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Journal of Pediatric Psychology, Vol. 27, No. 2, 2002, pp. 191-201
© 2002 Society of Pediatric Psychology

Society of Pediatric Psychology Presidential Address: Toward a Social Ecology of Pediatric Psychology

Ronald T. Brown, PhD, ABPP

Medical University of South Carolina

All correspondence should be sent to Ronald T. Brown, Department of Pediatrics, Medical University of South Carolina, 19 Hagood Avenue, P.O. Box 250822, Charleston, South Carolina 29425. E-mail: BrownRon@MUSC.edu .


    Introduction
 
Although pediatric psychologists have contributed much to the clinical and research literature regarding the effects of chronic illness on children's cognitive and social development, unfortunately we have been less productive in examining the reciprocal influence of children's illness on other systems including peer relationships, schools, and health care providers. There are distinct reciprocal interactions between children with chronic illness and systems surrounding them. In this article, I argue that cultural systems, family systems, peers, schools, and health care providers influence the adjustment and adaptation of children with chronic illness and that children with chronic disease also have reciprocal influences on these systems. For the purpose of this article, I will draw primarily from my own program of research, as well as the programs of research from close colleagues. The literature reviewed here does not represent an exhaustive review of social ecology; rather, the purpose of the article is to provide . . . [Full Text of this Article]


    Social-Ecological Model
 
Contexts and Systems
Health Care Providers

    Conclusions
 

    Acknowledgments
 

    References
 

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