NCJ Number
42415
Journal
Child Psychiatry and Human Development Volume: 6 Issue: 4 Dated: (SUMMER 1976) Pages: 198-213
Date Published
1976
Length
16 pages
Annotation
ON THE BASIS OF PREVIOUSLY REPORTED FINDINGS THAT MANY COURT-REFERRED CHILDREN HAVE A PSYCHOPATHOLOGY OTHER THAN SOCIOPATHY, ATTENTION IS GIVEN TO SOME ESSENTIAL ELEMENTS IN THE DIAGNOSTIC EVALUATION OF JUVENILES.
Abstract
EMPHASIS IS ON A METICULOUS HISTORY, INCLUDING CAREFUL ATTENTION TO THE SIGNIFICANCES OF FAMILY HISTORIES OF SERIOUS PSYCHIATRIC AND/OR NEUROLOGICAL DISORDERS. THE IMPORTANCE OF A DETAILED PERINATAL AND MEDICAL HISTORY, WITH EMPHASIS ON DETERMINING A POSSIBLE HISTORY OF SIGNIFICANT INJURY TO THE CENTRAL NERVOUS SYSTEM, IS STRESSED. A SYSTEMATIC MENTAL STATUS EVALUATION IS STRONGLY RECOMMENDED. TECHNIQUES FOR ASSESSING THE EXISTENCE OF SIGNIFICANT HALLUCINATORY AND DELUSIONAL EXPERIENCES IN CHILDREN ARE SUGGESTED. THE USES OF PSYCHOLOGICAL AND NEUROLOGICAL EVALUATIONS TO AUGMENT THE PSYCHIATRIC ARE DISCUSSED. THE POOR SOCIAL SITUATION FROM WHICH MANY DELINQUENTS COME AS WELL AS THE OBVIOUS INTRAFAMILIAL PSYCHODYNAMIC FACTORS INFLUENCING DELINQUENT BEHAVIOR ARE RECOGNIZED AS FREQUENT BLOCKS TO THE SEARCH FOR LESS OBVIOUS PSYCHOTIC AND/OR ORGANIC VULNERABILITIES IN THE JUVENILE OFFENDER. CASE HISTORIES OF SEVERAL CHILDREN WHO HAD PREVIOUSLY BEEN DISMISSED AS MERELY SOCIOPATHIC, ILLUSTRATE THE THESIS OF THE PAPER. (AUTHOR ABSTRACT)...DMC