David R DeMaso MD

Psychiatrist-in-Chief and Chairman of Psychiatry, Children's Hospital Boston; Leon Eisenberg Chair of Psychiatry at Children's Hospital Boston; Professor of Psychiatry and Pediatrics, Harvard Medical School, Boston, Massachusetts

American

"Psychiatric

A Publishing, Inc.

Washington, DC London, England

Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family.

Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association.

DSM-IV-TR criteria tables throughout this book are reprinted from American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000. Copyright 2000, American Psychiatric Association. Used with permission.

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Library of Congress Cataloging-in-Publication Data

Textbook of pediatric psychosomatic medicine / edited by Richard J. Shaw, David R. DeMaso. — 1st ed. p. ; cm.

Includes bibliographical references and index.

ISBN 978-1-58562-350-1 (hardcover : alk. paper) 1. Pediatrics—Psychosomatic aspects—Textbooks. 2. Somatoform disorders in children—Textbooks. I. Shaw, Richard J., 1958- II. DeMaso, David R. (David Ray), 1949-

[DNLM: 1. Psychophysiologic Disorders. 2. Adolescent. 3. Child. 4. Psychosomatic Medicine. WM 90 T355 2010]

RJ47.5T43 2010

2009039760

British Library Cataloguing in Publication Data

A CIP record is available from the British Library.

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Dedicated to

Dr. med. univ. Hans Steiner, who taught and mentored a generation of child and adolescent psychiatrists regarding the complex interaction of biological, psychological, and social variables in the etiology, pathogenesis, diagnosis, and treatment of mental disorders;

and to the memory of

Dr. Leon Eisenberg, who saw the necessity of evidence long before others, argued for the significance of social context when others found evidence, and mentored colleagues across the globe regarding the importance of returning humanism to the field of medicine.

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