Section 7. Developmental and Behavioral Pediatrics >
Part 2. Developmental Variation to Disorder >
Chapter 87. Difficult BehaviorMartin T. Stein
Topics Discussed: behavior; behavioral problem; disruptive behavior.
Sections: Definitions and Epidemiology, Etiology and Pathogenesis, Clinical Manifestations, Assessment and Diagnosis, Management and Treatment, References.
Excerpt:"Disruptive behaviors in childhood are a part of growing up. An
adult's perception of the behavior, their tolerance, emotional
response, and social expectations often determine whether a child's
behavior comes to the attention of a pediatrician. Disruptive behaviors
become a part of pediatric encounters under 3 circumstances: (1)
when the behavior is overwhelming to parents or teachers and is
interfering with social interactions, (2) when a pediatrician systematically
surveys family function and childhood behavior as part of a periodic
health supervision visit, or (3) when a disruptive behavior occurs
during an office visit.
- Infants are characteristically more irritable in late
afternoon and early evening.
- Strangers may initiate a fear response in some infants at
the end of the first year of life and during the second year.
- All toddlers experience temper tantrums during moments of
frustration when their journey toward psychological autonomy is threatened.
- Separation experiences from parents are commonly associated
with emotional outbursts, crying, and sleep disturbances at this
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