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, written by a leading geneticist, examines the ethical and social issues raised by the genetic testing of children. The opinions of geneticists, ethicists and affected families are all included to give a balanced view of this controversial field. Issues covered include confidentiality, potential abuses of genetic information (eg the use of test results by insurance companies) and the value of predictive genetic testing.
The aim of the book is to improve awareness of the complexity of the issues raised and provide suggestions as to how the discussions must develop - it therefore raises new questions as well as answering those that already exist.

With a growing population of young patients with congenital heart disease reaching adulthood, this unique new book offers an in-depth guide to managing the challenges and issues related to device therapy in this patient group. * The only book resource dedicated to pacing, cardiac resynchronization therapy and ICD therapy for the pediatric and congenital heart disease patient * Contains practical advice for pacemaker and ICD implantation, programming, trouble-shooting, managing complications and follow up * Up-to-date with the latest in device technology * Contains multiple graphics, device electrogram tracings, and radiographic images for clarity * Includes video clips and over 150 multiple choice questions with extended answers on companion website, ideal for self test * An invaluable resource for both the specialist pediatric cardiologist and the general cardiologist responsible for children with heart disease and pacing devices

Contents:
Author's note Foreword by Lorna Wing Introduction 1. The Variable Picture of Autism 2. The History of Autism 3. What Causes Autism? 4. Problems of Diagnoses 5. Understanding Autism: Assessing the Autistic Child 6. Practical Considerations - Management and Counselling 7. Speech and Language: Communication Development in Autistic Children 8. Educating Autistic Children 9. Growing up - What lies Beyond? 10. A Postscript - Alternative Treatments and Cures for Autism? Appendices References and Further Reading Index

Autism is a variable and complex development disorder which frequently goes unrecognised, or else is misunderstood by both parents and professionals. This new edition of the Handbook of Autism brings up to date the relevant and practical information of the best selling first edition, with updated research and new case-studies to reflect the extent of the autistic continuum. It dispels many of the myths associated with this puzzling condition and provides readers with up-to-date information that makes sense. Practical in its approach, it will be essential reading for parents of autistic children and for all professionals involved in their education and welfare.

An up-to-the-minute reference guide for health professionals confronting pulmonary disorders in children, Pediatric Asthma offers the latest findings on this classification-defying disease and related conditions. Written by more than 20 international experts in the field, the book focuses on drug administration-issues of compliance, aerosol delivery, and pharmacokinetic differences among children-with a view toward developing new and more efficacious therapies.
Provides cutting-edge analysis for more effective diagnosis of children with asthma and improved monitoring and treatment for chronic patients
With a firm theoretical grounding and reflecting the state of the art in pharmacological research and development, Pediatric Asthma
reviews the prevalence, causes, and demographics of childhood asthma worldwide
explores determinants of the disorder in various populations-gender, age and severity of onset, atopic status, family history, and smoking
elucidates physiological factors such as airway remodeling, airway hyperresponsiveness, and persistent inflammation
describes in vivo and in vitro testing for asthma-associated allergy and the pros and cons of allergen immunotherapy
delineates the dynamics of the lung in terms of phenomena such as peak expiratory flow (PEF), forced vital capacity (FVC), and bronchial hyperresponsiveness (BHR)
highlights the importance of patient education and self-management
investigates the role that developmental psychopathologies and neurobehavioral dysfunctions may play in pediatric asthma
discusses inflammatory mediators such as cytokines, chemokines, leukotrienes, and prostaglandins
evaluates intravenous and inhaled 2 agonists for the bronchodilating treatment of acute severe asthma
and more
Featuring over 2100 references, more than 60 user-friendly tables, and a handy Appendix on clinical monitoring of childhood asthma and recommended drug dosages for its treatment, Pediatric Asthma is an indispensable resource for pediatricians, pediatric pulmonologists, and pediatric pharmacists; clinical allergists and immunologists; general and family practitioners; and graduate and medical school students in these disciplines.

Raising a child with a neuromuscular disorder can be a overwhelming experience for even the strongest parent or grandparent. Dr. Charlotte Thompson, a leading authority in pediatric neuromuscular disorders, draws on her 38 years of experience treating children with muscular dystrophy, spinal atrophy, congenital and mitochondrial myopathies, Charchot-Marie-Tooth, and all the childhood neuromuscular disorders. Her book provides not only medical facts but much practical advice on how to cope with the many challenges of day-to-day parenting a child with neuromuscular disease. Dr. Thompson discusses how to cope with the initial diagnosis of a neuromuscular disorder and then suggests ways to get beyond the shock, numbness, and anger that may occur. She describes each of the principal diseases giving the history, signs and symptoms, the usual course, outcome, genetics, and any possible treatments. Subsequent chapters offer advice on when to ask for a second opinion about the diagnosis, how to navigate the medical maze and work with a child's medical team. Tips on finding the most appropriate school placement and developing an individual education program (IEP) are invaluable. Dr. Thompson stresses the importance of taking one day at a time and insists that parents must care for themselves. She offers suggestions for developing family closeness and even how to make time for fun. Wise advice from parents of children with neuromuscular disease is inserted in boxes throughout the chapters. A large appendix gives resources state by state and country by country. There is no training that prepares you to be the parent of a child with a disability, but Raising a Child with a Neuromuscular Disorder should be a great help to parents, grandparents, and anyone who cares for a child or young person.

Chronic childhood disease brings psychological challenges for families and carers as well as the children. In Children, Families and Chronic Disease Roger Bradford explores how they cope with these challenges, the psychological and social factors that influence outcomes, and the ways in which the delivery of services can be improved to promote adjustment. Emphasising the integration of theory and practice, Children, Families and Chronic Disease demonstrates the need to develop a multi-level approach to delivery of care which take into account the child, the family and the wider care system, with recognition of how they inter-relate and influence each other.

First published in 1998.This text reviews current knowledge and research in key areas of adolescent sexuality, focusing on the implications of this for young people's sexual health. The book includes chapters on adolescent sexual knowledge, teenage relationships and sexual behaviour, HIV/AIDS education, sexual identity, peer education and the prevention of teenage pregnancy. The book is aimed at all those who work with young people, including those involved in health education, youth work, sex education and those in youth organisations. The book is written in straightforward language, with the aim of disseminating relevant research to all those who work with young people. The focus of the book is on understanding the implications of research in this area for young people's sexual health, risk reduction and education.

The questions used in this book have been developed and continuously updated over 15 years. 'MCQs in Paediatrics' includes questions and detailed answers submitted by paediatricians in all specialties, and covers the widest range of clinical skills and paediatric knowledge.The questions have been used in both undergraduate and postgraduate examinations at the DCH and MRCP level. All questions have been reviewed and refined following the analysis of examination results, and are designed to test the application of knowledge rather than just the facts. The answers are accompanied by detailed explanations which allow the book to be used both for self-assessment and as a guide for further study.

Family-Centred Assessment and Intervention in Pediatric Rehabilitation analyzes the effectiveness of Family-Centred Services (FCS) for children with disabilities or chronic illnesses. This text provides you with the exact definition of FCS and offers proof that parent involvement in children's treatment greatly enhances therapy. You can use the suggestions and methods to integrate parents into therapy, maximizing the family's intervention experiences and making your work more successful and effective.Many clinicians agree that families play a crucial part in deciding what intervention strategies are best for their children. From this text, you will learn that listening to parents and valuing parental input will give you insight into the goals, needs, and ambitions families have for their children. This enables you to choose, with the parent, the interventions that best suit your patients'needs and the needs of their families. In addition to information on how to integrate parents and families into intervention, Family-Centred Assessment and Intervention in Pediatric Rehabilitation offers suggestions that will improve your existing FCS or help you implement a family- centred approach, including: performing therapy in natural settings, such as school or home, to make changes in the children's social and physical environments acknowledging the grieving and adaptation process of families while being compassionate and understanding letting parents describe what they would like their child to be able to do and accomplish in the future putting the parents'concerns and requests first, enabling parents to deal with caring for their child supporting parents and reinforcing them when they have innovative and helpful ideas informing parents on the progress of their children and educating parents on methodologies and strategies used in FCSMany of the suggestions derived from the analysis of current data and original research in Family-Centred Assessment and Intervention in Pediatric Rehabilitation have immediate clinical applicability, allowing you to quickly adapt methods into your intervention processes. This text also provides you with information on types of evaluative methods, such as Measure of Processes of Care (MPOC) and Family-Centred Program Rating Scale (Fam PRS), that will help you determine if your FCS program is working efficiently. Emphasizing the goal of parent interaction in FCS services, Family-Centred Assessment and Intervention in Pediatric Rehabilitation offers methods that will improve your work with families and patients, making services more beneficial and relevant to the child and to their families.

Treating Children with Sexually Abusive Behavior Problems: Guidelines for Child and Parent Intervention is a unique, pioneering venture in the area of sexual abuse. Unlike most books on sexual abuse, which focus on children as victims, this integrated treatment approach suggests ways to develop parallel treatment strategies for both parents and children who display harmful sexual behavior.In many ways a first in its field, Treating Children with Sexually Abusvie Behavior Problems gives you the tools to orchestrate your own treatment and intervention techniques, specifically for those children under age 12 who display sexually harmful or unlawful behavior. You ll find in this useful volume a one-of-a-kind approach to linking together individual, group, and family treatment into one integrated, comprehensive program that treats both perpetrator and victim in tandem. Effective applied techniques are presented to teach: accountability of the offending party concern for others/empathy social competence the establishment of appropriate boundaries healthy sexuality coping with prior trauma safety and supervisionTreating Children with Sexually Abusive Behavior Problems is intended for professionals in child sexual abuse; graduate and undergraduate students in psychology, social work, marriage and family therapy, and psychiatry; juvenile court workers; child welfare case workers; teachers; attorneys; and judges. It will also serve to better inform the victim, family, and general public. If you re concerned about the spread of sexually abusive behavior in children, you ll want to become informed and armed with the practical and useful guidelines found in this innovative approach to a prevalent social problem.

Epidemiological surveys have provided key information about the prevalence and degree of seriousness at different ages of a wide array of problem behaviors such as delinquency, substance use, early sexual involvement, and mental health disorders. Knowledge of the extent of these problems and changes in their course over time is important. In its absence, interventions and health planning in general can be difficult. Understanding which risk and protective factors are relevant to which problem behaviors is also essential for the formulation of theories that constitute the basis of intervention. This book draws on the results of the major Pittsburgh Youth Study complemented by follow-up tracking of juvenile court records for more than six years, to address the following questions: *What is the prevalence and age of onset of delinquency, substance use, and early sexual behavior for three samples of boys age 8, 11, and 14? What are the average mental health problems for these ages? How strong are the relationships among these problem behaviors in each of the samples? *Which variables best explain individual differences among the boys in their manifestations of delinquency, substance use, early sexual behavior, and mental health problems? To what extent do explanatory factors vary with age? How accurately can boys with different outcomes be identified by risk scores based on hierarchical multiple regressions? *To what extent are explanatory factors associated with one outcome that are also associated with other outcomes? Are explanatory factors that are especially characteristic of a multiproblem group of boys--who display many different problem behaviors--different from explanatory factors associated with boys with few problems? *Do the results fit a general theory of juvenile problem behaviors, or is a differentiated theory more applicable?

This volume's purpose is to describe concepts and methods concerning assessment of health-related quality of life (HRQOL) in children and adolescents with a special focus on chronic health conditions. The impetus for this book came from a recognition of the increasing importance of HRQOL assessments in the evaluation of treatment outcomes and the need to increase the utilization of HRQOL assessments in research and clinical applications with a range of pediatric populations. The need to develop a volume that describes new research and clinical applications concerning this topic stemmed from several recent developments. There is a continuing need for evaluations of the efficacy of medical treatments for children and adolescents, including those with chronic health conditions.
To address these critical unmet needs in the field of HRQOL assessment, and to advance scientific methods and clinical applications in this field, a conference was held at Case Western Reserve University. The conference set out to summarize current information concerning the development and implementation of measures of HRQOL assessment, to identify and consider key conceptual and methodological issues in research concerning the measurement of HRQOL, and to recommend priorities to advance the state-of-the-art in research and clinical applications of QOL assessment in children and adolescents with chronic health conditions. This volume summarizes and synthesizes the information that was presented by the conference participants in a series of lively discussions and chapters that were based on the presentations.

This volume's purpose is to describe concepts and methods concerning assessment of health-related quality of life (HRQOL) in children and adolescents with a special focus on chronic health conditions. The impetus for this book came from a recognition of the increasing importance of HRQOL assessments in the evaluation of treatment outcomes and the need to increase the utilization of HRQOL assessments in research and clinical applications with a range of pediatric populations. The need to develop a volume that describes new research and clinical applications concerning this topic stemmed from several recent developments. There is a continuing need for evaluations of the efficacy of medical treatments for children and adolescents, including those with chronic health conditions.
To address these critical unmet needs in the field of HRQOL assessment, and to advance scientific methods and clinical applications in this field, a conference was held at Case Western Reserve University. The conference set out to summarize current information concerning the development and implementation of measures of HRQOL assessment, to identify and consider key conceptual and methodological issues in research concerning the measurement of HRQOL, and to recommend priorities to advance the state-of-the-art in research and clinical applications of QOL assessment in children and adolescents with chronic health conditions. This volume summarizes and synthesizes the information that was presented by the conference participants in a series of lively discussions and chapters that were based on the presentations.

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.

This book is about the ways in which teachers and speech language therapists work together with children with communication problems in mainstream schools, special units and special schools. It explores issues that have influenced these working relationships and why children with communication problems may benefit from a professional partnership of teacher and therapist. In addition, it explores information brought together for the first time about current practice in educational settings with reference to current literature, both from this country and abroad, as well as strategies for the development of working relationships.

In the last decade, mental health professionals have been under mounting pressure to demonstrate the cost effectiveness of their treatment choices and practices. Progress has been made, related in part to improvements and refinements in diagnostic classifications that are increasingly empirically determined and behaviorally based. Historically, however, research on the treatment of children and adolescents has lagged behind research on the treatment of adults. The growing realization that early intervention can prevent serious psychological dysfunction in adulthood has stimulated much more interest and attention in recent years, and a number of innovative and efficacious treatment strategies have been developed.
But most of these are not widely known outside the contexts of the major research programs in which they originated and were tested. Complete protocols have rarely been disseminated or replicated; descriptions are typically embedded in the "methods" sections of journal articles or briefly given in chapters of volumes addressing a diversity of problems.
The Handbook of Psychological Treatment Protocols for Children and Adolescents is the first attempt to bridge this gap between clinical research and practice. Drawing together systematic, empirically-based guidelines for accountable clinical work with children and adolescents with varying presenting problems, it is a compendium of state-of-the-art treatment manuals. Specific instructions and relevant case illustrations facilitate the practitioner's efforts to replicate the approaches.
The Handbook will be welcomed by a wide range of mental health professionals and their students.

There are many changes in the skin, hair, and nails during and after pregnancy. Patients are certainly aware that those changes are occurring, but few physicians and even fewer patients know how to predict the course of those changes. Pigmentary changes occur, but are they permanent? Can they be prevented or reversed? Hair may become thicker during pregnancy, only to fall out in the postpartum period. When will hair stop falling out? Will it grow back? What hormonal changes are occurring to produce these effects on the skin, hair, and nails? Will those hormonal changes affect other organs? Some cutaneous manifestations of pregnancy are common and recognized by most physicians. Abdominal striae, for example, are easily identified, but physicians have many questions about them. Why do they develop? Can they be prevented or treated? Other cutaneous manifestations of pregnancy are less common and recognized by few. For example, pruritic urticarial papules and plaques of pregnancy is a debilitating condition that is treatable once diagnosed. Even more important than the treatment, the knowledge imparted to a worried mother that her child will be fine and that the condition is se- limited is priceless; but the condition must first be recognized by the patient's physician. All of these questions and conditions are addressed in this extraordinary book. Pigm- tary disorders are addressed in detail in Chap. 2.

The Handbook of Infant, Toddler, and Preschool Mental Health Assessment brings together for the first time, leading clinical researchers to provide empirically based recommendations for assessment of social-emotional and behavior problems and disorders in the earliest years. Each author presents state-of-the-art information on scientifically valid, developmentally based clinical assessments and makes recommendations based on the integration of developmental theory, empirical findings, and clinical experience.

Though the field of mental health assessment in infants and young children lags behind work with older children and adults, recent scientific advances, including new measures and diagnostic approaches, have led to dramatic growth in the field. The editors of this exciting new work have assembled an extraordinary collection of chapters that thoroughly discuss the conceptualizations of dysfunction in infants and young children, current and new diagnostic criteria, and such specific disorders as sensory modulation dysfunction, sleep disorders, eating and feeding disorders, autistic spectrum disorders, anxiety disorders, posttraumatic stress disorder, and ADHD. Chapters further highlight the imporance of incorporating contextual factors such as parent-child relationship functioning and cultural background into the assessment process to increase the validity of findings.

Given the comprehensiveness of this groundbreaking volume in reviewing conceptual, methodological, and research advances on early identification, diagnosis and clinical assessment of disorders in this young age group, it will be an ideal resource for teachers, researchers, and a wide variety of clinicians including child psychologists, child psychiatrists, early intervention providers, early special educators, social workers, family physicians and pediatricians.

Parentification - the assumption of responsibility for the welfare of family members by children and adolescents - is increasing as a result of various forces both inside and outside of the family. Evidence suggests that pathological parentification of children has serious consequences for them, and for succeeding generations, as do other forms of maltreatment.; This work is an exploration of the forces at work in families with parentified children - and the treatment strategies that hold the promise of interrupting a cycle of destructive behaviour.; The author begins by guiding the reader from conceptualization to possible causes and manifestations of parentification, facilitating a clear understanding of how and why this scenario is common. The second part of the book builds on this foundation to introduce methods of assesment, treatment, and prevention. This part of the text includes insights into the professional, ethical and personal challenges faced by therapists who themselves have a history of pathological parentification.

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To date there is no one method for treating spina bifida, one of the most common anomalies in the nervous system. With a recurrence rate of ten percent, managing spina bifida cases requires a multidisciplinary approach involving several medical and surgical specialties. This collection of papers takes a clinical management approach to the multidisciplinary problem of spina bifida. The leading neurosurgery, orthopedics, urology, and allied health experts from major American children's hospitals explore topics in etiology, epidemiology, prenatal diagnosis, and rehabilitation.

This book is essential reading for those who need to understand and evaluate the impact of medical conditions on the developing brain. It reviews normal and abnormal brain development, and describes specific medical conditions that affect brain/behavior functions. This book will be of interest to neuropsychologists, neurologists, psychiatrists, rehabilitation specialists and other professionals directly involved in the care of children with medical conditions and illnesses that affect brain function.

Over a period of several decades, the author evolved a personal way of relating to and communicating with children, offering them a live professional setting in which to discover themselves. He believed that, in the right case, a full and free use of the first interview can yield rich rewards, and he claimed that the right cases for this are common. He hoped that, by presenting these case studies, he would introduce the reader to the exciting potential of his approach, which depends as much on selection (of therapist) as on training. Here is his presentation - seventeen case histories whose significance for child psychiatry is in the tradition of Freud's case histories of the treatment of adult neurotics. Therapeutic Consultations in Child Psychiatry provides a fruitful feedback to psychoanalysis itself.

Chronic childhood disease brings psychological challenges for families and carers as well as the children. Roger Bradford explores how they cope with these challenges, the psychological and social factors that influence outcomes and the ways in which the delivery of services can be improved to promote adjustment.
Drawing on concepts from health psychology and family therapy, the author proposes a multi-level model of care which takes into account the child, the family and the wider care system and how they interrelate and influence each other.