Parents often view the physician as the person to whom they can turn not only for Johnny’s runny nose but his developmental and behavior difficulties as well. In fact, a majority of pediatrician’s time, estimated by some as high as 85%, is spent dealing with psychosocial and developmental issues that arise during well-child and acute care visits (1,2). Since most of these requests for assistance are not severe enough to warrant referral, primary care physicians need to develop an effective approach to working with parents regarding their concerns about their children. We advocate a family-oriented approach that expands the traditional biomedical, anticipatory guidance model to take into account the context of the child.
KeywordsFamily Therapy Child Health Care Psychosocial Assessment Toilet Training Anticipatory Guidance
Unable to display preview. Download preview PDF.
- 1.Christopherson ER: Anticipatory guidance on discipline. Ped Clin North Am 1986; 33 (4): 789–798.Google Scholar
- 2.Brazelton TB: Anticipatory guidance. Ped Clin North Am 1975; 22: 533–544.Google Scholar
- 3.Solnit AJ: Psychotherapeutic role of the physician, in Green M, Haggerty R (eds.): Ambulatory Pediatrics. Philadelphia, W.B. Saunders Co., 1977, pp 197–207.Google Scholar
- 4.American Academy of Pediatrics: Guidance for health supervision. American Academy of Pediatrics, 1985.Google Scholar
- 6.Talbot Y: Behavior problems in children, in Christie-Seely J (ed.): Working With the Family in Primary Care: A Systems Approach to Health and Illness. New York, Praeger, 1984.Google Scholar
- 9.Bowen M: Theory in the practice of psychotherapy, in Guerin PJ (ed.): Family Therapy. New York, Gardner Press, 1976, pp. 42–90.Google Scholar
- 10.Bowen M: Family Therapy in Clinical Practice. New York, Jason Aronson, 1978.Google Scholar
- 11.Kerr ME: Family systems therapy and therapy, in Gurman AS, Kniskern DP (eds.): Handbook of Family Therapy. New York, Brunner/Mazel, 1981, pp. 226–266.Google Scholar
- 12.Minuchin S: Families and Family Therapy. Cambridge, MA, Harvard University Press, 1974.Google Scholar
- 13.Wynne LC, McDaniel SH, Weber TT (eds.): Systems Consultation: A New Perspective for Family Therapy. New York, The Guilford Press, 1986.Google Scholar
- 14.Boyle WE, Hoekelman RH: The pediatric history. In, Hoekelman RH, Blatman S, Friedman S, Nelson N, Seidel H (eds.): Primary Care Pediatrics. St. Louis, MO, C.V. Mosby Co., 1987, pp. 52–62.Google Scholar