Developmental-Behavioral Disorders: Selected Topics PDF
Preview Developmental-Behavioral Disorders: Selected Topics
Developmental Behavioral Disorders Selected Topics VOLUME .3 CRITICAL ISSUES IN DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS SERIES EDITOR: MARVIN I. GOTTLIEB, M.D., Ph.D. Hackensack Medical Center Hackensack, New Jersey and University of Medicine and Dentistry of New Jersey New Jersey Medical School Newark, New Jersey DEVELOPMENTA L-BEHAVIORAL DISORDERS: Selected Topics Volumes 1-3 Edited by Marvin 1. Gottlieb, M.D., Ph.D., and John E. Williams, M.D. A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon ac tual shipment. For further information please contact the publisher. Developmental Behavioral Disorders Selected Topics VOLUME 3 EDITED BY MARVIN I. GOTTLIEB, M.D., Ph.D. Director, Institute for Child Development Hackensack Medical Center Hackensack, New Jersey Prtifessor, Department of Pediatrics University tif Medicine and Dentistry tif New Jersey New Jersey Medical School Newark, New Jersey AND JOHN E. WILLIAMS, M.D. Chiif, Section of Developmental Pedialrics Associate Director, Institute for Child Development Hackensack Medical Center Hackensack, New Jersey Clinical Assistant Professor, Department rif Pediatrics University tif Medicine and Dentistry tif New Jersey New Jersey Medical School Newark, New Jersey SPRINGER SCIENCE+BUSINESS MEDIA, LLC Library of Congress Cataloging in Publication Data (Revised for val. 3) Developmental-behavioral disorders. (Critical issues in developmental and behavioral pediatrics) Includes bibliographical references. 1. Developmental disabilities. 2. Child psychiatry. 3. Pediatrics-Psychological aspects.1. Gottlieb, Marvin 1. I!. Williams,John E. Oohn Edward), 1951- RJ135.D475 1988 618.92/89 88-171674 ISBN 978-1-4613-6652-2 ISBN 978-1-4615-3714-4 (eBaok) DOI 10.1007/978-1-4615-3714-4 © 1991 Springer Science+Business Media New York Originally published by Plenum Publishing Corporation in 1991 Softcover reprint of the hardcover 1s t edition 1991 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher Contributors GLEN P. AYLWARD, Ph.D. • Director, Division of Developmental and Behavioral Pediatrics, Departments of Pediatrics and Psychiatry, Southern Illinois University School of Medicine, Springfield, Illi nois 62794-9230 GIULIO J. BARBERO, M.D. • Professor, Department of Child Health, University of Missouri School of Medicine, Columbia, Mis souri 65212 RITA BENEZRA-OBEITER, M.D. • Developmental Pediatrician, Institute for Child Development, Hackensack Medical Center, Hackensack, New Jersey 07601; and Assistant Professor of Clinical Pediatrics, University of Medicine and Dentistry of New Jersey New Jersey Medical School, Newark, New Jersey 07103 FREDERICK J. BOGIN, M.D. • Developmental Behavioral Pedi atrics, The Hitchcock Clinic, Nashua, New Hampshire 03061-2028 FRANK R. BROWN III, Ph.D., M.D. • Director Vince Moseley Cen ter for Handicapped Children, Medical University of South Caroli na, Charleston, South Carolina 29425-3306 EDWARD R. CHRISTOPHERSEN, Ph.D. • Professor of Pediatrics, Chief, Behavioral Pediatrics Section, The Children's Mercy Hospi tal, Kansas City, Missouri 64108 GERALD ERENBERG, M.D. • Child Neurologist, Departments of Neurology and Pediatrics, and Director, Learning Assessment Clinic, Cleveland Clinic Foundation, Cleveland, Ohio 44195-5045 v vi Contributors MARIANNE E. FELICE, M.D. • Director, Adolescent Medicine, Vice Chairman, Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland 21201 GERALD S. GOLDEN, M.D. • Boling Center for Developmental Dis abilities, Shainberg Professor of Pediatrics, Departments of Pedi atrics and Neurology, University of Tennessee Center for Health Sciences, Memphis, Tennessee 38lO5 PETER A. GORSKI, M.D. • Director, Division of Behavioral and De velopmental Pediatrics, Department of Pediatrics, The Evanston Hospital and Northwestern University Medical School, Evanston, Illinois 60201 MARVIN I. GOTTLIEB, M.D., Ph.D. • Director, Institute for Child Development, Hackensack Medical Center, Hackensack, New Jersey 07601; and Professor of Pediatrics, Department of Pediatrics, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey 07lO3 SUSAN R. HARRIS, Ph.D., P.T. • School of Rehabilitation Medicine, University of British Columbia, Vancouver, British Columbia V6T 2B5, Canada RANDYE F. HURON, M.D. • Developmental Pediatrician, Institute for Child Development, Hackensack Medical Center, Hackensack, New Jersey 07601; and Assistant Professor of Clinical Pediatrics, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey 07lO3 PUNAM KASHYAP, M.D. • Section of Developmental Pediatrics, In stitute for Child Development, Hackensack Medical Center, Hackensack, New Jersey 07601 ERNEST F. KRUG III, M.D. • Medical Director, Center for Develop mental Pediatrics, Greenville Hospital System, Greenville, South Ca rolina 29605 KAREN OLNESS, M.D. • Professor of Pediatrics, Chief, Division of General Academic Pediatrics, Case Western Reserve University School of Medicine, and Developmental Pediatrics, Rainbow Babies and Children Hospital, Cleveland, Ohio 44106 Contributors vii POLLY PANITZ, M.D. • Division of Behavioral and Developmental Pediatrics, Department of Pediatrics, The Evanston Hospital and Northwestern University Medical School, Evanston, Illinois 60201 CAROLINE N. PRESTON, Ph.D. • Vince Moseley Center for Hand icapped Children, Medical University of South Carolina, Charleston, South Carolina 29425-3306 VIRGINIA RANDALL, M.D. • Colonel, U.S. Army Medical Corps, U.S. Army Medical Department, Consultant to the Surgeon General (Army), Falls Church, Virginia 22041-3258 N. PAUL ROSMAN, M.D. • Professor of Pediatrics and Neurology, Departments of Pediatrics and Neurology, Tufts University School of Medicine, and Chief, Division of Pediatric Neurology, Floating Hospital for Infants and Children, New England Medical Center Hospitals, Boston, Massachusetts 02111 DONALD I. SCHIFFMAN, M.D. • Director, Department of Pedi atrics, Hackensack Medical Center, Hackensack, New Jersey 07601; and Clinical Associate Professor of Pediatrics, Department of Pedi atrics, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey 07103 BARTON D. SCHMITT, M.D. • Director of Consultive Services, Pro fessor of Pediatrics, Department of Pediatrics, The University of Colorado School of Medicine, The Children's Hospital, Denver, Colorado 80218 HAKON TORjESEN, B.A. • Executive Director, Center for Interna tional Health, Case Western Reserve University, Cleveland, Ohio 44106 Preface We are most pleased to present Volume 3 of Developmental-Behavioral Disorders: Selected Topics, designed to serve as a companion for standard reference textbooks that address cogent issues in developmental pedi atrics. Periodic publications such as Selected Topics and theme-related articles, as well as continuing education programs, attempt to supple ment in a timely fashion the rapidly changing knowledge base in devel opmental-behavioral pediatrics. These media are important as forums for enhancing the quality of clinical practice, teaching skills, and re search activities. The need is critical for periodically disseminating and updating information about issues in developmental medicine, in as much as this field of study continues to expand at a meteoric pace. During the past several decades, developmental medicine has been recognized as a defined subspecialty in pediatrics. The spectrum of problems encompassed by this discipline is relatively broad and at times clinically overwhelming. The ultimate goal of preventing delays, disor ders, and/or dysfunctions from becoming chronic handicapping condi tions has, by volume per se, created clinical dilemmas for pediatric health care providers. There are numerous facets of providing efficient and effective care, which in the field of developmental-behavioral pediatrics are often exaggerated impediments to the delivery of services by pri mary health care specialists, e.g., time, clinical skills, need for inter disciplinary management, medical-legal responsibilities, financial reim bursements. These issues, as well as clinical problems, are still very much part of the information base to be disseminated to concerned pro fessionals. An additional uniqueness of the professionals involved in devel opmental-behavioral pediatrics is the extensive lines of communica tion that must be established with other medical specialists, including the perinatologist, neonatologist, geneticist, otolaryngologist, pediatric neurologist, pediatric surgeon and surgical subspecialist, child/adoles- ix x Preface cent psychiatrist, and others with contributing skills. The professional interface must include members of an interdisciplinary team other than medical specialties, including: audiology, speech/language pa thology, social work, psychology, occupational therapy, physical therapy, early childhood specialist, learning disability consultant-and many other health care disciplines. As the child with developmental dis abilities ages, dialogue with the internist, the geriatrician, and other adult-oriented professionals is mandatory. In essence, the professional assuming primary responsibility for diagnosis and/or management of the child with developmental disabilities must learn the many "lan guages" of the interdisciplinary team who provide the information base that must be amalgamated for meaningful comprehensive care. These "languages" are often learned by reading articles and texts that have contributions from members of various disciplines. Similarly the new technologies that become available, to improve acumen in diagnosis and/or management, are scrutinized in updated texts and research articles. The field of developmental-behavioral pediatrics has had in creasing "breakthroughs" in technologies such as brain mapping, aug mentative communications, adaptive equipment, videofluoroscopy, and computer strategies. The concerned professional is consequently confronted with the formidable educational challenge of "keeping up to date." As travel funds for attending conferences become less available, educational me dia such as reference books, Selected Topics, and journal articles become increasingly important for the learning process. To be included in Volume 4 of Selected Topics are issues covering a range of developmental-behavioral problems, including: • The adolescent with developmental disabilities • Rett syndrome-updated • Brain anomalies in the dyslexic • Tourette syndrome: A complex neurodevelopmental disorder • Biological basis for learning disabilities • Subtyping attention deficits: Why and how? • Williams syndrome and learning disabilities • Spoiled kids-and other discipline problems • Divorce, focus on the child: Developmental, psychosocial, and legal considerations The series will hopefully serve to meet some of the needs of "keep ing up to date." As editors of this volume, we hope that in some small way we can enhance professional education and ultimately take pride in
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