A method for the teaching of interviewing skills.
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Biomedical subjects
Publications and source records attributed to M B Rothenberg.
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Although interest by psychiatrists and psychologists in consultation to pediatric settings has increased in the past few years, little is known about how frequently they have been involved in providing psychosocial services to hospitalized children. The authors distributed a 20-item questionnaire to 136 pediatricians and 12 head nurses, representing 22 hospitals throughout Washington State. The questionnaire was designed to assess the disciplines involved in providing psychosocial care, the availability of various personnel, teaching functions, funding of services, and perceived need for further services. The results showed that psychiatrists and psychologists were utilized least often in all settings. Respondents from 68% of the hospitals represented specifically requested more services from psychiatrists and psychologists trained in pediatric issues. The authors discuss possible reasons behind the underutilization of psychiatrists and psychologists.
Chronic stool retention with soiling is a common and distressing condition in children. Diagnosis and treatment generally involve both medical and psychological aspects. This case addresses a potentially life-threatening complication of shock occurring during treatment of chronic stool retention with castor oil, and also explores the psychosocial factors felt to be contributory.
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The author expresses his concern that many child-life workers are not aware of the uniqueness of their role in child health care settings. He comments on four ways in which he perceives the child life worker's role to be unique. He concludes that the child life worker is irreplaceable in the child health care environment.
The author's thesis is that there is indeed an unconscious national conspiracy against children in our country. He presents data in relation to seven areas in which children function, to support his thesis. He then proposes an approach to understanding how this state of affairs has come about and makes specific recommendations that he feels will help us move toward a solution to this problem.
The historical background of the child psychiatry-pediatrics consultation and liaison field is summarized. Two recent national surveys of consultation and liaison programs are presented; one survey was sent to departments of pediatrics, while the other covered divisions of child psychiatry. The development of a multidisciplinary, multidepartmental consultation and liaison group in a children's hospital is described and offered as a possible paradigm. Finally, the author discusses the problems revealed by the surveys and offers some possible solutions.
For the past two years, pediatric interns at the University of Washington have been relieved of their clinical duties for five days to participate in a "retreat". Their places were taken by pediatric practitioners as a continuing education experience. The chief benefit of the retreat was the coming together of the intern group and the subsequent support they were able to give to each other. The educational content was deemed less important than the fact that the retreat occurred.
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One hundred forty-six articles in behavioral science journals, representing 50 studies involving 10,000 children and adolescents from every conceivable background, all showed that violence viewing produces increased aggressive behavior in the young and that immediate remedial action in terms of television programming is warranted. Four major issues are covered: effects on learning, emotional effects, the question of catharsis, and effects on aggressive behavior. The research findings regarding each of these issues are summarized, as well as the controversial 1972 Surgeon General's report, Television and Social Behavior. The time is long past due for a major, organized cry of protest from the medical profession in relation to what, in political terms, I consider a national scandal.
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