Abstract
ADOLESCENTS notoriously present problems of communication with adults, and those who care for adolescent patients must be receptive to signals of emotional distress despite wide differences in education, age, sex, race, class and subcultural idiom. The adolescent's lack of confidence in his verbal ability is multiplied a thousand times by the distrust and hostility of the black youth who is driven to seek help from the middle-class, highly educated adults (all too often white) who staff adolescent clinics at large medical centers. Standard self-administered questionnaires (M.M.P.I., or the secondary-school form of Alexiou) have been poorly received. Low-level reading skills caused . . .

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