Diagnostic Dilemmas in Child and Adolescent Psychiatry

Though many of the ethical issues important in adult mental health are of relevance in the child, there are a considerable number of issues special to children. Many of the dilemmas faced pertain to diagnosis, treatment, the protection of the child, as well as the child's own developing intelligence and moral judgement. In addition, there are cases where the interests of the parents may conflict with the interests of the child. For example, the interests of a mother with schizophrenia might best be served by her continuing to look after her child, but the child's interests might require that a substitute placement be found. Diagnostic Dilemmas in Child and Adolescent Psychiatry is the first in the IPPP series to explore this highly complex topic. It brings together a collection of clinicians and philosophers who consider a range of topics central to the diagnosis and treatment of children and adolescents affected by mental disorders. Christian Perring, Professor of Philosophy, Department of Philosophy and Religious Studies, Dowling College, USA, and Lloyd Wells, Emeritus Consultant in Psychiatry, Mayo Clinic College of Medicine, USA CONTENTS Section One: Theoretical and Conceptual Issues 1: Christian Perring and Lloyd A. Wells: Theoretical and Conceptual Issues: Background and Introduction 2: Fayez El-Gabalawi: Child and Adolescent Psychiatry: Conceptual and Diagnostic Issues 3: Leen De Vreese: The Concept of Disease and our Responsibility for Children 4: Jorid Moen: Child and Adolescent Psychiatry between Neuroscience and the Family Perspective: a Pragmatist Approach 5: Benjamin Lovett and S. Brian Hood: Comoribidity in Diagnosis of Children and Adolescents: Conceptual Complications 6: Christian Perring: Are Relationship Problems Disorders? 7: Robyn Bluhm: 'Moving Parts get Broken': Neuroimaging Research and Child and Adolescent Psychiatry 8: Lloyd A. Wells: Psychiatric Nosology in Children and Adolescents: Past, Present, Future Section Two: Particular Disorders 9: Christian Perring and Lloyd A. Wells: Particular Disorders: Background and Introduction 10: John Z Sadler: Conduct Disorder as a vice-laden diagnostic concept 11: Sara Worley: Conduct- and Oppositional-Defiant Disorders: Pathologizing the Normal 12: Jennifer Vande Voort: Depression in Children and Adolescents 13: Lloyd A. Wells: Bipolar Disorder in Historical Perspective 14: Bhanu Prakash Kolla: The Beginning of Wisdom is calling things by their Right Name: A Critique of the Broad Concept of Pediatric Bipolar Disorder using the Robins and Guze model