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Showing papers in "Child and Adolescent Psychiatric Clinics of North America in 1993"


Journal ArticleDOI
TL;DR: The phenomenology, causes, treatment, and outcome of children and adolescents with obsessive-compulsive disorder are reviewed.

241 citations


Journal ArticleDOI
TL;DR: This paper reviewed the epidemiology and clinical features of bulimia nervosa and then focused on course and outcome, finding that the outcome appears to be best characterized by remission and relapse.

50 citations


Journal ArticleDOI
TL;DR: Treatments for anxiety disorder, overanxious disorder, and school refusal include contingency management, exposure-based treatment, relaxation, cognitive therapy, and pharmacologic treatment.

47 citations


Journal ArticleDOI
TL;DR: In this paper, the authors present data and findings on the association between behavioral inhibition in children and risk for anxiety disorders and argue strongly for the importance of this temperamental construct as informative and germane to the understanding of the development of anxiety psychopathology.

34 citations


Journal ArticleDOI
TL;DR: In most intersex patients, gender identity appears to develop in line with the gender of original assignment, but there is a substantial number of patients who develop gender identity problems as discussed by the authors.

32 citations


Journal ArticleDOI
TL;DR: Evidence suggests that relatively distinct syndromes, of which poor growth is but one aspect, can be differentiated, and the former organic-nonorganic dichotomy is misleading and outdated.

32 citations


Journal ArticleDOI
TL;DR: The literature supporting the occurrence of panic attacks or panic disorder in children and adolescents is reviewed and the association of early loss and childhood separation anxiety to adult panic disorder is discussed.

30 citations


Journal ArticleDOI
TL;DR: The authors discusses new genetic, endocrine, and neuroanatomic findings of relevance to the development of sexual orientation, but do not yet provide a basis sufficient for a definitive psychobiologic theory for sexual orientation.

23 citations


Journal ArticleDOI
TL;DR: For example, this paper reported that post-traumatic stress disorder in children and adolescents is similar to that in adults, with differences primarily stemming from divergent stressors, developmental themes, and family issues.

21 citations


Journal ArticleDOI
TL;DR: In this paper, a description of natural and healthy sexual behaviors in preschool and latency-aged children is differentiated from three clusters of behaviors of young children that indicate varying levels of sexual behavior problems.

20 citations


Journal ArticleDOI
TL;DR: The authors discuss the classification of eating disorders of infancy and early childhood, including pica, rumination disorder of infancy, nonorganic failure to thrive, and psychosocial dwarfism.

Journal ArticleDOI
J.M. Johnston1
TL;DR: In this paper, the authors describe the topographic and temporal characteristics of rumination, focusing on features that distinguish it from vomiting, and discuss diagnostic issues, with an emphasis on organic and behavioral factors.

Journal ArticleDOI
TL;DR: In this paper, the psychosexual development of children with sex-typed behavioral patterns that correspond to DSM-III-R diagnosis of gender identity disorder of childhood is reviewed, including its natural history and family characteristics.

Journal ArticleDOI
TL;DR: Among adolescents, those who run away or who are incarcerated, psychiatrically distressed, live in inner cities, or have self-identity as gay or lesbian are more likely to be at risk for HIV, other sexually transmitted diseases, and teenage pregnancy as discussed by the authors.

Journal ArticleDOI
TL;DR: In this paper, a brief review of the research literature on adolescent sex offenders is presented, which discusses available data from an inner-city sample of adolescents on the amount of aggression they used during the commission of sexual offenses.

Journal ArticleDOI
TL;DR: Treatment methods reflecting the considerable heterogeneity of clinical presentation with respect to the infants with FTT, their mothers, their families, and the FTT infant-mother relationship are described.

Journal ArticleDOI
TL;DR: The construction of gender appears to direct meanings attached to the sexual self (i.e., who is more sexual, men or women?). What acts are sexually deviant? These constructions are themselves tied to history in a particular time.

Journal ArticleDOI
TL;DR: In this paper, the available empiric literature on the clinical disorders, draws on related populations such as behavioral inhibited and socially withdrawn children, and highlights diagnostic and treatment issues with respect to these DSM-III-R disorders.

Journal ArticleDOI
TL;DR: For example, the authors discusses normal children's sexual development from the time they are 5 years of age until they begin puberty, which is a period when children learn to be modest, conceal sexual interests from adults, draw into same-sex groups and use their new cognitive capabilities to better understand the world.

Journal ArticleDOI
TL;DR: The psychiatric comorbidity associated with anorexia nervosa is discussed, including depression, anxiety disorders, substance abuse, and personality disorders, and the data available from intermediate and long-term follow-up studies are summarized.

Journal ArticleDOI
TL;DR: It is critical that the clinician evaluate the total child or adolescent, making an effort to clarify all biologic as well as psychological, social, and family difficulties when formulating a diagnosis and developing a treatment plan.

Journal ArticleDOI
TL;DR: The literature on the use of tricyclic antidepressants, serotonin specific reuptake inhibitors, monoamine oxidase inhibitors, benzodiazepines, propranolol, buspirone, and other medications for the treatment of childhood anxiety disorders is briefly reviewed.

Journal ArticleDOI
TL;DR: Paraphilias are multivariate in origin and sequential in development, beginning in childhood and coming into full flower in adolescence or later as discussed by the authors, i.e., they are not caught by social contagion (e.g., from example or pornography) but are induced by noxious child-rearing experiences, nonsexual as well as sexual, that pathologize normophilic development.

Journal ArticleDOI
TL;DR: In this paper, the authors provide an overview of childhood anxiety and appropriate assessment methods from a behavior therapy perspective and then focus on a detailed description of the behavior therapy techniques that are most commonly used to treat these disorders.

Journal ArticleDOI
TL;DR: The author reviews what is known about the neurobiology of anxiety in adults, and neurobiologic correlates of animal models of anxiety.

Journal ArticleDOI
TL;DR: An historical review and a synopsis of current views of psychosexual development from birth through the third year of life are presented and theoretical positions and clinical data from infant observational research pertaining to oral, anal, urinary, and early genital erotism are described.

Journal ArticleDOI
TL;DR: In this article, the variations in eating patterns, feeding difficulties, and eating disorders seen in nonreferred adolescents, children, and infants are explored and the correlation between these earlier eating problems and the later appearance of eating disorders is considered.

Journal ArticleDOI
TL;DR: The nature of anxiety in Tourette’s syndrome is not clearly understood and anxiety as a symptom must be differentiated from anxiety disorder.

Journal ArticleDOI
TL;DR: Assessment and treatment of anxiety disorders in children should be based on the current state of knowledge in their etiology and pathogenesis including the contributions of temperament, family history and functioning, culture, development, and comorbidity.

Journal ArticleDOI
TL;DR: The concepts of childhood and sexuality as we currently know them are a relatively recent invention as mentioned in this paper, since the middle ages, childhood has changed from being defined primarily as a social status to being defined as psychological state and developmental process.