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The Orthopedically Handicapped Child:  Emotional Reactions

MARSHALL D. SCHECHTER, M.D.
Arch Gen Psychiatry. 1961;4(3):247-253. doi:10.1001/archpsyc.1961.01710090033004.
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During a 4-year period as consultant to a children's orthopedic hospital, Los Angeles Unit of the Shriners Hospital for Crippled Children, I have observed children from birth to 15 years of age with congenital and acquired orthopedic disabilities of varying degrees of incapacity. The emotional responses to these handicaps have differed in each individual according to many variables so that it is not possible to state there is a common personality pattern to the group. The variations are determined by such things as (a) the family's neurotic structure; (b) the type and extent of the disability; (c) the sex of the child; (d) the age of onset in the child with the correspondence of psychic conflict extant at the time the disability first occurred; (e) the use the child and the family have made of the disability to become the focus of other problems; (f) the quantity

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