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doi: 10.1177/070674379203700602pmid: 1394011
The quest for a coherent epistemology in psychiatry has been a challenge for academics and practitioners alike. The question from the perspective of child psychiatry is discussed in this observation.
Bergeron, L.; Valla, J.P.; Breton, J.J.
doi: 10.1177/070674379203700605pmid: 1394012
A pilot study for a Quebec Child Mental Health Survey was completed in 1990 with 139 children aged six to 14 years from the general population. Six month prevalence estimates for seven disorders were established using DSM-HI-R criteria alone and in combination with an impairment index related to the diagnoses. Prevalence estimates were studied separately for parents and children. Each age group (six to 11, 12 to 14) was also studied separately. The impairment index, working as a severity scale, lowered prevalence estimates and allowed identification of impairing and non impairing diagnoses. Little overlap was found between informants.
Bergeron, L.; Valla, J.P.; Breton, J.J.
doi: 10.1177/070674379203700606pmid: 1394013
A pilot study for a Quebec Child Mental Health Survey was completed in 1990 with 139 six to 14 year olds from the general population. The following variables, which were correlated with child psychopathology, were studied for each age group (six to 11 years, 12 to 14 years) and informant (parent, child): child's gender and stressful life events, respondent parent's psychiatric illness, family structure, parent-child relationships, parents' relationship, socioeconomic status, respondent parent's social desirability. Correlations obtained are consistent with those found in the literature. Correlations between the parent's mental health, parent-child relationships and the children's mental health are the most important results of the study.
Parker, Kevin C.H.; Froese, Arthur P.
doi: 10.1177/070674379203700607pmid: 1394014
This paper describes a number of steps we have initiated to study our chronic waiting list problems. We describe a program involving monthly data collection which has enabled us to document the effectiveness of some strategies and predictive variables. During 1989 the data were supplemented with information collected by a questionnaire mailed to every other referral. We found that an initial response to the questionnaire was a powerful predictor of successfully kept first appointments six to 12 months later. The significance of these differences, the impact of our tracking procedures and the issues and causes, along with some strategies, are discussed.
Grizenko, Natalie; Papineau, Danielle
doi: 10.1177/070674379203700608pmid: 1394015
This study compares the cost of treating 23 children admitted to a residential treatment unit in a psychiatric hospital and 23 children admitted to the same unit after it was converted to a day treatment program, through a retrospective chart review. The two groups were similar in age, gender, diagnosis, severity of pathology, family functioning and support, the number of subjects who dropped-out, and treatment outcome. The average length of stay on the unit dropped from 19.6 to 6.1 months, and the average cost of treatment per child decreased from $61,412 to $9,213 (Canadian dollars, adjusted for inflation). The sharp decrease in treatment time with day treatment may be the result of close links with community schools and maintaining the child in the family and community. The cost savings can be attributed to the shorter hospital stays and the lower operating costs of day treatment. Implications of these findings will be discussed with respect to health care policy including the need to raise awareness of day treatment as a cost-effective alternative to residential hospital treatment.
Ney, Philip G.; Fung, Tak; Wickett, Adele Rose
doi: 10.1177/070674379203700609pmid: 1394016
This paper is a study of child abuse and neglect from the perspective of the child. Generally, the mistreatment of children was associated with “poor care” from parents, attributed mainly to immaturity, marital problems, alcohol abuse, unemployment, drug abuse and lack of money. Differences in attribution are noted between males and females, and some differences are noted by the age of the child. When factors other than the causes given by the children were taken into account, mistreatment was significantly related to family break-up, as well as long-term disinterest and lack of affection from the parents. When the children were asked for their “worst experience in life,” the most common responses were “abuse” “family break-up,” and for the juvenile offenders “getting charged with a crime”.
Spooner, Diane; Ricard, Marcelle; Saucier, Jean-Francois
doi: 10.1177/070674379203700610pmid: 1394017
The mother is the principal care-giving partner of the infant and an important source for the development of self-awareness and self-esteem. The importance of the early relational experiences of the nursing infant with its mother has been widely emphasized by the psychoanalytical approach. Through this special interaction with the parent, the infant gradually internalizes images leading to the individuated self and to self-love. The purpose of this paper is to present succinctly some of the broad theoretical positions regarding the forming of the self in the nursing infant, first within the “classical” psychoanalytical current, then under the impact of more recent research in experimental psychology which have given rise to new syntheses. Empirically, the capacity for self-recognition may be observed during early childhood by means of a child's reactions in front of the mirror; therefore, the work dealing with this phenomenon will be discussed briefly.
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