Citation

Hackenberg B. Padiatr. Praxis 2005; 66(2): 227-232.

Copyright

(Copyright © 2005, E U Hans Marseille Verlag)

DOI

unavailable

PMID

unavailable

Abstract

In paediatric consultation adolescents manifesting behavioural deviations usually do not report their difficulties themselves. Typically, it are the parents who describe the problems their behaviour is causing. The necessity of putting together diverging subjective perspectives which are often influenced by puberty- or family-related conflicts in order to reach an objective diagnosis frequently causes problems for the paediatrician concerning time pressure and questions of causality. The multiaxial diagnostic system in child and adolescent psychiatry uses a pragmatic system which can also be applied in paediatric settings. Particularly in situations where the paediatrician has to weigh up the danger of psychological crisis (e.g. suicide attempts, psychotic symptoms, depression or intoxication) on the one hand and the patient's self protective abilities (e.g. intellectual ability, temperament, stable interpersonal relationships, earlier success) on the other hand, models for immediate intervention are needed. In many cases the envisaged aim is not limited to symptom specific efficacy. What should be obtained is an adequate holistic intervention with regard to the patient's current developmental phase. Subsequently, the notions "network-strategy" and "cooperation" must be related to practicable concepts and should not be senseless slogans.

Language: de

Keywords

adolescent; Risk factors; human; Intervention; family; depression; psychosis; Protective factors; suicide attempt; intoxication; child behavior; article; conflict; mental disease; symptomatology; consultation; behavior disorder; child psychiatry; human relation; intelligence; child development; cooperation; defense mechanism; puberty; diagnostic procedure; temperament; achievement; Impact; developmental stage; Explanation models; Intervention level and time pressure; Symptomatic level; Systemic preventive perspective