Betrayal trauma in adolescent inpatients.
For 34 hospitalized adolescents sexual distress was associated with histories of abuse by family members as compared to nonabuse or abuse by others, while posttraumatic stress was not.
Adolescent↗
Biomedical subjects
J A Atlas
Publications and source records attributed to J A Atlas.
Adolescent inpatients' history of abuse and dissociative identity disorder.
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Adolescent↗
Depression and dissociation as features of borderline personality disorder in hospitalized adolescents.
26 adolescents showing Borderline Personality Disorder were compared with 12 carrying other diagnoses to clarify associated features of these conditions. In line with recent literature, the borderline adolescents evidenced significant depression and dissociation, suggesting the importance of evaluating instability of mood (versus thinking) and weak continuity in self-experience when identifying and treating this disorder.
Adolescent↗
Dissociation and somatization in adolescent inpatients with and without history of abuse.
33 adolescents were tested for signs of dissociation and somatization as these processes relate to histories of physical and sexual abuse, a characteristic of over half of patients admitted for acute psychiatric disorder. Analysis suggested that the 19 adolescents having histories of abuse were more likely to score higher on dissociation and somatization.
Adolescent↗
Differential diagnostics and treatment of an inpatient adolescent showing pervasive developmental disorder and mania.
A study of a 16.8-yr.-old female is presented to highlight aspects of Asperger's Syndrome as distinguished from cognate developmental and mood disorders. Brief therapy and pharmacological implications are mentioned.
Adolescent↗
Seclusion in treatment of adolescents on an acute inpatient unit.
Seclusion practices on a unit of adolescent inpatients with acute problems are compared with those in Norway on an innovative unit for adults. Research into the effectiveness of such programs is discussed.
Adolescent↗
Association between history of abuse and borderline personality disorder for hospitalized adolescent girls.
Records of 38 hospitalized female adolescents were analyzed to evaluate the relationship between a history of earlier physical and/or sexual abuse and borderline personality. Those with histories of abuse were significantly more likely to score as Borderline Personality Disorder when assessed by the Diagnostic Interview for Borderlines--Revised.
Adolescent↗
Crisis and acute brief therapy with adolescents.
In the last two decades there have developed a variety of brief therapy approaches typically aimed at serving adults with neurotic or characterological problems in outpatient settings. The present paper describes ways in which some of these techniques have been adapted for use with more disturbed adolescents in emergency room-crisis work and acute inpatient hospital settings.
Acute Disease↗
Dissociative experience in a group of adolescents with history of abuse.
57 successive admissions of adolescents with a history of abuse were examined to assess the extent of dissociative experience and possible differences in amount of dissociation related to types of abuse (physical, sexual, and both). The subjects showed a trend towards increased dissociation with inclusion of sexual abuse in their histories, and over-all significant dissociation when compared with a general inpatient psychiatric sample.
Adolescent↗
Applicability of the Revised Diagnostic Interview for Borderlines to hospitalized adolescents.
Administration of the Revised Diagnostic Interview for Borderlines to 14 adolescent girls showed that the 10 who had chart diagnoses of Borderline Personality Disorder or such features earned significantly higher scores than the 4 nonborderline adolescents. The small sample warrants replication but results suggest the interview seems appropriate in research with adolescent girls.
Adolescent↗
Case study of a conduct-disordered youngster: building ego defenses and improving object relations within a therapeutic alliance.
The classification of Conduct Disorder, sometimes seen as a nonspecific designation descriptive of antisocial behavior, is illuminated through case study of a youngster admitted for acute hospital treatment. Drawing on psychodynamic theory and treatment, principles are used in illustrating how individual, historical, family, and trauma factors may contribute to disordered self-esteem and behavior, which may become a focus of therapeutic intervention. A concluding section delineates the possibility of two varieties of Conduct Disorder related, respectively, to trauma or failures in socialization. These may have implications for treatment and setting.
Adolescent↗
Self-other differentiation among psychotic and conduct-disordered adolescents as measured by human figure drawings.
24 psychotic-spectrum adolescents were compared with 23 conduct-disordered adolescents on a self-other drawing differentiation task. Of the 24 psychotic-spectrum disordered adolescents, 14 received the diagnosis of Psychotic Disorder NOS (Group 1) and the remaining 10 had diagnoses of Schizophrenia, Bipolar Disorder with Psychotic Features, and Schizoaffective Disorder (Group 2). Interestingly, less impaired adolescents (Groups 1 and 3, the conduct-disordered group) showed significantly more difficulty than the more impaired adolescents (Group 2) on self-other differentiation as measured by their differentiated drawings.
Adolescent↗
Symbol use in a case of elective mutism.
A case of elective mutism in a 4-yr.-old girl is discussed with reference to symbol use in the phenomenology and treatment of this disorder. Findings are related to current controversies regarding the classification of this rare disorder, which may be associated with more severe psychotic-spectrum disorders of childhood.
Child, Preschool↗
Animistic thinking in psychotic versus conduct-disordered hospitalized adolescents.
25 adolescents showing a Psychotic-spectrum Disorder were compared with 24 adolescents showing Conduct Disorder on a task eliciting reasons for attributing life to an ambiguous pictorial stimulus (dough on a beach). Consistent with expectations from earlier research, the psychotic adolescents showed greater modes of animistic thinking (attributions of life to nonlife forms) than conduct-disordered youth, associated with theorized merging between self and the nonhuman environment. Implications are discussed.
Adolescent↗
Language in differential diagnosis of a teenage schizophrenic girl with aspects of multiple personality.
Diagnosis of a teenage schizophrenic girl showed many features of her language and behavior mimicked the presentation of a Dissociative Personality Disorder. These aspects were secondary to the primary schizophrenic disorder and treated via a multimodal approach combining pharmacotherapy, individual, family, and milieu therapy. Implications are drawn for tailoring verbal interventions to such overdetermined conditions.
Adolescent↗
Treatment of an identity-diffused adolescent on an acute inpatient unit.
The case of an adolescent hospitalized on an Acute Inpatient Unit following a suicide attempt is presented. Aspects of the patient's clinical presentation, specifically highly variable behaviors that eventuated in three recurring personality constellations, are linked to the youth's history of physical abuse. Interpretations of the boy's behaviors and treatment strategies are illustrated for consideration in work with other youth suffering histories of abuse.
Acting Out↗
Human figure drawings as estimates of intelligence for adolescents in an inpatient psychiatric unit.
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Adolescent↗
Responses of conduct-disordered versus psychotic adolescents to PPVT-R items of human versus nonhuman content.
24 conduct-disordered youth were compared with 22 psychotic youth on differential responsivity to human versus nonhuman content plates on the PPVT-R. Conduct-disordered youth performed worse on items featuring human stimuli, implying antisocial patterns which might correlate with more active avoidance of social relating.
Adolescent↗