London's Pulse: Medical Officer of Health reports 1848-1972

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Ealing 1944

[Report of the Medical Officer of Health for Ealing]

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1-Problems as referred.

Stealing7
Problems of behaviour6
Backwardness8
Anxiety manifestations1
Habit disorders2
Physical symptoms1
-25

Some of these terms may require explanation. " Problems of
behaviour" has been used to cover complaints relating to disobedience,
rudeness, pugnacity, destructiveness, etc. It is quite
distinct from the technical term " behaviour problems,' as used
below, which indicates that whatever the symptom may be, it
has been diagnosed as the reaction of a normal child to an abnormal
environment. " Anxiety manifestations " has been used to cover
such. symptoms as fears, phobias, timidity, night terrors, etc.

II—Dia agnoses(or Underlying Disorders).

Psychoneurotic conditions12
Psychopathic conditions5
Behaviour problems4
Intellectual disability3
Education interrupted1
Physical disorders0
25

In general it may be said that the psychoneurotic conditions
are likely to respond to some form of psychological treatment,
unless home influences are too unfavourable and unmodifiable.
The conditions diagnosed as psychopathic have a strong constitutional
element which usually, though not invariably, renders them
unsuitable for such treatment. The remedy lies in providing
special environment. The behaviour problems call for-readjustment,
or, if necessary, change of home conditions, the intellectual
disabilities for special educational methods, or when extreme, for
special care and appropriate occupational provision. The treatment
of the last group cannot be effectively carried out until
special schools or classes become available, while some members
of the group are incapable of profiting from any form of education.