John Money's career constitutes the foundation of pediatric psychoendocrinology. In this book he takes a second look at his publications on many different psychoendocrine syndromes, intersexual or hermaphroditic, with respect to sex, gender, amative orientation, and the "lovemap," (his own designation from an individual's experience of sexuality). His ultimate conclusion is that, from prenatal life onward, demasculization of development is not synonymous with feminization, nor is defeminization synonymous with masculinization. This volume will serve to illuminate the evolution of Dr. Money's work and point the way to future investigations in this field.

Loss of a parent, separations, abuse, neglect, or a history of a difficult foster or orphanage experience can lead to profound emotional dysregulation and mistrust in children. Working with these children-many of whom have experienced multiple traumas and losses-can feel overwhelming. Clinicians must navigate complex case management decisions and referrals, address the needs of parents and schools, not to mention ameliorate the traumatic memories and severe behaviors that present in the kids. But by working as a collaborative team, EMDR and family therapists can, together, strengthen the parent-child attachment bond and help to mend the early experiences that drive the child's behavior. This book, and its accompanying Parent Manual, are intended to serve as clear and practical treatment guides, presenting the philosophy and step-by-step protocols behind the Integrative Team Treatment approach, so both the family system issues and the child's traumatic past are effectively addressed. You need not be a center specializing in attachment trauma to implement this team model, nor must members of the team practice at the same location. With at least one fully-trained EMDR practitioners as part of the two-person team, any clinician can pair with another to implement this treatment approach, and heal children suffering from attachment trauma. Also available is the accompanying parent's guide, Integrative Parenting: Strategies for Raising Children Affected by Attachment Trauma, filled with effective techniques to help challenging children with traumatic pasts

The purpose of Diagnostic and Therapeutic Advances in Pediatric Oncology for the Cancer Treatment and Research Series is to provide an up-to-date summary of how recent advances in cancer research are being applied to the care of children with solid tumors. The interface of cancer research with clinical practice in pediatric oncology has never been more intimate than today. While researchers are identifying oncogenes and tumor suppressor genes and are studying their specific functions, clinicians are using knowledge of oncogenes and tumor suppressor genes for diagnosing cancer in children, for therapeutic decision-making purposes, and for prognostic purposes. The first three chapters in this book describe models for understanding the causes of childhood cancer that were perhaps initially identified by clinicians and that are now being studied and understood by researchers. These chapters will describe research evidence that supports roles for the involvement of normal developmental regulatory genes in childhood oncogenesis, of abnormal immune regulation in childhood oncogenesis, and of heredity in childhood oncogenesis. The next eight chapters are devoted to descriptions of the appli cation of new research developments to clinical practice with reference to the most common forms of solid tumors of childhood outside the central nervous system. The final chapter will describe late effects of childhood cancer and its therapy and the impact research is having on understanding and perhaps preventing these late effects.

This book explains the psychological assessment process and reviews the origins of psychological testing, referral and testing processes, and prominent psychological assessment instruments. Most important, this book details how to evaluate testing data and use them to understand an individual's needs and to inform interventions and treatments. This book addresses specific domains of psychological assessment, including: * Intelligence and academic achievement. * Speech-language and visual-motor abilities. * Memory, attention/concentration, and executive functioning. * Behavioral and social-emotional functioning. * Developmental status. Practical Guide to Child and Adolescent Psychological Testing is an essential resource for clinicians, primary care providers, and other practitioners as well as researchers, professors, and graduate students in the fields of child, school, and developmental psychology, pediatrics and social work, child and adolescent psychiatry, primary care medicine, and related disciplines.

Over the last decade, the number of children diagnosed with bipolar disorder has increased up to fortyfold. This is a trend exclusive to the United States, and one that, alarmingly, leads to most of the diagnosed children--some still in their infancy--being prescribed antipsychotic drugs, often in combination with anticonvulsants. These classes of drugs have dangerous side effects, including a doubling of mortality rates, shortened life span, extreme weight gain, and Type II diabetes. In this book, psychologist Sharna Olfman leads a team of widely known experts who examine the astonishing rise in the diagnosis of pediatric bipolar disorder, particularly in the absence of any compelling evidence for either the validity of the criteria being used to diagnose it or the safety and effectiveness of the drugs being used to treat it. "When a child is unnecessarily prescribed antipsychotic and anticonvulsant drugs, his or her mental and physical health may be irrecoverably compromised," says Olfman. "With as many as two-and-a-half million children from across the socioeconomic spectrum now taking antipsychotics, we have set the stage for widescale child abuse." The contributors to this revealing and disturbing volume include psychiatrist David Healy, one of the world's leading authorities on psychotropic drugs; pediatrician Philip Landrigan, an internationally renowned health researcher; and Robert Whitaker, an award winning medical journalist. The contributors identify and explain complex and interrelated factors that have set the stage for the pediatric bipolar "epidemic," and they recommend practice and policy changes to stem the tide of misdiagnosis and dangerous drug prescriptions.

Recent advances have revolutionized diagnostic and therapeutic approaches in pediatric cardiology. Powerful new diagnostic techniques include color Doppler echocardiography, computerized tomography, and magnetic resonance imaging. Catheter-directed treatment of cardiac lesions with balloons and stents has become the treatment of choice, and cardiac arrhythmias in infancy and childhood are treated with radio-frequency ablation. To provide an update on these and other recent developments, the First Asian-Pacific Symposium on Pediatric Cardiology was held in Taipei in November 1994, attended by pediatricians, cardiologists, and surgeons, many of them of world renown. This book, a collection of the papers presented at the symposium, will contribute to improved recognition, understanding, and treatment of many important congenital and acquired heart problems in children. It will be of special interest to pathologists, pediatricians, cardiologists, and surgeons whose work involves care of infants and children with heart disease.

This book has been made as comprehensive as possible with 14 sections which deals with different aspects of tropical diseases with special reference to India. It covers all the important topics, arranging them systematically starting from epidemiology, nutritional disorders, neonatal problems, infectious diseases, non-communicable diseases, pediatric subspecialties, accident and poisoning, emergencies and intensive care, environmental issues and certain neglected tropical diseases of our country. First ever comprehensive textbook on Tropical Diseases in Pediatrics from India. More than 85 state-of-the-art chapters covering all the aspects of tropical pediatric diseases. Authored by more than 80 national and international clinicians and experts in subject. Systematically arranged chapters in 14 sections such as epidemiology, nutritional disorders, neonatal problems, infectious diseases, noncommunicable diseases, pediatric subspecialties, accidents and poisoning, emergencies and intensive care, environmental issues and certain neglected tropical diseases of our country. Infectious disease section covers, bacterial, mycobacterial, viral, parasitic, protozoal and fungal diseases. Neonatal problems in tropics extensively cover all the issues. Noncommunicable diseases, accidents and poisonings, emergencies and accidental issues are also covered. Special emphasis on environmental issues, pediatric ophthalmology and pediatric oral health.

Between the growing numbers of children and adolescents playing sports and the increased attention to head injuries by the larger sports community and the general public, pediatric concussions are emerging as a major concern. And as practitioners are seeing more young clients with head injuries, questions arise about age-appropriate assessment, diagnosis, treatment, and return to activity. Pediatric and Adolescent Concussion: Diagnosis, Management, and Outcomes offers evidence-based guidelines where few previously existed. This comprehensive volume clearly explains the effects of traumatic injury on the developing brain in sports- and non-sports-related contexts, and establishes a framework for immediate and long-term management, especially the crucial first 24 hours. Chapters provide a basic grounding in its subject with a history of concussion as a medical entity and a review of definitional and classification issues, take the reader through the steps of a neuropsychological evaluation, pinpoint post-injury issues, and offer strategies for the prevention of further or future injury. Pediatric and Adolescent Concussion: Diagnosis, Management, and Outcomes serves as both educational resource and practical framework for a wide array of professionals, including neuropsychologists, sports medicine physicians, child psychologists and psychiatrists, pediatric and family physicians, athletic trainers, social workers, and educators.

The purpose of this Handbook is to provide the researcher, clinician, teacher and student in all mental health fields with comprehensive coverage of Disruptive Behavior Disorders (Attention Deficit/Hyperactivity Disorder, Conduct Disorder and Oppositional Defiant Disorder). With over 50 contributors and 2600 references, this Handbook is the most complete resource available on this important topic.

The handbook synthesizes the comprehensive interdisciplinary research on the psychological and behavioral dimensions of life before, during, and immediately after birth. It examines how experiences during the prenatal period are associated with basic physiological and psychological imprints that last a lifetime and explores the ways in which brain networks reflect these experiences. Chapters offer findings on prenatal development, fetal programming, fetal stress, and epigenetics. In addition, chapters discuss psychotherapy for infants - before, during, and after birth - as well as prevention to promote positive health and well-being outcomes. Topics featured in this handbook include: Contemporary environmental stressors and adverse pregnancy outcomes The psychology of newborn intensive care. Art therapy and its use in treating prenatal trauma. The failures and successes of Cathartic Regression Therapy. Prenatal bonding and its positive effects on postnatal health and well-being. The role of family midwives and early prevention. The cultural meaning of prenatal psychology. The Handbook of Prenatal and Perinatal Psychology is an essential resource for researchers, clinicians and related professionals, as well as graduate students in a wide range of interrelated disciplines, including developmental psychology, pediatric and obstetrical medicine, neuroscience, infancy and early child development, obstetrics and gynecology, nursing, social work, and early childhood education.

This volume provides a comprehensive overview of critical care of the pediatric immunocompromised hematology-oncology patient. The text focuses on unique aspects of the pediatric immunocompromised patient that predisposes the child to significant illness, and presents critical care management strategies specific to the patient population. In addition to chapters on oncology, primary immune deficiency, immunocompromised hematology, and hematopoietic cell transplant patients, the book covers the changing landscape of ICU care, pharmacologic considerations, and psychological and social aspects of the critical care of hematology-oncology patients. Written by experts from a range of disciplines, Critical Care of the Pediatric Immunocompromised Hematology/Oncology Patient: An Evidence-Based Guide is a valuable resource for clinicians and practitioners who treat this patient population.

Exactly 25 years after the first Nutricia Symposium was held in Groningen, the Netherlands, dealing with fundamental aspects of neonatology, the 8th Nutricia Symposium was held at nearly the opposite end of the globe and dealt with a number of most important aspects of child nutrition in South East Asia. It was the intention of this symposium to bring together a respectable number of specialists in this field from the countries involved, complemented by a number of experts from outside the area chosen because of their recognised contributions to the main topics of the symposium. In this way, a platform for discussion and cooperation was provided to bring the specific problems of child nutrition in South East Asia closer to a solution. From the contents of the papers and also the valuable discus sions, it should be clear to the reader that the goal of this symposium has been attained. It would have been difficult to find a place which was better suited for this symposium than Yogyakarta, Indonesia. The excellent work done by the several local committees in organising this symposium is greatly acknowledged, especially the efforts of Prof. H. Iskandar Wahidiyat, Prof. Darwin Karyadi, Prof. I.G.N. Gde Ranuh, Prof. Moelyono S. Trastotenoyo, Prof. S.H. Pudjiadi, Dr. Samsudin, Dr. Suharyono, Dr. Yati Sunarto and Dr. A.G. Soemantri need to be mentioned."

Rather than approaching the art of precocious young artists with autism as enigmatic and symptomatic, their work is explored as having its origin in human physiology and in the intrinsic human need for meaning. The narrative images in these young artists' exceptional art serve as both evidence and focus, allowing us to see the commonalities of all art and image-making. No art has been considered more enigmatic than that of young children with autism, for their often extremely early drawings intrigue viewers with their vivid, visually-based, perspective emphasis. Such art, often spontaneously produced by artists frequently considered retarded, is difficult to understand within the usual constructs of drawing pedagogy that emphasizes the necessity of practice and experience for mastery. However, it is a useful means of expressing one's interior self and of sharing with others a tale of one's own creation. Finally, this expression forms enduring links with other people in the common human language of lines and forms.

1 Historical Introduction INTRODUCTION This chapter is mainly about the history of medicine and its ethics. As usually c- ceived, history is retrograde: It is what happened yesterday, and, much as we may try, it is what happened yesterday seen with a set of today's eyes. Trying to understand yesterday's culture may help us put on a pair of corrective glasses, but it fails in - tirely correcting our vision. Contemporary cultural anthropology may likewise help us understand the way today's events and cultural habits shape what we call history tomorrow. Past events and the kaleidoscopic pattern of today's cultures may help guide us into a future that in at least some respects is ours to forge. Learning about ethics yesterday and thinking about ethics as it expresses itself in various cultures today can help us shape the ethics of tomorrow: This is true whether we are speaking of that part of social ethics called "medical" or of any other part of social ethics. The social aspects of medical practice-how the institution called medicine fits into and works within the greater society called culture-shape the way its ethics ultimately must play itself out.

"Resilience in Children, Adolescents, and Adults: Translating Research into Practice "recognizes the growing need to strengthen the links between theory, assessment, interventions, and outcomes to give resilience a stronger empirical base, resulting in more effective interventions and strength-enhancing practice. This comprehensive volume clarifies core constructs of resilience and links these definitions to effective assessment. Leading researchers and clinicians examine effective scales, questionnaires, and other evaluative tools as well as instructive studies on cultural considerations in resilience, resilience in the context of disaster, and age-appropriate interventions.

Key coverage addresses diverse approaches and applications in multiple areas across the lifespan. Among the subject areas covered are:

- Perceived self-efficacy and its relationship to resilience.
- Resilience and mental health promotion in the schools.
- Resilience in childhood disorders.
- Critical resources for recovering from stress.
- Diversity, ecological, and lifespan issues in resilience.
- Exploring resilience through the lens of core self-evaluation.

"Resilience in Children, Adolescents, and Adults" is an important resource for researchers, clinicians and allied professionals, and graduate students in such fields as clinical child, school, and developmental psychology, child and adolescent psychiatry, education, counseling psychology, social work, and pediatrics.

Pediatric cardiology is celebrating in the 1990s the 50th anniversary of the beginnings of the age of therapy. This informal `history' describes how the discipline grew from the era of pathologic anatomy to the dawn of therapy, the beginnings of closed heart surgery between 1939 and 1945. That dawn ushered in a remarkable half century of change and growth, leading from clinicophysiologic correlations through the start of open heart surgery in the 1950s. The text celebrates some of the achievements of this vivid and heroic age, and describes how, in the mid 1970s, new surgical and medical approaches, including prostaglandins and Doppler echocardiography, led to successful cardiac treatment in infancy, the `infant era'. Interventional cardiology and the study of childhood arrhythmias began. Now, in the 1990s, a new era emphasising molecular biology and cardiac development is growing from the tools and concepts of the past. The four eras have focused on pathologic anatomy, clinicophysiologic correlations and surgery, heart problems in infancy, and now the developing heart. In each era there have been advances in the four domains of pediatric cardiology, the heart before birth, the normal heart, heart disease and defects, and preventive cardiology. Growth in knowledge has been both episodic and dramatic, yet not a picture of unalloyed achievement. The later chapters discuss some of the problems beginning to be recognised in the new and current `developmental era'. The pioneers of pediatric cardiology, both men and women, are more than eponyms, for each used in new and original ways the tools and concepts available in their era. The interaction of tools and concepts is a theme in this book. Just as the tool of the stethoscope was vital in delineating the clinical profile of ventricular septal defect and patent ductus, the fluoroscope played a role in developing the concept of the Blalock Taussig shunt. Pioneers also include patients and their families, and the book includes some discussion of what little is known of childhood and of the child with heart disease in the four different eras. This is a brief overview of the growth of knowledge of children's hearts from before William Harvey until our own time, and includes references to histories of cardiac surgery and to collections of classic cardiac papers. By its emphasis on the child as the central historic figure, and on the interaction of tools and concepts in the growth of knowledge, the text provides a celebratory approach to the 50th anniversary of modern pediatric cardiology.

Pediatric Radiology Review contains a vast array of information on embryology, anatomy, surgery and a lot more. This book also contains a review of radiographs in children, as well as the most common radiological problems with which students, residents and clinicians may be confronted on a daily basis. It is the first reference of its kind available, and it contains easy-to-read question and answer format for quick diagnosis.

This book explores the importance of effective multi-agency and multi-disciplinary partnership work for the mental health of children and young people in care and adoption. It takes an overall systemic perspective, but the co-authors contribute different theoretical approaches. It focuses on practice, showing how practitioners can draw on their varied theoretical approaches to enhance the way they work together and in partnership with carers and with professionals from other agencies. The book provides a context that looks at the needs of children and young people in the care and adoption systems, the overall importance for their mental health of joined up 'corporate parenting', and national and local approaches to this. It then moves to focus on practical ways of working therapeutically in partnership with others who contribute diverse skills and perspectives, using specific case examples. Additional chapters look at collaborative ways of working with key carers to enhance their therapeutic role. Finally, some of the main elements of partnership collaboration are explored, as well as the challenges of work across agencies and disciplines.

This book represents the proceedings from a conference that took place in Dallas in the spring of 1999 which was entitled "Pediatric Gender Assignment - A Critical Reappraisal." Some participants rightfully argued that the conference really focused on the issue of pediatric gender assignment, and that reassignment was not applied in most cases. Their comments were reflected in the title of this monograph. This multidisciplinary meeting was sponsored by a conference grant from the National Institutes of Health, and a broad inquiry into this complex topic took place from many points of view. Basic scientists offered insight into mechanisms of sexual differentiation of the gonads, physical phenotype and imprinting of the central nervous system. Endocrinologists reviewed their experience in diagnosis and management, surgeons described traditional as well as innovative approaches, and there was strong representation from the ethical and behavioral sciences. In putting together such a panel, it was essential that we identify a cast of speakers who could address their viewpoints with strong convictions, and yet not let their passions render the meeting counter productive. We were not disappointed. While many differing points of view were firmly expressed by the panelists and audience, all viewpoints were accorded the respect they deserved. The concept behind the meeting and this book really originated in 1997 shortly after Diamond and Sigmundson published their long term follow up study of the John/Joan case.

Although research on the diagnosis and treatment of depression in children and adolescents has lagged far behind that in adults, recent large-scale studies -- armed with operationalized criteria and validated assessment instruments -- have done much to close this gap. In The Many Faces of Depression in Children and Adolescents, Drs. Shaffer and Waslick lead a distinguished group of contributors in presenting an overview of the key findings and concepts emerging from recent empirical efforts to understand the cause of depressive illness in youth. Featured are the following: - Current findings regarding the epidemiology, diagnosis, and treatment of depression in childhood and adolescence- Results of major clinical trials evaluating outpatient psychotherapeutic interventions for depressed and suicidal children and adolescents (e.g., cognitive-behavior therapy and interpersonal psychotherapy for depressed children and adolescents; dialectical behavior therapy for suicidal youth)- State-of-the-art principles of pharmacotherapy for acute, continuation, and maintenance treatment phases of major depressive disorder in children and adolescents- Dilemmas and challenges related to the diagnosis of bipolar disorder in children- Current knowledge regarding the epidemiology and clinical manifestations of -- and the etiological risk factors for -- suicidal ideation, suicide attempts, and completed suicide- Developments in the emerging field of youth suicide prevention

An invaluable compendium of current thought on a disorder whose potential consequences can be nothing short of devastating, this volume belongs on the bookshelf of every clinician who treats children and adolescents.

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This book, the latest in the International Child Neurology Review series, is the first authoritative synthesis of the role of vitamin treatments in children with neurological disorders. It covers all the conditions seen in paediatric neurology that are treatable by vitamin supplementation and consists of up-to-date, concise reviews by an international group of experts in their specific fields. They cover: biotinidase deficiency; the role of vitamins in the developing nervous system, mitochondrial disorders and autism; homocysteinuria; conditions responsive to vitamin E or riboflavin; disorders of folic acid and vitamin B12 metabolism; folinic acid responsive seizures, and all aspects of pyridoxine-dependent and pyridoxine-responsive seizures. It is the first time that clinical and data research in this field has been drawn together in one source, making available previously unpublished material. This will be a unique data resource for anyone involved in the care of children with vitamin-responsive neurological disorders.