed at reducing the incidence of emotional disturbance in older children, and it is hoped ultimately in adults, may need to be made very early in life.Little has been published, apart from accounts of individual patients, of work on any series of very young children who were psychiatrically disturbed, particularly from a prophylactic point of view. Joseph (1948) has described some of the patients she has seen in a child guidance clinic attached to a child welfare centre, and Gillespie (1954) has compared the symptomatology of a series of pre-school children treated at Infant Welfare Centres with the preschool histories of older children treated in a child guidance clinic. She points out that the type of problem dealt with in the under-fives was seen in a high proportion of the earlier histories of those who needed treatment at a later age. The importance of early treatment for parents in the prevention of serious disturbance in the children has been emphasized by Fries (1946) by Jacobs (1949) and on a community scale by Caplan (1951). His experience in Infant Welfare Centres in Israel over a number of years has led him to concentrate on the treatment of cases where abnormal symptoms were not yet manifest, but where pathogenic relationships of the parents to the child were such that he felt that emotional difficulties in the child might later develop. In this country such a prophylactic approach is relatively unexplored, although the possibility of preventing mental ill health in children is one which has interested public health authorities for some time.


Author(s):  
Gerald Thomson

The founding in 1932 of British Columbia’s provincial Child Guidance Clinic by Dr. A. L. Crease of Essondale Mental Hospital was seen as a medically progressive measure in the preventive work to stem mental ailments in children and prevent future adult mental illness. The clinic’s history and the influence of mental hygiene on early twentieth-century medical, educational, and social service agencies in BC that dealt with so-called “problem children” has received limited scholarly attention. This paper argues that the mental hygiene agenda was cultivated by psychiatrists working at mental asylums, teachers of “subnormal” children, child welfare advocates, and university-trained social workers, all of whom increasingly shaped child-saving policy in British Columbia. However, from its beginnings, the British Columbia provincial Child Guidance Clinic had an unstable clinical history and it was completely reorganized in 1946 and subsequently closed in 1958. The clinic’s history stood in stark contrast to Alberta’s child guidance clinics, which applied a rigid mental hygiene policy of eugenic sterilization until the early 1970s. This significant difference indicates the need for other detailed microhistories of child psychiatry and child guidance clinics across Canada.


BMJ ◽  
1954 ◽  
Vol 2 (4887) ◽  
pp. 592-593
Author(s):  
J. G. Howells

PEDIATRICS ◽  
1976 ◽  
Vol 57 (3) ◽  
pp. 436-438

WHO WORKS FOR CHILDREN: THE REALITIES: 11th Annual Conference sponsored by the Association for the Care of Children in Hospitals, Hilton Hotel, Denver, Colorado, March 24 to 27. Preregistration is required. For information write: Ms. Lynn Moulthrop, ACCH Colorado Affiliate, P.O. Box 613, Aurora, Colorado 80010 PSYCHOSOMATIC MEDICINE AND FAMILY THERAPY: Symposium sponsored by the Family Therapy Training Center, Philadelphia Child Guidance, Clinic, May 1 and 2. Fee $100. For information write: Ms. Helene Davis, Philadelphia Child Guidance Clinic, 34th St. & Civic Center Boulevard, Philadelphia, Pennsylvania 19104.


2019 ◽  
Vol 6 (6) ◽  
pp. 2605
Author(s):  
Raghavendra K. ◽  
Venkatesh Reddy A. N.

Background: Learning Disability (LD) is a frequently neglected entity in our set up, with the affected children being labeled as dull and worthless. The feeling of inadequacy and shame leads to psychological problems in approx. 30% of these children. These include low self-esteem, school phobia, anxiety, depression, oppositional-defiant behavior and conduct disorders. Early recognition of this disability in the primary school children and initiating appropriate remedial measures can significantly reduce morbidity. Authors objective was to study the prevalence and pattern of alphabet problems in children with learning disability.Methods: This was a cross sectional study done in the Child Guidance Clinic of a tertiary care teaching hospital in Chitradurga district, Karnataka, between January 2016 and January 2018. After obtaining informed consent from parents, children between ages 5 to 17 years, diagnosed to have learning disability, were asked to write upper and lower case alphabets in English. Alphabet problem was diagnosed if child had mixing of upper and lower case alphabets, missing of alphabets, reversals and improper sequence. Association of alphabet problems with age and sex was studied.Results: There were 293 children with learning disability, between 5-17 yr of age, attending our Child Guidance Clinic, who were assessed for alphabet problems. Alphabet problems were noted in 83.6% children. Mixing of upper and lower case alphabets was seen in 74.74%, missing of alphabets in 25.94%, reversal of alphabet in 21.50% and errors in sequencing in 12.97%. The prevalence of alphabet problems was higher in the 5-8yr age group. Prevalence of alphabet problems was more in males compared to females.Conclusions: Alphabet problems were present in a significant number of children with learning disability. Presence of alphabet problems could be used as a simple screening tool for children with learning disabilities.


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