The fate of seriously ill newborns has captured the atten tion of the public, of national and state legislators, and of powerful interest groups. For the most part, the debate has been cast in the narrowest possible terms: "discrimination against the handicapped"; "physician authority"; "family autonomy." We believe that something much more profound is happening: the debate over the care of sick and dying babies appears to be both a manifestation of great changes in our feelings about infants, children, and families, and a reflection of deep and abiding attitudes toward the newborn, the handi capped, and perhaps other humans who are "less than" nor mal, rational adults. How could we cast some light on those feelings and attitudes that seemed to determine silently the course of the public debate? We chose to enlist the humanities-the dis players and critics of our cultural forms. Rather than closing down the public discussion, we wanted to open it up, to illuminate it with the light of history, religion, philosophy, literature, jurisprudence, and humanistically oriented sociol ogy. This book is a first effort to place the hotly contested Baby Doe debate into a broader cultural context."

Over the last 20 years, pediatric otolaryngology has become a recognized subspecialty within otolaryngology head and neck surgery. Organizing the growth of clinical practice and knowledge in this area now is Pediatric Otolaryngology for the Clinician, a user-friendly resource for practicing general otolaryngologists, pediatricians and family practice physicians. This important title is divided into five sections: general ENT topics, otology, rhinology, head and neck disorders, and emergencies. Each chapter is authored by a recognized expert in the field and is concise and highly informative. Designed as a quick reference guide on a variety of topics such as antibiotic treatment of ear infections, sleep disorders in children, cochlear implantation, and airway management, to name just several, the book serves as a comprehensive yet succinct guide to caring for children with ear, nose and throat problems and will stand as an invaluable resource for any busy pediatric clinic.

This book addresses self-injurious behavior (SIB) in individuals with various neurodevelopmental conditions (NDCs). It takes a cross-NDC perspective that synthesizes recent research on variability in incidence and presentation across NDCs and the natural history and neurobiology of SIB. Chapters examine implications for biobehavioral definitions of subtypes of SIB and provide a detailed guide to assessment and intervention using an integrated research-based model for individualized treatment. In addition, chapters present a practice-focused structure using case studies to illustrate clinical implications of research findings. The book concludes with a discussion of current directions in research and their potential to guide innovation in prevention and treatment of SIB. Topics featured in this handbook include: * Self-restraint among individuals who self-injure. * Self-injurious behavior in individuals with autism spectrum conditions. * Assessing and managing short-term effects of SIB. * Reducing risk of, and responding to, relapse following successful intervention with SIB. * Ethical issues associated with working with people who engage in self-injurious behaviors. Self-Injurious Behavior in Individuals with Neurodevelopmental Conditions is a must-have resource for researchers, clinicians and practitioners as well as graduate students in the fields of clinical child and school psychology, applied behavior analysis, pediatrics, social work, developmental psychology, behavioral therapy/rehabilitation, child and adolescent psychiatry, clinical psychology and psychiatry of adult intellectual disability, and special education.

Despite adults' best preventive efforts, childhood obesity is on the rise in most areas of the world, and with it the prevalence of Type 2 diabetes, hypertension, cardiovascular disease, and other formerly adult-onset conditions. Epidemiology of Obesity in Children and Adolescents takes the global ecological approach that is needed to understand the scope of the problem and its multiple causes and mechanisms, and to aid in developing more effective prevention and intervention programs. In the book's first half, experts present a descriptive summary of youth obesity trends in ten world regions, broken down by age group, gender, socioeconomic status, and risk factors. Complementing these findings, part two reviews the evidence base regarding the variables, separately and in combination, having the most significant impact on young people's development of obesity, including: * Genetic and nutrigenomic factors. * Environmental and psychosocial factors, such as family shopping and eating habits and access to healthful foods. * Neuroendocrine regulation. * Prenatal and neonatal factors (e.g., gestational diabetes of the mother). * Dietary factors, from nutrient content to young people's food preferences. * Physical activity versus sedentary behavior. Epidemiology of Obesity in Children and Adolescents is necessary reading for the range of professionals involved in curtailing this epidemic, including public health specialists, epidemiologists, pediatricians, nurses, nutritionists, psychologists, health educators, and policymakers.

Antisocial acts by children and teens are on the rise from verbal abuse to physical bullying to cyber-threats to weapons in schools. Strictly punitive responses to aggressive behaviour may even escalate a situation, leaving peers, parents, and teachers feeling helpless.

This unique volume conceptualizes aggression as a symptom of underlying behavioural and emotional problems and examines the psychology of perpetrators and the power dynamics that foster intentionally hurtful behaviour in young people. It details for readers how bibliotherapy offers relevant, innovative, and flexible treatment as a standalone intervention or as a preventive method in conjunction with other forms of treatment and can be implemented with individuals and groups, parents, teachers, and even rivals.

This unique, must-have resource is essential reading for school psychologists, school counselors, social workers, and clinical child psychologists and any allied educational and mental health professionals who work with troubled youth."

To celebrate the Center for Perinatal Biology s 40th Anniversary, an illustrious group gathered at Loma Linda University in February 2013. That gathering of experts and this volume of the proceedings are a tribute to the founder of the Center, Lawrence D. Longo, M.D. These chapters present contributions from individuals who in some way or another were influenced by Dr. Longo. Covering a wide range of topics, and illustrating the diversity of thinking and scientific interests, these proceedings address basic science through to clinical problems in the developmental programming of health and disease. "

1 The success of early diagnosis and therefore of treatment of phe nylketonuria, inevitably suggests the possibility of early screening and treatment of other genetic metabolic abnormalities. This volume contains a summary of papers delivered at a Workshop on "Recent Advances in Screening and Management of Potentially Trea table Genetic Metabolic Disorders" held under the auspices of the Com mission of the European Communi ties, in London, U. K., on the 17th and 18th March 1983 to consider such possibilities. The Workshop was not aimed at those disorders for which the prin ciples of treatment and management have been soundly established, or for which screening procedures are in general use. The papers therefore do not form a comprehensive account of metabolic disorders. The topics for discussion were selected mainly to highlight recent discoveries which might be exploited by concerted approaches between different cen tres, especially when the immediate benefits were restricted to only a few centres. Recent reports suggest that about 2% of infants with persistent hyperphenylaninaemia do not respond to treatment by phenylalanine - low diets, and develop severe brain damage. Infants with such "Malignant Hyperphenylalaninaemia" due to one of several genetic causes of tetrahy drobiopterin deficiency should be rapidly identi fied since there is evidence that appropriate treatment will prevent brain damage. The Workshop considered how appropriate screening could be made generally available."

The value of Winnicott's work has become more and more widely recognized not only among psycho-analysts but also psychologists, educators, social workers, and men and women in every branch of medicine; indeed, all whose work or practice involves the care of children in health or sickness.An important part of the value of these writings lies in the uniquely binocular view with which the author regards the subjects of his investigation. With him, pediatrics informs psycho-analysis; psycho-analysis illuminates pediatrics. This book is not concerned with innovation in basic psychoanalytic concepts or techniques, but with the formulation and testing-out of ideas whose origin was in the challenge of day-to-day clinical work that was the staple of Winnocott's medical experience throughout his professional life. This book is arranged in three sections. The first represents Winnicott's attitudes as a pediatrician prior to training in psycho-analysis, and demonstrates the degree to which a purely formal pediatric approach requires as an effective complement a deeper understanding of the emotional problems of child development.

Now in its sixth edition, The Child Psychotherapy Treatment Planner is an essential reference used by clinicians around the country to clarify, simplify, and accelerate the patient treatmnet planning process. The book allows practitioners to spend less time on paperwork to satisfy the increasingly stringent demands of HMOs, managed care companies, third-party payors, and state and federal agencies, and more time treating patients face-to-face. The latest edition of this Treatment Planner offers accessible and easily navigable treatment plan components organized by behavioral problem and DSM-5 diagnosis. It also includes: Newly updated treatment objectives and interventions supported by the best available research New therapeutic games, workbooks, DVDs, toolkits, video, and audio to support treatment plans and improve patient outcomes Fully revised content on gender dysphoria consistent with the latest guidelines, as well as a new chapter on disruptive mood dysregulation disorder and Bullying Victim An invaluable resource for pracaticing social workers, therapists, psychologists, and other clinicians who frequently treat children, The Child Psychotherapy Treatment Planner, Sixth Edition, is a timesaving, easy-to-use reference perfectly suited for busy practitioners who want to spend more time focused on their patients and less time manually composing the over 1000 pre-written treatment goals, objectives, and interventions contained within.

Movement disorder specialists, general neurologists, hepatologists, general gastroenterologists, and psychiatrists are the specialists who will most likely see some Wilson's disease patients during their careers. See them - yes. Recognize and diagnose them - maybe. If you are in one of these specialties, and a patient with tremor, hepatitis, cirrhosis, apparent Parkinsonism, or mood disorder, is referred to you, will you appropriately recognize the possibility that the underlying diagnosis may be Wilson's disease? Wilson's disease is both treatable and reversible, and commonly misdiagnosed. This book aims to change this with comprehensive coverage of every aspect of Wilson's disease, from well-catalogued, easy-to-use clinical diagnostic tools to treatment methods to molecular biology. Dr. Brewer is the world's leading expert on Wilson's disease, seeing and caring for over 300 patients with the disease during the last 20 years. He is a professor of human genetics at the University of Michigan.

Recent experience with interventions designed to promote the well-being of children and to prevent mental health problems has identified particular challenges in families with disordered parents. These families are often very difficult to engage in mental health promotion and prevention programs, and they may be especially resistant to intervention. The Effects of Parental Dysfunction on Children explores the current level of knowledge regarding the processes by which a number of parental disorders influence the developmental outcomes of children.

Renowned scientist-practitioners from the United States, Canada, and Australia contributed ten chapters to this volume addressing the topic of the effects of parental behavioral and emotional disorders on children. The major topics covered by this book focus on children growing up in families in which the parents suffer from major psychosocial difficulties, including schizophrenia, depression, alcoholism, drug addiction, anxiety disorders, intellectual disabilities, and antisocial personality disorder.
This volume is divided into two sections:

- Scholarly descriptions of developmental models for conceptualizing the various risk and protective factors (genetic, biological, and environmental) that play critical roles in the transmission of the effects of parental disorder to the development of the child; and

- Specific parental disorders and their effects on children in the family. These chapters cover descriptive psychopathology, implications for intervention (both treatment and prevention), and descriptions of intervention procedures.The Effects of Parental Dysfunction on Children is a valuable resource for clinical child psychologists, developmental psychologists, and family therapists, as well as for graduate-level students in child and family psychology, psychiatry, and social work.

This book focuses on precocious puberty, providing a unique continuum of expertise looking at puberty from anthropologic, epidemiologic, clinical, and molecular perspectives. The volume addresses broad pubertal changes in the general population while at the same time providing in depth information about specific disorders of puberty and the latest management changes. In particular, the book is intended for endocrinologists and internists.

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.

This stimulating volume addresses vital questions about gene/environment interactions as they affect cell health from the prenatal period through later life. Beginning with a tour of epigenetic processes in the human body, the book assembles current theoretical and empirical developments across the discipline, among them transgenerational epigenetic inheritance, the effects of maternal nutrition on epigenetic change, and possible links between epigenetics and childhood obesity. Public health and policy aspects of the field are discussed in depth, with the understanding that much can be done to improve our epigenetic health as a species. And in this vein, contributors consider future possibilities, such as the reprogramming of genes to reverse cancer and other diseases. Included in the coverage: The role of environmental epigenetics in perinatal and neonatal development The epigenetic biomarker H2AX: from bench science to clinical trials What's the risk? Dental amalgam, mercury exposure, and human health risks throughout the lifespan Post-traumatic stress disorder: neurological, genetic, and epigenetic bases Children's exposure to alcohol, tobacco, and drugs: long-term outcomes Ethical implications of epigenetics Epigenetics, the Environment, and Children's Health Across Lifespans brings real-world knowledge and applications of this increasingly important field to public health practitioners, maternal and child health researchers, and environmental health experts.

This book shows how, and in what ways, prenatal development serves as a preparation for life after birth. Largely, such explanation stemming from the transnatal continuity theory has been ignored in mainstream developmental psychology. However, since the advent of real-time ultrasonography with humans, and increasingly refined experiements with avian and mammalian species, plausible scenarios linking prenatal and postnatal development are beginning to emerge. One is the theory of fetal programming. Here, the authors provide authoritative reviews of current knowledge regarding continuities and discontinuities between prenatal and postnatal development of brain-behavior relationships across a variety of species, including humans.

Course covers topics in infectious diseases in children and is intended for Pediatric Infectious disease trainees, trainers, and all those who manage children with infections.

This conference is being supported by several societies and is sponsored by several pharmaceutical companies, such as Aventis, Baxter, Chiron Vaccines, Wyeth, etc.

Sleep disturbance is extremely common in the various disorders of development, be they physical or psychological in nature. It adds significantly to the burden of care but is a neglected topic and there is no single source of information to guide practice and management. In this book an international team of experts provides for the first time an integrated, comprehensive and up-to-date review of the nature and causes of sleep disorders, describing the special assessment and management considerations for each of the different developmental disorders. The book will be essential reading for all professionals working in the area of developmental disorders, and will also be of considerable interest to teachers, social workers and parents.

The Visual Guide to Neonatal Cardiology is a comprehensive, highly illustrated, reference covering the evaluation, diagnosis and management of cardiac disease in the newborn. Contains over 900 color illustrations, including patient photographs, chest roentgenograms, electrocardiograms, echocardiograms, angiocardiograms, 3D computed tomogramphy, magnetic resonance imaging, pathologic specimens, and other relevant visual aids Discusses the natural history of fetal heart disease and the rationale, indications, technique, and impact of fetal cardiac intervention Reviews the anatomy and physiology of the neonatal cardiovascular system, including differences within the fetal, transitional, neonatal, child and adult circulatory system Highlights key steps for taking a patient history, including detailed discussion of the cardiac examination (inspection, palpation and auscultation of heart sounds and murmurs) Presents over 35 morphologic conditions with sections covering introduction, epidemiology, etiology with accepted or postulated embryogenesis, pathophysiology, clinical presentation, physical examination findings, diagnostic evaluation, management, and prognosis Includes a neonatal formulary reviewing selected medications currently used for treatment of perioperative low cardiac output, congestive heart failure, pulmonary hypertension, sedation, pain and anticoagulation in neonates

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.

This book is Francoise Dolto s 1939 medical thesis and is dedicated to medical practitioners, paediatricians, and parents without prior knowledge of psychoanalysis. Francoise Dolto s aim was to sensitize people to the unconscious dimensions of many problems in children. She demonstrates here, through sixteen case studies, how often children s difficulties at school and at home be they behavioral or due to impaired learning abilities are the expression of psychological issues linked with their developing sexuality and castration anxiety, and result in physical symptoms such as enuresis and encopresis.Dolto points out that the awareness of the self and self-responsibility often develops for young people in families in which the parents do not know how to listen or even more importantly cannot be listened to with trust. There is also a summary of Freud s theories of the different stages of the evolution of the drives, as well as the central developmental role played by the castration complex, castration anxiety, and the Oedipus Complex."

This book offers a warning that American children are receiving increased chemical treatment from psychiatrists and provides a primer on how to improve the emotional health of kids without drugs. "Maelstrom" is an apt metaphor for the inexorable deterioration many children experience inside the mental health system. Kids Caught in the Psychiatric Maelstrom: How Pathological Labels and "Therapeutic" Drugs Hurt Children and Families challenges current treatment practices and addresses the critically important issue of excessive prescribing of psychiatric medications to children. This encyclopedic work reveals "inside the system" information, emphasizing the theoretical divide at the root of the controversy over diagnosis and treatment. It explains how the 1990s, "decade of the brain" replaced talk therapy with biochemical treatments, leading to the hegemony of the pharmaceutical industry—and subsequently the massive drugging of children. Author Elizabeth E. Root details common diagnoses and treatments, explaining up-to-date brain research, with some surprising interpretations, and noting dangerous national precedents to mental screening. Finally, she illuminates pathways toward solutions and healthier families, sharing nonpsychiatric explanations for the nation's increase of troubled children and the rationale and research supporting non-drug, alternative approaches to childhood distress.