ABSTRACT
This report presents the French Classification of Child and Adolescent Mental Disorders (CFTMEA), operational since 1983 and validated through a broad multicentric study. CFTMEA is now the classification of reference for French child psychiatrists, who appear to be comfortable with it because it fits their diagnostic and therapeutic work. It bases its clinical categories on a psychopathological approach which includes an appraisal of potentials and prognosis. CFTMEA is deliberately built on two quite distinct axes: Axis I: basic clinical categories, and Axis II: associated and possibly etiological factors. The CFTMEA favors a broad appraisal of the disorders that it classifies, seeking whenever possible to establish a structural diagnosis based on psychodynamic psychopathology. The CFTMEA does not claim to be atheoretical, but does not impose a theoretical allegiance, because it is compatible with any etiological concepts. The CFTMEA's last revision (R 2000) is in an advanced phase of validation.
Subject(s)
Cross-Cultural Comparison , International Classification of Diseases/statistics & numerical data , Mental Disorders/classification , Psychiatric Status Rating Scales/statistics & numerical data , Adolescent , Child , France , Humans , Mental Disorders/diagnosis , Mental Disorders/psychology , Prognosis , Psychometrics , Psychopathology , Reproducibility of ResultsABSTRACT
Child mental disorders have to be considered both in terms of morbid process and handicap, the two aspects entertaining a dialectical relationship. The authors support this opinion through a nationwide epidemiological study of mental deficiency and by a long term follow-up case.
Subject(s)
Child Development Disorders, Pervasive/epidemiology , Disabled Persons , Intellectual Disability/epidemiology , Adolescent , Child , Child Development Disorders, Pervasive/complications , Child, Preschool , Comorbidity , Female , France/epidemiology , Humans , Incidence , Intellectual Disability/classification , Intellectual Disability/complications , MaleABSTRACT
A French classification of child and teenage mental problems is presented. It is biaxial; a glossary is included. The motives and options that went into its creation and differences with existing classifications are specified. Equivalencies with CHO project ICD-10 have been set up. The results of a first trial by child psychiatrists are commented on.
Subject(s)
Mental Disorders/classification , Adolescent , Child , France , HumansSubject(s)
Hamartoma/complications , Hypothalamic Neoplasms/complications , Mental Disorders/etiology , Carbamazepine/therapeutic use , Child , Hamartoma/diagnostic imaging , Hamartoma/drug therapy , Humans , Hypothalamic Neoplasms/diagnostic imaging , Hypothalamic Neoplasms/drug therapy , Male , Tomography, X-Ray ComputedSubject(s)
Day Care, Medical , Psychotic Disorders/therapy , Child , Child, Preschool , Humans , InfantSubject(s)
Hospitalization , Mental Disorders/therapy , Child , Family , Hospitals, General , Hospitals, Psychiatric , Humans , Psychiatric Department, HospitalSubject(s)
Child Psychiatry , Child , Child Psychiatry/education , Child Psychiatry/methods , Humans , Psychological TheorySubject(s)
Mental Disorders/genetics , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Mental Disorders/psychology , Mother-Child RelationsSubject(s)
Child, Institutionalized , Mothers , Psychotherapy, Group/methods , Adult , Child , Child, Preschool , Female , Humans , Male , Mother-Child Relations , Psychomotor Disorders/therapyABSTRACT
All physicians, not only psychiatrists and psychotherapists, must deal with adolescents in their daily practice. In this critical period of life, medical support, even of brief duration, if available at the right time, can have a decisive impact. The quality of the personal involvement of the adults in the adolescent's environment as well as that of his primary care physician is at least as important as a correct evaluation of his psychological problems.
Subject(s)
Psychology, Adolescent , Adolescent , Adolescent Behavior , Adolescent Psychiatry , Adult , Humans , Parent-Child RelationsSubject(s)
Antisocial Personality Disorder/psychology , Aggression , Child , Child, Preschool , Humans , Mother-Child Relations , ViolenceABSTRACT
The use of Carpipramine in 35 children and teenagers, most of them suffering from psychosis, has confirmed its beneficient action in the majority of those cases (5 negative scores for 20 good and very good scores). The early-observed improvement concerned inhibition, lack of energy, moroseness, favouring the patients' integration in the institutional context.
