RESUMO
As part of an evaluation of a program to train pediatric residents in child psychiatry, measures were made of the following variables predictive of the residents' performance in the program: personality traits, attitude toward psychiatry, willingness to treat psychological problems, preprogram interview performance, length of commitment to pediatrics, and frequency of interaction with teachers in the program. Outcome variables were pediatric residents' course evaluation, frequency of interaction with teachers in the program, and postprogram interview performance. In multiple regression equations the variables predictive of the residents' performance explained up to 72 percent of the variance of the residents' participation in the program, 88 percent of the variance of the postprogram interview, and 61 percent of the variance of the residents' course evaluations.
Assuntos
Psiquiatria Infantil/educação , Internato e Residência , Pediatria/educação , Atitude do Pessoal de Saúde , Criança , Estudos de Avaliação como Assunto , Humanos , Inventário de PersonalidadeRESUMO
Family lunch sessions have proved a useful diagnostic and therapeutic technique in the treatment of anorexia nervosa. This paper describes the goals of these sessions and the strategies employed in the restructuring of family relationships. Data are presented illustrating changes in eating behavior of eight identified patients.
Assuntos
Anorexia Nervosa/terapia , Terapia Familiar/métodos , Comportamento Alimentar , Anorexia Nervosa/diagnóstico , Humanos , Relações Pais-FilhoRESUMO
Linear and open systems (multiple feedback) models of psychosomatic illness in children are contrasted in terms of their implications for cause and treatment. An open systems family model is presented that describes three necessary (but not independently sufficient) conditions for the development and maintenance of severe psychosomatic problems in children: (1) a certain type of family organization that encourages somatization; (2) involvement of the child in parental conflict; and (3) physiological vulnerability. Predisposition for psychosomatic illness, symptom choice, and maintenance are discussed within this conceptual framework. We report on family therapy strategies based on this model and the results of family treatment with 48 cases of "brittle" diabetes, psychosomatic asthma, and anorexia nervosa.
