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Differential Diagnosis of Psychiatric Disturbance in Pre-School Children

Published online by Cambridge University Press:  29 January 2018

Eva A. Frommer
Affiliation:
Child Psychiatric Clinic, St. Thomas' Hospital, London, S.E.1
Wallace B. Mendelson
Affiliation:
Department of Psychiatry, Washington University School of Medicine, 4940 Audubon Avenue, St. Louis, Missouri 63110, U.S.A.
M. A. Reid
Affiliation:
Children's Psychiatric Day Hospital, St. Thomas' Hospital, London, S.E.1

Extract

The Child Psychiatric Clinic of the Paediatric Department at St. Thomas' Hospital has had a relatively large number of referrals of disturbed children under 5 years of age, because of the existence of a day hospital where they and their families can be offered treatment together (Frommer, 1967). As there are few reports on psychiatric disturbance in this age-group, we thought it worthwhile to report on some aspects of their problems as we have seen them. Clinical experience led us to the supposition that we would find recurring patterns of family disturbance and symptoms accompanying the main behavioural disturbances for which they were brought. For this reason, we undertook an analysis of the presenting features, symptoms, behaviour, and family circumstances of all pre-school children who were referred to this Clinic during six years from August, 1962, when the day hospital first opened as a part-time pilot venture, to August 1968. The following is an account of some of our findings.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1972 

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References

Frommer, E. A. (1967). ‘A day hospital for disturbed children under five.’ Lancet, i, 377–9.Google Scholar
Mendelson, W., Reid, M., and Frommer, E. A. (1971). ‘Some characteristic features accompanying depression, anxiety aud aggressive behaviour in disturbed children under five.’ in Depressive States in Childhood and Adolescence (Proc. 4th U.E.P. Congress, Stockholm, 1971). Almqvist & Wiksell. Pp. 151–8.Google Scholar
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Wolff, S. (1961b). ‘Symptomatology and outcome of preschool children with behaviour disorders attending a Child Guidance Clinic.’ J. Child Psychol. Psychiat., 2, 269–76.Google Scholar
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