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Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
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Trauma and hyperactivity: differentiating symptoms and cause.

Wirongrong Arunyanart1, Carol Weitzman, Betsy Groves

  • 1Phramongkutklao Hospital, Bangkok, Thailand.

Journal of Developmental and Behavioral Pediatrics : JDBP
|June 10, 2011
PubMed
Summary
This summary is machine-generated.

A 7-year-old boy exhibits increasing behavioral challenges and oppositionality, leading to school suspension and concerns about special education placement. Further evaluation is needed to determine the underlying causes and appropriate interventions.

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Area of Science:

  • Pediatric behavioral health and developmental pediatrics.
  • Childhood behavioral disorders and educational psychology.

Background:

  • A 7.5-year-old male foster child, Quintin, presents with escalating behavioral issues.
  • He has a history of unknown prenatal background and maternal incarceration for drug trafficking.
  • Initial adjustment to foster care was stressful, with early difficulties in childcare drop-offs.

Observation:

  • Quintin displayed early signs of being 'too busy' and 'trouble on the playground' but was academically capable.
  • Behavioral challenges intensified in first grade, including increased oppositionality, anger, and 'unsafe behavior' at school.
  • He exhibits defiance towards his foster aunt, stating she is 'not his mother,' and responds better to his uncle.

Findings:

  • School recommends medication or special education placement due to 'unsafe behavior' and oppositionality.
  • The child's academic performance was initially strong but is now overshadowed by behavioral concerns.
  • Foster parents are at their 'wits end' managing his increasing anger and defiance at home.

Implications:

  • Urgent need for comprehensive pediatric behavioral assessment to rule out underlying conditions.
  • Consideration of environmental factors, trauma history, and attachment in the foster care setting.
  • Development of a tailored intervention plan addressing behavioral regulation, emotional expression, and family support.