By Jon M. Aase (auth.), Marvin I. Gottlieb M.D., Ph.D., John E. Williams M.D. (eds.)

"Child improvement" has regularly been a conventional section of good­ baby care and a specific niche for pediatricians, baby neu­ rologists, and psychologists. despite the fact that, it was once no longer until eventually the early Nineteen Sixties that youngsters with developmental disabilities (i. e. , continual handicapping issues) grew to become an immense concentration of public realization. in this interval, teenagers with "special wishes" have been dramatically catapulted into the limelight and "exceptional" turned the buzzword of the day. Public expertise of those concerns reached new peaks and popularity of the aptitude psychosocial impairments of chil­ dren with developmental disabilities created nationwide anxiousness. a number of components contributed to an remarkable societal advocacy for chil­ dren with developmental difficulties: (1) a countrywide situation generated via President Kennedy'S specific curiosity in psychological retardation; (2) in­ creased task and visibility of dad or mum advocacy/lobbying teams (e. g. , the organization for kids with studying Disabilities); (3) the enact­ ment of federal laws designed to guard the rights of the handi­ capped (e. g. , PL94-142); and (4) the popularization of developmental­ behavioral disabilities by means of some of the communications media. Cumulatively those occasions prompted a redefinition of the true suggest­ ing of "comprehensive health and wellbeing deal with children," leading to an empha­ sis at the kid's neurodevelopmental, academic, mental, and social wishes. For the pediatrician, a myriad of recent administration respon­ sibilities have been mandated, as well as the conventional well-being care con­ cerns.

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In an insightful observation, Darling (1979) made the point that without a unified subculture, such as the National Association for Retarded Children (NARC) or the American Association for Children with Learning Disabilities (ACLD), families with a disabled member may feel isolated and find it difficult to challenge the social myths or the victim- 22 William C. Adamson blaming and scapegoating processes. Such families are more vulnerable and less able to assume a position or to establish a family posture sufficient to challenge the "social norms" in their community.

Of the 93 couples in the 40 to 50 age group, more wives than husbands wished for, and were better prepared for, divorce. Multiple causes given for midlife divorce: feelings of discontent, pent-up marital conflicts, moving through a "pivotal point" in life, and ferment from the female liberation movement. Midlife divorce is more traumatic than divorce at a younger age. Instigation Impact aAfter Shuman (1984). 36 William C. Adamson 3. Internal Stresses on Marriage High on the list of internal stresses on marriage is the issue of the wife's outside employment.

Fortunately, I brought photographs of this boy to a meeting where I asked several colleagues if they had seen a similar child. Only Dr. , 1977). This condition is so rare that only four cases had yet been identified. Because of this rarity, no child this young had been diagnosed and a key finding in later life, severe overgrowth of bone, does not appear until after infancy. Thus, the two infants described as patients with a "new" syndrome had been missed. To show the value of a 12 Jon M. Aase Figure 13.

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