DSM+II+1968

50 MENTAL DISORDERS
treatment than Transient situational disturbances (q.v.) but less so than
Psychoses, Neuroses, and Personality disorders (q.v.). This intermediate
stability is attributed to the greater fluidity of all behavior at this age.
Characteristic manifestations include such symptoms as overactivity,
inattentiveness, shyness, feeling of rejection, over-aggressiveness, timidity,
and delinquency.
308.0* Hyperkinetic reaction of childhood (or adolescence)*
This disorder is characterized by overactivity, restlessness, distractibility,
and short attention span, especially in young children; the
behavior usually diminishes in adolescence.
If this behavior is caused by organic brain damage, it should be
diagnosed under the appropriate non-psychotic organic brain syndrome
(q.v.).
308.1* Withdrawing reaction of childhood (or adolescence)*
This disorder is characterized by seclusiveness, detachment, sensitivity,
shyness, timidity, and general inability to form close interpersonal
relationships. This diagnosis should be reserved for those
who cannot be classified as having Schizophrenia (q.v.) and whose
tendencies toward withdrawal have not yet stabilized enough to
justify the diagnosis of Schizoid personality (q.v.).
308.2* Overanxious reaction of childhood (or adolescence)*
This disorder is characterized by chronic anxiety, excessive and
unrealistic fears, sleeplessness, nightmares, and exaggerated autonomic
responses. The patient tends to be immature, self-conscious, grossly
lacking in self-confidence, conforming, inhibited, dutiful, approvalseeking,
and apprehensive in new situations and unfamiliar surroundings.
It is to be distinguished from Neuroses (q.v.).
308.3* Runaway reaction of childhood (or adolescence)*
Individuals with this disorder characteristically escape from threatening
situations by running away from home for a day or more without
permission. Typically they are immature and timid, and feel rejected
at home, inadequate, and friendless. They often steal furtively.
308.4* Unsocialized aggressive reaction of childhood (or adolescence
) *
This disorder is characterized by overt or covert hostile disobedience,
quarrelsomeness, physical and verbal aggressiveness, vengefulness,
and destructiveness. Temper tantrums, solitary stealing, lying, and