Abstract
The psychiatric problems that arise in physically handicapped children can be divided into two major categories: those in which the physical defect is complicated by primary psychiatric disorders, and those in which the behavioral pathology is of a reactive nature. Examples of the first group are retardation, chronic brain syndrome, psychosis, and developmental delays. The same causative agent may produce different constellations of symptoms in a particular child, such as a combination of spastic diplegia, mental retardation, and brain damage, each with its own set of symptoms. In the reactive category, behavior problems may reflect stress on the child who cannot cope with the normative environmental demands because of his physical limitations, or they may appear as the consequence of inappropriate handling. An example of the latter is the failure of some parents to expect as much self-care activity as the child is capable of, thus creating unnecessary helplessness. Both primary and reactive psychiatric disorders may coexist in a particular child.
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Chess, S., Hassibi, M. (1986). Physically Handicapped Children. In: Principles and Practice of Child Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2145-3_19
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DOI: https://doi.org/10.1007/978-1-4613-2145-3_19
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