Depression in Children and Adolescents

170 Pages·1999·9.38 MB·English

by  Kedar Nath Dwivedi

Depression in Children
and Adolescents
Edited by
Kedar Nath Dwivedi
and
Ved Prakash Varma
W
Whurr Publishers Ltd
London

Depression in Children
and Adolescents

Depression in Children
and Adolescents
Edited by
Kedar Nath Dwivedi
and
Ved Prakash Varma
W
Whurr Publishers Ltd
London
First I’ublishetl I997 by
Whurr I’ublishers I.td
I9h (:ompton Lonclon N I 21JN, England
‘lkrracc,
All rights reserved. No part of this publication may he
repi-oducecl, storccl in a retrieval system, or ti-anstnitted
in any form or by any means, electronic, mech;inic;il,
photocopying, recording or otherwise. without the
prior permission of Whurr I’ublishers Limited.
This pii1Tlic:ition is sold subject to the conditions thait it
shall not. by way of trade or otherwise, be Icnt, resolcl,
hired out, or otherwise circulated without the
publisher’s prior consent, in any form of binding or
cover other than that in which it is publishctl, and
without ;I similar condition including this condition
being imposul upon any subsequent purchaser.
I3ritish 1.ibrai-y C;it;iloguing in Publication Dat:i
A catalogue record for this hook is avai1:tble from the
British Library.
ISBN 1-897655-924
Printcd and bound bq CPI Anton) Roltc I td. rastbournc
Contents
...
Professor Srivastava: an Appreciation Vlll
Professor Prakasb Bebere
About the Contributors X
...
Preface Xlll
Kedar Nalb Ijwiuedi
Introduction 1
Kedar Nalh Dwivedi
ChaDter 1 9
lhe Nature of Depression in Childhood: its Causes and Prcsentation
Jcilian Brockless
Chapter 2 37
__ ___. . -
Clinical Assessment and Planning for Treatment
Ingrid Davison
Chapter 3 48
The Family Background: the Social Worker’s Input
Joan Hzitlen
Chapter 4 59
____
Psychodynamic Psychotherapy
Biddy Yoztell
Chapter 5 75
~ . _ _ -
Cognitive-Rehavioural Therapy for Depression in Children
and Adolescents
Mary Evans and Ann Murphy
V
Depression in Children and Adolescents
~~
Chapter 6 9 4
~
The Place of Drugs in lreatment
Finn Cosgroue
Chapter 7 106
.~
~~
The Hidden Factor. an Educational Perspective oP Depression in
Learning
Muriel Barrell and JzidiLh Walerfield
Chapter 8 124
Depression in Childhood and Adolescence in Primary Health Care
Grah a YYI Czir l is.J enkins
Chapter 9 139
..
The Way Foiward: Developing a Comprehensive Service
Philip Barker
Index 150
Dedication
The editors dedicate this book, with warm affection and esteem, to Dr
O.N. Srivastava, formerly Professor and Head of the Department of
Psychiatry, Institute of Medical Sciences, Banaras Hindu Ilniversity,
Varan as i , 1n d i a, and su bse clu e n t 1y Direct or, Re s i tl e n c y Train i ng
I-’rogramme,R osenburg Psychiatric Centre, The Hague, Netherlands.
vi i
Professor Srivastava: an
Appreciation
It was a great pleasure and privilege to be invited to write an apprecia-
tion of Professor O.N. Srivastava, a legendary teacher and clinician for
more than three clecades. Professor Srivastava became involved with
psychiatry at a time when the discipline in India was beginning to move
beyond the mental hospitals and was struggling to find its rightful place
as an acadcmic field within medical faculties. The depth and expanse of
his knowledge, his dedication to his subject, his excellence as a clinician
and his organizational astuteness worked wonders during this critical
period and earned psychiatry a respectable place in medicine both at
the Medical Institute in Varanasi and throughout India. His deep, pene-
trating and analytical insight into clinical problems, his multifaceted
understanding of clinical phenomena, and his refreshing humaneness
inspired successive generations of students and trainee psychiatrists
both in India and in the Netherlands where he trained successive gener-
ations of psychiatrists. I Iis charisma as a teacher, clinician and
researcher drew the best medical graduates to psychiatry and helped it
to become one of the most coveted specializations in Varanasi. In India,
and later in the Netherlands, he was always a popular and highly
esteemed teacher and he was the role model par excellence for his
trainees. He had the rare ability to inculcate a spirit of enquiry in his
students.
In his approach to psychiatry, Professor Srivastava always rejected a
narrow sectarian view and emphasized the biopsycho-social approach in
full. He looked upon psychiatry not as a field exclusively for specialists
but rather as a basic science for all physicians, irrespective of their
specializations. It was this approach that led him to persuade the
medical faculty in Varanasi to allocate time in the medical curriculum for
the teaching of psychiatry from the very first year of medical studies.
His research interests were wide and touched upon the biological as
well as the psycho-social dimensions of psychiatry, but psychiatric
epidemiology always held a special fascination for him as an area of
viii