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Am J Orthopsychiatry. 1998 Oct;68(4):521-33.

Prevention and the clinical encounter.

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Children's Hospital, Department of Psychiatry, Harvard Medical School, Boston, USA.


Development of an intervention to prevent depression in children of parents with severe affective disorder is described, along with the risk and resilience factors incorporated from prospective longitudinal studies of parents and children at risk. Strategies helpful in bridging the gap between clinical practice and prevention are discussed, and the differences in orientation necessary to include prevention in clinical practice are explored.

[Indexed for MEDLINE]

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