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March 1967

Studies of Troublesome Children.

Am J Dis Child. 1967;113(3):399. doi:10.1001/archpedi.1967.02090180159021

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There is a charm about textbooks written by British authors that at times seduces one into feeling that they have more to say than we do. This particular book, describing disturbed children in British and Scottish schools is a well-written piece of work. Using a very frank terminology, it contains some excellent descriptions of children.

The author has, however, tended to elaborate a theory of human behavior from his observations. In doing so, he has set up a nosology which is very descriptive but not particularly helpful from an etiologic point of view. He is concerned about the role the constitution plays; using this word to include not only chromosomal defects but also the newer concepts of the effects of intrauterine pathology. Almost parenthetically he points out the current observation that "progress in physical medicine has created problems of behavioral disturbances for which we have not been prepared." He refers

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