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(p. 245) Fidgetiness 

(p. 245) Fidgetiness
Chapter:
(p. 245) Fidgetiness
Author(s):

Donald W. Winnicott

DOI:
10.1093/med:psych/9780190271336.003.0053
Page of

date: 19 October 2018

Chapter 11 of Clinical Notes on Disorders of Childhood. In this chapter, Winnicott wishes to distinguish fidgetiness of anxious excitement, of tics, and of chorea. The differential diagnosis is of great importance as chorea carries with it a liability to rheumatic fever and heart disease. A mistake in diagnosis may mean either that a child who is not liable to heart disease is kept in bed and would be better up and about, or else that a child with chorea is punished at school for fidgetiness that is not under voluntary control, and made to do drill and play games just when the heart should be allowed the maximum rest. Winnicott discuss the signs of each and discusses diagnosis, giving case examples.

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