{"title":"Inpatient management of anorexia nervosa and bulimia.","authors":"R E Kreipe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The principles guiding the inpatient treatment of adolescents with anorexia nervosa or bulimia are no different than those guiding the treatment of adolescents with cystic fibrosis, leukemia, or depression. The patient is treated first and foremost as an adolescent, avoiding reinforcement of the sick role. Biologic, psychologic, and social needs must all be considered. Further, the family must be included in the treatment, since the vast majority of patients will be returning to their families after discharge from the hospital. Hospitalization may be required for a number of reasons. Regardless of the indications for admission to the hospital, a consistent, individualized, positively reinforcing plan for evaluation and treatment needs to be developed and executed. By so doing, the hospital team is in a unique position to help the patient and the family develop more healthy patterns of acting and interacting.</p>","PeriodicalId":77899,"journal":{"name":"Seminars in adolescent medicine","volume":"2 1","pages":"27-36"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14723708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Eating disorders: anorexia and bulimia.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77899,"journal":{"name":"Seminars in adolescent medicine","volume":"2 1","pages":"1-98"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14723704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors that affect the onset of bulimia.","authors":"C Johnson, K L Maddi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77899,"journal":{"name":"Seminars in adolescent medicine","volume":"2 1","pages":"11-9"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14723706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypnosis in the treatment of anorexic and bulimic patients.","authors":"H M Pettinati, J H Wade","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77899,"journal":{"name":"Seminars in adolescent medicine","volume":"2 1","pages":"75-9"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14723713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pitfalls in the care of patients with anorexia nervosa and bulimia.","authors":"E S Ohlrich, J N Stephenson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77899,"journal":{"name":"Seminars in adolescent medicine","volume":"2 1","pages":"81-8"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14723714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anorexia nervosa: historical background and biopsychosocial determinants.","authors":"A R Lucas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77899,"journal":{"name":"Seminars in adolescent medicine","volume":"2 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14427710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drugs to enhance athletic performance in the adolescent.","authors":"A D Rogol","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Why would any athlete expose himself to these pharmacologic agents? The most obvious answer is to improve performance. Since athletic performance is composed of so many variables, for example, attitude, diligence in training, strength, agility, and the competitive spirit, it is difficult to ascribe improvement in performance to any particular agent. It may be due to the placebo effect or to better or more efficient training, to say nothing about the effects of the normal maturational process. Certainly the peer pressure of others using these agents weighs heavily upon the adolescent's mind. Might peers have a competitive advantage? All of these points would be moot if it were not for the ready availability of many of these compounds. All are within reach of the athlete with a little knowledge of this subculture, and all are relatively inexpensive (with the exception of GH). They can be as tempting to adolescents as are brightly colored packages of household cleaners, vitamins, or flavored children's aspirin tablets to toddlers. Continuing with this analogy, one notes that most of the time children easily recover from accidental ingestions, but these instances, just as with drugs of adolescent and adult abuse, can be deadly.</p>","PeriodicalId":77899,"journal":{"name":"Seminars in adolescent medicine","volume":"1 4","pages":"317-24"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14962324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adolescents at risk for drug and alcohol abuse.","authors":"J Meeks","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although all children have the potential for becoming destructively involved with psychoactive drugs, there is considerable evidence that youngsters with particular kinds of psychologic and family problems are at high risk for chemical dependency. These include youngsters with developmental deficiencies that interfere with their capacity to master the environment. Children with a strong family history of alcoholism or drug abuse also seem to be at high risk. Obviously, there is some overlap between these two groups, not only because parental drug abuse and alcoholism may damage the fetus, but because chemically dependent parents are more likely to abuse or neglect their children because of the impact of their own illness on their functioning as parents. In addition, families in which drug use is modeled as a typical behavior are more likely to produce adolescents who use drugs, although rigid rules against drug use are relatively ineffective in preventing adolescents from experimenting with drugs. Finally, certain behavior patterns in young childhood--particularly severe aggressiveness, rebelliousness, and learning problems at school--seem to be correlated with the development of chemical dependency during adolescence.</p>","PeriodicalId":77899,"journal":{"name":"Seminars in adolescent medicine","volume":"1 4","pages":"231-3"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14962318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}