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November 1975

Minimal Brain Dysfunction Syndrome: Another Point of View

Author Affiliations

From Tufts University School of Medicine, Boston (Dr Haller); New England Medical Center Hospital, Boston (Drs Haller and Axelrod); and Tufts University, Medford, Mass (Dr Axelrod).

Am J Dis Child. 1975;129(11):1319-1324. doi:10.1001/archpedi.1975.02120480043010

As defined by the US Department of Health, Education and Welfare,1 the disorder of minimal brain dysfunction (MBD) encompasses children of normal intelligence who have deviation of functions of the central nervous system (CNS) and/or learning and/or behavioral disabilities. What tends to distress physicians is that the signs and symptoms and cause do not appear to be clear-cut. On the contrary, the HEW Task Force recognized and enumerated categories of signs and symptoms while emphasizing that they are found in varying degrees and combinations. It must be stressed that this disorder cannot be defined by a single aberration alone. It is composed of a number of variants. Depending on the degree of the deviation from normal in any one or more of these categories or on the threshold of tolerance of the environment, the child comes in conflict with adults (teachers and parents) and with peers when competing in

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