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abuse Academy of Child accept active adoles adolescent patient Adolescent Psychiatry adolescent sex adolescent's adult American Journal anorexia nervosa anxiety apist approach asphyxia attempt attention-deficit hyperactivity disorder attitude avoid basic Bobby Child Psychiatry clinical conflicts countertransference dangerous deal defensive delinquent depression described developmental diagnostic difficult discussion disorder drug effective effort emotional evaluation experience family members family therapy fantasies father fear feelings friends functioning girls goals group psychotherapy homosexual hospital important impulses individual inpatient treatment intense interaction interview involved Journal of Psychiatry learning disability lescent medication mother neurotic olescent outpatient paraphilia parents pathological pattern pregnancy problems psychological psychotherapy psychotic Ralph recognize relationship responsibility role runaway schizophrenia sense sessions sex offenders sexual behavior situation skills social staff stepfamily sters suicide superego symptoms techniques teenagers termination ther therapeutic alliance therapist tion transference understand usually utilize violence York young youngsters