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Behavioral and Developmental Pediatrics: A Handbook for Primary Care
edited by Steven Parker and Barry Zuckerman, 447 pp, $39.95, ISBN 0-316-69090-2, Boston, Mass, Little Brown & Co, 1994.
Joel H. Merenstein, MD, Reviewer
St Margaret Memorial Hospital Pittsburgh, Pa
Arch Fam Med. 1995;4(7):655.
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It has now been 20 years since Robert Haggerty, MD, described "the new morbidity" in pediatrics as "learning difficulties and school problems; behavioral disturbance; allergies; speech difficulties; visual problems and the problems of adolescents in coping and adjusting." Since then, others have written about the lack of recognition of this new morbidity by practicing physicians.
Family medicine in its basic origins has emphasized the biopsychosocial model. In children, this means recognition and the ability to deal with the problems described in the new morbidity. This is recognized in the requirements for family practice residency training. Despite this, most family physicians and family practice residents do not appear to be comfortable with the developmental aspects of the care of children. Family practice residencies still require more formal inpatient pediatric training than formal outpatient training. We need to have primary care physicians who care for children become more adept at recognizing
. . . [Full Text PDF of this Article]
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