The author discusses family reactions to chronic illness including sibling reactions. The management of the chronically ill child is covered with a special emphasis on separation, and the importance ...of peer relationships, support groups, and the role of the professional.
Child Psychiatry is now a well recognized and established sub-specialty in Canada. It has gone through a period of vigorous and healthy growth. Like psychiatry in general it now faces a number of ...challenges which provide potential threat but which may lead to better definition of priorities and of its most effective function. Other disciplines, medical and non-medical, increasingly compete for a place on the therapeutic spectrum. Within psychiatry the rhetoric between different schools of thought provides ammunition for those who have no use for any form of psychiatry however it may be provided. The challenge is to develop more effective ways of using the skills of the child psychiatrist within a recognition that the number of practitioners will never approach what would be required to have child psychiatry alone cover the treatment needs of children and adolescents. The field requires the adoption of a more flexible metaphor for training and practice with competence in the different schools of theory and of therapy. Attention needs to be paid to the consumer movement, to the impact of better informed parents and public and to the developing of a parsimonious and selective approach to the use of scarce professional time. The healthy growth of research in child psychiatry is a development long overdue and places the discipline on a scientific rather than a clinical practice base. At a time when funding and the cost of health care are crucial issues the development of a secure knowledge base, efficient methods of service delivery and the integration with other mental health care providers are opportunities and grounds for optimism about the future of the sub-specialty.
Current knowledge of the origins & assessment of the f of violence has been unavoidably affected by changing social attitudes & diverse definitions; thus, the recent escalation of domestic violence ...may reflect increased social concern & more accurate reporting rather than actual increased incidence. With this in mind, various manifestations of domestic violence, ie, child, spouse, & sibling abuse in general, & sexual abuse & violence resulting from separation & divorce in particular, are explored, with implications for children's future lives highlighted. Psychiatrists are cautioned to refrain from simplistic interpretations & explanations, & to work to maintain a solid, scientific middle-ground between theories that attribute violence solely to individual or familial pathology & those that blame a flawed society. 52 References. K. Hyatt.
Moderating the morbidity of divorce Rae-Grant, Q; Robson, B E
Canadian journal of psychiatry,
08/1988, Letnik:
33, Številka:
6
Journal Article
Recenzirano
Divorce is frequent in our society. It is a "marker" of high stress periods that precede and follow it. The events surrounding it have clear negative effects on the physical and mental health of all ...those involved. The issues and the reactions, different for fathers and mothers and for children, are determined by the sex and developmental stage. The effects are interactive and events subsequent to the divorce influence the restoration of competent functioning. This paper examines these differential effects, methods of helping in the resolution process and opportunities of preventive work with this high risk population.
Child Psychiatry Rae-Grant, Quentin
Canadian Journal of Psychiatry,
01/2007, Letnik:
52, Številka:
1
Book Review
Recenzirano
Odprti dostop
Occasionally the book's position-for example, its endorsement of the view that selective serotonin reuptake inhibitors cause suicidal thoughts-is troubling. A key issue, which the authors identify, ...is the audience to whom the book is addressed.
Review of COMMUNITY AND SCHIZOPHRENIA Rae-Grant, Quentin
American Journal of Orthopsychiatry,
01/1968, Letnik:
38, Številka:
1
Book Review, Journal Article
Recenzirano
Reviews the book, Community and Schizophrenia by H. Warren Dunham (see record 1966-01810-000). The book presents a comprehensive survey of methodological difficulties and a critical review of ...previous work and conclusions. The book provides comprehensive, detailed, and analytic review of the whole problem of epidemiology in mental health. The one part of the book examines various hypotheses regarding the relationship between community organization and social class, on the one hand, and the disease known as schizophrenia on the other. The present work raises considerable doubt that there is any causal relationship between either the type of community or social class and the incidence of schizophrenia. The book summarizes the distribution of schizophrenics in community is dependent on the process of social selection. The book is a very clear, valuable and represents the distillation of 30 years work, knowledge of the problems, and refinement of instruments and methodology, for an epidemiologists. For all serious students of deviant behavior, its individual and community origins and therefore of methods of informed intervention, it is obviously one that will become both valuable and required reading. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
DISCUSSION Rae-Grant, Quentin
American journal of orthopsychiatry,
04/1967, Letnik:
37, Številka:
3
Journal Article
Recenzirano
This article discusses, the field of mental health like the field of general health care, is going through a period of rapid and radical change that amounts to nothing less than a subrevolution. ...Because of the success that insurance and prepayment programs have had in mitigating the burden of financial expenditure for general health care, there has long been a push, particularly by professionals, for the extension of these plans to cover mental health problems. Thus, insurance coverage is part of the overall battle for more adequate general medical and mental health care for the total populace. Most insurance coverage for mental and emotional disorders is based on the assumptions inherent in the definitions quoted from the American Psychiatric Association's "Guidelines." To say that many psychiatrists, as well as psychologists and social workers, do not accept these assumptions is beside the point. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
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