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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? DO THIS!Before I DieBetween Two WorldsBeyond AppearanceBig Mouth & Ugly GirlBipolar ChildrenBipolar Disorder in Childhood and Early AdolescenceBipolar DisordersBipolar KidsBlackwell Handbook of Childhood Cognitive DevelopmentBody Image, Eating Disorders, and ObesityBody Image, Eating Disorders, and Obesity in YouthBoy AloneBrain-Based Therapy with Children and AdolescentsBreaking PointBreathing UnderwaterBringing Up ParentsBullying and TeasingBullying PreventionBut I Love HimCan't Eat, Won't EatCaring for a Child with AutismCatalystChild and Adolescent PsychiatryChild and Adolescent Psychological DisordersChild and Adolescent PsychopathologyChild NeuropsychologyChild Well-BeingChildren and SexualityChildren Changed by TraumaChildren with Emerald EyesChildren with Sexual Behavior ProblemsChildren, Sexuality and SexualizationChildren’s Dreaming and the Development of Consciousness City of OneCommunication Issues In Autism And Asperger SyndromeConcepts of NormalityConcise Guide to Child and Adolescent PsychiatryConquering the Beast WithinConsuming KidsContesting ChildhoodCount Us InCrackedCrossesCutCyber-Safe Kids, Cyber-Savvy TeensDamageDemystifying the Autistic ExperienceDescartes' BabyDilemmas of DesireDirtyDisconnected KidsDoing SchoolDon't Bother Me Mom--I'm Learning!Don't Pick On MeDying to Be ThinEarly Intervention Programs and PoliciesEating an ArtichokeEducating Children With AutismEight Stories UpElijah's CupEmerald City BluesEmotional and Behavioral Problems of Young ChildrenEpilepticEthical Dilemmas in PediatricsEvery Girl Tells a StoryExiting NirvanaExploiting ChildhoodEye ContactFacing BipolarFamily HistoryFast GirlsForever YoungFreaks, Geeks and Asperger SyndromeFreewillFrictionGirl CultureGirl in the MirrorGirlfightingGirlhoodGirlWiseHandbook of Evidence-Based Therapies for Children and AdolescentsHandbook of Preschool Mental HealthHealing ADDHelping Children Cope With Disasters and TerrorismHelping Hyperactive KidsHelping Parents, Youth, and Teachers Understand Medications for Behavioral and Emotional ProblemsHelping Students Overcome Depression and AnxietyHelping Teens Who CutHollow KidsHope's BoyHow Infants Know MindsHow to Keep Your Teenager Out of Trouble and What to Do If You Can'tHurry Down SunshineI Am Not Joey PigzaIdentifying Hyperactive ChildrenIf Your Adolescent Has an Eating DisorderIn the Company of CraziesIncorporating Social Goals in the ClassroomIntegrated YogaIntrusive ParentingIssues for Families, Schools and CommunitiesJake RileyJoey Pigza Loses ControlJoey Pigza Swallowed the KeyJuvenile-Onset SchizophreniaKim: Empty InsideLearning and Behavior Problems in Asperger SyndromeLearning Disorders and Disorders of the Self in Children and AdolescentsLearning Outside the Lines Let Kids Be KidsLiberation's ChildrenLife As We Know ItLisa, Bright and DarkLook Me in the EyeLoserLove and SexLove That DogMad at SchoolMaking ADD WorkMaking American BoysManicMastering Anger and AggressionMaverick MindMedicating ChildrenMind 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 ChildRaising BlazeRaising Generation RxRaising Resilient ChildrenReady or Not, Here Life ComesReclaiming Our ChildrenRedressing the EmperorReducing Adolescent RiskRemembering Our ChildhoodResilience in ChildrenRethinking ADHDReweaving the Autistic TapestryRitalin is Not the Answer Action GuideRitalin NationRunning on RitalinRunning with ScissorsRutter's Child and Adolescent PsychiatrySeeing EzraSex and the American TeenagerSex, Therapy, and KidsSexting and Young PeopleSexual Teens, Sexual MediaShort Term 12Should I Medicate My Child?SmashedSnapshots of AutismSongs Without WordsSophie Spikey Has a Very Big ProblemSpeakStaying Connected to Your TeenagerStick FigureStraight Talk about Psychiatric Medications for KidsStraight Talk about Psychological Testing for KidsStraight Talk about Your Child's Mental HealthStrange SonStudent DepressionSuicidal Behavior in Children and AdolescentsSurvival Strategies for Parenting Children with Bipolar DisorderSurviving OpheliaTaking Charge of ADHD, 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?
Right from the book's outset, Greenspan presents what the current reviewers' hope and believe will be for its readers, a new way forward in helping children with ADHD and ADD diagnoses. Prior to the prescription and establishment of any psychoactive medicine regime, Greenspan argues for, and illustrates with successful case studies, the exploration of Piagetian-like activities set in a developmental-intervention program. Similar to those found in multi-month PII Brain Spa Programs, Greenspan introduces several customisable task/activity options to suit any child's target-set of strengths and weaknesses, for any family coping with an ADHD/ADD-diagnosed child. Parents are encouraged here to initially focus upon the identification, skill-development and monitoring of core indicators of developmental-behavioural anomaly, including age-normative motor planning, sequential coordination(s), and visual-spatial processing skills.
Once such core behavioural differences have been clearly identified, Greenspan's proposed 'cognitive-scaffolding' activities/interventions may be introduced to the child's routine to assist with the generation of more context-appropriate behaviors, rather than immediately opting for managing the largely unwanted behaviors typically associated with ADHD/ADD by the uncritical use of psychoactive drugs following diagnosis. The author's propose in waiting to see the results of at least six months of continuous intervention/activity practice, before agreeing to offer their child pharmaceutical treatments (which may be proposed by some practitioners as a way to treat a child's behavioural symptomology, but not the cause(s), of undesired behaviours identified at initial clinical presentation). In this sense, we hope that Greenspan's work provides both a welcome and fascinating resource (i.e., good news !) for the increasing numbers of parents whose child(ren) is/are diagnosed with ADHD/ADD. Indeed, to those who have been wondering if medication might be the only way of offering help to their hyperactive child, the 'hands-on' knowledge being made available here as the basis of the interventional program will enlighten, whilst proactively enabling them to assist their child to deal with everyday situations with increasing flexibility and appropriacy amidst the increasing demands of a variety of environmental challenges.
Greenspan's comprehensive approach outlines seven key goals, including reflective thinking, building self-confidence, improving family dynamics and provision of a healthy environment. These goals struck a chord with the reviewers as professional training consultants with the daily responsibility for monitoring children's developing progress from 1st-person (e.g. self esteem, spatial and sensory awareness skills), to social (e.g. communication and interpersonal logical construct) perspectives. More commentary with regards the maintenance of cooperation between trainers/councillors and parents would provide a further critical addition, however, so ensuring that all parties remain regularly updated as each child's intervention task/activity sets' progress over time, whilst parents also be advised to independently keep records of their observed daily behaviour patterns for comparative purposes.
Chapters 4 through 7 discuss the core measures and activity recommendations regarding children's motor systems and sensory processing skill developments. As with PII Brain Spa Program, trainers and/or parents may modulate particular activity/game details to suit the individual child's identified strengths and weaknesses in order to maintain the optimal developmental progress pace. The games/activities that Greenspan recommends are designed to allow individual children to build up their concentration levels as their 'attentional deficits' begin to come under their own conscious control towards personal mastery. Example game progressions might include a simple crawling to walking routine, followed by running and skipping, only then introducing increasingly complex syncopated rhythmic patterns. Introducing increasingly complex sequencing tasks, adjusting the rhythm by speed, and/or volume parameters further practices extremity, and later, whole body-part control. 'Simon Says' and obstacle-course games are also suggested according to age-related and ability-determined dispositional states of readiness. Music and sounds (including use of varied tones of voice) are recommended in providing further opportunities for children to experience and locate the origin of different sound sources. As with other sensory modalities, helping every child to make 'sense' of the auditory components (for example) 'hidden' amongst the mass of sensory stimuli as may be occurring in their surroundings, will assist in their coming to know where different stimuli are coming from, and to master/assign their significance more appropriately. By so doing, Greenspan's program focuses (correctly we believe) upon strengthening each of the separate abilities that support attention, focus and concentration – the latter three skills being the most frequently identified as criteria diagnostic of ADHD/ADD conditions.
In reading this volume, parents can be helped in coming to better understand the most up-to-date behavioural patterns their child may develop as they continue to monitor progress, and analyse the changes in previously identified strengths and weaknesses that may underlie their hyperactivity. With the inclusion of frequently cited supportive references, the 'Sensory Processing and Motor Abilities Questionnaire' allows both parents and professionals to keep track of an individual child's behavioural profile (or overt behavioural pattern). However, the reviewers also must point out some shortcomings of the way in which this tool was presented in the version received for review: It was unclear how exactly the resulting profile might best be interpreted and used for activity generation and scheduling. Indeed it is possible that some readers/parents may even take the questionnaire as providing a diagnostic aid for ADHD/ADD (which is NOT its purpose), and some readers would clearly benefit from guided consultancy with a supervising clinical or educational psychologist sympathetic to Greenspan's ideology (as are the current reviewers). Whatever interpretation one may result in accepting the profile generated following use of Greenspan's 'Sensory Processing and Motor Abilities Questionnaire', we agree with him that, respecting each child's uniqueness and treating them in a 'student-centred' way is the most valuable approach in treating children diagnosed with ADHD/ADD.
With the inclusion of several regularly updating website addresses to continue checking in the Resources section at the end of the book, Greenspan has offered here a great opportunity for both parents and educational/psychological professionals work with suspected ADHD/ADD cases without immediate resort to psychotropic drugs and/or medical specialists (at least if occurring in the absence of any clear psychopathology or neuropathy). Intervention programs are always time-consuming however, but if affordable, persistent monitoring and assessment of sensory, motor and sequencing skills can, and often will result in happier, more self-motivated success stories, and, a lasting outcome rewarded by enhanced levels of personal control and responsibility,.... all possibly quite readily achievable without administering any mind-altering drugs !
© 2010 Tony Dickinson & Lucillal Lau
Dr. Tony Dickinson & Lucillal Lau, Academic Research Laboratory, People Impact International Inc, HK.