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September 1946

CRITERIA FOR RECOGNITION OF NEUROSES IN CHILDRENA Guide for the Pediatrician

Am J Dis Child. 1946;72(3):274-278. doi:10.1001/archpedi.1946.02020320025002
Abstract

RECOGNITION of the value of psychiatric treatment of children is spreading rapidly, but the selection of cases for psychiatric care is still determined more often by the complaints of parents than by objective criteria. This paper presents a developmental approach to the recognition of neurotic disorders in childhood.

Thanks to the contributions of the psychometric and developmental branches of psychology, the well read pediatrician, equipped with books by Bühler,1 Gesell,2 Kulmann3 and others, can detect a child who is subnormal in mental development. But what appears like mental subnormality may be a symptom of disturbed instinctual development. To recognize this symptom for what it is and to recognize other neurotic symptoms that may be present, it is necessary to know the normal progression of instinctual life. The recognized sequence of instinctual development is from the oral level to the anal level, the phallic level, the latency period

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