PSYCHOPATHOLOGY IN ADOLESCENCE, IV: CLINICAL AND DYNAMIC CHARACTERISTICS
JAMES F. MASTERSON JR. M.D.,
KENNETH TUCKER M.D., , and
GLORIA BERK M.S.S.1
1 Cornell University Medical College and The New York Hospital (Payne Whitney Psychiatric Clinic).
1. This paper is part of a larger research project guided by the following questions: What is the nature of psychiatric symptoms in adolescent patients? How do the symptoms in this group compare with those of a non-patient group? What happens to the symptoms of both groups as they pass through a substantial part of their adolescence?
2. The method consists of a 5-year study of 101 adolescent outpatients and a matched control group of 101 non-patients.
3. This paper presents the results of the initial evaluation of the patient group as follows:
i) Five syndromes have been defined that represent 84 of the 101 patients as follows: thinking disorder16, psychoneurosis38, acting-out17, depression7, and hysterical personality disorder6.
ii) The clinical and dynamic relationships of the 5 syndromes are presented. For example, acting-out showed more prevalence in boys, 15 or under, had an early age of onset, a long duration, and an impaired relationship with mother.
iii) For several syndromes this information suggests hypotheses as to both the origin and the clinical nature of the disorder.