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Temperament in pediatric practice
with Stella Chess, MD
Clinical applications
Using temperament concepts with clients/patients
Prevention
Assessment
Intervention


Practitioners in several disciplines incorporate temperament concepts into their professional practices...
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What's New? Things to do FAQs Discover your temperament? Kate's Newsletter B-DI Catalog Providers Books for Professionals Temperament Consortium
   Adult temperament
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For Primary Care Professionals
Normal Misbehavior
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 Temperament and Psychopathology
 

Where is the boundary between normal and abnormal?

Temperament is a normal phenomenon. Temperament-environment conflict can be resolved through taking steps to improve 'goodness of fit.'

When temperament-related behavior looks like a symptom, the distinction is whether the behavior is serious enough to reduce the person's adjustment, or seems to be present independent of the context in which it occurs.

On the extremes, or in situations with high demand, there may be conflict between the person's temperament and environment

The distinction between the two, temperament and psychopathology is based on qualitative differences in the behavior and impact on adjustment. Difficult temperament characteristics, in conjunction with a clinical disorder, may create complications in the treatment of individuals for psychiatric conditions.
Ross Greene's work on The Explosive Child, has demonstrated how therapy goals are limited and may take extended time to treat based on inflexible, explosive patterns of temperament.

Further information for clinicians can be obtained from the 2016 upadate of the book: Child Behavioral Assessment and Management in Primary Care, Second Edition. Click here for CBAM2 page

 
 
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   Examples:
 
Normal vs. Abnormal
Temperament or Psychopathology?
Temperament can be confused with symptoms of clinical conditions or thought to be indicative of severe emotional or behavioral problems. Learn the difference...
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Preventing Problems
Dr. Jim Cameron's
program provided anticipatory guidance to predict behavioral issues...

Studies showed that the process helped families and conserved professional time.
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Taming a preschooler
A Case Study
More than 10 percent of preschool teachers have reported expelling a preschool-aged child. Grounds for expulsion were largely aggression toward other children-hitting, kicking, biting, hair-pulling...
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Temperament & ADHD
Understanding normal variations
Many children show a few signs of attentional or activity problems. Most don't have ADHD.
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"At-risk" infants
Barbara Medoff-Cooper
Babies who are ill or need surgery
may have a 'difficult' homecoming.
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