Developmental Disabilities and Dual Diagnosis: A Guide for Canadian Psychiatrists.
Bibliographic record
Abstract
Dr. McCreary provides a clear and concise review of the knowledge, skills and attitudes that are useful for all physicians who have patients with mental retardation in their practice. Since two per cent of the population has mental retardation, all physicians can expect to treat a patient with mental retardation in their career. Part 1 provides a clear description of the abilities that persons with the varying degree of impairment have, as well as the common comorbidities, and common problems for referral to psychiatry or other specialties. There is a section devoted to genetic and environmental causes of mental retardation. Dr. McCreary also provides an outline of the developmental, educational and social services that are needed to maximize the adaptive capacities of the person with a developmental disability. In Part 2, skills for conducting a psychiatric assessment that leads to the formulation of a management plan are addressed. These include engaging the help of other medical specialties. He addresses informing and educating the family and other caregivers so that they can carry out the management plan. Another section discusses the ambulatory and inpatient treatments that a psychiatrist would usually provide. Part 3 addresses attitudes that greatly enhance the outcome for people with mental retardation. The challenges that the family and other caregivers face are identified, as well as information about enlisting the services of other medical and paramedical disciplines. Dr McCreary addresses the need for vigilance regarding the risk of neglect or abuse of persons with a developmental disability since they are at increased risk to be targeted. In addition, the information regarding assessment of capacity to consent to treatment is useful. Finally, a number of other activities such as parenting and situations involving conflict with the law are discussed. The book is clearly written, well referenced, and has a self-assessment quiz. I would recommend the book to psychiatrists as well as physicians of any speciality.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.005 | 0.003 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.003 | 0.005 |
| Insufficient payload (model declined to judge) | 0.055 | 0.035 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".