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(p. 379) On Cardiac Neurosis in Children 

(p. 379) On Cardiac Neurosis in Children
Chapter:
(p. 379) On Cardiac Neurosis in Children
Author(s):

Donald W. Winnicott

DOI:
10.1093/med:psych/9780190271398.003.0060
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date: 19 November 2019

In this paper, Winnicott revisits his early work on cardiac neurosis in children based on his experience of running the London Rheumatic Clinic between the wars. He states that the key to good clinical sense in the diagnosis of rheumatism was to take a full history and give a physical examination. In positive diagnoses, the child’s activity would be restricted, but in around half of the cases the child could be diagnosed as non-choreic and therefore not liable to heart disease, thus allowing the doctor to manage child’s difficulties without restricting his or her activity. Winnicott states that this is where psychiatry gives a definite and positive diagnostic contribution, when the symptomatology can be accounted for in terms of the child’s normal variables due to his personality and emotional development.

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