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[Severe psychomotor instability in child psychiatry. Hyperkinetic states or psychomotor incontinence]

Insights

Severe psycho-motoric instability, or psychomotoric incontinence, in children often leads to publications. This study reviews the condition, presenting 20 cases, and finds only improvements, not cures, in 40% of patients.

Area of Science:

  • Pedopsychiatry
  • Child Neurology
  • Developmental Psychology

Context:

  • Hyperkinetic states and severe psycho-motoric instabilities present a significant challenge in pedopsychiatry.
  • Existing literature on this topic is vast but of variable quality.
  • The term 'psychomotoric incontinence' is proposed to define these severe conditions.

Purpose:

  • To delimit the concept of severe psycho-motoric instability (hyperkinetic syndrome/motoric incontinence).
  • To provide a critical historical review of the problem.
  • To present clinical aspects supported by personal case examples.

Summary:

  • The study analyzes 20 personal cases of severe psycho-motoric instability.
  • It examines etiology, pathological antecedents, neuro-psychological, and electro-encephalographic data.
  • Findings indicate that only ameliorations, not full recoveries, are achievable in approximately 40% of cases.

Impact:

  • Provides a refined conceptualization of psychomotoric incontinence in children.
  • Offers clinical insights based on extensive personal experience and data.
  • Sets realistic therapeutic expectations, highlighting the potential for improvement rather than cure.

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