Patient selection: pediatric
Criteria for the Pervasive Refusal Syndrome:
(1) partial or complete refusal in >= 3 of 4 domains (see below)
(2) active and angry resistance to encouragement or help
(3) social withdrawal (school refusal, isolation, etc)
(4) exclusion of an organic condition that can explain the findings better
(5) exclusion of an alternative psychiatric diagnosis that can explain the findings better
(6) hospitalization required due to the endangered state of the patient
Domains evaluated for refusal:
(1) mobilization
(2) speech
(3) attention to personal care
(4) eating
