PSY352S08childhoodCh15 - Disorders of Childhood and...

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Unformatted text preview: Disorders of Childhood and Adolescence Chapter 15 PSY352 Spring 2008 Dr. Bradbury Disorders of Childhood and Adolescence Almost 21% of U.S. children, ages 9-17, have a diagnosable DSM disorder associated with at least minimal impairment 11% have significant impairment 5% have extreme impairment Disorders of Childhood and Adolescence (contd) Developmental disorders: PDD spectrum Learning disorders Feeding and elimination disorders Externalizing disorders: Attention deficit/hyperactivity disorder Disruptive behavior disorders Oppositional defiant disorder Conduct disorder Internalizing disorders: Mood disorders Anxiety disorders Developmental psychopathology Developmental-systems perspective Why developmental? Why systems? Diagnosis and treatment within context Complexities of dx and tx w children Sources of reporting, childs world Developmental psychopathology Developmental trajectory Definition of recovery Normal development highly variable but within expectable limits Processes for learning are critical - attention, social interest, communication Family development - a system itself Developmental-systems constructs Children are active in seeking and interpreting experiences conducive to development Childrens symptoms may reflect processes at many levels of the childs system Threshold factors and tipping points On a larger level (e.g., cell phones, immuniz) On an individual level (e.g., multiple risks) Childrens Problems Are never the childs alone (transactional impact on and by family system) May not constitute disorder - normal to have some distressing experiences As with adults, questions of normalcy relate to level and duration of symptoms and distress, appropriateness to context, etc. Childrens Problems Are generally not the same as adult problems Symptoms may vary for same disorder, e.g., irritability for depression Symptoms may vary over time in ways unlike adults (e.g., anxiety symptoms vary w age) Children have less understanding of symptoms, and fewer words to describe them....
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PSY352S08childhoodCh15 - Disorders of Childhood and...

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