Psychotic Disorders in Children and Adolescents

200 Pages·2000·10.43 MB·English

by  Robert L. Findling

Psychotic Disorders
in Children and
Adolescents
Developmental Clinical Psychology and
Psychiatry Series
Series Editor: Alan E. Kazdin, Yale University
Recent volumes in this series...
8: LIFE EVENTS AS STRESSORS IN 27: EFFECTS OF PSYCHOTHERAPY WITH
CHILDHOOD AND ADOLESCENCE CHILDREN AND ADOLESCENTS
by James H. Johnson by John R. Weisz and Bahr Weiss
9: CONDUCT DISORDERS IN 28: BEHAVIOR AND DEVELOPMENT
CHILDHOOD AND ADOLESCENCE, IN FRAGILE Χ SYNDROME
2nd Ed. by Alan E. Kazdin by Elisabeth M. Dykens, Robert M. Hodapp,
10: CHILD ABUSE, 2nd Ed. and James F. Leckman
by David A. Wolfe 29: ATTENTION DEFICITS AND
HYPERACTIVITY IN CHILDREN
11: PREVENTING MALADJUSTMENT
FROM INFANCY THROUGH by Stephen P. Hinshaw
ADOLESCENCE by Annette U. Rickel 30: LEARNING DISABILITIES
and LaRue Allen by Byron P. Rourke and Jerel E. Del Dotto
12: TEMPERAMENT AND CHILD 31: PEDIATRIC TRAUMATIC BRAIN INJURY
PSYCHOPATHOLOGY
by Jeffrey H. Snow and Stephen R. Hooper
by William T. Garrison and Felton J. Earls
32: FAMILIES, CHILDREN, AND THE
13: EMPIRICALLY BASED ASSESSMENT OF
DEVELOPMENT OF DYSFUNCTION
CHILD AND ADOLESCENT
by Mark R. Dadds
PSYCHOPATHOLOGY, 2nd Ed.
33: ADOLESCENTS AND THE MEDIA
by Thomas M. Achenbach and
by Victor C. Strasburger
Stephanie H. McConaughy
34: SCHOOL-BASED PREVENTION
14: MARRIAGE, DIVORCE, AND
PROGRAMS FOR CHILDREN AND
CHILDREN'S ADJUSTMENT, 2nd Ed.
ADOLESCENTS by Joseph A. Durlak
by Robert E. Emery
15: AUTISM by Laura Schreibman 35: CHILDHOOD OBSESSIVE
COMPULSIVE DISORDER
18: DELINQUENCY IN ADOLESCENCE
by Greta Francis and Rod A. Gragg
by Scott W. Henggeler
36: TREATING CHILDREN AND
19: CHRONIC ILLNESS DURING ADOLESCENTS IN RESIDENTIAL AND
CHILDHOOD AND ADOLESCENCE INPATIENT SETTINGS
by William T. Garrison and Susan McQuiston by Robert D. Lyman and Nancy R. Campbell
20: ANXIETY DISORDERS IN CHILDREN 37: THE IMPACT OF FAMILY VIOLENCE
ON CHILDREN AND ADOLESCENTS
by Rachel G. Klein and Cynthia G. Last
by Javad H. Kashani and Wesley D. Allan
21: CHILDREN OF BATTERED WOMEN
by Peter G. Joffe, David A. Wolfe, and 38: CHILDREN'S ADJUSTMENT TO
ADOPTION by David M. Brodzinsky,
Susan Kaye Wilson
Daniel W Smith, and Anne B. Brodzinsky
22: SUBSTANCE ABUSE IN CHILDREN
AND ADOLESCENTS 39: MOTOR COORDINATION DISORDERS
by Steven P. Schinke, Gilbert J. Botvin, and IN CHILDREN by David A. Sugden
Mario A. Orlandi and Helen Wright
23: CHILD PSYCHIATRIC 40: CHILDHOOD SEXUAL ABUSE
EPIDEMIOLOGY by Frank C. Verhulst by David M. Fergusson and Paul E. Mullen
and Hans M. Koot 41: POVERTY AND CHILDREN'S
24: EATING AND GROWTH DISORDERS ADJUSTMENT by Suniya S. Luthar
IN INFANTS AND CHILDREN
42: ALCOHOL USE AMONG ADOLESCENTS
by Joseph L. Woolston
by Michael Windle
25: NEUROLOGICAL BASIS OF
43: CREATING HEALTH BEHAVIOR CHANGE
CHILDHOOD PSYCHOPATHOLOGY
by Cheryl L. Perry
by George W. Hynd and Stephen R. Hooper
44: PSYCHOTIC DISORDERS IN
26: ADOLESCENT SEXUAL BEHAVIOR
CHILDREN AND ADOLESCENTS
AND CHILDBEARING
by Robert L. Findling, S. Charles Schulz,
by Laurie Schwab Zabin and Sarah C. Hayward
Javad H. Kashani, and Elena Harlan
Psychotic Disorders
in Children and
Adolescents
Robert L. Findling
S. Charles Schulz
Javad H. Kashani
Elena Harlan
Volume 44
Developmental Clinical Psychology and Psychiatry
Sage Publications, Inc.
International Educational and Professional Publisher
Thousand Oaks • London • New Delhi
Copyright © 2001 by Sage Publications, Inc.
All rights reserved. No part of this book may be reproduced or utilized in any form or by any
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Library of Congress Cataloging-in-Publication Data
Main entry under title:
Psychotic disorders in children and adolescents / Robert L. Findling ... [et al.].
p. cm.—(Developmental clinical psychology and psychiatry; v. 44)
Includes bibliographical references and index.
ISBN 0-7619-2019-6 (alk. paper) — ISBN 0-7619-2237-7 (pbk.: alk. paper)
1. Psychoses in children. 2. Psychoses in adolescence. I. Findling, Robert L.
II. Title. III. Series.
RJ506 .P69 P793 2000
618.92'89—dc21 00-009512
01 02 03 04 05 06 7 6 5 4 3 2 1
Acquiring Editor: Jim Brace-Thomson
Editorial Assistant: Anna Howland
Production Editor: Diane S. Foster
Production Assistant: Candice Crosetti
Designer/Typesetter: Siva Math Setters, Chennai, India
Indexer: Janet Perlman
CONTENTS
Series Editor's Introduction vii
Acknowledgments ix
1. An Overview of Psychotic Disorders 1
2. Schizophrenia 16
3. Mood and Mood-Related Disorders 29
4. Other Psychotic Disorders 53
5. Personality Disorders 73
6. Disorders With Psychotic Symptomatology 81
7. Psychotic Symptoms Related to Other Conditions 111
8. Cultural Influences and Psychosis 117
9. Evaluation of Psychotic Symptoms and Antipsychotic
Side Effects 128
10. Future Directions for Research 151
Bibliography 156
Index 181
About the Authors 189

SERIES EDITOR 'S INTRODUCTION
Interest in child development and adjustment is by no means new. Yet, only
recently has the study of children benefited from advances in both clinical
and scientific research. Advances in the social and biological sciences, the
emergence of disciplines and subdisciplines that focus exclusively on
childhood and adolescence, and greater appreciation of the impact of such
influences as the family, peers, and school have helped accelerate research
on developmental psychopathology. Apart from interest in the study of
child development and adjustment for its own sake, the need to address
clinical problems of adulthood naturally draws one to investigate precur-
sors in childhood and adolescence.
Within a relatively brief period, the study of psychopathology among
children and adolescents has proliferated considerably. Several different
professional journals, annual book series, and handbooks devoted entirely
to the study of children and adolescents and their adjustment document
the proliferation of work in the field. Nevertheless, there is a paucity of
resource material that presents information in an authoritative, systematic,
and disseminable fashion. There is a need within the field to convey the lat-
est developments and to represent different disciplines, approaches, and
conceptual views on the topics of childhood and adolescent adjustment and
maladjustment.
The Sage Series on the Developmental Clinical Psychology and
Psychiatry uniquely serves several needs of the field. The Series encom-
passes individual monographs prepared by experts in the fields of clinical
child psychology, child psychiatry, child development, and related disci-
plines. The primary focus is on developmental psychopathology, which
refers broadly here to the diagnosis, assessment, treatment, and prevention
of problems that arise in the period from infancy through adolescence.
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viii PSYCHOTIC DISORDERS
A working assumption of the Series is that understanding, identifying, and
treating problems of youth must draw on multiple disciplines and diverse
views within a given discipline.
The task for individual contributors is to present the latest theory and
research on various topics including specific types of dysfunction, diagnos-
tic and treatment approaches, and special problem areas that affect adjust-
ment. The Series addresses core topics within clinical work. Authors are
asked to bridge potential theory, research and clinical practice, and to out-
line the current status and future directions. The goals of the Series and the
tasks presented to individual contributors are demanding. We have been
extremely fortunate in recmiting leaders in the fields who have been able to
translate their recognized scholarship and expertise into highly readable
works on contemporary topics.
The present monograph, Psychotic Disorders in Children and
Adolescents, is by Robert L. Findling, S. Charles Schultz, Javad H.
Kashani, and Elena Harlan. This is an extraordinary book and without peer
in elaborating the diverse ways in which psychotic symptoms and disorders
are manifested among children and adolescents. Multiple disorders in
which psychotic symptoms may be evident are presented, each with com-
ments regarding etiology, age of onset, differential diagnosis, course, and
prognosis. Case vignettes and research are carefully woven to convey the
scope of symptoms and impairment of the children and lines of work that
shed light on the disorders. Assessment is covered as well; several measures
are described and evaluated for assessing clinical dysfunction in children
and adolescents. Finally, the book ends with directions for research.
Overall, the authors bring to bear remarkable experience and expertise on
child and adolescent dysfunction. This book will be extremely useful to
those who wish to understand child and adolescent psychoses and the clin-
ical and research challenges these disorders raise.
ALAN E. KAZDIN, PHD
A CKNO WEED GMENTS
The authors would like to express sincere gratitude to the Stanley
Foundation for supporting the research done under the auspices of the
Stanley Bipolar Disorder Research Center. The authors would also like to
express thanks to the Prentiss Foundation. These foundations have gener-
ously supported intervention and neuroimaging research for children and
teenagers with bipolar spectrum and psychotic disorders at University
Hospitals of Cleveland/Case Western Reserve University. The authors
would also like to thank Alan Kazdin, PhD, for his encouragement and
guidance in the preparation of this book. The authors are grateful to Barbra
DePasquale and Toni Deutschlander for their assistance in manuscript
preparation.
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