Evaluating the seriousness of adolescent adjustment reactions.

Abstract:

:Adolescents can be expected to inflict some pain on their environment periodically, and complete conformity of an adolescent is not necessarily a sign of mental health. With the exception of some particular behaviors such as a suicide attempt, auditory hallucinations, or a school phobia, one cannot make a prediction about the existence of, or seriousness of, a psychological problem of an adolescent based solely on the occurrence of any one particular antisocial act. Such typical adolescent problems such as stealing, truancy, sexual involvements, and drug use can be either a normal part of adolescent growth, the manifestation of a situational stress reaction, or the indication of a serious personality disturbance or identity crisis. Only by putting this behavior into the framework of an adolescent's age, social situation, general stress factors and developmental history can one attempt to reach a true evaluation of the seriousness of his behavior. To put it simply, one must try to understand the individual, rather than judging the behavior itself. The type of evaluation outlined here is often difficult and time consuming, but in terms of the long range help that it can be both to the teenager who is using his behavior as a means of asking for help and for the normal teenager who just needs to be told that he is not carzy, this is time and effort well spent.

journal_name

Prim Care

journal_title

Primary care

authors

LeBow JA

keywords:

subject

Has Abstract

pub_date

1975-06-01 00:00:00

pages

281-7

issue

2

eissn

0095-4543

issn

1558-299X

journal_volume

2

pub_type

杂志文章
  • Childhood Sexual Abuse: Identification, Screening, and Treatment Recommendations in Primary Care Settings.

    abstract::It is estimated that 8% to 12% of American youths have experienced at least one sexual assault in their lifetime, making childhood sexual abuse (CSA) an important public health problem that is likely to be encountered by primary care providers. Use of screening tools and understanding the principles behind targeted cl...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2016.01.005

    authors: Hanson RF,Adams CS

    更新日期:2016-06-01 00:00:00

  • Pharmacologic issues in management of chronic disease.

    abstract::A significant portion of the adult population uses one or more medications on a regular basis to manage chronic conditions. As the number of medications that patients are prescribed increases, an increase in pharmacologic-related issues and complications may occur, such as polypharmacy, inappropriate prescribing, medi...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2012.03.007

    authors: DeSevo G,Klootwyk J

    更新日期:2012-06-01 00:00:00

  • Ethical issues in the care of cancer patients.

    abstract::Nearly all the topics considered by medical ethics generally present themselves to those caring for cancer patients. Although most attention may be given to questions of resource allocation and limiting treatment, other issues are of equal importance. Providing respect and compassion for patients may be even more impo...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Smith DH,McCarty K

    更新日期:1992-12-01 00:00:00

  • Understanding and preventing substance abuse by adolescents: a guide for primary care clinicians.

    abstract::Psychoactive drug use by teens is a common occurrence. This article examines the influences that promote and deter experimentation with and hazardous use of psychoactive substances. Clinical guidance is offered on how to assess and intervene with teens and their parents at various developmental phases and levels of in...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/s0095-4543(05)70329-8

    authors: Liepman MR,Keller DM,Botelho RJ,Monroe AD,Sloane MA

    更新日期:1998-03-01 00:00:00

  • Ongoing care of the patient with HIV/AIDS.

    abstract::Because patients with HIV are living longer, health maintenance and disease prevention have become important aspects of care. Clinical use of CD4 cell counts and viral load assays to monitor disease progression is reviewed. This article discusses the effect malnutrition has on disease progression and interventions to ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Maddox TG

    更新日期:1997-09-01 00:00:00

  • Bacterial Skin Infections.

    abstract::Skin and soft tissue infections account for 0.5% of outpatient visits to primary care. Skin and soft tissue infections can usually be managed in an outpatient setting. However, there are certain circumstances as discussed in this article that require more urgent care or inpatient management. Primary care providers sho...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2015.08.001

    authors: Ibrahim F,Khan T,Pujalte GG

    更新日期:2015-12-01 00:00:00

  • Health risks and benefits of bottled water.

    abstract::Health and safety concerns have dramatically increased the consumption of bottled water in developed countries, including the United States. The economic and environmental impact of the many different bottled water products on the market is considerable, and the role and impact of bottled water for routine use is uncl...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/j.pop.2008.07.008

    authors: Napier GL,Kodner CM

    更新日期:2008-12-01 00:00:00

  • Adolescent Sexual Health: Identity, Risk, and Screening for Sexually Transmitted Infections.

    abstract::Development of SOGIE (sexual orientation and gender identity and expression) is not unique to minority populations, as all adolescents grapple with their sexuality and identity. Health care providers straddle the unique positions of authority figure and advocate and can help these young people establish behaviors that...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2020.02.012

    authors: Kessler R,Hinkle BT,Moyers A,Silverberg B

    更新日期:2020-06-01 00:00:00

  • Integrating mental health and primary care.

    abstract::Mental health and primary care delivery systems have evolved to operate differently. For example, attention to multiple medical issues, health maintenance, and structured diagnostic procedures are standard elements of primary care rarely incorporated into mental health care. A multidisciplinary treatment approach, gro...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2007.05.007

    authors: Thielke S,Vannoy S,Unützer J

    更新日期:2007-09-01 00:00:00

  • Menopause.

    abstract::Public awareness of the benefits of a healthy transition through menopausal and postmenopausal stages offers women a new perspective on aging and empowers them to take greater responsibility for their own health and well-being. Primary care physicians are a chief influence on information regarding health behaviors, ri...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2008.10.007

    authors: Weismiller DG

    更新日期:2009-03-01 00:00:00

  • Shared decision making and determining decision-making capacity.

    abstract::Shared decision making respects patient autonomy and allows patients to select how much they wish to become involved in various health care decisions. Advance care planning allows a person to document preferences that can become operative at a later time when the person has lost decision-making capacity. Structured me...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/j.pop.2005.06.004

    authors: Brody H

    更新日期:2005-09-01 00:00:00

  • Urinary tract infections.

    abstract::Urinary tract infections (UTIs) are a common infectious disease in primary care practice. This article reviews topics highlighting recent research, including UTIs in pregnancy and pediatric UTIs. The authors also discuss catheter-associated UTIs, given the large number of hospitalized patients undergoing catheterizati...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(02)00057-x

    authors: Bass PF 3rd,Jarvis JA,Mitchell CK

    更新日期:2003-03-01 00:00:00

  • Pregnancy and diabetes.

    abstract::Pregnancy in the diabetic is no longer the universal tragedy for mother and child that it once was but avoidable fetal loss wil continue to occur unless gestational diabetes is detected, and unless meticulous control and monitoring of the insulin dependent diabetic is maintained. As Kinch has so succinctly stated "car...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Hazlett BE,Kenshole AB

    更新日期:1977-12-01 00:00:00

  • Management of dyslipidemias in the age of statins.

    abstract::Evidence for the effectiveness of lipid-lowering therapy in reducing CHD risk continues to emerge. In primary prevention, clinical trials have demonstrated a benefit for middle-aged, high-risk men with high LDL cholesterol and, more recently, for men and women with "average" LDL and low HDL cholesterol. Although low H...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(03)00095-2

    authors: Green ML

    更新日期:2003-12-01 00:00:00

  • The elbow: diagnosis and treatment of common injuries.

    abstract::This article deals with common injuries to the elbow. Elbow anatomy is reviewed. Diagnosis and treatment of pronator syndrome,lateral epicondylitis (tennis elbow), radial tunnel syndrome, posterior interosseous nerve syndrome, medial epicondylitis (golfer's elbow), ulnar collateral ligament injury, cubital tunnel synd...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2004.11.001

    authors: Sellards R,Kuebrich C

    更新日期:2005-03-01 00:00:00

  • Clinical exercise testing. A review of personal and community practice experience.

    abstract::Protocols for clinical exercise stress testing aid functional evaluation of cardiac impairment of ambulatory persons. Normal standards, criteria for functional impairment and exercise-enhanced prediction of risk of future cardiac events provide guidelines for clinical management. This review highlights development and...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Bruce RA

    更新日期:1994-09-01 00:00:00

  • Evaluation of diarrhea in the returned traveler.

    abstract::Diarrhea in the returned traveler is common, but it is generally self-limited. Although the concern is often directed at the presence of an ongoing infection, postinfectious and noninfectious etiologies must be considered [table: see text] also. Answers to the clinical questions posed in this article will guide the cl...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(02)00036-2

    authors: Kolars JC,Fischer PR

    更新日期:2002-12-01 00:00:00

  • Genitourinary malignancies.

    abstract::Malignancies of the male genitourinary system make up a significant proportion of current urologic practice. The primary physician plays an important role in the early detection and referral of patients with these problems. Early treatment offers the best chance of disease control. It is encouraging that some of the m...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Selman SH

    更新日期:1989-12-01 00:00:00

  • The complaint of pain.

    abstract::All patients with pain must be taken seriously, and both organic and emotional factors investigated. Cultural aspects, early developmental experience, and highly personal meanings may influence the individual's perception of and reaction to pain; specific psychiatric pain states may be identified as well. Treatment is...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Wise TN

    更新日期:1975-03-01 00:00:00

  • Brain and cervical spine injuries occurring during organized sports activities in children and adolescents.

    abstract::Eighty per cent of severe sports-related central nervous system trauma occurs as a result of collision sports, chiefly American football and rugby union football, followed by wrestling and gymnastics. Although serious head injury is uncommon, episodes of concussion are frequent; repeated concussion should be grounds f...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Bruce DA,Schut L,Sutton LN

    更新日期:1984-03-01 00:00:00

  • Depression and medical/surgical illness: "who wouldn't be depressed?.

    abstract::Depression is the most frequent psychiatric complication of serious medical illness, occurring in up to 20 per cent of cases. Criteria for its diagnosis and guidelines for its treatment are presented. ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Petty F

    更新日期:1987-12-01 00:00:00

  • Anaphylaxis: diagnosis and treatment.

    abstract::Anaphylaxis is a clinical syndrome and is caused by many different agents. Acute therapy is epinephrine. Chronic therapy depends on the agent causing the anaphylaxis, but usually consists of avoidance of the agent only. Individuals who suffer from this problem should be issued epinephrine and wear or carry medical ale...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70089-0

    authors: Freeman TM

    更新日期:1998-12-01 00:00:00

  • Language dysfunction in cerebrovascular disease.

    abstract::Language disorder is often mistaken for confusion, psychosis, or memory loss, and thorough evaluation may require much time. A simple beside examination can often separate aphasic syndromes, and the anatomic location of the lesion can be inferred. Speech therapy, although not entirely satisfactory, is helpful in most ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Palmer EP

    更新日期:1979-12-01 00:00:00

  • Pediatric asthma for the primary care practitioner.

    abstract::Asthma is a complex disease, involving many different allergic, inflammatory, and environmental components. It is a disease for which patient and family education and a team-based approach are paramount for successful management. Guidelines have been put forth by the National Heart, Lung and Blood Institute, which pro...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2014.09.013

    authors: VanGarsse A,Magie RD,Bruhnding A

    更新日期:2015-03-01 00:00:00

  • Clinical practice. How physicians make medical decisions and why medical decision making can help.

    abstract::Medical decision making (MDM) contains tools that can contribute to the skill and expertise of physicians. MDM is especially useful for primary care physicians. Practicing in this clinical world is practicing in a world of great uncertainty--the world in which many of these tools were designed to be useful. ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Bergus GR,Hamm RM

    更新日期:1995-06-01 00:00:00

  • Uveitis.

    abstract::Multidisciplinary management in the diagnosis and management of patients with ocular inflammatory disease is often critical. The workup of uveitis or scleritis may reveal an underlying systemic disease. Recognition of inflammation by the primary care physician can facilitate prompt referral to a uveitis specialist and...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2015.05.003

    authors: Dunn JP

    更新日期:2015-09-01 00:00:00

  • Gastroesophageal Reflux Disease.

    abstract::Gastroesophageal reflux disease (GERD) is a gastrointestinal motility disorder that results from the reflux of stomach contents into the esophagus or oral cavity resulting in symptoms or complications. The typical symptoms of GERD are heartburn and regurgitation of gastric contents into the oropharynx. GERD affects qu...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2017.07.001

    authors: Kellerman R,Kintanar T

    更新日期:2017-12-01 00:00:00

  • Treatment of gallstones in the 1990s.

    abstract::Gallstone disease continues to be one of the more common abdominal problems that prompts medical evaluation, particularly in the elderly population. The presentation is diverse, and the treatment options varied. Primary care physicians need to be familiar with the differential diagnosis, evaluation, and therapeutic op...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70343-2

    authors: Giurgiu DI,Roslyn JJ

    更新日期:1996-09-01 00:00:00

  • Diagnosis and Management of Anorectal Disorders in the Primary Care Setting.

    abstract::Anorectal disorders are very common among a wide population of patients. Because patients may be embarrassed about the anatomic location of their symptoms, they may present to care late in the course of their illness. Care should be taken to validate patient concerns and normalize fears. This article discusses the dia...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2017.07.012

    authors: Davies D,Bailey J

    更新日期:2017-12-01 00:00:00

  • Respiratory and allergic diseases: from upper respiratory tract infections to asthma.

    abstract::Patients with asthma and allergic rhinitis may benefit from hydration and a diet low in sodium, omega-6 fatty acids, and transfatty acids, but high in omega-3 fatty acids (i.e., fish, almonds, walnuts, pumpkin, and flax seeds), onions, and fruits and vegetables (at least five servings a day). Physicians may need to be...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(01)00008-2

    authors: Jaber R

    更新日期:2002-06-01 00:00:00