Mental Health
Resources

 email page    print page

All Topic Reviews
50 Signs of Mental IllnessA Beautiful MindA Beautiful MindA Bright Red ScreamA Casebook of Ethical Challenges in NeuropsychologyA Corner Of The UniverseA Lethal InheritanceA Mood ApartA Research Agenda for DSM-VA Slant of SunA War of NervesAbnormal Psychology in ContextADD-Friendly Ways to Organize Your LifeAddiction Recovery ToolsAdvance Directives in Mental HealthAggression and Antisocial Behavior in Children and AdolescentsAl-JununAlmost a PsychopathAlterations of ConsciousnessAm I Okay?American ManiaAmerican Psychiatric Publishing Textbook of Neuropsychiatry and Clinical NeurosciencesAn American ObsessionAngelheadAnger, Madness, and the DaimonicAnthology of a Crazy LadyApproaching NeverlandAs Nature Made HimAsylumAttention-Deficit Hyperactivity DisorderAttention-Deficit/Hyperactivity DisorderBeing Mentally Ill: A Sociological Theory Betrayal TraumaBetrayed as BoysBetter Than ProzacBetter Than WellBeyond AppearanceBeyond ReasonBinge No MoreBiological UnhappinessBipolar DisorderBipolar DisorderBipolar Disorder DemystifiedBlack-eyed SuzieBlaming the BrainBleeding to Ease the PainBluebirdBlueprints Clinical Cases in PsychiatryBody Image, Eating Disorders, and ObesityBorderline Personality DisorderBrain Circuitry and Signaling in PsychiatryBrave New BrainBreakdown of WillBrief Adolescent Therapy Homework PlannerBrief Child Therapy Homework PlannerBrief Therapy Homework PlannerCalm EnergyCassandra's DaughterCaught in the NetChild and Adolescent Treatment for Social Work PracticeChildren Changed by TraumaChronic Fatigue Syndrome (The Facts)Clinical Handbook of Psychological DisordersClinical Manual of Women's Mental HealthCognitive Theories of Mental IllnessCommonsense RebellionCommunity and In-Home Behavioral Health TreatmentComprehending SuicideConcise Guide to Child and Adolescent PsychiatryConquering Post-Traumatic Stress DisorderConscience and ConvenienceConsciousnessConsole and ClassifyContesting PsychiatryCoping With TraumaCopshockCrazy for YouCrazy in AmericaCrazy Like UsCreating HysteriaCritical PsychiatryCruel CompassionCultural Assessment in Clinical PsychiatryCulture and Mental HealthCulture and Psychiatric DiagnosisCultures of NeurastheniaDaddy's GirlsDante's CureDarwinian PsychiatryDaughter of the Queen of ShebaDaughters of MadnessDeinstitutionalization And People With Intellectual DisabilitiesDelivered from DistractionDepression In Later LifeDepression SourcebookDepression-Free for LifeDescriptions and PrescriptionsDestructive Trends in Mental HealthDevil in the DetailsDiagnosis: SchizophreniaDiagnostic and Statistical Manual of Mental Disorders DSM-IV-TRDirty Filthy Love DVDDisorders Of DesireDisrupted LivesDissociative ChildrenDivided MindsDr. Andrew Weil's Guide to Optimum HealthDr. Weisinger's Anger Work-Out BookDSM-IV SourcebookDSM-IV-TR CasebookDSM-IV-TR in ActionDSM-IV-TR Mental DisordersE-TherapyEccentricsElectroshockEmergencies in Mental Health PracticeEmergency PsychiatryEmotional and Behavioral Problems of Young ChildrenEmotions and LifeEmpowering People with Severe Mental IllnessEssential PsychopharmacologyEssentials of Cas AssessmentEssentials of Wais-III AssessmentEthics and Values in PsychotherapyEthics in Mental Health ResearchEthics in Psychiatric ResearchEthics, Culture, and PsychiatryEverything In Its PlaceFamily Experiences With Mental IllnessFatigue as a Window to the BrainFear of IntimacyFinding Iris ChangFinding Meaning in the Experience of DementiaFlorid StatesFolie a DeuxFor the Love of ItForensic Nursing and Multidisciplinary Care of the Mentally Disordered OffenderFountain HouseFrom Madness to Mental HealthFrom Trauma to TransformationGandhi's WayGender and Its Effects on PsychopathologyGender and Mental HealthGenes, Environment, and PsychopathologyGetting Your Life BackGracefully InsaneGrieving Mental IllnessHandbook of AttachmentHandbook of DepressionHandbook of Self and IdentityHealing the SplitHerbs for the MindHidden SelvesHigh RiskHope and DespairHow Clients Make Therapy WorkHow People ChangeHow to Become a SchizophrenicHow We Think About DementiaHughes' Outline of Modern PsychiatryHumanizing MadnessHysterical MenHystoriesI Hate You-Don't Leave MeI Never Promised You a Rose GardenI Thought I Could FlyI'm CrazyImagining RobertImpulse Control DisordersIn Others' EyesIn Two MindsInsanityIntegrated Behavioral Health CareIntegrative MedicineIntegrative Mental Health CareIntuitionJust CheckingKarl JaspersKissing DoorknobsKundalini Yoga Meditation for Complex Psychiatric DisordersLaw and the BrainLaw, Liberty, and PsychiatryLegal and Ethical Aspects of HealthcareLiberatory PsychiatryLife at the BottomLife at the Texas State Lunatic Asylum, 1857-1997Life Is Not a Game of PerfectLithium for MedeaLiving Outside Mental IllnessLiving with AnxietyLiving With SchizophreniaLiving with SchizophreniaLiving Without Depression and Manic DepressionLost in the MirrorLove's ExecutionerLoving Someone With Bipolar DisorderMad in AmericaMad TravelersMad, Bad and SadMadhouseMadnessMadness at HomeMadness in Buenos AiresManaged Care ContractingMandated Reporting of Suspected Child AbuseManic Depression and CreativityMary BarnesMasters of the MindMeasuring PsychopathologyMedia MadnessMedicine As MinistryMelancholy And the Care of the SoulMemory, Brain, and BeliefMental HealthMental Health At The CrossroadsMental Health Issues in Lesbian, Gay, Bisexual, and Transgender Communities Mental Health MattersMental Health Policy in BritainMental Health Policy in BritainMental Health Professionals, Minorities and the PoorMental IllnessMental Illness and Your TownMental Illness, Medicine and LawMental SlaveryMindfulness in Plain EnglishModels of MadnessMothers Who Kill Their ChildrenMozart's Brain and the Fighter PilotMultifamily Groups in the Treatment of Severe Psychiatric DisordersMuses, Madmen, and ProphetsMyths of ChildhoodNapkin NotesNeural MisfireNew Hope For People With Bipolar DisorderNight Falls FastNo Enemies WithinNolaNormalNot CrazyNovember of the SoulOf Two MindsOn Being Normal and Other DisordersOn Our Own, TogetherOn The Stigma Of Mental IllnessOrigins of Human NatureOut of Its MindOut of the ShadowsOvercoming Compulsive HoardingPathologies of BeliefPathways through PainPersonal Recovery and Mental IllnessPersonality Disorder: Temperament or Trauma?Pillar of SaltPoints of ViewPoppy ShakespearePosttraumatic Stress DisorderPsychiatric Cultures ComparedPsychiatric Diagnosis and ClassificationPsychiatric Genetics and GenomicsPsychiatric Illness in WomenPsychiatrists and Traditional HealersPsychiatryPsychiatry and ReligionPsychiatry in SocietyPsychological Dimensions of the SelfPsychology and the MediaPsychopathia SexualisPsychopathologyPsychopathyPsychotic DepressionQuitting the Nairobi TrioRaising a Moody ChildRapid Cognitive TherapyRebuilding Shattered LivesReclaiming Soul in Health CareReclaiming the SoulRecollection, Testimony, and Lying in Early ChildhoodRecovery from SchizophreniaRecovery in Mental IllnessRedressing the EmperorRelational Mental HealthRemembering TraumaRepressed SpacesResearch Advances in Genetics and GenomicsRestricted AccessRethinking the DSMReviving OpheliaRewarding Specialties for Mental Health CliniciansSaints, Scholars, and Schizophrenics: Mental Illness in Rural IrelandSchizophreniaSchizophrenia RevealedSchizophrenia: A Scientific Delusion?Self-Determination Theory in the ClinicShunnedShynessSigns of SafetySilencing the VoicesSlackjawSocial Cognition and SchizophreniaSocial Inclusion of People with Mental IllnessSoul Murder RevisitedSounds from the Bell JarSpeaking Our MindsSpontaneous HealingStop PretendingStraight Talk about Psychological Testing for KidsStranger Than FictionStreet CrazyStudy Guide to the DSM-IV-TRSurviving Manic DepressionSurviving SchizophreniaSurviving SchizophreniaTaking Charge of ADHD, Revised EditionTaking the Fear Out of ChangingTalking Back to PsychiatryTarnationTeen LoveTelling Is Risky BusinessTelling SecretsThe Age of InsanityThe American Psychiatric Press Textbook of PsychiatryThe American Psychiatric Publishing Textbook Of Child And Adolescent PsychiatryThe Anger WorkbookThe Anorexic SelfThe Behavioral Medicine Treatment PlannerThe Betty Ford Center Book of AnswersThe Bipolar ChildThe Bipolar Disorder Survival GuideThe Body in PsychotherapyThe Borderline Personality Disorder Survival GuideThe Broken MirrorThe Burden of SympathyThe Cambridge Medical Ethics WorkbookThe Case for Pragmatic PsychologyThe Center Cannot HoldThe Chemical Dependence Treatment Documentation SourcebookThe Chemical Dependence Treatment PlannerThe Child and Adolescent Psychotherapy Treatment PlannerThe Clinical Child Documentation SourcebookThe Clinical Documentation SourcebookThe Complete Adult Psychotherapy Treatment PlannerThe Condition of MadnessThe Construction of Power and Authority in PsychiatryThe Couples Psychotherapy Treatment PlannerThe Criminal BrainThe Cultural Context of Health, Illness, and MedicineThe Day the Voices StoppedThe Death of PsychotherapyThe Depression WorkbookThe Difficult-to-Treat Psychiatric PatientThe Early Stages of SchizophreniaThe Employee Assistance Treatment PlannerThe Employee Assistance Treatment PlannerThe Epidemiology of SchizophreniaThe Essential Family Guide to Borderline Personality DisorderThe Essentials of New York Mental Health LawThe Ethical WayThe Evolution of Mental Health LawThe Explosive ChildThe Fall Of An IconThe Fasting GirlThe Forensic Documentation SourcebookThe Forgotten MournersThe Gift of Adult ADDThe Good EaterThe Green ParrotThe Healing Power of PetsThe Heart of AddictionThe Heroic ClientThe Insanity OffenseThe Invisible PlagueThe Last Time I Wore a DressThe Limits of Autobiography The LobotomistThe Madness of Our LivesThe Mark of ShameThe Meaning of AddictionThe Meaning of MindThe Medical AdvisorThe Mind/Mood Pill BookThe Most Solitary of AfflictionsThe Mozart EffectThe Naked Lady Who Stood on Her HeadThe Older Adult Psychotherapy Treatment PlannerThe OutsiderThe Pastoral Counseling Treatment PlannerThe PDR Family Guide to Natural Medicines & Healing TherapiesThe Places That Scare YouThe Plural SelfThe Problem of EvilThe Psychology of Religion and CopingThe Quiet RoomThe Real World Guide to Psychotherapy PracticeThe Right to Refuse Mental Health TreatmentThe Rise of Mental Health NursingThe Roots of the Recovery Movement in PsychiatryThe Savage GirlThe Self-Help SourcebookThe Talking CureThe Trick Is to Keep BreathingThe Unwell BrainThe Virtuous PsychiatristThe Way of TransitionThe Wing of MadnessThe Wisdom in FeelingTheoretical Evolutions in Person-Centered/Experiential TherapyTherapy's DelusionsTheraScribe 3.0 for WindowsThis is Madness TooThoughts Without a ThinkerThrough the Looking GlassTo Have Or To Be?Toxic PsychiatryTransforming MadnessTraumaTraumatic PastsTraumatic Relationships and Serious Mental DisordersTreating Affect PhobiaTreating Chronic and Severe Mental DisordersTreating Self-InjuryTreatment and Rehabilitation of Severe Mental IllnessTreatment Plans and Interventions for Depression and Anxiety DisordersTwinsUnderstanding and Treating Violent Psychiatric PatientsUnderstanding Child MolestersUnderstanding DepressionUnderstanding ParanoiaUnderstanding the Stigma of Mental IllnessUnderstanding Treatment Without ConsentUnholy MadnessUnspeakable Truths and Happy EndingsUsers and Abusers of PsychiatryViolence and Mental DisorderVoices of MadnessVoices of RecoveryVulnerability to PsychopathologyWarning: Psychiatry Can Be Hazardous to Your Mental HealthWashing My Life AwayWhen History Is a NightmareWhen Someone You Love Is BipolarWhen the Body SpeaksWhen Walls Become DoorwaysWitchcrazeWomen and Borderline Personality DisorderWomen and Mental IllnessWomen Who Hurt ThemselvesWomen's Mental HealthWrestling with the AngelYou Must Be DreamingYour Drug May Be Your ProblemYour Miracle Brain

Related Topics
The American Psychiatric Publishing Textbook Of Child And Adolescent PsychiatryReview - The American Psychiatric Publishing Textbook Of Child And Adolescent Psychiatry
Third Edition
by Jerry Wiener and Mina Dulcan (Editors)
American Psychiatric Publishing, 2004
Review by Christian Perring, Ph.D.
Jun 18th 2004 (Volume 8, Issue 25)

This third edition of The American Psychiatric Publishing Textbook of Child and Adolescent Psychiatry is a large book with 1114 pages. The index alone is 40 pages long. It contains 56 chapters divided into ten different sections. These cover an overview of the field, assessment and diagnosis, developmental disorders, psychotic and mood disorders, attention-deficit and disruptive behavior disorders, anxiety disorders, eating disorders, disorders affecting somatic function, other disorders and special issues, and treatment. It's an impressive tome representing the current mainstream thinking on the nature and treatment of mental illnesses of young people, and given the increasing concern over child mental health and the increasing rates of prescriptions of psychotropic drugs to the young, it is an essential reference.

As usual with such reviews, I need to be clear that I lack the expertise to assess the accuracy of the scientific claims made by the many authors. Indeed, I will confess that I have not read all of the entries, and have only skimmed large portions of the book. It is hard to imagine any single expert with the breadth to assess the whole book, and would probably be very difficult to find anyone with the time to read it all with careful scrutiny. Most readers will probably dip into some chapters much more than others. Obviously it is aimed primarily at psychiatrists, but it should be accessible to clinical and academic psychologists, and even to non-professionals who are ready to familiarize themselves with the scientific and technical language. The chapters are organized so that it is normally possible to browse to get an overview of the topic at hand and then to read carefully about the particular aspect one is interested in.

For the purposes of this review, I will focus on those chapters that raise more social and philosophical questions. One of the most interesting chapters from this point of view is Irving Berlin's history of the development of the subspecialty of child and adolescent psychiatry (CAP) in the US. If psychiatry as we know it is young compared to the rest of medicine, CAP is barely out of its infancy. The Academy of Child Psychiatry was formed in 1924 and in 1943, the American Psychiatric Association established the Committee on Psychopathology of Childhood, which soon changed its name to the Committee on Child Psychiatry. In 1952, the committee requested the American Psychiatric Association to endorse subspecialty certification in child psychiatry but was turned down. In a slightly different form, this request was eventually approved in 1957. It was only in 1930 that the first child psychiatry clinic was created, at Johns Hopkins, and in 1935, Leo Kanner published the first textbook on child psychiatry. By 1963, there were about 200 board-certified child psychiatrists and another 200 or so in training.

Berlin briefly outlines the different treatment movements that have been popular in CAP, including Freudian psychotherapy, psychotherapy influence by the work of Carl Rogers and Erik Erikson, family and group therapy, behavior therapy, and mental health consultation and crisis intervention. He notes that delinquency has been poorly understood and poorly treated since the 1800s, and was considered a particular problem for much of the first half of the twentieth century and especially in the 1950s. His brief account provides just enough information to make it clear that much more historical and conceptual work could be done on the relation between delinquency and child and adolescent mental illness. Similarly, he briefly mentions the development of the wide category of autism and the later splitting into the concept of childhood schizophrenia and what we now consider the developmental disorder of autism, but leaves most of the details for the reader to explore elsewhere. Berlin finishes by noting that historically, CAP has been given low status and while programs such as Head Start were proven to be effective, they were underfunded. In the current age, managed care priorities are determined by poorly designed and conducted outcome studies and cost containment is the primary goal of those administrating health care.

Hector Bird discusses the role of culture, race and ethnicity in CAP. He sets out some of the controversies about race and culture, although he simply assumes that race is a biological concept without addressing the debates that have surrounded this assumption. He addresses concerns about the medicalization of cultural difference, the historical neglect by psychiatry of minorities, and simple racism. Then there are straightforward cultural and ethnic differences in the rates of different mental illnesses: for example, African Americans tend to experience higher levels of emotional distress than whites, but this can be accounted for in terms of socioeconomic status. In Asian cultures, there is disapproval of strong displays of emotion in public, and this may well affect how people with mental illness behave. The chapter is interesting, even though it does not say much about how these cultural differences play out in the symptoms of mental illness in children and adolescents.

Robert Schreter discusses economic issues in CAP, covering managed care, health insurance, social security disability, social services, and the forms of help provided by the school system. He sets out some of the profound problems faced by these different aspects of health and education, and some possible solutions. This short chapter does not provide a great deal of detail, but it at least gives references for those who want to pursue the topic.

The second section on assessment and diagnosis starts out with two chapters on classification. The book's editors contribute their own short chapter on the history of the DSM's approach to classifying mental disorders of young people, while David Shaffer provides a more conceptual investigation to psychiatric nosology. Both chapters have sound information and excellent references, without saying anything new or surprising. The other chapters in this section address issues of clinical assessment, interviewing, and testing. They do an excellent job of summarizing the standard information in the field, paying attention not just to the scientific questions of accurately determining what problems a young person has, but also how to communicate effectively with parents and children.

The remainder of the book sets out the state-of-the-art information about developmental disorders, psychotic and mood disorders, attention-deficit and disruptive behavior disorders, anxiety disorders, eating disorders, disorders affecting somatic function, and treatment. There is a consistently high standard of writing, and the book is easy to use as a source of the most current theories. Maybe most importantly, authors are very open about the limits of knowledge, especially concerning the efficacy of different dorms of treatment. While some of the information in the chapters is quite technical, it is possible for those without a medical training to understand most of the material, and this makes the Textbook an invaluable resource for anyone doing research in a wide variety of aspects of CAP.

There are places where some authors seem a little overconfident about their claims. To give one topical example, in their chapter on psychopharmacology, Joseph Biederman et al recommend SSRI antidepressants as the first line of treatment for major depression in children and adolescents, with no mention of the increased risk of suicidal behavior in adolescents that some SSRI medications may cause. An omission such as this is of great concern, since it calls into question the objectivity of the whole book. Given the increasing importance of CAP in medicine and in our culture generally, it is essential that books published by the American Psychiatric Association retain the greatest credibility possible. There is considerable potential in our society for a backlash against the increasing use of psychiatric medication for children, and so editors of books such as The American Psychiatric Publishing Textbook of Child and Adolescent Psychiatry have a profound obligation to maintain their scientific neutrality and to eschew any hint that they might be apologists for or even representatives of the pharmaceutical industry.

 

2004 Christian Perring. All rights reserved.

 

Christian Perring, Ph.D., is Academic Chair of the Arts & Humanities Division and Chair of the Philosophy Department at Dowling College, Long Island. He is also editor of Metapsychology Online Review.  His main research is on philosophical issues in medicine, psychiatry and psychology.


Share

Welcome to MHN's unique book review site Metapsychology. We feature over 7900 in-depth reviews of a wide range of books and DVDs written by our reviewers from many backgrounds and perspectives. We update our front page weekly and add more than thirty new reviews each month. Our editor is Christian Perring, PhD. To contact him, use one of the forms available here.

Can't remember our URL? Access our reviews directly via 'metapsychology.net'


Metapsychology Online reviewers normally receive gratis review copies of the items they review.
Metapsychology Online receives a commission from Amazon.com for purchases through this site, which helps us send review copies to reviewers. Please support us by making your Amazon.com purchases through our Amazon links. We thank you for your support!


Join our e-mail list!: Metapsychology New Review Announcements: Sent out monthly, these announcements list our recent reviews. To subscribe, click here.

Interested in becoming a book reviewer for Metapsychology? Currently, we especially need thoughtful reviewers for books in fiction, self-help and popular psychology. To apply, write to our editor.

Metapsychology Online Reviews

Promote your Page too

Metapsychology Online Reviews
ISSN 1931-5716