This book is the author's 1939 medical thesis and is dedicated to medical practitioners, paediatricians, and parents without prior knowledge of psychoanalysis. The author's aim was to sensitise people to the unconscious dimensions of many problems in children. She demonstrates here, through sixteen case studies, how often children's difficulties at

Contents:
1. Closure of Gastroschisis 2. Repair of Oesophageal Atresia and Tracheo-oesophageal Fistula 3. Pyloromyotomy 4. Herniotomy in the Ex-premature Infant 5. The Kasai Procedure 6. Cleft Palate 7. Muscle Biopsy in the 'Floppy Infant' 8. Intussusception in a Six Month Baby 9. Adenotonsilletcomy in a Patient with Total Cavopulmonary Circulation 10. Hypoplastic Left Heart Syndrome 11. An Adolescent with Chronic Knee Pain and Severe Disability 12. Management of Pain in a Sickle Cell Crisis 13. Laparoscopic Fundoplication in a Child with Cerebral Palsy 14. Craniotomy for Medulloblastoma 15. The Toddler with a Nephroblastoma 16. Laser Therapy for Laryngeal Papillomas 17. Apert Syndrome and Congenital Abnormality of the Hand 18. Multilevel Orthopaedic Surgery in a Child with Cerebral Palsy 19. Scoliosis Repair in a Child with Rett's Syndrome 20. MRO for Cystic Hygroma 21. Empyema 22. Day Case Anaesthesia for Orchidopexy in a 'Snotty' Child 23. Problems in the Recovery Room 24. The Screaming Child with a Perforating Eye Injury 25. Strabismus Surgery 26. Difficult Intubation 27. Bronchoscopy for an Inhaled Foreign Body 28. Consent in a Child of Jehovah's Witness Parents 29. Revision Ventriculoperitoneal Shunt in a Child with Spina Bifida and Latex Allergy 30. Adenotonsillectomy with OSA 31. Bronchospasm in an Asthmatic 32. Appendicectomy with Insulin Dependent Diabetes 33. Cholecystectomy with Sickle Cell Disease 34. Head Injury 35. Paediatric Transport: Retrieval of a Two Year Old Girl with Meningococcal Septicaemia

"Praise for"
Understanding, Assessing, and Rehabilitating Juvenile Sexual Offenders, Second Edition

"The "Second Edition of Understanding, Assessing, and Rehabilitating Juvenile Sexual Offenders" showcases Phil Rich's experience and mastery of the research and clinical literature. In my view, this is an excellent therapy book and, like its predecessor, will help practitioners to work effectively and ethically with juvenile offenders. It is destined to become a classic."
--Tony Ward, PhD, DipClinPsy; Victoria University of Wellington, Wellington, New Zealand

"Phil Rich is considered one of the world's leading authorities on how best to understand, assess, and treat juvenile sexual offenders, and this "Second Edition" of his excellent text shows why he is held in such high regard. All theoreticians, researchers, and practitioners whose work brings them in contact with juvenile sexual offenders should definitely read this remarkable book."
--W. L. Marshall, OC, FRSC, PhD; Director, Rockwood Psychological Services, Ontario, Canada

"Phil Rich's book, "Understanding, Assessing, and Rehabilitating Juvenile Sexual Offenders, Second Edition" offers new and thought-provoking ideas, updates, and information, especially on developmental pathways. This book is one of the few publications on juvenile sexual offending that offers something new and revealing to the field."
--Robert E. Longo, LPC, NCC, ACS, BCIA-EEG, BCN; Serendipity Healing Arts, Lexington, North Carolina

"Phil Rich masterfully fills the gap in the juvenile sexual offender treatment literature with a book that is neither introductory nor narrowly specialized. Seasoned veterans will appreciate his thoughtful and studied approach. Newcomers will find this book a vital go-to resource."
--David Prescott, LICSW, Clinical Director, Becket Family of Services, Falmouth, Maine

"Mind-blowingly brilliant--Rich by name and rich in depth, detail, description, and debate. An instant classic, "Understanding, Assessing, and Rehabilitating Juvenile Sexual Offenders, Second Edition" is both comprehensive and challenging with its material and messages, yet reassuringly accessible and practical."
--Martin C. Calder, Calder Social Work Training and Consultancy, Leigh, Lancashire, UK

THE LANDMARK TEXT FOR WORKING WITH JUVENILE SEXUAL OFFENDERS AND UNDERSTANDING SEXUALLY ABUSIVE BEHAVIOR IN CHILDREN AND ADOLESCENTS--NOW FULLY REVISED

Thoroughly revised, the "Second Edition" of "Understanding, Assessing, and Rehabilitating Juvenile Sexual Offenders" guides mental health professionals through the breadth of assessment and intervention methods available for working with this special population, providing a succinct yet complete survey of the field, the etiological development of sexually abusive behavior in juveniles, and a reliable resource for assessment, treatment, and rehabilitation.

Chapters written by leading authorities offer current perspectives on the origins and development of language disorders. They address the question: How can the child's linguistic environment be restructured so that children at risk can develop important adaptive skills in the domains of self-care, social interaction, and problem solving? This theory-based, but practical book emphasizes the importance of accurate definitions of subtypes for assessment and intervention. It will be of interest to students, researchers, and practitioners in the field of developmental language disorders.

Designed for today's busy family physicians, Dermatology for the Primary Care Provider is an easy-to-use reference covering the diagnosis and management of commonly seen dermatologic conditions. It provides practical, everyday guidance for quick reference at the point of care, including management pitfalls, clinical warning signs, specific treatment recommendations, and much more. Packed with need-to-know information, this unique resource is invaluable both when you are confident in your diagnosis and need guidance on next steps, or when you need step-by-step assistance on initial management in the absence of a definitive diagnosis. Highlights common management pitfalls, how to rule out acutely dangerous entities, and clinical warning signs requiring urgent referral. Provides specific treatment recommendations including which level of therapy is necessary, clear instructions on how to prescribe, and what to watch for. Includes numerous treatment algorithms throughout, as well as a differential diagnosis overview list in every chapter with cross-references to the corresponding page. Contains helpful information on patient education as well as answers to commonly asked patient questions. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Chapters written by leading authorities offer current perspectives on the origins and development of language disorders. They address the question: How can the child's linguistic environment be restructured so that children at risk can develop important adaptive skills in the domains of self-care, social interaction, and problem solving? This theory-based, but practical book emphasizes the importance of accurate definitions of subtypes for assessment and intervention. It will be of interest to students, researchers, and practitioners in the field of developmental language disorders.

A number of books have been written relating to congenital heart disease, but generally, they reflect individualised medical management of local practice and philosophies. Although this book assumes a prior working knowledge of congenital heart disease, it aims to provide the reader with a reference guide to be utilised at the bedside. The main aspiration of this book is to provide a comprehensive, affordable guide for paediatric, neonatal and adult nurses of young people with congenital heart disease, in this highly challenging speciality. This book is primarily written for nursing staff focusing on a multidisciplinary team approach to managing children. It is also a valuable tool for community staff, dieticians, doctors, neonatal staff, perfusionists, pharmacists, physiological measurment technicians, physiotherapists, psychologists, social workers, theatre staff, and other personnel who come into contact with this group of children.

This book describes the lives and theories of the pioneer child psychoanalysts who created the field of child psychoanalysis and contributed to the understanding of child development. It aims to expose emerging professionals in the field of psychoanalysis to theories of infant experiences.

Last year, the National Audit Office reported that levels of obesity in the UK have tripled over the last 20 years. This makes the British among the fattest nations in Europe and, if nothing is done to halt the epidemic, it is feared that levels will soon reach those in the US where one person in every four is obese. Every year tens of thousands of people in the western world are dying prematurely from heart disease, stroke and diabetes - all of them closely linked to obesity.
Obesity is a disease. It is the expression of a classic interaction between nature and nurture. What are the factors responsible for its development? Are we becoming more and more a nation of couch potatoes, or are we just eating too much? Do fat children become fat adults? Can anything be done to halt the obesity epidemic?
This collection of essays, based on presentations made at a national symposium on obesity, is aimed at the generalist with an interest in managing obesity and its outcomes, whether general practitioner, community nurse, dietician or hospital clinician. Its purpose is to highlight the causes and consequences of obesity and to bring modern understanding to the treatment of a problem that is still heavily stigmatised. The authors offer a wide-ranging perspective of obesity as a global problem and explore its devastating metabolic, social and political impact.
What is increasingly clear is that the seeds of many of these adult diseases are sown in childhood. The prevention of adult obesity has thus become a major challenge for the paediatrician.

Written by two leaders in the field of pediatric dermatology, this classic text provides both detailed content for the specialist and easily accessible information for the non-dermatologist and less experienced clinician. Paller and Mancini - Hurwitz Clinical Pediatric Dermatology, 6th Edition, comprehensively covers the full range of skin disorders in children, offering authoritative, practical guidance on diagnosis and treatment in a single volume. This award-winning, evidence-based text has been fully revised and updated, and is an essential resource for anyone who sees children with skin disorders. Features new content outline boxes for faster navigation, hundreds more clinical images, and authors' tips for the diagnosis and treatment of pediatric skin diseases. Contains updated, evidence-based guidance and the latest drug developments and disease classifications. Provides a careful balance of narrative text, useful tables, and 1,300 high-quality clinical photographs, helping you recognize virtually any skin condition you're likely to see. Includes a greatly expanded discussion of atopic dermatitis and psoriasis and new therapeutic approaches for treating genetic disorders and systemic diseases such as ichthyoses and rheumatologic disorders. Discusses new tests for subclassifying disease, such as the myositis-specific antibodies of juvenile dermatomyositis, genotyping, and immunophenotypes of inflammatory skin disorders. Contains new and updated tables on psoriasis co-morbidities, genetic syndrome classifications, acne therapies, pediatric histiocytoses, PHACE syndrome criteria, HSV therapies and juvenile dermatomyositis. Features updated sections on infections, exanthems, vascular disorders, dermatoses and genodermatoses. Discusses hot topics such as the use of stem cell and cell therapy, as well as recombinant protein, for treating epidermolysis bullosa; the resurgence of measles; congenital Zika virus infections; and much more. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Examine the effects of childhood trauma on sexual orientation and behavior! This pioneering book examines the effects of childhood traumaincluding sexual abuseon sexual orientation and behavior. It will help you expand your sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation, behaviors, and fantasies of the people who come to you for help. From the editors: In the modern era of trauma studies, clinicians and researchers have been treating and investigating the effects of traumaincluding the sexual abuse of childrenfor more than two decades. And yet, we know far more about sequelae such as post-traumatic and dissociative symptoms, disrupted attachment, addictions, eating disorders, and somatoform symptoms than we do about the effects of trauma on sexual behavior. With the exception of a relatively few articles in the scientific literature (many of which were written by the authors in this collection), little has been published about the sexual effects of sexual abuse and other childhood maltreatment. Why have we neglected this obvious and important area? Perhaps the reason can be simply attributed to our Victorian legacy of reluctance to openly discuss sexuality. Or, perhaps the reason may be related to some of the expressions of sexuality that are sometimes seen in persons with childhood trauma. At times, expressions such as sexual addiction, homosexuality, sadomasochistic behavior, and prostitution have been classified as deviant. This may have contributed to our reluctance to discuss them openly. Or, perhaps the reason is that we collectively wish to deny the effects of abuse on one of the core aspects of ourselvesto deny that early traumatic events forever change the sexual lives of persons in such an intimate and profound way. The contributors to this well-referenced book combine their insight and expertise to address sensitive areas, including: the concepts of femininity and masculinityand how these personality styles are direct and indirect outcomes of trauma and reflective of dissociation treatment approaches for lesbian, gay, bisexual, and transgendered trauma survivors the need to address sexuality in treatmentand to always keep in mind that there are many different healthy expressions of sexuality and gender the relationship of dissociation to sexual addiction/compulsivity in survivors of childhood sexual abuse sexual behavior problems in children who have been abused, including sexually reactive behaviors, extensive but mutual sexual behaviors, and children who molestessential reading for anyone who doesn't want to see abused children mislabeled as sexual offenders! hyposexuality and hypersexuality as a result of childhood trauma the relationship between trauma history, trauma-related symptoms, and sexual risk behaviors that can lead to infection by HIV or other STDs as well as unplanned pregnancy

Completely updated and revised, the third edition provides primary care physicians with practice-tested, condition-specific treatment recommendations for various childhood mental disorders. Obtain clear guidance on dosing, monitoring, and potential adverse reactions of psychotropic medications for treatment of common psychiatric disorders and mental health or behavioral problems in children and adolescents. It includes digital tools offering instant access to additional information on psychotropic medications. TOPICS INCLUDE Conceptual framework for prescribing psychotropics Newly approved medications, changes in regulations and guidelines, and updates in the professional literature are included in this new edition Medications for specific diagnoses-ADHD, anxiety, and depression Food and Drug Administration approved antipsychotics and mood stabilizers and all other medications What to do when treatment is unsuccessful

At a time of increasing financial pressure on families - as well as the services that support them - children are doubly disadvantaged. The economical mass-provision of proven approaches appears to be an unquestionable strategy. In this frank and revealing book, written by an experienced child and adolescent psychiatrist of eclectic and questioning persuasion, the argument is made that we are travelling in the wrong direction. A blinkered pursuit of empirical evidence and uniform delivery is leading us away from any sensitive and reciprocal relationship between caring professionals and the young individuals whose interests they are there to serve. Drawing on attachment and psychodynamic approaches, as well as systemic, values-based and mindful practice, Being With and Saying Goodbye describes an attitude that should be the prerequisite and medium of all child and adolescent work that has therapeutic intention. Unacknowledged, even reviled, this ghost in the machine is threatened with extinction.

This book is a psychoanalytic discussion of the effects of trauma and torture on children, with a specific focus on how professionals can use an approach focused on resiliency rather than vulnerability to help the child reach wellbeing. Aida Alayarian argues that in a world where the torture, maltreatment, and neglect of children shamefully persist, it is incumbent upon all of us to intervene appropriately to put a stop to it. Whether in conference rooms developing a more comprehensive policy to hold perpetrators accountable, or working in clinics where traumatised children and their families seek help, the question of how we act to improve the opportunity for recovery in children and young people subjected to such inhumane treatment should be our primary concern. Handbook of Working with Children, Trauma, and Resilience discusses this salient issue, drawing on psychoanalytic perspectives of the effects of trauma on children, and looking specifically at the case of refugee children and families. Understanding challenging behaviour in traumatised children and the effects of refugee experience on families can help all concerned to offer more appropriate and effective support.

Cerebral visual disorders have far-reaching consequences for child development. These have profound adverse effects on children's education and success in school and also in later life, but, unfortunately, cerebral visual disorders often remain undiagnosed and untreated in the pediatric population. This book provides a state-of-the-art account of what is known about the development and disorders of visual perception in children. It covers the development and disorders of visual perception in children, their assessment, early intervention and management in an interdisciplinary context, both from a scientific as well as clinical perspective. Case studies illustrate the recommended assessment and rehabilitation procedures; synopses, boxes and check-lists complement the presentation of our recommendations for clinical practice.

Co-ordination of movement plays a key role in human development and is an active area in sport and health sciences. This book looks in detail at how children develop basic skills, such as walking and reaching for objects, and more complex skills, such as throwing and catching a ball accurately or riding a bicycle.

Development of Movement Co-ordination in Children is informed by five major theoretical perspectives - neural maturation, information-processing, direct perception, dynamic systems and constraint theory - and these theories are explained in an introductory chapter.

The international contributions are then brought together under the headings of ergonomics, health sciences and sport. Focusing on practical applications, individual chapters cover many different aspects of movement behaviour and development, ranging from children's overestimation of their physical abilities and the links to injury proneness to the co-ordination of kicking techniques. Both normal and abnormal development is considered.

Development of Movement Co-ordination in Children will be of considerable interest to students, teachers and professionals in the fields of sport science, kinesiology, physical education, ergonomics and developmental psychology.

This unique volume teaches those in the medical fields about the scientific value of neuropsychology in assessing cognition, the 6th vital sign, as part of well integrated collaborative care. It offers physicians a comprehensive tour of the many dimensions neuropsychology can add to primary and specialized medical care across the lifespan. Noted experts examine cognitive ramifications of a wide range of medical, psychological, and neuropsychological conditions, among them brain tumors, stroke, epilepsy, pediatric and adult TBI, schizophrenia, and adult ADHD. The book's generous selection of case examples demonstrates the benefits of cognitive assessment in building accurate diagnoses, better understanding of patient needs, and more appropriate treatment and management strategies, as well as other neuropsychologist roles in consulting, referral, and forensic areas. In addition, tables, callout boxes, review questions, and other features are included throughout the text for ease in comprehension and retention. A sampling of the coverage:* The value of neuropsychological evaluation in medical practice. * A model of collaboration between primary care and neuropsychology. * Neuropsychological assessment of extremely preterm children. * Alzheimer's Disease and overview of dementia. * Deep brain stimulation for Parkinson's Disease. * Neuropsychology in the 21st century: the rise of multicultural assessment. * Neuropsychological interventions for individuals with brain injury. The Physician's Field Guide to Neuropsychology is both a rigorous and an accessible reference for clinicians in diverse disciplines including general practice, family medicine, neuropsychology, pediatrics, gerontology, and sports medicine.

This handbook shows how professionals working in social work, health, education, and psychology can work together to provide an integrated service to children and adolescents.

Outlining the challenges of working in a multi-disciplinary context, it provides key theoretical concepts and describes how to conduct joint assessments and design, deliver and evaluate interventions. Taking a life-span appraoch to working with children of all ages, from infants to adolescents, the key emphasis of the book is on the prevention of children's emotional and behavioural difficulties through effective inter-disciplinary working.

Currently, it is common practice among the child psychiatric establishment to prescribe powerful and potentially addictive drugs to children who have emotional or behavioural problems. Pathological Child Psychiatry and the Medicalization of Childhood is a strong challenge to this way of thinking.
Sami Timimi uses a wide variety of sources that shape our understanding including his personal experiences to highlight the role of culture, beliefs, science, social hierarchy and power, in shaping our understanding of childhood problems and how to deal with them. He urges professionals who work with children to question their assumptions in a manner that will enable them to access a greater variety of potentially helpful therapeutic frameworks.
Since the 1960s, psychiatry has had to learn to accommodate critical analysis of its beliefs and methods. The legitimacy of its core assumptions continues to be questioned. Now child psychiatry too must engage with such a debate, if it wishes to develop into a genuinely democratic and inclusive profession. Pathological Child Psychiatry and the Medicalization of Childhood will be of great interest to professionals and trainees in psychiatry and child psychiatry, social work, family therapy and other psychotherapies for children and adolescents.

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Increasingly diverse conditions now treated surgically combined with developments in technology have made the field of pediatric anesthesia more complex. Even common medical problems may give rise to difficult decisions. This has created a need for a resource that covers the latest techniques in the field. Authoritative and comprehensive, Problems in Anesthesia: Pediatric Anesthesia provides guidance for a number of problematic clinical scenarios. Highlighting the widening scope of the field, the book contains case histories that demonstrate successes and complications for a wide range of conditions. The book disseminates practical knowledge and experience to those working in this field and paves the way for further investigation and continued advancement. The editors, internationally recognized as experts in their field, have done an excellent job of putting together a panel of contributors. The exhaustive coverage of a range of frequent and infrequent problems puts their expertise within your reach.

This thought-provoking volume defines child abuse and neglect as a public health crisis, both in terms of injuries and mental health problems and as a link to poverty and other negative social outcomes. The author identifies key factors contributing to this situation-in particular juvenile ageism, the pervasive othering of children and youth-coupled with the assumption of parental competence until severe abuse or neglect proves otherwise. The book's practical answers to these complex issues involve recognizing and balancing the rights of parents and children, and responding to the diverse needs of new, competent, and dysfunctional families. To this end, a comprehensive prevention model is outlined, featuring primary, secondary, and tertiary interventions. Included in the coverage: * Child abuse and neglect in the United States * The impact of juvenile ageism on individuals * The devaluation of parenthood * The rights and needs of newborn babies and young children * Overcoming our crisis-recoil response * Barriers to change and hope for the future Dealing with Child Abuse and Neglect as Public Health Problems should engage professionals in the public health, healthcare, and social services sectors. It should also attract parents in struggling families as well as other laypersons, such as policymakers and child advocates, interested in improving current social conditions.

Recognition and diagnosis of child abuse and neglect creates an important foundation for the protection of children. Physicians and other healthcare providers have a fundamental role in this process, and need to be confident that they can identify correctly the signs and symptoms that provide clues to non-accidental injuries resulting from child maltreatment. Diagnosis of Non-accidental Injury: Illustrated Clinical Cases is an invaluable tool to aid prompt and appropriate diagnosis, presenting various types of findings and challenging the reader with both common and not-so-common manifestations that may result from - or be confused with - child abuse and neglect. The book describes various clinical scenarios through a brief clinical history accompanied by high-quality clinical images. Questions focus on the important concepts to be learned from each case. The answers are revealed after a turn of the page, sometimes with additional images to explain critical aspects, and feature a diagnosis, the 'ruling out' of abuse or neglect, further diagnostic options where relevant, and helpful treatments.

This book focuses on the management of children with fecal incontinence and constipation. Despite accurate anatomic reconstruction, many children still suffer from a variety of functional bowel problems. These include not only children with congenital anatomic problems such as anorectal malformations and Hirschsprung disease, but also includes the huge population of children who suffer from constipation, with or without soiling, and a large spinal population (spina bifida) who have bowel problems.

Preeminent clinical child and adolescent psychological scientists offer an agenda for future research in this compendium of thought pieces. On a wide range of topics including ADHD, depression, self-injury, emotion regulation, conduct problems, addictions, clinical assessment and therapy, and many more, scientists review the current state of the literature and offer specific recommendations for what investigators next need to tackle to reduce mental illness among youth. Chapters include a discussion of theories and methods in clinical child and adolescent psychology, current funding priorities, and the intersection of traditional clinical psychology research with the burgeoning field of psychological neuroscience. This book is an essential resource for classes on clinical child and adolescent psychopathology and treatment. It also provides a unique guide for undergraduate and early graduate students who are determining how to start their research careers in the field. All of the chapters in this book were originally published as articles in the Journal of Clinical Child and Adolescent Psychology.

How can we measure the quality of life in children and adolescents with chronic disease?
Major progress in the diagnosis and treatment of severe and chronic disease has led to an increased number of children and their families having to adapt and cope with the impact of disease, survival, and the cost of treatment. Health professionals have responded to this by developing a diversity of instruments for measuring quality of life for use in paediatrics, psychology and public health. This book introduces the reader to the emerging field of quality of life assessment and provides a comprehensive overview of the conceptual and methodological issues concerning quality of life in child and adolescent illness. Particular emphasis is provided on current efforts to measure the impact of specific chronic conditions on different domains of child functioning. Future directions are outlined for the development of appropriate instruments for measuring quality of life in children and adolescents.
Quality of Life in Child and Adolescent Illness is intended for psychologists, paediatricians, paediatric nurses, child psychiatrists, public health professionals, researchers and other interested readers from the undergraduate to the working professional.

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