Santaella E P
Neurol Neurocir Psiquiatr. 1977;18(2-3):161-6.
The history of the approach to children with psychiatric problems is reviewed. The author insists in elaborating a diagnosis based in a clinical history, a physical and neurological examination, and the necessary tests. Factors of importance are: the indirect clinical history, the observation of the child, the first emotional contact with him, the exploring of his fantasies (three wishes) and the observation of his drawings, paintings and models. The child is sent to audiology, phoniatry or neurology specialists if his case requires it. Treatment can include psychiatric medication, psychotherapy or both.
本文回顾了治疗有精神问题儿童的方法的历史。作者坚持基于临床病史、体格和神经学检查以及必要的测试来详细做出诊断。重要因素包括:间接临床病史、对儿童的观察、与他的首次情感接触、对其幻想(三个愿望)的探究以及对其绘画、画作和模型的观察。如果病例需要,会将儿童转介给听力学、言语治疗学或神经学专家。治疗可包括精神科药物治疗、心理治疗或两者兼用。