A unique and innovative resource for conducting ethnographic research in health care settings, Ethnographic Research in Maternal and Child Health provides a combination of ethnographic theory and an international selection of empirical case studies. The book begins with an overview of the origins and development of ethnography as a methodology, discussing underpinning theoretical perspectives, key methods and challenges related to conducting this type of research. The following substantive chapters present and reflect on ethnographic studies conducted in the fields of maternal and child health, neonatal nursing, midwifery and reproductive health. Designed for academics, postgraduate students and health practitioners within maternal and child health, family health, medical sociology, medical anthropology, medicine, midwifery, neonatal care, paediatrics, social anthropology and public health, the book will also illuminate issues that can help health practitioners to improve service delivery.

One mother described part of the complications of consenting to her one-week-old child's high-risk heart surgery. 'I can't imagine her being any more precious to me than she is now. I can hardly bear feeling so close to her as it is...I can't wait until I see her again. It's worse than being in love.' Can emotional parents be rational enough to give informed proxy consent? Research observations and interviews with many parents and practitioners in the wards, clinics and medical meetings in two London hospitals show how parents' moral emotions of fear and hope are central to their informed decision-making and voluntary consent. This record from the 1980s offers useful historical comparisons with today's paediatric cardiac services in both the remarkable progress over nearly 40 years and the continuing concerns.

Expressive Arts Therapy for Traumatized Children and Adolescents is the book so many expressive arts and trauma therapists have been waiting for. Not only does it lay out an organized, thorough framework for applying varied expressive arts modalities, it provides clear directions for the application of these modalities at different phases of treatment. Both beginning and experienced clinicians and students will appreciate the thoughtful analyses of ways for introducing expressive arts to clients, engaging clients with their art, being present to the art that is created, and working within a particular session structure that guides the treatment process. Readers will also receive more specific learning regarding the process of using body-focused and sensory-based language and skills in the process of trauma treatment over time. They'll pick up more than 60 priceless expressive-arts assessment and treatment interventions that are sure to serve them well for years to come. The appendices features these interventions as photocopiable handouts that will guide the therapist working with youth through each phase of treatment.

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.

Trauma-Informed Practices With Children and Adolescents is a sourcebook of practical approaches to working with children and adolescents that synthesizes research from leading trauma specialists and translates it into easy-to-implement techniques. The approaches laid out address the sensory and somatic experiences of trauma within structured formats that meet the "best practices" criteria for trauma-informed care: safety, self-regulation, trauma integration, healthy relationships, and healthy environments. Each chapter contains short excerpts, case examples, and commentary relevant to the chapter topic from recognized leaders in the field of trauma intervention with children and adolescents. In addition to this, readers will find chapters filled with easily applied activities, methods, and approaches to assessment, self-regulation, trauma integration, and resilience-building. The book's structured yet comprehensive approach provides professionals with the resources they need to help trauma victims not just survive but thrive and move from victim thinking to survivor thinking using the current best practices in the field.

This title includes a number of Open Access chapters. This collection of timely chapters presents a nuanced study of environmental toxins and the risks they pose to children's development. The book details the impact of a number of commonplace environmental toxins, focusing on everyday exposure to tobacco smoke, lead, pesticides, and flame retardants. There is growing recognition that the impact of the environment on children's health is of critical importance for both current and future generations. In the last half-century, thousands of chemicals have been introduced into the environment with limited-although growing-research on the consequences of exposure. It has been proven that children and adolescents are far more vulnerable than adults to these environmental toxins by virtue of children's behaviors, higher metabolic rate, greater skin area relative to their volume, and still developing organ systems. Increased number of ear infections, poor asthma control, and learning disabilities are just some of the adverse outcomes that have been noted. This well-researched book: * Presents detailed information on why children are more vulnerable to everyday toxins * Discusses why new approaches to medical care are necessary that take into account children's unique physiology and development * Offers well-defined research on tobacco smoking on prenatal development as well as children's exposure to tobacco smoke during their early years, particularly the evidence of asthma and asthma-like symptoms * Examines the possible health effects of children born to mothers living in areas of natural gas development * Looks at the health effects of childhood exposure to environmental lead, using GIS technology to study areas of potentially high lead concentrations * Discusses the possible effects of agricultural pesticides on children's health during gestation * Presents studies on prenatal and adolescent exposure to PBDEs used as flame retardants in many household and commercial products to prevent fire This valuable book, edited by a pediatric clinician at Boston's Children's Hospital, provides a wealth of information on this important issue. The book concludes with an article by the World Health Organization, which offers a practical and comprehensive summary of a series of action steps. The book aims to create greater awareness to spur additional research, provide vital information to clinicians, and send a powerful message to government officials, putting pressure on them to develop policies that improve the quality of the environment and spare children the detrimental effects of such exposures.

This book explores applied theatre practice for children in environments of illness and cure and how it can powerfully normalise children's hospitalisation experience. It is an essential tool for making meaning of children's illness, putting it into a fictional context and developing better control of their clinical experiences. It can be central to raising the standards of care and quality of life during illness. Taken from the author's research and participatory bedside theatre practice in hospitals before, during and after the COVID-19 pandemic, this book demonstrates new learning about aesthetics, ethics, emotions, stories, puppetry, digital arts and research methodologies about children's health and wellbeing. It provides a selection of ten unique stories told by children inspired by applied theatre practice in paediatrics, cardiac, oncology, neurosurgery, burns units and complex and intensive care wards. Stories aid in understanding the language of children's pain for a better assessment and management of pain by healthcare professionals through the arts. It analyses synergistic theatre performance in 'stitched lands' between challenging realities and safe fictionalities. This book enables artists to develop new ways of thinking and contributes to further improvements in the provision of education and reflective learning in the field. It also addresses the emotional labour of the artist in healthcare and makes recommendations for balanced training to prevent emotional exhaustion. Designed for artists, healthcare professionals, therapists, play specialists and teachers who work with children in healthcare, this text aims to help many people find creative ways of making a positive difference in sick children's lives. It is a book for those who love and care for children.

This issue of Immunology and Allergy Clinics of North America, guest edited by Drs. Robert Wood, Pamela Guerrerio, and Corinne Keet, is devoted to Pediatric Allergy. Articles in this issue include: Role of the Environment in the Development of Allergic Disease; Genetics of Allergic Diseases; Optimizing the Diagnosis of Allergic Disorders; Anaphylaxis and Urticaria; Food Allergy: Epidemiology and Natural History; Inner City Asthma; Potential Treatments for Food Allergy; Eosinophilic Esophagitis; Atopic Dermatitis; Pediatric Asthma - Guidelines-based Care; Asthma - The Interplay Between Viral Infections and Allergic Diseases; Allergic Rhinitis; and Drug and Vaccine Allergy.

This book examines early intensive behavioral intervention (EIBI) programs for young children with autism spectrum disorder (ASD). It analyzes current research on early intervention (EI) and explains the importance of accurate, timely detection of ASD in facilitating the use of EI. Chapters address five widely researched EIBI approaches: Discrete Trial Training, Pivotal Response Training, the Early Start Denver Model, Prelinguistic Milieu Teaching, and Enhanced Milieu Teaching. This in-depth study of current EIBI approaches offers a rigorous guide to earlier and more intensive interventions for children with ASD, leading to greater autonomy and improved later life outcomes for individuals. Featured topics include: Parent-implemented interventions and related issues. Evaluations of controversial interventions used with children with ASD. Factors contributing to rising ASD prevalence. Obstacles to obtaining accurate ASD diagnosis in young children. Early Intervention for Young Children with Autism Spectrum Disorder is an essential resource for researchers, clinicians, and graduate students in developmental, clinical child, and school psychology, behavioral therapy/rehabilitation, social work, public health, educational policy and politics, and related psychology and behavioral health fields.

In this practical and informative book, Dr. Edward H. Jacobs demonstrates how he helps parents work effectively to acquire skills that help their children. Clinicians will find concrete exercises, forms, and techniques that deal with such issues as the use of medication, the consequences of divorce, and the child with ADHD in the school system.

The number of children with allergies is astounding-nearly one child in six is said to suffer from some sort of allergy. The problems of these allergic children can be as mild as occasional attacks of hay fever or as severe as disfiguring eczema and life-threatening bronchial asthma. In addition to the obvious health problems associated with having allergies, affected children may experience recurring colds, painful ear infections, and other allergy linked conditions, all of which cause frequent school absences. Childhood allergies affect school performance adversely; they may be instrumental in reducing attention span, and they are certainly a major social, psychologi cal, and financial burden for children and their parents. This book is a complete guide to childhood allergies presented in simple jargon-free language. It provides parents with comprehensive, up-to-date, and practical information and advice on how to help their allergic children. It identifies the many allergic symptoms, tells what they look like, how prevalent they are, what causes them, and what to do about them. It outlines steps parents can take to help their children understand, manage, and control their allergies. Its goal is to help parents and children cope effectively with a major childhood problem."

Boarding School Syndrome is an analysis of the trauma of the 'privileged' child sent to boarding school at a young age. Innovative and challenging, Joy Schaverien offers a psychological analysis of the long-established British and colonial preparatory and public boarding school tradition. Richly illustrated with pictures and the narratives of adult ex-boarders in psychotherapy, the book demonstrates how some forms of enduring distress in adult life may be traced back to the early losses of home and family. Developed from clinical research and informed by attachment and child development theories 'Boarding School Syndrome' is a new term that offers a theoretical framework on which the psychotherapeutic treatment of ex-boarders may build. Divided into four parts, History: In the Name of Privilege; Exile and Healing; Broken Attachments: A Hidden Trauma, and The Boarding School Body, the book includes vivid case studies of ex-boarders in psychotherapy. Their accounts reveal details of the suffering endured: loss, bereavement and captivity are sometimes compounded by physical, sexual and psychological abuse. Here, Joy Schaverien shows how many boarders adopt unconscious coping strategies including dissociative amnesia resulting in a psychological split between the 'home self' and the 'boarding school self'. This pattern may continue into adult life, causing difficulties in intimate relationships, generalized depression and separation anxiety amongst other forms of psychological distress. Boarding School Syndrome demonstrates how boarding school may damage those it is meant to be a reward and discusses the wider implications of this tradition. It will be essential reading for psychoanalysts, Jungian analysts, psychotherapists, art psychotherapists, counsellors and others interested in the psychological, cultural and international legacy of this tradition including ex-boarders and their partners.

How do disturbed children see the world? How can we understand their difficulties? Most children have secret worlds but for some these worlds contain secrets that are both permanent and damaging. Originally published in 1992, this moving account of the secret lives of such vulnerable and disturbed children will enable professionals working with these children to find out what is going on in their minds - what they are thinking, what they are feeling, why they behave as they do. The contributors, all experts in their field at the time, show how vulnerable children can be assessed and how they can be helped most effectively.

Clinics in Developmental Medicine No. 176

The book provides a review of the state of the art of neurological assessment in the first two years of life and identifies the most appropriate instruments for the follow-up of newborns who are at risk of developing neurological abnormalities.

After a brief description of the neurophysiological basis of development in the first years, the book provides a comprehensive review of the various methods used for the neurological assessment in young infants describing how a combined approach of clinical and instrumental investigations can provide important diagnostic and prognostic information.

The first part of the book describes the most used clinical neurological examinations and their applications in infants with neurological abnormalities, followed by a description of the value of neuroimaging and neurophysiological techniques in normal preterm and full term infants in the first two years and the main types of abnormal MR findings of neurophysiological findings (EEG and evoked potentials) in relation to brain lesions.Other sections include chapters describing techniques assessing specific aspects of cognitive, perceptual and sensory abilities. Special attention is given to hearing, language and communication and to development of vision and visual attention both in normal infants and in those with neonatal brain lesions.

The final chapters are devoted to intervention, describing how the identification of specific profiles of impairment can lead to the development of appropriate plans of early intervention.

1 Zur Geschichte der Gynakopathologie.- 2 Entwicklung des Uterus, der Scheide und des ausseren Genitales.- 3 Entwicklungsstoerungen.- 4 Vulva.- 5 Vagina.- 6 Uterus.- 7 Zervix: Physiologie und Anatomie.- 8 Zervizitis (und Zervikovaginitis).- 9 Proliferations- und Reifungsstoerung der Portio und Metaplasiezone.- 10 Proliferations- und Reifungsstoerung im Zervixdrusenfeld.- 11 Tumorartige Lasionen der Ektozervix und des Zervixdrusenfeldes.- 12 Benigne Tumoren der Zervix.- 13 Dysplasien und Neoplasien des Plattenepithels der Zervix.- 14 Zervixkarzinom.- 15 Zervixmetastasen.- 16 Lymphome.- 17 Granulozytare Sarkome.- 18 Spezielle Tumoren des Kindesalters und junger Frauen.- 19 Endokrinologie, Orthologie, Funktionsdiagnostik und funktionelle Stoerungen des Endometriums.- 20 Endometritis.- 21 Endometriummetaplasie.- 22 Endometriumpolyp.- 23 Endometriumhyperplasie.- 24 Endometriumkarzinom.- 25 Metastasen des Uteruskoerpers.- 26 Mesenchymale Tumoren und verwandte Lasionen.- 27 Funktionelle Morphologie und Pathologie des Myometriums.- 28 Gefasse: Anatomie und Pathologie.- 29 Parakolpium, Parametrium, pelviperitoneales Weichgewebe.

Dissociation in Traumatized Children and Adolescents presents a series of unique and compelling case studies written by some of the foremost international experts in the study of dissociation in young people. In the new edition, chapters have been updated to include discussion of the most recent findings in trauma and neuroscience as well as Joyanna Silberg's popular affect-avoidance model. In addition, Sandra Wieland's incisive commentaries on each case study have been updated. Each chapter presents a detailed narrative of a therapist's work with a child or adolescent interspersed with the therapist's own thought process, and every therapist explains the theory and research behind her clinical decisions. The case studies present many aspects of working with traumatized children-attachment work, trauma processing, work with the family, interactions with the community, psychoeducation related to dissociation, and encouragement of communication between the dissociated parts-and provide a frank analysis of the difficulties clinicians encounter in various therapeutic situations. While the book is exceptional in its clear and detailed descriptions of theory related to dissociation in children, most importantly, it illustrates how theory can be translated into successful therapeutic interactions.

This is the essential aide memoir for clinicians who are dealing with children with acutely life-threatening disorders. Written by Imperial College healthcare NHS trust consultants, it is packed with guidelines and tips on how best to address a comprehensive range of clinical conditions.In paediatrics, the prognosis of acute diseases is very much dependent on the quality of clinical management during the initial hours after presentation. This pocket guide can be used immediately, at the bedside, to provide that all-important quick access to the correct information. The unique double-page organisation means the relevant information is accessible as soon as the book is opened. There is also space for the clinician to jot down personal comments and notes.Armed with this little book, clinicians will have all the correct information on hand, to use 'on the ground' in the emergency room.

National health statistics indicate that pediatric ear, nose, and throat disorders remain among the primary reasons children visit a physician, with ear infections ranking as the number one reason. From earaches to choking hazards, from nosebleeds to speech irregularities, children can present with a variety of problems that cause concern to parents and caregivers, who want prompt diagnosis and treatment. The presentation of topics in this issue is clinically ppropriate for Otolaryngologists, Pediatricians, Allergy specialists, and Family Physicians. Topics in this issue of Otolaryngologic Clinics include: Hearing screening and hearing loss; Acute otitis media; Chronic adenotonsilitis; Pediatric dysphagia; Lymphadenopathy; Rhinosinusitis; Facial trauma; Sialadenitis; Behavior and otolaryngology; Stridor; Otolaryngologic management of severe neurodevelopmental delay; Pediatric craniofacial problems.

This title includes a number of Open Access chapters. The research contained in this valuable compendium offers a much-needed perspective on one of the most dangerous health crises our world faces today: obesity. Obesity has become an epidemic, a fact frequently discussed in the media, with many references to both childhood and adult obesity. These discussions, however, overlook an important demographic: the adolescent who is obese or overweight. The authors offer critical insights into the forces and factors that result in the numerous metabolic and psychological consequences of adolescent obesity. The book delves into the prevalence, causes and correlates, and implications and consequences of adolescent obesity, and goes on to present considerations for future action. The research covers many of the causes of adolescent obesity, including increased consumption of high carbohydrate snacks; eating too much, too fast, and too frequently; eating high-fat, cheap, convenient, and readily assessable foods; increased sedentary activities, such as TV watching and video games, accompanied by decreased physical activity; parents' and schools' lack of nutrition vigilance; and the commercial incentives to sell calorie-dense foods aggressively and relentlessly. Edited by an eminent doctor and professor, The Complexity of Adolescent Obesity is an easily accessible and well-organized volume that offers vital research context for policymakers, educators, medical providers, and families.

Early Encounters with Children and Adolescents is the first training guide to use the works of beginning therapists as its focus. Far too often, therapists in training are given the "classics" to read-case histories by the masters in the field, which can sometimes leave beginning therapists intimidated or even in despair as to whether they can ever reach that level of proficiency. This book is the first to remediate that situation by providing beginners with role models they can more easily internalize through realistic case histories that reveal the ins and outs of starting in a craft that is never fully mastered. Not only are the cases themselves fascinating, but the therapists also refer to the processes they struggled with while treating these patients. Readers will thus have a striking new counterweight to the classics they will still want to read as they progress in the field. Eight beginning clinicians discuss aspects of their clinical process, including: issues of transference and countertransference; the role of supervision; doing parent consultations, especially when one is not yet a parent; cultural/racial/socioeconomic differences between patient and therapist; and the vulnerability of not understanding for long moments in treatment. Psychodynamic beginners in every discipline will find these case histories compelling, heartfelt and inspiring.

Originally published in 1999, this title covers the entire empirical cycle in adolescent health research and education. It describes in depth the development and evaluation of a health education programme designed to enhance everyday health-related behaviours in an adolescent population, and offers comprehensive reviews of developmental theories of adolescence, ethical and theoretical issues in adolescent health education, and the major theories used in adolescent health research. The research presented here led to the development and testing of a new theory - the Theory of Salient Meanings of Behaviour - which departed from the cognitive theories that had thus far dominated adolescent health education and research, but which had often proved inadequate in describing and predicting adolescent health-related behaviour. The inception, growth, testing, and field testing of this new theory are traced here. The book is designed to appeal to both theoretical and applied scientists in the field of adolescent development, adolescent health and health education. A clear research methodology is set out for the complementary use of a wide range of qualitative and quantitative research methods.

This book provides an overview of fetal psychobiological research, focusing on brain and behavior, genetic and epigenetic factors affecting both short and long-term development, and technological breakthroughs in the field. These focal points intersect throughout the chapters, as in the challenges of evaluating the fetal central nervous system, the myriad impacts of maternal stressors and resiliencies, and the salience of animal studies. It also discusses specific monitoring and assessment methods, including cardiotocography, biomagnetometry, 4D ultrasound, in utero MRI, and the KANET test. Spanning assessment, identification, and pre- and postnatal intervention, the book weighs the merits of standardized evaluations and argues for more integrative research in the future. Included in the coverage: Effects on the fetus of maternal anxiety, depression, and stress during pregnancy. Clinical and experimental research in human fetuses and animal models. Observational research including the use of behaviors in developing tests to assess fetal health. Fetal auditory processing and implications for language development. Fetal effects of prenatal exposure to selective SRI antidepressant exposure. Structural and functional imaging of the prenatal brain. The effects of alcohol exposure on fetal development. Fetal Development: Research on Brain and Behavior, Environmental Influences, and Emerging Technologies is an essential resource for researchers, clinicians and related professionals, as well as students in a wide range of fields such as developmental psychology, pediatric and obstetrical medicine, neuroscience, nursing, social work, and early childhood education.

Based on the understanding that oral health is an important social determinant of health, the latest edition of this internationally recognised handbook equips the reader with necessary skills and knowledge to provide truly integrative patient care. The text goes beyond the technical skills needed to treat children's dental disorders. It covers assessment of a child's health and development, their oral health, the newest clinical interventions, and concepts of dental disease initiation and progression. It guides the reader through the management and communication skills needed to deal with children, and how to support their overall health behaviours. Written by renowned authors Angus Cameron and Richard P Widmer, this text is an essential companion for all practitioners who treat children, including undergraduate dental students, general dental practitioners, specialist pediatric dentists, orthodontists and pediatricians. Emphasis on growth and development to support readers in their important role as pediatric oral physicians. Fully reviewed and rewritten to provide the latest thinking on dental caries, restorative pediatric dentistry, children with special needs, oral medicine, trauma, and dental anomalies. Readily accessible and written in a friendly 'how to' manner for use chairside. Full colour illustrations throughout. ''Clinical Hints' boxes to act as useful aide-memoires.

Volume 26 of The Annals begins with essays that address the challenge of maintaining human connections in a biological century; Philip Katz focuses on the human encounter between therapist and patient whereas Vivian Rakoff emphasizes the continuing identity of the healer throughout history. Papers on adolescent development, which challenge readers to look beyond preconceived ideas, include Robert Galatzer-Levy's examination of adolescence as a social construction expressed in contradictory cultural narratives and Jack Drescher's exploration of the developmental narratives of gay men in order to illuminate the seeming invisibility of gay adolescents. A section dedicated to "Trauma, Violence, and Suicide" explores interventions with special groups of high-risk adolescents, including violent offendors, suicide attempters, and adolescent refugees. A special section on attention deficit/hyperactivity disorder and conduct disorders includes a debate on whether or not conduct disorder is actually a valid diagnosis. The final section of Volume 26 addresses social issues of continuing relevance to adolescent psychiatry: the juvenile death penalty and gays in the military. Reprinted here are the ASAP's position statements on these two issues along with its amici curiae brief in support of the petitioner in the landmark Supreme Court case of Thompson v. Oklahoma. Volume 26 of The Annals tracks the continuing evolution of adolescent psychiatry as it strives to keep pace with therapeutic and social responsibilities which, in the 21st century, have become increasingly intertwined. We have here a typically thoughtful compendium that, in drawing attention to the pressing issues before those who work with adolescents, highlights bith the field's achievements to date and the work that lies before it.

*Invaluable school practitioner resource, revised and updated: 25% new material includes telehealth applications, cyberbullying updates, and more. *Expanded coverage of adolescent issues, such as antisocial behavior, substance use, social media, sexual orientation, and gender identity. *Practice-oriented work gives psychologists, counselors, social workers, and educators ready-to-use, downloadable tools. *Authoritative, research-based information.