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Showing posts with the label Child and Adolescent

Staccato Speech

Staccato Speech Staccato speech is because of incoordination of larynx muscle of articulation. In this, each the patient utters each syllable separately, thus speaking in fragments of sentences. Pauses punctuate these sentences, which interrupt and destroying the flow of speech. Such speech is abrupt, broken, and usually quite hard to follow for extended periods, and may make the speaker look confused or focused on something else.  Scanning Speech Versus Staccato Speech In cerebellar dysarthria, the patient speaks slowly and deliberately, syllable by syllable, as if scanning a line of poetry, and it loses the normal prosodic rhythm, and we call it a scanning speech. Staccato speech is similar and has an explosive character & slurring of consonants.   Cause of Staccato speech Cerebellar lesions in multiple sclerosis produce staccato speech.

Child Psychiatry MCQ for MRCPsych Paper B

Child Psychiatry MCQ for MRCPsych Paper B A 7-year-old child came with his mother to your Outpatient clinic for assessment because of ongoing difficulties for the past 1 year. The mother shared that the child is always on the go and cannot sit still. Recently, he nearly had an accident when he dashed across the traffic junction. The school report card mentions he is inattentive most of the time. What psychometric tool will you apply in this case? CY-BOCS CONNORS ADOS DISCO CDI

Non-evidence-based Treatments for Autism Spectrum Disorders

The non-evidence-based treatments for Autism Spectrum disorders What are some non-evidence-based treatments for children with autism spectrum disorders? The following is a list of non-evidence-based treatments for autism spectrum disorders that are in common use.   Facilitated communication (not recommended) Holding therapy (not recommended) Sensory integration therapy,  Gluten-free/ casein-free diet,  Auditory integration training,  Chelation treatment,  Hyperbaric oxygen therapy,  Alternative biomedical treatments

What was the 1970s psychoanalytic approach to children with autism?

The 1970s psychoanalytic approach: Applied Behavior Analysis (ABA), based on operant-conditioning, target behaviors (excess of unwanted and or deficits of wanted) are modified with reinforcement approximations ( shaping ). Applied behavior analysis, also called behavioral engineering, applying empirical approaches based upon the principles of respondent and operant conditioning to change behavior of social significance. It is the applied form of behavior analysis; the other two forms are radical behaviorism and the experimental analysis of behavior. (Wikipedia)

What are the psychoanalytic approaches to the treatment of patients with autism?

Holding therapy (Tinbergen 1983): A failure to bond Parent holds child to cause the autistic defense to crumble. Humanistic play therapy (Axline 1965): Encouraged the expression of feelings through play and unconditional positive regard. OPTIONS (Kaufman 1976) Parents spent every waking hour with child follow child lead