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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 Too MuchThe 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?
A first English language translation from the original Dutch version of 'Help, een druk kind !' (2004), this volume introduces a therapeutic system pioneered by Dr. A. Jean Ayres, an occupational therapist and developmental psychologist, in an attempt to assist parents, caregivers and therapists, in coping with the impulsiveness, restlessness, hyperactivity and inattentiveness of the hyperactive child. Ayres' sensory integration (SI) therapeutic stance views (presumes) such a child to possess information-processing problems endemic to their intrinsic nervous system functioning, and is championed by the current authors, Horowitz & Rost, both of whom use SI therapy techniques in their daily clinical practice. Written for the non-specialist, these authors afford their eight chapters with a focus upon assisting the hyperactive child in particular, and rather than proposing that one deals with the presenting symptoms alone (behavioral problems), they suggest focusing instead upon the neurophysiological level, by improving each child's capacity for integrating sensory input. The repeated claim throughout the book, is that sensory integration problems make it difficult for some children to select and respond appropriately to everyday stimuli or events in their environment, and in turn, thus prevent/hinder development of their learning and socialization skills. It is this problem that SI therapy is here introduced to solve.
Clearly written and easy to read, the authors introduce both theoretical issues and practical skills, with simple (perhaps sometimes too oversimplified ?) discussions concerning how our brains process sensory stimuli, and how each of our sensory awareness channels (incl. vestibular, tactile, auditory, visual, and proprioceptive systems; our sense of smell and taste) operate at different stages of child development. More importantly perhaps, each of the core chapters offer practical and helpful advice for immediate behavioral monitoring and intervention, including the use of calming techniques, deep pressure application and so forth, in assisting hyperactive children to function in a more appropriate ways, both at home or in school. Some of the 'tips' for dealing with aberrant/disruptive behavior are presented in 'case study boxes' occasionally placed within the text pages, and may appear distracting to some readers (better organization/layout would easily remedy this), though largely so presented in order to provide examples of real clinical cases relevant to the adjacent text information each time. Indeed, and although overall convincing, the current reviewers remain concerned re the lack of independent empirical evidence and controlled outcome-studies available in support of the assessment and evaluation of SI therapy, perhaps lending many readers to feel doubt and uncertainty for the effectiveness of SI therapy in countering the hyperactive child's aberrant behaviors. Indeed, this book would be more appealing if clearer evidence of the more successful claims of SI therapy were also presented, together with extensive case studies, thus also providing a more interesting and grounded discussion of the effectiveness of SI as being a more unique therapeutic tool.
The final chapters of the book also offer informative reference tools in its conclusion. A well-documented and published research listing allows the reader to learn more about studies which in particular have involved ADHD children (given the title!). However, the potentially useful behavior checklists provided will by no means allow parents, or those practitioners who work with children, to adequately self-diagnose the extent of any ADD/ADHD spectrum conditions presenting for intervention panning. Lacking in clear guidance as to the use of such assessment tools as provided in the final chapter 'A Questionnaire for Parents', this inclusion was perhaps both premature, and is clearly in need of additional text with regards how one might 'score', or at least interpret, the significance of the results obtained with its use -- an inclusion in the current reviewers view possibly a dangerous option to have provided the concerned reader/parent, if completing this questionnaire without informed professional advice to hand!
This said, the core introductory content of the book does, however, provide a good Primer for anyone wishing to know more about Sensory Integration (SI) Therapy, and will certainly be of some value to anyone wishing to gain a better understanding of hyperactive children. The stated purpose of SI therapy is simply to "improve your child's ability to process and organize sensory information" (p. 89), and proposes therapy techniques which necessarily engage each child (usually 1:1) in client-centered, playful and exploratory activities, specifically designed for the achievement of success and enjoyment of pleasure. SI therapy is thus surely a pleasurable supplemental form of treatment. Many a hyperactive child is likely to benefit from such a pleasurable intervention as SI therapy, if provided by a trained therapist, as a non-medicating child-centered therapeutic intervention.
Failing this, however, it is always useful to encourage your child to raise themselves from the sofa/bedroom, and to 'get out there', and play some active sports such as football or soccer, which will readily enhance sensory-motor integration skills, whilst also burning off a significant amount of pent up nervous energy. DIY SI therapy at minimum cost!
© 2011 Anthony R. Dickinson and Joy Yip
Anthony R. Dickinson [Centre for Brain Disorders, Inst. Neurosci (Chinese Academy of Sciences)] and Joy Yip [Chinese University of Hong Kong (CUHK)].