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[多形性外胚层发育不良综合征儿童精神康复的结果与效果]

[Results and effects of child psychiatric rehabilitation in polymorphic ectodermal dysplasia syndrome].

作者信息

Gamm M, Oldelehr H, van Husen B

出版信息

Z Kinder Jugendpsychiatr. 1985;13(4):362-74.

PMID:3837577
Abstract

Since 1929 when ectodermal dysplasia was first mentioned in the literature the syndrome has been described in many case studies and genealogical reports. It has also been the subject of numerous review articles. The present article gives an account of an 8-year old boy who had long been treated under the supposition that he was severely mentally retarded. While he was an inpatient at a psychiatric facility for children and adolescents it became apparent that he had many abilities that had previously gone unnoticed, and it was felt that an intensive treatment program might possibly even lead to full rehabilitation. Upon discharge 3 months later the medical, psychological and social effects of the program were still difficult to pinpoint, but a new phase of development had clearly begun. In the reassessment of this child a totally different type of personality came to light. Because of his outward appearance the boy had till then apparently been regarded as being both somatically and mentally handicapped. The new diagnosis of a primarily somatic disability and a high level of intelligence therefore opened the door to a new developmental process.

摘要

自1929年文献首次提及外胚层发育异常以来,该综合征已在许多病例研究和系谱报告中被描述。它也是众多综述文章的主题。本文讲述了一名8岁男孩的情况,长期以来他一直被当作严重智力发育迟缓接受治疗。当他在一家儿童和青少年精神病院住院时,很明显他有许多以前未被注意到的能力,人们认为强化治疗方案甚至可能带来完全康复。3个月后出院时,该方案对医学、心理和社会方面产生的影响仍难以精确确定,但一个新的发展阶段显然已经开始。在对这个孩子的重新评估中,一个截然不同的性格类型显现出来。由于他的外表,这个男孩此前显然一直被视为身体和智力都有缺陷。因此,新诊断出的主要是身体残疾但智力水平很高的情况,为一个新的发育进程开启了大门。

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