About permanent diagnostics in child psychiatry

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Abstract


The article analyzes the problem of diagnosis in child psychiatry. It is shown that errors in it are largely associated with the features of development at the early stages of ontogenesis. The need to take into account in the diagnostic process the theoretical positions of P.P. Blonsky, L.S. Vygotsky, D.B. Elkonin about crises in childhood and adolescence and V.V. Kovalev about the levels of neuropsychic response are discussed. The article shows that early developmental arrhythmia affects the diagnosis of such a pathology as autism spectrum disorder. It is emphasized that the typical childhood clinical diffuseness of the disorder is underestimated. It is argued that the heterochrony of development in childhood strongly requires a transition from noso-centered to risk-centered diagnostics.


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About the authors

Vladimir E. Pashkovskiy

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology; Saint-Petersburg University

Author for correspondence.
Email: pashvladimir@yandex.ru
ORCID iD: 0000-0002-9596-3453
SPIN-code: 6832-0019
Scopus Author ID: 6503993999
ResearcherId: ABE-1655-2020

Russian Federation, 192019, St. Petersburg, Bekhterev street, 3; 199034, St. Petersburg, Universitetskaya nab., 7–9

Доктор медицинских наук, доцент, ведущий научный сотрудник научно-организационного отделения ФГБУ «Национальный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева» Минздрава России, профессор кафедры психиатрии и наркологии Санкт-Петербургского государственного университета

References

  1. Венар Ч., Кериг П. Психопатология развития детского и подросткового возраста. Под ред. А.А. Алексеева. Пер. с англ. СПб.: Прайм-ЕВРОЗНАК. 2004; 384 с. [Venar Ch., Kerig P. Psikhopatologiya razvitiya detskogo i podrostkovogo vozrasta. Pod red. A.A. Alekseyeva. Per. s angl. SPb.: Praym-EVROZNAK. 2004; 384 р. (In Russ.)]
  2. Ковалёв В.В. Семиотика и диагностика психических заболеваний у детей и подростков. М.: Медицина. 1985; 286 c. [Kovalev V.V. Semiotika i diagnostika psikhicheskikh zabolevaniy u detey i podrostkov. M.: Meditsina. 1985; 286 р. (In Russ.)]
  3. Исаев Д.Н. Умственная отсталость у детей и подростков. Руководство. СПб.: Речь. 2003; 391 с. [Isayev D.N. Umstvennaya otstalost’ u detey i podrostkov. Rukovodstvo. SPb.: Rech’. 2003; 391 р. (In Russ.)]
  4. Блонский П.П. Педология. Учебник для высших педагогических учебных заведений. М.: Гос. учеб. педагог. изд. 1936; 336 с. [Blonskiy P.P. Pedologiya. Uchebnik dlya vysshikh pedagogicheskikh uchebnyh zavedeniy. M.: Gos. ucheb. pedagog. izd. 1936; 336 р. (In Russ.)]
  5. Выготский Л.С. Вопросы детской (возрастной) психологии. Собрание сочинений. М.: Педагогика. 1984; 4: 243–403. [Vygotskiy L.S. Voprosy detskoy (vozrastnoy) psikhologii. Sobraniye sochineniy. M.: Pedagogika. 1984; 4: 243–403. (In Russ.)]
  6. Эльконин Д.Б. К проблеме периодизации психического развития в детском возрасте. Вопр. психол. 1971; (4): 39–51. [Elkonin D.B. On the problem of periodization of mental development in childhood. Voprosy psikhologii. 1971; (4): 39–51. (In Russ.)]
  7. Дейниченко Л.Б. Исследование возрастных кризисов детства в отечественной психологии. В сб.: Актуальные проблемы теории и практики психологических, психолого-педагогических и лингводидактических исследований. Сборник материалов Международной научно-практической конференции. В 2 т. М.: Московский государственный областной университет. 2019; 2: 45–52. [Deynichenko L.B. Issledovaniye vozrastnykh krizisov detstva v otechestvennoy psikhologii. In: Aktual’n•yye problemy teorii i praktiki psikhologicheskikh, psikhologo-pedagogicheskikh i lingvodidakticheskikh issledovaniy. Sbornik materialov Mezhdunarodnoy nauchno-prakticheskoy konferentsii v 2 tomakh. M.: Moskovskiy gosudarstvennyy oblastnoy universitet. 2019; 2: 45–52. (In Russ.)]
  8. Gillberg C. The ESSENCE in child psychiatry: Early symptomatic syndromes eliciting neurodevelopmental clinical examinations. Res. Dev. Disabil. 2010; 31 (6): 1543–1551. doi: 10.1016/j.ridd.2010.06.002. PMID: 20634041.
  9. Evans B. The foundations of autism: the law concerning psychotic, schizophrenic, and autistic children in 1950s and 1960s britain. Bull. Hist. Med. 2014; 88 (2): 253–285. doi: 10.1353/bhm.2014.0033.
  10. Zwaigenbaum L., Bauman M.L., Choueiri R. et al. Early intervention for children with autism spectrum disorder under 3 years of age: Recommendations for practice and research. Pediatrics. 2015; 136 (1): S60–S81. doi: 10.1542/peds.2014-3667E. PMID: 26430170.
  11. Kleinman J.M., Ventola P.E., Pandey J. et al. Diagnostic stability in very young children with an autism spectrum disorder. J. Autism Dev. Disord. 2008; 38 (4): 606–615. doi: 10.1007/s10803-007-0427-8.
  12. Симашкова Н.В., Иванов М.В., Макушкин Е.В. и др. Скрининг риска возникновения нарушений психического развития у детей раннего возраста (данные по 9 регионам России в 2017–2019 гг.). Ж. неврол. и психиатрии им. С.С. Корсакова. 2020; 120 (11): 79–86. [Simashkova N.V., Ivanov M.V., Makushkin E.V. et al. Screening of the risk of mental and developmental disorders in children of early age in the Russian population (2017–2019). Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2020; 120 (11): 79–86. (In Russ.)] doi: 10.17116/jnevro202012011179.
  13. Sutera S., Pandey J., Esser E.L. et al. Predictors of optimal outcome in toddlers diagnosed with autism spectrum disorders. J. Autism Dev. Disord. 2007; 37 (1): 98–107. doi: 10.1007/s10803-006-0340-6.
  14. Turner L.M., Stone W.L. Variability in outcome for children with an ASD diagnosis at age 2. J. Child Psychol. Psychiatry. 2007; 48 (8): 793–802. doi: 10.1111/j.1469-7610.2007.01744.x. PMID: 17683451.
  15. Maddox B.B., Brodkin E.S., Calkins M.E. et al. The Accuracy of the ADOS-2 in identifying autism among adults with complex psychiatric conditions. J. Autism Dev. Disord. 2017; 47 (9): 2703–2709. doi: 10.1007/s10803-017-3188-z. PMID: 28589494. PMCID: PMC5813679.
  16. Kaufman N.K. Rethinking “gold standards” and “best practices” in the assessment of autism. Appl. Neuropsychol. Child. 2020, Aug. 27; 1–12. doi: 10.1080/21622965.2020.1809414. PMID: 32847428.

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