Popular rhetoric supports prevention, but action does not match the rhetoric.
Legitimate concerns are promoted to primacy, precluding preventive action, Prevention may be thwarted by expressing overriding concern for labels and stigma, objecting to a medical model and failure-driven services, preferring false negatives to false positives, proposing a paradigm shift, calling special education ineffective, misconstruing the least restrictive and least intrusive intervention, protesting the percentage of children receiving services, complaining that special education already costs too much, maintaining developmental optimism, denouncing disproportional identification, defending diversity, and denying or dodging deviance.
The mechanisms explaining the avoidance of prevention include delayed negative reinforcement of prevention, immediate positive reinforcement of competing behaviors, social punishment of prevention, and modeling.
Implications for practice are suggested.
Mots-clés Pascal : Prévention, Trouble psychiatrique, Trouble conduite, Pédagogie spéciale, Efficacité traitement, Organisation santé, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Enfant, Homme, Trouble comportement social
Mots-clés Pascal anglais : Prevention, Mental disorder, Conduct disorder, Special education, Treatment efficiency, Public health organization, Mental health, United States, North America, America, Child, Human, Social behavior disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0370214
Code Inist : 002B18H05A. Création : 14/12/1999.