Are you sitting too comfortably? Using the praxis of positioning to move between the activities of therapy-supervision and the identities of therapist-supervisor.

Practitioners extending their repertoire to include supervising the practice of others may see it as an additional professional activity which may be accommodated within their current identities. For some, it may also become a turning point that requires/promotes a second order development across personal and professional identities. Positioning theory (Harre and Langhove 1999) offers a framework which practitioners can use in making the intellectual and linguistic distinctions between different activities/identities, including the supervisory relationship.

The eating disorder belief questionnaire: psychometric properties in an adolescent sample.

The current study aimed to investigate the psychometric properties of the Eating Disorder Belief Questionnaire in older adolescent females. Three hundred and sixty-seven girls aged 17 or 18 who were in secondary school education completed the Eating Disorder Belief Questionnaire, the Beck Depression Inventory and the Eating Attitudes Test. They also provided information on height and weight.

Medication in the treatment of the behavioural sequelae of traumatic brain injury.

A significant proportion of children who sustain traumatic brain injury will go on to experience disturbance in their academic, emotional, and social functioning. There is a role for medication in the treatment of these late onset changes. This review will focus on the recognition and pharmacological treatment of the most common and most problematic presentations that may follow head injury, and supports the use of stimulant medication for secondary attention-deficit-hyperactivity disorder despite the small evidence base for use in children.

School Based Early Identification and Intervention Service for Adolescents: A Psychology and School Nurse Partnership Model.

Background: Adolescents are increasingly experiencing multiple stresses and emotional problems. Child and Adolescent Mental Health Services have a role in working creatively to provide easily accessible and non-stigmatising services.

Method: A training and consultation model was developed to respond to the needs of Tier 1 staff encountering vulnerable adolescents in a deprived inner city area.

Condom failures in women presenting for abortion.

Aims: To document the main reasons for condom failure in women presenting for first trimester termination of pregnancy.

Methods: From 1990-97 an audit was carried out, on the 3283 cases personally operated on by the author, using the information routinely obtained during pre-operative counselling.

Results: Two sets of figures were obtained.

Autistic symptoms in children with attention deficit-hyperactivity disorder.

Children with the syndrome of disorders of attention, motor control and perception (DAMP) invariably fill diagnostic criteria for attention deficit hyperactivity disorder (ADHD) and commonly have symptoms of autistic spectrum disorders. This study estimates the rate of autistic symptoms in a sample of children with ADHD by using the parent-rated Autism Criteria Checklist. A high proportion of parents (between 65-80%) reported significant difficulties in social interaction (particularly in empathy and peer relationships), and communication (particularly in imaginative ability, nonverbal communication and maintaining conversation).

Comorbidity of autistic spectrum disorders in children with Down syndrome.

The aim of the study was to identify the comorbidity of autistic spectrum disorders in a population of children with Down syndrome (DS). All children with DS within a defined population of South Birmingham were identified. The Asperger Syndrome Screening Questionnaire and the Child Autism Rating Scale were completed and diagnosis made according to ICD-10 criteria following interview and observation.

Pill method failures in women seeking abortion: fourteen years experience.

Aims: To document predisposing factors in 769 women who had inadvertently conceived while taking oral contraceptive pills reliably.

Methods: Over a 14-year period, 1981-1995, two questionnaires were administered, one for women using the combined oral contraceptive pill (COC) and one for women using the progestogen only pill (POP).

Results: More than one predisposing factor was usually present, the most common being diarrhoea and/or vomiting in 39.

Eyelid myoclonia with absences: phenomenology in children.

The aim of this study is to describe the phenomenology of children with eyelid myoclonia with absences (EMA) in relation to EEG findings and diagnosis, with particular reference to the issue of self-induction. Case notes of all children with a diagnosis of EMA within a regional paediatric neurology clinic were identified. Each child was interviewed by a paediatric neurologist with or without a child psychiatrist and their EEG reviewed by a clinical neurophysiologist.

A little lady called Pandora: an exploration of philosophical traditions of humanism and existentialism in nursing ill children.

This article battles its way through the contemporary philosophical assumptions regarding interactions with traumatized young people. That is, interaction by nurses as they attempt to provide 'a shoulder to cry on', 'someone to trust' or just simply 'a hand to hold'. The young people that are nursed in the hospital setting have experienced illness, surgery and recovery to name just a few, but when confronted with being separated from their families, being frightened and needing a friend the role of nursing takes on many different facets.

Two-year outcome of children treated for depression.

Fifty-four children and adolescents (age 8-17) were assessed two years after a clinical intervention trial of cognitive-behavioural vs. non-focused treatment for depression. Eleven (20.

Vaginal dinoprostone versus oral misoprostol for predilatation of the cervix in first trimester surgical abortion.

Prostaglandins are effective in predilatation of the cervix prior to first trimester surgical termination of pregnancy under local analgesia. Arandomized open comparative trial was devised to compare the effectiveness and acceptability of vaginal dinoprostone with oral misoprostol. Two groups were randomized to control for age, parity and ethnicity.

The use of behavioral methods of contraception in women seeking abortion.

Aims: To determine the extent to which behavioural methods, used alone or with other methods of contraception, contribute to contraceptive failure in women seeking termination of pregnancy.

Method: A clinical audit was conducted of the use of behavioural methods of contraception, in 1342 women attending the Parkview Clinic for termination of pregnancy, over a four year period 1992-6. The information was obtained through standard interview and patient records.

Detection of major and minor depression in children and adolescents: evaluation of the Mood and Feelings Questionnaire.

The detection of major and minor depression in children and adolescents was evaluated in an outpatient sample of 113 children employing the Mood and Feelings Questionnaire (both child and parent versions) and the K-SADS interview. Differences between depressed and nondepressed groups, those with major or minor depression, and depressed children compared with those comorbid for anxiety, were examined. Our findings support the validity of the MFQ as a screening instrument for major and minor depression in a population with a high proportion of depressed cases.

A randomised controlled out-patient trial of cognitive-behavioural treatment for children and adolescents with depression: 9-month follow-up.

Nine-month outcome data of a randomized controlled out-patient trial of cognitive-behavioural treatment (CBT) for children and adolescents with depression are presented. CBT was compared with a non-focussed intervention (NFI) in 56 subjects. At 9 months after thr termination of the trial, 21 children (37.

Pregnancies in reliable pill takers.

This study is an extension of a previous study on oral contraceptive pill method failure in reliable pill takers. It documents 137 cases which presented during the 3 year period from December 1985 to December 1988. The most important new finding is that smoking is a significant risk factor in failure on the combined pill (67% were smokers, n = 118), but not on the progestagen-only pill, although the numbers in the latter group were small (n = 19).