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12 and HoldingA Guide to Asperger SyndromeA Lethal InheritanceA Mother's Courage: Talking Back to AutismA Parent's Guide to Asperger Syndrome and High-Functioning AutismA Special EducationA Toss Of The DiceA Tribe ApartA User Guide to the GF/CF Diet for Autism, Asperger Syndrome and AD/HDA Walk in the Rain With a BrainABC of Eating DisordersADD-Friendly Ways to Organize Your LifeADHD Grown UpADHD in the Schools: Assessment and Intervention StrategiesADHD NationAdolescence and Body ImageAdolescent DepressionAggression and Antisocial Behavior in Children and AdolescentsAll Alone in the UniverseAlpha GirlsAmericaAnother PlanetAntisocial Behavior in Children and AdolescentsAsperger Syndrome and Your ChildAsperger Syndrome, Adolescence, and IdentityAsperger's and GirlsAssessment of Childhood DisordersAttention Deficit DisorderAttention-Deficit Hyperactivity DisorderAttention-Deficit/Hyperactivity DisorderAutism - The Eighth Colour of the RainbowAutism and MeAutism's False ProphetsAutistic Spectrum DisordersBad GirlBeen There, Done That? 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FieldsMind to MindMommy I'm Still in HereMore Than a LabelMy Flesh and BloodMyths of ChildhoodNew Hope for Children and Teens with Bipolar DisorderNew Look at ADHD: Inhibition, Time, and Self-ControlNo Child Left DifferentNo Two AlikeNon-Drug Treatments for ADHDNot Much Just Chillin'NurtureShockOdd Girl OutOdd Girl Speaks OutOne Hot SecondOne in ThirteenOphelia SpeaksOphelia's MomOur Journey Through High Functioning Autism and Asperger SyndromeOut of the WoodsOvercoming ADHDOvercoming School AnxietyParenting a Child Who Has Intense EmotionsParenting Children With ADHDParenting Your Out-Of-Control TeenagerPediatric PsychopharmacologyPediatric PsychopharmacologyPediatric PsychopharmacologyPeople with HyperactivityPhobic and Anxiety Disorders in Children and AdolescentsPINSPlease Don't Label My ChildPraising Boys WellPraising Girls WellProblem Child or Quirky Kid?Problem GirlsPsychotherapy for Children and AdolescentsPsychotherapy with Children and AdolescentsPurgeRaising a Moody 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Revised EditionTaming the Troublesome ChildTemple GrandinThe American Psychiatric Publishing Textbook Of Child And Adolescent PsychiatryThe Anti-Romantic ChildThe Bipolar ChildThe Boy Who Loved WindowsThe Boy Who Was Raised as a DogThe Buffalo TreeThe Bully Action GuideThe Bully, the Bullied, and the BystanderThe Burn JournalsThe Color of AbsenceThe Curious Incident of the Dog in the Night-TimeThe Depressed ChildThe Developing MindThe Dragons of AutismThe Einstein SyndromeThe EpidemicThe Evolution of ChildhoodThe Explosive ChildThe Eyes of van GoghThe Fasting GirlThe Field of the DogsThe Flight of a DoveThe Hidden Gifts of the Introverted ChildThe Horse BoyThe Identity TrapThe Inner World of a Suicidal YouthThe Inside Story on Teen GirlsThe Kindness of StrangersThe Last Normal ChildThe Little MonsterThe Medicated ChildThe Myth of LazinessThe New Gay TeenagerThe Nurture AssumptionThe OASIS Guide to Asperger SyndromeThe Other ParentThe Perversion of YouthThe Philosophy of AutismThe Psychoanalytic Study of the ChildThe Real Truth About Teens and SexThe Ride TogetherThe Rise and Fall of the American TeenagerThe Science of ADHDThe Sex Lives of TeenagersThe Survival Guide for Kids With LD*The Unhappy ChildThen Again, Maybe I Won'tTherapy with ChildrenThings I Have to Tell YouThings Tom LikesThrough the Glass WallThumbsuckerTotally WiredTouching Spirit BearTrauma in the Lives of ChildrenTreating ADHD and Comorbid DisordersTreatment of Childhood DisordersTwistedUnder the Wolf, Under the DogUnhappy TeenagersUnstrange MindsWastedWe've Got IssuesWeather Reports from the Autism FrontWhat about the KidsWhat in the World Are Your Kids Doing Online?What Works for Whom?What Would Joey Do?What's Happening to My Body? Book for BoysWhat's Happening to My Body? Book for GirlsWhat's Happening to Tom?When Nothing Matters AnymoreWhen Your Child Has an Eating DisorderWhose America?Why Don't Students Like SchoolWill's ChoiceWinnicott On the ChildWorried All the TimeYou Hear MeYoung Minds in Social WorldsYoung People and Mental HealthYour Child, Bully or Victim?
Helmut Remschmidt is an
internationally renowned child psychiatrist and currently serves as president
of the pre-eminent international child psychiatry organization. In addition, Remschmidt is a prominent
academic psychiatrist in Germany, a country in which the theory, practice, and
study of psychotherapy receives a higher societal priority than in North
America. Thus, it is fitting that
Remschmidt serve as the editor of this volume, an anthology with the ambitious
goal of surveying the vast expanse of child psychotherapeutic practice and the
research, which supports its use. In
the course of nearly 600 pages, Remschmidt and a dozen other European child
psychiatrists review the literature, indications, and challenges in
contemporary child psychotherapy in a clear expository style and with rigorous
attention to detail. This volume, the
latest in the prestigious Cambridge Press child psychiatry series, is intended
to provide a virtually exhaustive review of the practice of contemporary child
The book is clearly organized and
effectively subdivided and indexed.
There are four major sections.
Part I defines addresses issues common to all psychotherapy paradigms,
including a precise definition of psychotherapy, treatment planning strategies,
approaches to psychotherapy research, and quality assurance. The authors make clear their position that
psychotherapy treatment planning should be evidence-based and disease-specific,
rather than an idiosyncratic process based on the predilections of the
treatment planner and patient. The
discussion of methodologies is thorough, lucid, and a potentially valuable
resource for psychotherapy researchers worldwide.
The second section of the book discusses the major psychotherapy
paradigms and their advantages and limitations. Included are chapters on psychodynamic, behavioral and
cognitive-behavioral, interpersonal, group, and family therapies. Again, the writing is meticulous yet
succinct. The level of detail is
sufficient to cover all of the major principles of each paradigm, although not
comprehensive enough to be a reference for experienced clinicians. A final chapter reviews combined approaches
to mental health treatment, although the use of medication with
psychotherapythe predominant combination therapy utilized in the
Americasreceives scant attention.
In Part III of the book the authors
present indications for specific psychotherapies for each of the mental
disorders that affect children and adolescents. Much of the material in this section will be familiar to therapists,
such as the recommendation of behavioral strategies for the treatment of
anxiety syndromes. Nevertheless, a
systematic review of the indications and contraindications for particular
therapies in specific clinical situations provides a valuable resource for
child clinicians, for whom the choice of comprehensive textbooks of
psychotherapy is quite limited.
The final section of the volume
discusses treatment settings, including inpatient, outpatient, day hospital,
and home treatment modalities. Here the
disparities between child psychotherapeutic practice in Europe and in North
America become obvious. For example,
the average length of stay for a child inpatient hospitalization is reported as
2 to 3 years in Germany; in the United States the figure is likely closer to 2
to 4 weeks in most facilities.
Europeans also advocate home treatment in some cases, in which
therapists make housecalls to perform psychotherapy with children in their
family milieu. The availability of
psychotherapy resources in North America varies markedly by geography and by
demographics, and so the recommendations in this section will be of varying
usefulness depending on local factors.
A number of other factors may limit
the utility of this book for North American readers. The English translation of this book was published four years
after the German edition appeared, and so research findings from the past
half-decade, such as recent reports about the cost-effectiveness of
psychodynamic treatments, are not included.
Also, the majority of the references cited in the text are to German
psychiatric journals, which are both linguistically and logistically
inaccessible to most North Americans.
Another issue is that all of the chapter authors utilize the
international diagnostic classification system known as ICD-10, rather than the
DSM-IV classification system used throughout the United States and Canada.
The comprehensive coverage of this
volume represents an impressive compilation and distillation of a diverse and
often contradictory body of literature.
North American readers may be surprised by the depth of research
reviewed in this text, a testament to the importance of this treatment modality
in European psychiatric practice. It is
perhaps not surprising that a comparable volume by North American authors has
not appeared to date. In spite of
significant limitations of applicability in the United States and Canada, this
volume serves as a valuable reference resource about the scope and practice of
© 2002 Michael Brodsky
is a psychiatrist in training in Los Angeles, California, and an avid reader.