The term 'pre-autism' is becoming more widespread as a result of growing awareness of the importance of a child's first three years of life in diagnosing behaviours which, if untreated, can develop into autism. In this book we are shown the problems parents can experience when their young child does not respond to them in a 'typical' way, how they often voice concerns that something is 'not quite right' with their child, and how it is important to address these concerns, which may be signs of pre-autism. This book is about a new approach called 'Re:Start', developed by Stella Acquarone, to diagnose and treat early autism. In the Re:Start infant/family programme, a multidisciplinary team works with the parents and through the family relationships to reconfigure dysfunctional dynamics with the aim to "change destinies".

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 volume considers the neurodevelopmental disorders such as dyslexia, dyscalculia, dysgraphia, clumsiness and indeed all those learning difficulties to be found in a 'normal' school population with an IQ of more than 70. Specific ideas about the causes of these disorders are presented along with very practical preventative and management information which will be welcomed by a wide range of professionals with an interest in paediatrics, neurology, developmental and educational psychology.

Originally published in 1993, this title has contributions from many internationally respected experts from this field. The book covers the following areas: theories of development and etiology of depression; medical illness and depression; depression and other psychiatric conditions; treatment approaches to depression. The book has been written in such a way that research, clinical and psychiatric issues are easily understood. It will still be of interest and value to paediatricians, mental health practitioners and researchers in the field.

Throughout the world - and particularly in developed countries - anxiety is one of the problems of modern living. It is not only adults who experience this problem, indeed, anxiety is often evident during periods of rapid change and since childhood is the period during which we develop most rapidly, then a strong case can be made for anxiety being especially prevalent in children. Originally published in 1984, Anxiety in Children gives a broad discussion, by well-known experts, of the issues of anxiety in children, focusing particularly on what those involved in mental health, paediatrics and educational and clinical psychology, can do to help. This book will still be of interest to all such professionals.

Attention deficit disorder, attention deficit hyperactive disorder, pervasive developmental disorder, obsessive-compulsive disorder, asperger's syndrome, and autism, to name but a few, may be viewed as points on a spectrum of developmental disabilities in which those points share features in common and possibly etiology as well, varying only in severity and in the primary anatomical region of dysfunctional activity.

This text focuses on alterations of the normal development of the child. A working theory is presented based on what we know of the neurological and cognitive development in the context of evolution of the human species and its brain. In outlining our theory of developmental disabilities in evolutionary terms, the authors offer evidence to support the following notions: Bipedalism was the major reason for human neocortical evolution; Cognition evolved secondary and parallel to evolution of motricity; There exists an overlap of cognitive and motor symptoms; Lack of thalamo-cortical stimulation, not overstimulation, is a fundamental problem of developmental disabilities; A primary problem is dysfunctions of hemisphericity; Most conditions in this spectrum of disorders are the result of a right hemisphericity; Environment is a fundamental problem; All of these conditions are variations of the same problem; These problems are correctable; Hemisphere specific treatment is the key to success.

A general introduction to the principles of diagnosis and treatment of children with brain tumors is presented. Molecular characterization of solid tumors is also presented. Molecular pathways provide putative targets for new therapies. High resolution magic spinning NMR spectroscopy is explained, which is used to determine metabolic profiles for small pieces of intact tissue and whole cells in culture. The differences between adult and pediatric brain tumors are outlined. It is emphasized that pediatric low-grade gliomas need lower doses of antidrugs such as cisplatin/etoposide. It is explained that tumor suppressor genes and oncogenes play a crucial role in the development and progression of human malignancies, including those in children. Neurofibromatosis type-1 is a common genetic disorder with a high prevalence in CNS abnormalities including tumors in children; which is discussed in detail. Various neuroradiological imaging modalities in children with leukemia are detailed. Also are detailed results of clinical trials in pediatric brain tumors, such as medulloblastoma, ependymoma, craniopharyngioma, low-grade glioma, high-grade glioma, brainstem glioma, and germ cell tumors, using radiotherapy. Considering the clinical importance of epilepsy in the primary brain tumors in children, its symptoms, diagnosis, and treatments (surgery and antiepileptic drugs) are discussed.

In this concise book, an international panel of experts provide a succinct, up-to-date, evidence-based reference to the neurological consequences of infectious diseases and immunodeficiency syndromes in children in one readily accessible volume. Within each of its conveniently structured chapters, readers will find a general description of the disease or disorder. Finally a volume for pediatricians, neurologists, infectious disease specialists and all who care for children.

Since Freud's publication of 'Little Hans', advances in psychoanalytic technique and theory have transformed our clinical work with children. Individuals including Anna Freud, Melanie Klein and Donald Winnicott have influenced psychoanalytic play therapy and broadened the scope of practice with them. Contemporary psychoanalysts and psychoanalytic social work clinicians often find themselves responding to misapprehensions and distortions about psychoanalytic theory and treatment created or promoted in popular culture. Furthermore, clinical practices are subject to the disruptive influence of managed mental health care and, with the ascendancy of biological psychiatry, an increasing reliance on psychoactive drugs in the treatment of children, often in the absence of sound research support. In this book, expert international contributors explore developmental, theoretical and clinical themes in work with children. Focusing on diverse populations and varied treatment settings, they present compelling clinical cases and research that, collectively, demonstrate the efficacy and relevance of psychoanalytic ideas in the context of play therapy. This book was originally published as a special issue of Psychoanalytic Social Work.

This book is a psychoanalytic discussion on 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.The author 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 more comprehensive policy to hold perpetrators accountable or working in clinics where traumatized children and their families seek help, the question of how we act to improve the opportunity for recovery in children and youth people subjected to such inhumane treatment should be our primary concern. This book discusses this salient issue, drawing on psychoanalytic perspectives of the effects of trauma on children, looking specifically at the case of refugee children and families. Understanding challenging behavior in traumatized children and the effects of refugee experience on families can help all concerned to offer more appropriate and effective support. Through the presentation of case studies, this study traces the complexity of individual refugee experience while demonstrating the impact of good practice underpinned by an intercultural, resilience-focused approach. In an effort to eradicate torture and maltreatment of children globally, the author points to the necessity of developing appropriate methods of intervention as a responsibility to the children and families we serve and our societies as a whole.

A history of the University of Rochester Medical Center's Developmental and Behavioral Pediatrics Division from its inception in 1947 through 2019. The field of intellectual and developmental disabilities has evolved dramatically from the end of the nineteenth century, changing from dehumanizing institutional care to community-based services and supports. The University of Rochester Medical Center's response to community needs in this field began in 1947. This book describes the history of its Division of Developmental and Behavioral Pediatrics, written by the only two chiefs the division has had. The narrative traces the first effort to provide diagnostic service to parents of affected children and describes the emergence of a full program of interdisciplinary services, education of future leaders, community-based consultation, and research. It shows how the division's growth was molded by changing needs in the region and the world. It also tells the story of how a multidisciplinary program can emerge and thrive in a research-oriented medical center and serve as a bridge between a university and its community partners. Finally, it underscores the time-consuming process of program development, including building trust, acquiring needed resources, and maintaining the highest quality of programming during both good and difficult times.

Otitis media (OM) is the most common diagnosis at medical visits in preschool-age children, and the literature suggests that as many as 80% of children will suffer from at least one episode. Written by acknowledged experts, this is a state of the art reference on the disesase and controversies in the field. Recent important advances in our understanding of predisposition to the disease and vaccine development are described and diagnostic best practices are presented. Otitis Media: State of the Art Concepts and Treatment is for any health care provider who works with children, and their ability to diagnose and appropriately manage OM is therefore an essential skill. The roles of antibiotics, tympanostomy, and surgery in the treatment of OM are carefully examined, with discussion of the impact of guidelines and future directions. Otitis Media: State of the Art Concepts and Treatment is an invaluable source of up-to-date information for all involved in research into OM and its management.

This text is more than an introductory look at language disorders. It goes beyond basic concepts and basic definitions to teach students how to analyze, synthesize, evaluate, and link the information they are learning. It offers readers opportunities for higher-order learning, while preparing students to become careful evaluators of information, as well as adept problem solvers. Organized by disorder groups and theme, Language Disorders in Children, 2/e helps students easily make connections between theoretical information and clinical practice through a number of thoughtful features such as case histories, clinical decision trees, and hot topic discussions. It's an approach that meets the needs of today's students to learn lifetime critical thinking skills, to see relationships between isolated ideas and facts, and to think like a speech-language pathologist.

"This volume is a welcome and excellent resource for all clinicians working with severely traumatized children."

Francine Shapiro, PhD
Founder, EMDR Humanitarian Assistance Programs

"Over the past 15 years, Ms. Gomez has developed highly original and brilliant interventions for working with these very difficult to treat children. This book will be an enormous great gift to our field."

Dr. Susan Coates
Clinical Professor of Psychology in Psychiatry
College of Physicians and Surgeons
Columbia University

This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing model with children.

Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infant's development of attachment security.

A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology.

Key Features:

Provides creative, step-by-step, "how-to" information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulation Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities

Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides expert guidance to practitioners responding to high-stakes situations, such as children considering or attempting suicide, cutting or injuring themselves purposely, and becoming aggressive or violently destructive. Children experiencing behavioral crises frequently reach critical states in venues that were not designed to respond to or support them-in school, for example, or at home among their highly stressed and confused families. Professionals who provide services to these children must be able to quickly determine threats to safety and initiate interventions to deescalate behaviors, often with limited resources. The editors and authors have extensive experience at one of the busiest and best regional referral centers for children with psychiatric emergencies, and have deftly translated their expertise into this symptom-based guide to help non-psychiatric clinicians more effectively and compassionately care for this challenging population. The book is designed for ease of use and its structure and features are helpful and supportive: * The book is written for practitioners in hospital or community-based settings, including physicians in training, pediatricians who work in office-based or emergency settings, psychologists, social workers, school psychologists, guidance counselors, and school nurses-professionals for whom child psychiatric resources are few.* Clear risk and diagnostic assessment tools allow clinicians working in settings without access to child mental health professionals to think like trained emergency room child psychiatrists-from evaluation to treatment. * The content is symptom-focused, enabling readers to swiftly identify the appropriate chapter, with decision trees and easy-to-read tables to use for quick de-escalation and risk assessment. * A guide to navigating the educational system, child welfare system, and other systems of care helps clinicians to identify and overcome systems-level barriers to obtain necessary treatment for their patients.* Finally, the book provides an extensive review of successful models of emergency psychiatric care from across the country to assist clinicians and hospital administrators in program design. An abundance of case examples of common emergency symptoms or behaviors provides professionals with critical, concrete tools for diagnostic evaluation, risk assessment, decision making, de-escalation, and safety planning. Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a vital resource for clinicians facing high-risk challenges on the front lines to help them intervene effectively, relieve suffering, and keep their young patients safe.

Why Love Matters explains why loving relationships are essential to brain development in the early years, and how these early interactions can have lasting consequences for future emotional and physical health. This second edition follows on from the success of the first, updating the scientific research, covering recent findings in genetics and the mind/body connection, and including a new chapter highlighting our growing understanding of the part also played by pregnancy in shaping a baby's future emotional and physical well-being. The author focuses in particular on the wide-ranging effects of early stress on a baby or toddler's developing nervous system. When things go wrong with relationships in early life, the dependent child has to adapt; what we now know is that his or her brain adapts too. The brain's emotion and immune systems are particularly affected by early stress and can become less effective. This makes the child more vulnerable to a range of later difficulties such as depression, anti-social behaviour, addictions or anorexia, as well as physical illness.

The increasing focus on children's welfare has given rise to tremendous growth in the field of child psychology, and the past decade has witnessed significant advances in research in this area.

An easy to follow step-by-step guide to the most useful surgical skills from knot tying to simple procedures. Illustrated with colour photographs and video clips to demonstrate techniques, this book makes these practical skills as clear and easy to follow as possible. Including coverage of surgical instruments, wound management and suturing, and minor surgical procedures, it also explains how to use these essential surgical skills to make the most of a surgical placement. Healthcare students or junior professionals undertaking a placement in surgery or emergency medicine will feel confident and capable, and will be able to take an active role in surgical placements. Learning basic surgical skills is important for such placements, as well as for undertaking exams such as the Membership of the Royal College of Surgeons (MRCS).

As an essential and emerging practice, Pediatric palliative care seeks to prevent and relieve suffering for children with life-threatening conditions. Palliative care teams are composed of providers of various disciplines, including social workers, who collaborate to address the medical, social-emotional, and spiritual needs of the child, and their families. Social workers are especially accustomed to interdisciplinary care and may counsel, provide resources, facilitate communication, and promote person- and family-centered practices that are the basis of effective pediatric palliative care. This book presents practice strategies, experiential knowledge, and research related to practicing in collaborative teams, ICU settings, and hospice. It also presents research that is informed by the perceptions and perspectives of bereaved parents, parents who have suffered a stillbirth, and parent caregivers of children with life-limiting illness. This book highlights the unique role social workers play, within care teams and in relationship with children who have life-limiting illness, and their families. This book was originally published as a special issue of the Journal of Social Work in End-of-Life & Palliative Care.

This book follows Karl Koenig's spiritual journey from his early years to the end of his life. Through the words of his diaries, in which his battles with health and his impatient temperament are recorded with merciless honesty, we can follow his inner path that led to profound insights into the nature of children with special needs. His personal wrestlings and innate spirituality laid the foundation for his work in the Camphill Schools and Villages. Includes facsimile reproductions of some of Koenig's original diary pages. About the Karl Koenig Archive: Karl Koenig, the founder of Camphill, was a prolific lecturer and writer on a wide range of subjects from anthroposophy and Christology through social questions and curative education to science and history. The Karl Koenig Archive are working on a programme of publishing these works over the coming years.

Dieses Buch passt in die Kitteltasche jedes Kinder- und Jugendarztes! Bei der Erstversorgung erkrankter Kinder gilt die Devise: Richtig einschätzen, schnell entscheiden, sicher handeln – auf Station, in der Ambulanz und in der Notaufnahme, Tag und Nacht. Das Ambulanzmanual Pädiatrie hat sich als nützlicher Begleiter bewährt, um das eigene Wissen schnell aufzurufen und in jeder Situation adäquat reagieren zu können. Nach A-Z praktisch gegliedert, sind alle gängigen Krankheitsbilder, typischen Leitsymptome und weitere wichtige Themen der Kinder- und Jugendmedizin sofort auffindbar und in komprimierter Form nachzulesen. Fallstricke und mögliche Komplikationen springen unmittelbar ins Auge. Das Ambulanzmanual Pädiatrie wurde von Münchner Klinikärzten aus den Alltagserfahrungen heraus entwickelt und erfolgreich eingesetzt. Seine Spezialität: es enthält Symptome und Notfälle, wie sie in der Ambulanz wirklich vorkommen, von Acne vulgaris über Erbrechen bis zu Meningitis. Für die 5. Auflage wurde das gesamte Buch einschließlich des Medikamententeils auf den neuesten Stand gebracht. Speziell wurde die Therapie von Infektionen überarbeitet, zudem wurde die Dosisanpassung bei Niereninsuffizienz eingearbeitet.                    

In the medical treatment of children and teenagers and the accompaniment of their parents, alternative therapies, homoeopathy, anthroposophic medicine, psychology and psychosomatics play an ever greater role alongside conventional, science-based medicine. Before a therapy can be successful, an individual diagnosis must be made, taking somatic symptoms, mental and emotional aspects and the developmental stage of the child into account. The background and context of the illness must be determined as well: Why has this child developed this particular disease at this particular moment? In this way your therapy can activate the child s own disease-fighting resources and support it in developing its potential.

Ten years after the first edition, Individual Pediatrics has been completely revised for its fourth edition. Current developments in the field of epigenetics, questions about vaccination, sun protection, and vitamin D are covered, as are newly developed and refined treatment concepts for disorders such as inadequate ventilation of the middle ear, bronchial asthma, neurodermatitis, and ADHS. New case reports have been added, and all drug data have been updated."

Based on decades of scientific research and clinical experience, Safe and Effective Exercise for Overweight Youth provides a scientifically supported and clinically relevant source of information that clinical health care providers, educators, public health, and fitness professionals may use to promote physical activity in overweight and obese youth of all ages, including those with significant obesity and chronic health conditions, such as hypertension, asthma, and type 2 diabetes. It presents a best practices model for implementing clinical- and recreational-based physical activity interventions. The first five chapters offer an overview of the existing scientific literature supporting individualized, tailored exercise prescriptions for overweight and obese children with and without comorbidities. They also contain exercise instructions, illustrations, and sample lesson plans to improve cardiopulmonary endurance, muscular strength, power and endurance, and muscular flexibility. This information provides the basis for the recommendations provided in the subsequent chapters, which include specific guidelines for prescribing exercise to overweight children along with verbal cues or "talking points," clinical reminders, and handouts to assist health care providers. The text provides a 40-week exercise curriculum with lesson plans, discusses the importance of regular medical and self-monitoring, and offers easy tools and techniques for health care providers to track a child's progress. Chapters also supply detailed clinical and field protocols to aid in measuring health and fitness outcomes, describe realistic expectations, and present the U.S. recommendations for promoting physical activity and fitness in youth. The final chapter summarizes current studies to support future research on physical activity for the prevention and management of pediatric obesity.

Arthritis is usually considered a disease of older adults, but nearly 300,000 children in the United States suffer from some form of arthritis or rheumatic disease, such as juvenile arthritis (JRA), fibromyalgia, chronic fatigue, systemic lupus erythematosus, scleroderma, or Kawasaki disease. Yet until now very little information has been available to guide parents and doctors in properly diagnosing such children.
Here is a readable, reliable guide to the common causes of bone, joint, muscle, and arthritis pain in children, designed to help parents and physicians understand these disorders, arrive at the proper diagnosis, and choose the most effective treatment. In this comprehensive resource, Dr. Thomas Lehman--the head of one of the most prestigious pediatric rheumatology programs in the world--offers easy-to-understand information on the causes, symptoms, tests, and treatments for a wide variety of rheumatic diseases and childhood pain.
Dr. Lehman writes with great clarity, providing numerous case examples that illustrate the topic at hand and offering practical, down-to-earth advice. Equally important, he answers the questions that parents are most likely to ask: What should they observe in their children? What questions should they ask their doctor? Which tests are necessary? What risk factors should they be aware of? And how can they help their children cope with the social and psychological aspects of their illness. The book summarizes diagnostic tests, discusses the most effective medications, and discusses physical therapy, alternative therapy, and surgical options that are available.
Clearly written, thorough, authoritative, and up-to-date, It's Not Just Growing Pains is the definitive resource available on the subject for parents and health care professionals, helping them to understand the children's pain and find the best available care.

Preterm infants grow poorly after birth and very commonly develop ex utero growth restriction (EUGR). However, the risks and benefits of catch-up growth in preterm infants must be weighed, and evidence addressing this warrants examination. Perinatal Growth and Nutrition explores the reasons for EUGR and the long-term effects on developmental outcome and on metabolic risks. It provides clear information on the risks and benefits of faster post-natal growth and catch-up growth in preterm infants and offers tools for better assessment of growth and earlier identification of faltering growth. This book is divided into three sections. The first section covers advances in preterm infant growth standards, diagnosis and causes of EUGR, and assessments of preterm infant diets. The second section considers the extensive human literature on the effects of in utero and ex utero growth restriction and catch-up growth on long-term metabolic outcomes-such as obesity, insulin resistance, type 2 diabetes, and cardiac disease-and long-term neurodevelopmental outcomes including cognition. It also examines evidence for the effect of growth on these outcomes in term and preterm infants. The final section of the book considers ways to reduce the incidence of EUGR in preterm infants and when EUGR does occur, to optimize catch-up growth. Topics include assessment of dietary requirements of the diverse population of preterm infants, examination of tools for prescribing nutrition to neonatal intensive care unit patients, consideration of whether to customize or generalize nutrient intake, and fortification of human milk. In addition, the last chapter proposes using a Z-score growth chart for improved interpretation of growth data.