When Love Is Not Enough relates how a multitude of factors--the competence of staff; the safety, nurturing, and protective elements of the emotional, physical, and political setting; and all overt and covert organizational dynamics--determine whether or not a treatment setting accomplishes its therapeutic aims. Authors in When Love Is Not Enough continue the emphasis on the group-as-a-whole "Group Relation" model of organizational and group processes begun with Wilfred Bion's work at the Tavistok Clinic in London in the 1940s. This model helps those providing services to children and adolescents evaluate their treatment programs and make the necessary changes toward improvement.Chapters in When Love Is Not Enough are dedicated to improving the psychological treatment of children and adolescents in postmodern society, a society in which life in interdependent communities is becoming increasingly important for the health and survival of all persons. Topics covered include: the Tavistok approach to understanding group and organizational behavior the emphasis on group-as-a-whole in problem solving and treatment design narrowing the gap between plan and outcome the dynamics involved in the psychiatric treatment of children issues of staff selection, training, and development in programs designed to treat children countertransference responses in the treatment of children and adolescents revitalizing organizations the subjective experience of school lifeWhen Love Is Not Enough helps organizations realize the ways in which they may, inadvertently, undermine the emotional and cognitive functioning of the staff or the identified patients and set serious limits on the growth of members of the organization, staff and patients alike. It urges organizations to conduct an ongoing self-scrutiny concerning their rational and irrational processes, as this self-examination is crucial to the health and vitality of the treatment offered to others. The book also promotes thinking of the conscious and unconscious dynamics of the group-as-a-whole to more completely inform organizational decisions concerning changes that may enhance the treatment of children and adolescents.When Love Is Not Enough serves as an invaluable guide for mental health professionals who treat children and adolescents, group therapists, hospital and clinic administrators, psychoanalysts, nurses, social workers, psychologists, and psychiatrists.

This book covers the entire spectrum of thyroid diseases in childhood, focusing on the recent advances that have been achieved, from progress in basic science research through to novel or improved approaches to diagnosis and treatment. Introductory chapters discuss thyroid embryogenesis and the role of thyroid hormones in fetal development. The two contrasting forms of thyroid dysfunction, hypo- and hyperthyroidism, are then considered in depth, with particular attention to the molecular causes of congenital hypothyroidism. Among the other topics addressed are autoimmune thyroiditis, thyroid nodules, and pediatric neoplasms. The book concludes with an overview of promising therapeutic approaches, such as stem cell therapy. Each topic is treated by an eminent expert in the field, ensuring consistently high quality. Thyroid Diseases in Childhood will be an important source of information for endocrinologists, pediatricians, oncologists, and gynecologists, as well as other professionals interested in this topic.

Being sick is a normal part of childhood, and being seriously ill is the unfortunate lot of many children. Every child in the United States has some contact with the healthcare system at some time, and it is estimated that one of every two children or adolescents is hospitalized as a result of illness or injury. Being injured, undergoing routine medical procedures, getting sick, or being hospitalized confront children with challenges on many levels--physical, mental, emotional, and social.
The premise of this volume is that developmental and psychological factors are central elements in many current problems in child health such as persistent crying in infants, sources of children's injury and respiratory illness, children's coping with medical procedures, childhood trauma, and physical and mental well-being in adolescence. Understanding, promoting, and maintaining children's health, therefore, depend to a great extent--and are likely to depend even more in the future--on elucidating the determinants and consequences of children's and parents' health-related behaviors and attitudes.
Chapter contributors include physicians and psychologists who apply principles of developmental and social psychology to their research on specific problems in children's health. Their offerings delineate current areas of collaboration between developmental psychology and behavioral pediatrics. These perspectives should prompt researchers and practitioners to explore additional ways in which more extensive endeavors at the interface of these two disciplines will facilitate efforts to understand children's health behaviors and foster children's well-being. Attention to this work should lead to moredirect clinical applicability and translation for preventive policy strategies as well as therapeutic interventions.

"I just wish I had armfuls of time." These are the words of a four year old facing a life-threatening illness. This text portrays the psychological experience of such children, who are irreversibly changed from the moment of diagnosis. Barbara Sourkes is a psychologist who specializes in psychotherapy with children who have cancer and other serious diseases. In the account, she describes how she works with these children, using drawings, soft toys and dolls, stories and real medical instruments to allow them to communicate their experience of the illness, the treatment they undergo, their relationship with their families, and their feelings of grief and loss in coming to terms with the prospect of death. Making use of the words of children, offering interpretations and practical advice, this is a book that should be useful reading for those concerned with the care of terminally ill children.

Breastfeeding is a biocultural phenomenon: not only is it a biological process, but it is also a culturally determined behavior. As such, it has important implications for understanding the past, present, and future condition of our species. In general, scholars have emphasized either the biological or the cultural aspects of breastfeeding, but not both. As biological anthropologists the editors of this volume feel that an evolutionary approach combining both aspects is essential. One of the goals of their book is to incorporate data from diverse fields to present a more holistic view of breastfeeding, through the inclusion of research from a number of different disciplines, including biological and social/cultural anthropology, nutrition, and medicine. The resulting book, presenting the complexity of the issues surrounding very basic decisions about infant nutrition, will fill a void in the existing literature on breastfeeding.

From Trauma to Harming Others shows the approach of professionals from the world-renowned Portman Clinic, which specializes in work with violence, delinquency and sexual acting out. This book focuses on the intricacies of working with young people who display such worrying behaviours. Written by experienced and eminent authors, the chapters unpack central theories and open up original ideas describing a range of work with sexual offenders, compulsive pornography users and violent young people. The central theme of the book is trauma and how acting out can be understood as a way of managing the psychic pain of such trauma. The chapters are ingrained with understandings from the classical psychoanalytic traditions of the Portman and Tavistock Clinics, together with more recent thinking about trauma, rooted in neurobiological, developmentally and trauma informed theories. They emphasize the need for awareness of both the victim of trauma and the perpetrator within the same person presenting for help, while panning treatment. With insights and examples from experienced clinicians, this book will be of value to all those working with traumatized, acting out young people.

Infant, Child and Adolescent Nutrition: A Practical Guide, Second Edition, is an evidence-based, practical guide introducing readers to the theory behind optimal child nutrition. Containing practical advice on how to put that theory into practice, this new edition facilitates learning through case studies, key points, and learning activities. Divided into seven sections, chapters cover prenatal nutrition and nutrition throughout childhood from preterm babies to adolescents up to the age of 18. Sections throughout focus on topics ranging from nutrient requirements, balanced eating patterns and common problems to cultural influences on food choices and guidelines on assessing growth and dietary intakes. Prevention and management of obesity and allergies are covered in separate chapters. The first 1000 days are given particular consideration with chapters on diets for preconception, pregnancy, milk feeding and complementary feeding during infancy. The chapter on nutritional treatments covers common conditions such as diabetes and Crohn's disease, as well as more intricate feeding regimes and tube feeding required for children with rarer diseases and syndromes. New in this second edition are: * Changes in in food allergy prevention and oral immunotherapy treatments. * Causes and management strategies to deal with fussy and selective eating in toddlers. * The importance of iodine in diets before and during pregnancy to improve children's cognitive abilities. * Updated recommendations on vitamin D supplementation. This second edition is an essential reading for students taking courses in nutrition and paediatric healthcare. It serves as a useful reference for individuals responsible for the nutritional intakes of children in primary care and community settings including early years practitioners, midwives, health visitors, school nurses and governors, social workers, paediatricians and general practitioners. About the Author Judy More BSc, RD, RN is a Paediatric Dietitian, Honorary Lecturer at the University of Plymouth, UK and Director of Child-nutrition.co.uk Ltd, London, UK.

An invaluable resource, Childhood Nutrition provides accurate facts on current concepts in pediatric nutrition, including theories of nutrition in the pathophysiology of disease and in developing nutritional healthcare plans. Written by an outstanding group of specialists, each chapter is thoroughly researched and referenced.

Because chronic disorder is becoming an ordinary feature of family life and development, understanding its impact has become critical. This volume, and the conference proceedings it reports, represents a major effort to examine the family's response to chronic physical or psychopathological illness in one or more of its members. Recent data are revising our notions of chronic illness. Evidence is mounting that chronic psychiatric disorders reflect, in part, abnormalities of brain structure and function. In this sense, they are, in part, medical disorders. On the other hand, a number of traditionally labeled medical disorders produce a broad range of psychological symptoms and are exquisitely sensitive to psychosocial influences.
Families undergo a complex process of adaptation during which their response to stress and their fundamental beliefs about learning and parenting change. These beliefs endure and are difficult to alter. By examining the processes in a wide range of chronic conditions, this volume helps to identify the common, underlying processes of adaptation. The first three chapters concern the families' responses to disorders that are distinctly medical; the next three focus on families' responses to "grey zone" disorders or anomalies that appear early in life, minor physical anomalies, and communication handicaps; and one chapter focuses exclusively on schizophrenia. The last chapter reflects an effort to develop a model based on the experience of researchers with both psychiatric and medical illness.

In this issue of Pediatric Clinics of North America, guest editors Drs. Peter G. Szilagyi, Sharon G. Humiston, and Tamera Coyne-Beasley bring their considerable expertise to the topic of Vaccine Hesitancy. A growing problem even before the COVID-19 pandemic, vaccine hesitancy encompasses various factors involving both researchers and practitioners: transparency in research, scientific findings, and governmental programs; effective communication strategies; addressing and understanding cultural, psychosocial, spiritual, political, and cognitive factors; and a willingness to learn the root causes and concerns about vaccine hesitancy. In this issue, top experts address these topics to help you improve vaccine confidence with your patients. Contains 14 practice-oriented topics including COVID-19 vaccine hesitancy, vaccine hesitancy, trust, and culture; social media and vaccine hesitancy; optimizing your pediatric office for vaccine confidence; overcoming vaccine hesitancy using community-based efforts; and more. Provides in-depth clinical reviews on vaccine hesitancy, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Children's dental health involves much more than a toothbrush. Dental disease is the number one chronic childhood illness, and avoiding dental disease means paying scrupulous attention to our children's teeth. In Your Child's Teeth, health writers Evelina Weidman Sterling and Angie Best-Boss team up with pediatric dentists and oral health experts to answer parents' many questions about children's teeth. Topics include: how thumb sucking and pacifiers affect teeth; how to brush your young children's teeth; how to calm a child who is afraid of the dentist; how to help special needs children get proper dental care; how medical problems affect teeth; how fluoride rinses and dental sealants work; how a root canal is done; and how to make the orthodontia decision. This book will help parents help children develop good dental habits for a lifetime of healthy teeth-from baby's first tooth to the young adult's shining smile.

This book demonstrates clearly how to perform a clinical examination in the infant or child with a surgical condition. While most textbooks of pediatric surgery focus on the pathological classification and overall management of disease, in clinical practice physicians and surgeons usually use a problem-oriented approach to clinical diagnosis. Surprisingly, this is rarely taught to students. The authors attempt to redress this imbalance by providing a clinical approach to the patient which can be learned with a minimum of factual information. The book should therefore remain useful to the practitioner throughout his or her medical career. It includes detailed coverage of the usual presentations of common diseases, but does not attempt to cover all aspects of the presentations of uncommon diseases unless their recognition is important for the well-being or survival of the child. Generously illustrated, this is a book for all who are learning the art of pediatric surgical diagnosis.

This reference provides contemporary information on all aspects of Down syndrome, investigating health concerns by age group and by organ system. The text sets out to identify and correct problems before they interrupt developing skills. It includes preventive medical checklists with summaries of appropriate medical intervention; supplies background information about history, genetics and epidemiology; outlines clinical management strategies; establishes guidelines on how to inform parents of the diagnosis and conveys practical suggestions on the handling and care of the infant; and offers a detailed review of the medical literature. Appendices provide information including growth charts and financial checklists.

Each chapter of the book addresses an issue or area of professional experience. Explores the possibilities for applying psychoanalytic theory when working with children in hospital, and how it can be extended to include parents, caregivers, health care staff and volunteers. Describes therapeutic interventions directed toward both children and parents.

This volume provides a history of Eosinophilic Esophagitis (EoE), a basic understanding of the physiology of the eosinophil, and a current understanding of the pathophysiology and genetics of EoE. The emphasis is on clinical applications including presenting symptoms, diagnosis and treatment options for patients with EoE. Written by both pediatric and adult experts in the fields of gastroenterology, allergy and pathology, this volume includes the most up to date information. Providing practical information useful in the treatment of patients, this book will be of great value to gastroenterologists, allergists, pathologists, medical residents, fellows, internists, and general practitioners who treat patients with eosinophilic esophagitis.

For many years, anxiety and phobie disorders ofchildhoodand adolescence were ignored by clinicians and researchers alike. They were viewed as largely benign, as problems that were relatively mild, age-specific, and transitory. With time, it was thought, they would simply disappear or "go away"-that the child or adolescent would magically "outgrow" them with development and that they would not adversely affect the growing child or adolescent. As a result ofsuch thinking, it was concluded that these "internalizing" problems were not worthy or deserving of our concerted and careful attention-that other problems of childhood and adolescence and, in particular, "externalizing" problems such as conduct disturbance, oppositional defiance, and attention-deficit problems de manded our professional energies and resources. These assumptions and asser tions have been challenged vigorously in recent years. Scholarly books (King, Hamilton, & Ollendick, 1988; Morris & Kratochwill, 1983) have documented the considerable distress and misery associated with these disorders, while reviews ofthe literature have demonstrated that these disorders are anything but transitory; for a significant number of youth these problems persist into late adolescence and adulthood (Ollendick & King, 1994). Clearly, such findings signal the need for treatment programs that "work"--programs that are effective in the short term and efficacious over the long haul, producing effects that are durable and generalizable, as weil as effects that enhance the life functioning of children and adolescents and the families that evince such problems."

While a great number of textbooks have been devoted to various medical aspects of childhood epilepsy, none have been as comprehensive and forthright as Neuropsychology of Childhood Epilepsy. Devoted to the neuropsychological description of childhood epilepsy, the editors have uncovered this neurological condition as never before. Divided into three sections, section one may be highly regarded as a necessary introduction to the neuropsychological basis of childhood epilepsy, electro-clinical patterns of various types of epilepsy and brain maturation while section two delves into the characterization of the neuropsychological profile that accompanies focal epilepsies leading to the behavioral and cognitive impairments linked to the transient events that often go unnoticed. Part three covers the medical, surgical and socio-educational management of childhood epilepsy. bsenteeism, learning difficulties, and cognitive dysfunctions may have an impact on a child's self-esteem and upon his or her quality of life. The final part of the volume therefore presents an accurate account of the vast psychological consequences of this disease. This volume is a must read for experimental and cognitive neuropsychologists, medical specialists involved in the care of children with epilepsy and professionals and caretakers dealing with the different aspects of childhood epilepsy alike.

Together with Consulting Editor Dr. William Rayburn, Guest Editors Dr. Cynthia Gyamfi-Bannerman and Dr. Russel Miller have curated a state-of-the-art monograph devoted to Advances in Maternal Fetal Medicine. They have secured expert authors to submit clinical reviews for perinatologists. Specific articles are devoted to the following topics: Advances in delivery management for the preterm fetus (magnesium sulfate, late-preterm antenatal corticosteroids); Approaches to stillbirth prevention; Current preterm birth prevention strategies; Neurological outcomes after fetal therapy for complicated monochorionic twins; Innovations in fetal myelomeningocele (fMMC) repair; An update on biologic agents in pregnancy; Telemedicine in obstetrics; The impact of racial and socioeconomic disparities on obstetrical outcomes; Opioids use and misuse in pregnancy; Advances in statewide and national obstetrical QI collaborations; Optimizing term delivery timing and mode of delivery; Preeclampsia; E-Z infections can be quite challenging: Contemporary understanding of Ebola and Zika virus in pregnancy; and Next-generation genetic testing in obstetrics. Readers will come away with the evidence-based recommendations they need to improve patient outcomes.

This timely volume surveys the broad spectrum of interventions used in health promotion, and shows how they may be tailored to the developmental needs of children and adolescents. Its multilevel lifespan approach reflects concepts of public health as inclusive, empowering, and aimed at long- and short-term well-being. Coverage grounds readers in theoretical and ecological perspectives, while special sections spotlight key issues in social and behavioral wellness, dietary health, and children and teens in the health care system. And in keeping with best practices in the field, the book emphasizes collaboration with stakeholders, especially with the young clients themselves. Among the topics covered: Child mental health: recent developments with respect to risk, resilience, and interventions Health-related concerns among children and adolescents with ADD/ADHD Preventing risky sexual behavior in adolescents Violence affecting youth: pervasive and preventable Childhood and adolescent obesity Well-being of children in the foster care system Health Promotion for Children and Adolescents is a necessary text for graduate or advanced undergraduate courses in public health, education, medicine, psychology, health education, social work, curriculum, nutrition, and public affairs. It is also important reading for public health professionals; researchers in child health, health education, and child psychology; policymakers in education and public health; and teachers.

This sensitive yet incisive book addresses the medical treatment of children in the occupied city of Strasbourg during Nazi occupation. Exploring more than 1,000 previously undocumented patient files, it illuminates starkly the workings of paediatric care at a pivotal moment in history. Issues of nationality, social class, and diagnosis all contributed to the experience of each child, and here extensive data analysis is deployed to back up poignant individual stories. This is the first ever demographic overview of a vulnerable group who were treated in the hospital of the Reichsuniversität Straßburg. Veering away from the well-established, top-down approach of examining the doctors, instead it makes the patient central to the analysis. A vivid picture emerges of the practical impact that war and occupation had on children who were suffering from illness, revealing how they were affected by Nazi ideology. Establishing a chronology of this important paediatric clinic, the author situates the core historical developments which brought it from establishment with optimistic and idealistic goals, to downfall just three years later when the Allies liberated the city. Based on previously under-utilized primary sources, this volume employs a novel and distinctive analytical framework, using Alltagsgeschichte (the history of everyday life) and patient experience theory to frame medical records and accounts. The book will be relevant to those interested in the history of childhood, politics, occupation and border disputes, psychiatry, medicine, denazification and the postwar era, the history of National Socialism, patient history and the Second World War.

The fourth edition of this textbook offers a scientific and practical context within which to understand and conduct clinical assessments of children's and adolescent's personality and behavior. The new edition ensures that the content is relevant to diagnostic criteria for major forms of child and adolescent psychopathology in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It provides updated information on specific tests and discusses advances in research that have occurred since the last edition that are relevant for assessing the most common forms of psychopathology shown by children and adolescents. The volume is unique in providing both the scientific and ethical basis to guide psychological testing, as well as providing practical advice for using specific tests and assessing specific forms of psychopathology. This new edition: Highlights how current trends in psychological classification, such as the DSM-5 and the Research Domain Criteria, should influence the clinical assessment of children and adolescents. Provides updates to professional standards that should guide test users. Discusses practical considerations in planning and conducting clinical assessments. Evaluates the most recent editions of common tests used in the clinical assessment of child and adolescent personality and behavior. Provides an overview of how to screen for early signs of emotional and behavioral risk for mental problems in children and adolescents. Discusses practical methods for integrating assessment information collecting as part of a clinical assessment. Uses current research to guide clinical assessments of children with Attention-deficit/Hyperactivity Disorder, conduct problems, depression, anxiety, and autism spectrum disorder. Clinical Assessment of Child and Adolescent Personality and Behavior is a valuable updated resource for graduate students as well as veteran and beginning clinicians across disciplines, including school, clinical child, developmental, and educational psychology; psychiatry; counseling; and social work; as well as related disciplines that provide mental health and educational services to children and adolescents.

First published in 1988. Routledge is an imprint of Taylor & Francis, an informa company.

This timely book provides for the therapist working with cases of intrafamily child sexual abuse both a theoretical background and practical information for the treatment of incest and gives new insight into the complex problems associated with incest. With the enactment of more stringent child abuse reporting laws nationwide and increased public education about the problem, there has been a dramatic increase in the need for incest-related psychotherapy. Treating Incest is an important source of information about the assessment and treatment of the family that will enable clinicians to provide appropriate crisis intervention for families and make informed judgments about referrals, if necessary. The book's central theme is that effective treatment of incest requires a systemic approach because incestuous activity is the product of a problematic family, rather than the cause. The book is divided into two helpful sections: assessment issues and treatment issues and techniques.