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