Clinical Pediatrics

doi: 10.1177/000992286800700601pmid: 4967572

doi: 10.1177/000992286800700602pmid: 4869852

doi: 10.1177/000992286800700603pmid: N/A

Smith, David E.; Rose, Alan J.

doi: 10.1177/000992286800700604pmid: 5694638

Smith, David E.; Rose, Alan J.

doi: 10.1177/000992286800700605pmid: 5648337

doi: 10.1177/000992286800700606pmid: N/A

Katz, Richard G.; White, Lon R.; Sever, John L.

doi: 10.1177/000992286800700607pmid: 4869853

Although it is certainly a childhood dis ease, many a pediatrician completes his resi dency having seen none or only a few cases of typical rubella. Despite this lack of ex perience he is likely to be invited by an internist or obstetrician to see a patient (often pregnant) with possible rubella or who has been exposed to the disease. On the advice of the consulting pediatrician, the pregnancy may be terminated or may be allowed to go to completion. In the latter case, he may eventually be called upon to evaluate the infant for evidence of con genital rubella.To handle such a situation intelligently, it is necessary to have a thorough under standing of the clinical features and epi demiology of postnatal rubella, the special circumstances involved with infection of mother and fetus, and the current status of methods for diagnosis, treatment, and pre vetition of infection.

Money, John

doi: 10.1177/000992286800700608pmid: 4869854

Two cases of hyperadrenocortical fe male hermaphroditism illustrate that psy chosexual identity may differentiate inde pendently of genetic, gonadal, hormonal and morphologic sex, and also of assigned sex. One child, assigned as a boy, elected by age 12 to be reassigned as a girl. The other child, assigned as a girl, elected by age 11 to be reassigned as a boy. It was possible to overcome the psychologic handicap of their elective mutism, espe cially by the use, initially, of drawing, writing and modeling.These cases illustrate the general rule that proper weighting must be given to psychosexual differentiation and the sense of gender identity before a decision for or against sex reassignment can be valid. A sex reassignment can be success fully undertaken if it resolves incongruity between gender identity and assigned sex, or if the gender identity is ambivalently noncommittal. Otherwise sex reassign ment is contraindicated.

Leaverton, David R.

doi: 10.1177/000992286800700609pmid: 5648338

Abrams, Alfred L.

doi: 10.1177/000992286800700610pmid: 4171929

We are increasingly aware of the harm, both actual and potential, done to patient and parents from the designation of children with delayed and irregular maturation as "brain-damaged" or "suffering from brain dysfunction."The terror and anxiety wrought by such diagnoses, despite the fact that they are based on no current evidence of actual brain disease, is the topic of this paper.