Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
I appreciate the authors' response to what was originally a rapid
their article. And no doubt some children who have problems in childhood
have problems in adulthood. My concern about their conclusions is that it
to be a directive for action--and when children are involved, a nuanced
hopeful approach seems preferable--at least to me.
The authors originally posted their letter as a rapid response as
well, and it
included this concluding paragraph, left off their current response: "As
McClusky points out, many adolescents with conduct problems avoid poor
outcomes and may have successful adult lives. More research is needed to
investigate why certain adolescents are able to get their lives on a
and such research should direct policy decisions regarding treatment and
intervention for adolescents with conduct difficulties."
That is indeed my point--what can be done to help these children
labeling them as being in a dire state. This is particularly important
"externalizing psychopathology" they were assessing included lack of
punctuality, restlessness, and daydreaming, according to their own
criteria. Surely these could also be considered normal aspects of