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  Vol. 55 No. 12, December 1998 TABLE OF CONTENTS
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Severe Stress and Mental Disturbance in Children

edited by Cynthia R. Pfeffer, MD, 673 pp, $69.95, Washington, DC, American Psychiatric Press Inc, 1996.

Arch Gen Psychiatry. 1998;55:1143.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This is a 21-chapter compendium of research conducted in the past 2 decades on traumatized and stressed children. In an exceptionally instructive epilogue, Peter Tanguay provides a guide to the varied models and approaches of the 55 contributors, emphasizing that they all seem to be exploring essential questions "at the intersection of separate fields." A good example of this, which involves clinical observation and basic neuroscience, is found in the recent progress in cognitive research on explicit memory (readily retrieved) vs implicit memory (habitual or somatic and largely inaccessible). Especially striking is the demonstration of differences in memory encoding under conditions of extreme stress: the cognitive science findings indicate that motivated forgetting (repression) is not the only plausible explanation for the commonly observed gaps in posttraumatic recall.

Other areas of progress in the neurobiology of trauma and stress are also discussed. Alterations in brain morphology and electrophysiology have been detected . . . [Full Text of this Article]



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