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Institutionalism in Children's Homes.
—M. H. Bothner et al (Med Welt p 757, 1962) defined "hospitalism" as damage to children by mass treatment. Formerly known somatic causes (infections, faulty nutrition, rickets) today have been overcome. One hundred children in homes were examined to determine disadvantageous influences still occurring in institutions. Physical development (weight and height gain, teething) was normal for children growing up in families except for the second trimester. The lower weight in the third to sixth months may be due to dyspeptic disturbances. Static development of children in homes was retarded. On an average, they learned to stand and walk 5 mo later than other children. The mental-psychological development was tested in 45 children. The development quotient (ratio of developmental age to chronological age normally = 1) was 0.80. Retardation was not evenly distributed among all mental categories; learning, knowledge of material (subjects), and speaking were delayed. The investigation
GERMANY. JAMA. 1963;184(8):669. doi:10.1001/jama.1963.03700210103031
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