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Biomedical subjects

C R Pfeffer

Publications and source records attributed to C R Pfeffer.

At least 55 records · Page 3Linked to original sources
PubMed1988

Treatment of an abused preadolescent and the role of parental self-reporting.

This report describes treatment strategies used in the case of child physical abuse. It especially focuses on the strategy of encouraging the parents to report themselves to the Bureau of Child Welfare (B.C.W.). In so doing, the sense of therapeutic alliance, self-esteem, and re-establishment of appropriate parent-child relationships were enhanced. Furthermore, this flexible therapeutic design resulted in the beginning of successful treatment of this family's maladaptive interactions.

Adolescent↗
PubMed1988

Sadness and suicidal tendencies in preschool children.

This paper highlights factors associated with suicidal behavior in children who are approximately 3-6 years old. Similar suicidal risk factors found in older children, such as depression, preoccupations with death, and family instability involving child abuse and other forms of parental psychopathology, are associated with suicidal impulses of preschool children. Assessment of these risk factors should be included in pediatric and mental health evaluations of such young children. Clinical vignettes are offered in this text.

Attitude to Death↗
PubMed1987

Elements of treatment for suicidal preadolescents.

This paper outlines basic elements used in treatment of suicidal preadolescents, namely, having current knowledge of suicidal behavior, understanding a therapist's reactions to a suicidal child, intervening to decrease risk factors, developing a network of people who are involved with a child, and establishing follow-up contacts.

Attention Deficit Disorder with Hyperactivity↗
PubMed1986

A comparison of psychopathology in child psychiatric inpatients, outpatients, and nonpatients. Implications for treatment planning.

A total of 308 preadolescents who were either psychiatric inpatients, psychiatric outpatients, or nonpatients were studied with semistructured interview research instruments that have been described previously. The three groups of children included 106 children consecutively admitted to a voluntary hospital psychiatric inpatient unit, 101 consecutively admitted children to the same voluntary hospital center psychiatric outpatient clinic, and 101 randomly selected nonpatients. The research instruments included a Spectrum of Suicidal Behavior Scale, a Spectrum of Assaultive Behavior Scale, a Precipitating Events Scale, General Psychopathology (recent and past) Scales, a Family Background Scale, a Child's Concept of Death Scale, an Ego-Functioning Scale, and Ego-Defense Scale, and a Medical-Neurological Assessment Scale. The results of the study indicated that the presence of recent depression and recent and past aggression, the use of such ego defenses as projection, displacement, and regression, and the experience of parental separation were significantly different for the three groups of children. Impulse control and reality testing were best in the nonpatients and poorest in the inpatients. The variables that best predicted the need for psychiatric hospitalization were suicidal behavior, recent depression, recent aggression, poor reality testing, and such ego defenses as projection and regression. Implications of these findings are discussed.

Aggression↗
PubMed1986

Suicidal behavior in child psychiatric inpatients and outpatients and in nonpatients.

One hundred one child psychiatric outpatients were assessed using a standard battery of measures to identify factors associated with suicidal behavior. Data on these outpatients were compared to those for psychiatric inpatients and nonpatients previously studied. The frequency of suicidal behavior among the outpatients (24.8%) was less than for a comparable group of inpatients (78.5%) but more than for a comparable group of nonpatients (12%). Four variables--recent general psychopathology, preoccupation with death, and recent and past depression--were significantly associated with suicidal behavior in the three groups of children.

Aggression↗
PubMed1986

Psychiatric inpatient treatment of childhood schizoaffective disorder.

Psychiatric inpatient treatment of a child with multiple life-threatening symptoms, including suicidal behavior and food refusal, is described. Changes in symptomatology were monitored by applying research scales and research interview methods during the course of intervention. The process that led to the diagnosis of childhood schizoaffective disorder is discussed.

Anger↗
PubMed1985

Suicidal fantasies in normal children.

This study of a randomly selected sample of 101 schoolchildren, who had no history of previous psychiatric symptomatology, showed that approximately 12% of the children had suicidal impulses. Verbatim statements of the children about their suicidal tendencies are presented. Case vignettes illustrate the common occurrence of parental depression and suicidal behavior and the child's identification with these depressed parents. Clinical implications of these findings are discussed.

Aggression↗
PubMed1985

Self-destructive behavior in children and adolescents.

This overview of suicidal behavior of children and adolescents covers aspects of epidemiology and risk factors. The risk factors can be classified as early developmental experiences, expression of affects, and current environmental situations. These risk factors include depression, aggression, parental suicidal behavior, family losses, and family violence and depression.

Adolescent↗
PubMed1984

Functional encopresis: psychiatric inpatient treatment.

Encopresis can be considered an indication for psychiatric hospitalization in the multiproblem child, such as the one described in this report. Integration of observations from multiple treatment modalities were helpful in assessing the patient's progress and guiding interventions.

Aggression↗