The British Journal of Psychiatry 131: 281-288 (1977)
© 1977 The Royal College of Psychiatrists
A framework for adolescent disorder: some clinical presentations
R Framrose
Seven frequently-occurring, more or less sterotyped, adolescent
presentations are described to illustrate the relevance of a specific
clinical framework for adolescent disorder. This recognizes the
maturational background in adolescence, the family involvement in this
process and the various factors that can affect it. Disorder is viewed in
terms of inappropriate identity choice at this time, a state of
maturational deadlock, and can be categorized according to the types and
severity of the maladaptive responses. Treatment, capitalizing on the
adolescent's state of change and flux, concentrates on more adaptive future
identity formation, and can be most rewarding. Orthodox assessment
procedures, as used with adult patients, stand the risk of reinforcing a
dependent 'psychiatric patient' identity.