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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?
The book consists of ten chapters: Introduction, Familial influences, Neurodevelopment and neuropsychiatric disorders, Developmental psychopathology, Adolescence and psychiatric disorders often beginning in adolescence, Child-adult continuities in psychiatric disorders, Psychosocial aspects of physical disorders, Psychological aspects o specific physical conditions, Prevention and treatment, and Services.
Two of the book's authors are from the United Kingdom, while the third author is from the Netherlands. Therefore, spelling and grammar usage are in British English, as opposed to American English. For example, "pediatrician" is "paedatrician", "etiology" is "aetiology", and "percent" is "per cent". This is a very small adjustment to make, considering the vast wealth of information in the book.
The book is well organized and uses a decimal system to differentiate paragraphs and sub-paragraphs. For example, the third section of Chapter 3, "Neurodevelopment and neuropsychiatric disorders" is named "Intelligence and Learning Disorders", and is labeled 3.3. A subsection under that, "Intellectual (learning) disability" is labeled 3.3.2. This organizational system makes it easy to find information.
In Chapter 1, "Introduction", in section 1.5 "Assessment and diagnosis of psychiatric disorders", the authors make an important point about the aim of assessment and diagnosis. While the first aim of assessment and diagnosis is to determine the nature and severity of the problem, identify causes, and form a plan with the child and parents, the authors state that "A secondary but important set of aims relates to the need to communicate sympathy and support for the child and family members, to convey understanding of their problems, and to provide meaning and significance for their predicament" (p.25). This is an important point, because all clinicians run the risk of focusing solely on being "problem solvers" rather than providing empathy and support. The authors also present an excellent list of questions that should be addressed with the parents along with questions that should be addressed with the child. The authors make a point of addressing the importance of seeing older children and teenagers separately at some point in the initial session.
In Chapter 2, "Familial influences", the authors provide a table on page 45 which lists the responsibilities of parents, such as "give physical care", and then lists the tasks that must be undergone to meet that parental responsibility. For example, for the responsibility "give physical care", the tasks in the next column are "Feeding, shelter, rest, health, and protection." These may seem like basic responsibilities, but are important enough to be recommended reading for clinicians. In sections such as "Physical abuse – prevalence" (and throughout the book), statistics are given for the UK, Hong Kong, and the US (p.47).
In Chapter 3, "Neurodevelopment and neuropsychiatric disorders", the authors provide a table not only with the average age of developmental milestones, but also provide the age at which there needs to be concern if those milestones have not yet been mastered. This is an important part of assessing appropriate development, due to the fact that children can have some variability in the acquisition of skills. This information will also be of benefit to parents who may be concerned about their child's developmental progress.
In Chapter 4, "Developmental psychopathology", the authors list "external influences" which can affect fetal development. One of these influences is "the vulnerability of the parents, especially the mother, to psychiatric disorders, especially depressive and anxiety states" (p. 192). The authors state that "women who have such disorders before pregnancy are more likely to have similar problems during pregnancy and after the birth" (p. 192). It would have been helpful for authors to cite a study showing the specific vulnerabilities of women who have anxiety or depression versus other psychiatric disorders. In this chapter, the authors not only describe factors within the child that affect attachment, but also factors within family members, specifically parents. These factors include sibling behavior, whether the pregnancy was planned, and living conditions. This is very helpful information for clinicians, particularly those who prefer a systemic approach to treatment.
In Chapter 5, "Adolescents and psychiatric disorders often beginning in adolescence", the authors provide information about teenage pregnancy. They write that teenage mothers usually have had a relationship with the father for "several months or even years" and that "many of these pregnancies are not seen as unwelcome by the girls themselves" (p. 270). This chapter also contains a complete section on eating disorders, including information on assessment, treatment and outcome.
Chapter 6, "Child-adult continuities in psychiatric disorders", although brief, is particularly helpful in discussing the transition of disorders from childhood into adulthood. The authors provide information on the different types of continuity of psychiatric disorders. This is how the disorder changes or does not change throughout the lifespan. In the chapter, the authors make an important point that even if all children with psychiatric disorders were to get better without treatment, childhood treatment would still be worthwhile if it "reduced the length or severity of the problem…or improved the quality of life for child and family" (p. 313).
Chapter 7, "Psychosocial aspects of physical disorders", includes a wealth of information on how parents are impacted by a child's disorder. The chapter even discusses the differences in psychological impact when a child is born with a disorder and when a disorder is diagnosed later in childhood. The chapter also gives information on caring for a child with a terminal illness, including the psychological reactions of both the child and the parents.
In Chapter 8, "Psychological aspects of specific physical conditions", the authors discuss the psychological sequelae of pediatric physical injuries, including head injury, accidental poisoning, and burns. The chapter also details the prevalence and psychosocial aspects of human immunodeficiency virus (HIV). The book also provides information on the psychological impact of medical conditions for virtually every system in the body, including the endocrine, gastrointestinal, and respiratory systems.
Chapter 9, "Prevention and treatment", details psychotherapy treatments, including behavioral therapy, group therapy, and family therapy. For each treatment modality, the authors provide indications and contraindications. The authors also provide a section on "mechanisms of change in individual psychotherapy", including catharsis, insight, learning alternative coping strategies, and "development of internal structure" (p. 426).
In Chapter 10, "Services", the authors detail the education and training of particular mental health clinicians. The authors describe the education and training of clinicians specifically in the United Kingdom (the authors acknowledge this), and the information may not necessarily apply in other countries. Likewise, the information on legislation affecting children applies to policies in England and Wales. However, most of the information in the chapter is applicable worldwide.
This book is an excellent resource not only for mental health clinicians, but also for pediatricians and physicians in general practice. It is applicable to all levels of knowledge – graduate students in their first year of training to physicians who have been practicing for a considerable amount of time. It is very interesting and helpful to read a text that provides a perspective on pediatric mental health from another country. Clinicians can be of even greater help to children when they acquire knowledge from sources outside their own region.
© 2008 Stephanie Moulton Sarkis
Stephanie Moulton Sarkis PhD NCC LMHC is the author of 10 Simple Solutions to Adult ADD: How to Overcome Chronic Distraction & Accomplish Your Goals and Making the Grade with ADD: A Student's Guide to Succeeding in College with ADD. Dr. Sarkis is a National Certified Counselor and Licensed Mental Health Counselor. She has a private practice in Boca Raton, Florida and is an adjunct assistant professor at Saint Leo University.