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Primary Care: Clinics in Office Practice 2007

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Our children have many complex challenges as they go through a myriad of developmental phases from birth and infancy (ab incunabulis) to adulthood. Parents often turn to their primary care clinician when behavioral problems arise and they also expect that their family doctor will identify the problems parents cannot yet comprehend. Indeed, many pediatric patients in these offices have either nonmedical (ie, behavioral) dilemmas or have medical problems complicated by behavioral influences [2,3]. Behavioral Pediatrics has been defined as ‘‘what the clinician does to diagnose, to treat, and most importantly, to prevent mental illness in children and adolescents’’ [4]. The term was derived in the early 1970s by Dr | PRIMARY CARE CLINICS IN OFFICE PRACTICE theclinics.com ELSEVIER SAUNDERS Prim Care Clin Office Pract 34 2007 xiii-xvi PRIMARY CARE CLINICS IN OFFICE PRACTICE Preface Donald E. Greydanus MD Helen D. Pratt PhD Guest Editors Dilip R. Patel MD The boundary between biology and behavior is arbitrary and changing. It has been imposed not by the natural contours of disciplines but by lack of knowledge. Kandel 1 Our children have many complex challenges as they go through a myriad of developmental phases from birth and infancy ab incunabulis to adulthood. Parents often turn to their primary care clinician when behavioral problems arise and they also expect that their family doctor will identify the problems parents cannot yet comprehend. Indeed many pediatric patients in these offices have either nonmedical ie behavioral dilemmas or have medical problems complicated by behavioral influences 2 3 . Behavioral Pediatrics has been defined as what the clinician does to diagnose to treat and most importantly to prevent mental illness in children and adolescents 4 . The term was derived in the early 1970s by Dr. Robert Haggerty and his colleagues at the University of Rochester Rochester New York who were looking at mental health problems of children from the viewpoint of non-psychiatrists 4 . Dr. Stanford Friedman defined Behavioral Pediatrics as a field . .which focuses on the psychological social and learning problems of children and adolescents 5 . It was in the nineteenth century that specific attention was focused on children versus adults based on the then gradually emerging concept that children were not simply small adults and thus needed separate study regarding their health 6 . Before the twentieth century clinicians dealing with children were focusing on preventing morbidity and mortality from 0095-4543 07 - see front matter 2007 Elsevier Inc. All rights reserved. doi 10.1016 j.pop.2007.05.001 primarycare.theclinics.com xiv PREFACE uncontrollable infections 7-10 . .

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