By George Tarjan (auth.), Norman R. Bernstein M.D., James Sussex M.D. (eds.)
I have spent the easiest a part of the final area of a century engaged on the con sultation carrier on the Massachusetts basic sanatorium. a lot of my pride has stemmed from operating with nonpsychiatric physicians, particularly in having them come to gain the price of mental tools within the remedy in their sufferers. It has regularly been my trust that studying to appreciate the patient's psychological lifestyles used to be as a lot part of medication because the taking of significant symptoms. to regard properly, definitely to regard good, a doctor needs to comprehend whatever of his patient's inspiration tactics. educating others the worth of this data is step one in instructing them to hunt methods of studying it themselves. hardly ever can this be performed within the lecture corridor. you can actually most sensible pique interest by way of demon strating worthy, and that's performed on the bedside or in no matter what surroundings the con sultation is conducted. each session then contains an implicit crucial to attest its worth. it may be covert instructing at its most sensible. i've got chanced on the perform of session psychiatry fulfilling and compelling adequate to wish to stay in it for no less than one other region of a century .
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Additional resources for Handbook of Psychiatric Consultation with Children and Youth
It should be based on factual history which relates to his or her actual functioning, as well as on preparation for the caretaking role and the practicality of arrangements. The assessment of parenting skills should include statements, based on observations whenever possible, of the parent's ability to foster ageappropriate behaviors in the child, guiding the child toward independence and individuality and stimulating the child emotionally and intellectually. Point out, using examples and quotations wherever possible, how each parent seems oriented toward the child's needs and whether one or both seem to want custody out of spite toward the other parent or perhaps to prove his or her own adequacy.
Even though you see yourself as an independent, objective witness, your recommendation creates disappointment in one of the parents. And the cross-examination will reflect it. So be prepared to have your opinion challenged. That is the attorney's job. Do not take it as a personal attack and respond inappropriately. If you do not feel comfortable in this, the adversarial legal setting, custody cases are not for you. Admittedly, the adversarial system is a poor one in which to insure the best interests of the child.
Even if you do not need to prepare a report, it is a good idea to have an outline of one on paper or in your mind. It provides a sound framework for testimony. If you have prepared a report that reflects a comprehensive evaluation of parents and children, and have carefully evaluated your information, you have done the major preparation for the hearing. If you have been asked to testify by one of the attorneys, be sure to arrange to have that attorney prepare you in advance (Adams, 1980). Point out that it is to the attorney's advantage to rehearse the testimony so that you will be a better witness.