This book provides a clinical guide to the psychiatric assessment of infants and young children, birth through five years, and their families. It offers a comprehensive, data-rich framework for conducting mental health assessments of infants, toddlers, and preschoolers. The book includes a step-by-step guide for evaluation and assessment, reviewing relevant literature and best practices for working with very young children. It begins with an overview of the purpose and principles of psychiatric assessment and offers a protocol for planning and executing a thorough evaluation. Chapters examine critical aspects of the assessment process, including children's relationships with parents/caregivers, assessment of parents, cultural considerations, and play behaviors. Chapters also provide illustrative case vignettes and information on specialized tools that can be adapted for use in a private office or training clinic. Topics featured in this book include: Play-based assessment models for accessing the inner world of young children. The effect of caregivers and their reflective functioning on the mental health of young children. The use of adult-report rating scales in the clinical assessment of young children. Psychopharmacologic considerations in early childhood. The Clinical Guide to Psychiatric Assessment of Infants and Young Children is a must-have resource for researchers, clinicians, and related professionals, and graduate students in infancy and early childhood development, pediatrics, social work, psychiatry, and public health. "The volume is both highly practical and up to date, impressively bridging the gap between science and practice. The book is an invaluable guide for students and trainees and an important reference for seasoned clinicians." David Oppenheim, Ph.D., University of Haifa "The book integrates relational, developmental and social-emotional health dimensions within each chapter, reviewing subjective and objective measures in a range of domains. The book is clear and user-friendly. I wholeheartedly recommend it!" Daniel S. Schechter, M.D., New York University School of Medicine "This important new volume provides multiple perspectives on the entire range of assessment methods and procedures used in early childhood mental health. This is a vital read for students and practitioners." Charles H. Zeanah, M.D., Tulane University

This book focusses on the clinical aspects and management of pediatric skin disorders, especially seen in darker skin types. It includes unique conditions that the authors have encountered in their lifetime with their independent observations and approach to management. Original high-quality images are used to illustrate most dermatoses described in the book enabling a strong visual impression of the discussed diseases. It hopes to provide readers with a blend of evidence and experience based pediatric dermatology. This book aims to be a hands-on manual that can be referred to during a busy practice as it discusses the practical approach to dermatoses. Key Features Focusses on darker skin types. Examines unusual presentations with detailed clinical features. Discusses the ways to differentiate between similar-appearing diseases. Explores approaches to therapy, especially in resource-poor settings. Covers topics with high quality illustrations.

In the fourth edition of this accessible and comprehensive book, Bryan Lask and Rachel Bryant-Waugh build on the research and expertise of the previous three editions. First published in 1993, this was the first book of its kind to explore eating disorders in children and young adolescents, a population that is very different from those in their late teens and adulthood.

The contributors experience and knowledge have increased and the field has moved forward over the past 20 years. This fully revised edition offers a distillation of current information relating to the younger population, and contains brand new chapters on areas of experience, research and practice including:

• The perspective of a young person going through an eating disorder
• Experiences of a parent
• Updated information regarding advances from neuroscience
• Therapeutic engagement
• Cognitive remediation therapy

"

Eating Disorders in Childhood and Adolescence "offers the reader knowledge, insight and understanding into this fascinating but challenging patient group. It has both a clinical and research focus and will be an essential text for a wide range of professionals, as well as being readable for parents of children suffering from eating disorders.

Practical, informative, and easy to read, Cloherty and Stark's Manual of Neonatal Care, 9th Edition, offers an up-to-date approach to the diagnosis and medical management of routine and complex conditions encountered in the newborn. Written by expert authors from major neonatology programs across the U.S. and edited by Drs. Eric C. Eichenwald, Anne R. Hansen, Camilia R. Martin, and Ann R. Stark, this popular manual has been fully updated to reflect recent advances in the field, providing NICU physicians, neonatal-perinatal fellows, residents, and neonatal nurse practitioners with quick access to key clinical information. Provides essential, detailed information on the evaluation and management of common and unusual neonatal conditions, with extensive updates from cover to cover. Includes new information on multiple topics, including genetics, respiratory management, infectious diseases, and neonatal jaundice, with 2 new chapters on quality improvement and safety in the NICU, and racial disparities in neonatal care. Uses an easy-access outline format and numerous tables to help you find what you need quickly. Features extensive family support content, with chapters on breastfeeding, developmentally supportive care, bereavement, and decision-making and ethical dilemmas. Contains appendices on neonatal emergency drug dosing and intubation sedation guidelines for fast reference. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech. ,

"The Silent Child" describes a way of understanding and communicating with children who are not speaking, but rather using their bodies and somatic symptoms to express states of mind. Jeanne Magagna has worked for 45 years trying to find ways of helping these children, varying in age and symptoms. Using infant observation methods of understanding primitive states of mind expressed through gestures of eyes, hands, body posture, she has worked in in-patient or out-patient settings with contributors: a group of psychiatrists, psychologists, family and child psychotherapists, physiotherapists, nurses, therapeutic care workers, teachers, parents groups and work discussion seminar members in out-patient and in-patient settings. In their chapters, the professionals and a parent show how they use their observation, empathy and countertransference experiences to promote understanding in the silent child and his/her parents and siblings.This book is particularly important for mental health professionals, teachers and parents who are encountering "a child communicating without words." It will assist them in being curious and nurturing rather than paralyzed by the experience of having to think without the child s verbal response.Contributors: Jeanne Magagna, Nancy L. Bakalar, Melanie Bladen, Sarah Dixon, Alex Dubinsky, Jo Guiney, Bryan Lask, Natalie Le Clezio, Tara Pepper-Goldsmith, Cynthia Rousso, Ankur Sharma, Michelle Scott, Naomi Simon, David Wood, Charlotte Wormald."

Caring for children with neurocritical illness often requires multi-specialty collaboration and the understanding of an ever-expanding body of data. This book gives clinicians the up-to-date, concise, and clinically relevant guidance they need to provide optimal care to children with these acute neurologic disorders. The chapters in "Pediatric Neurocritical Care" are authored by experts in each individual topic, and co-edited by a neurologist and intensivist to ensure that all topics have been fully addressed from both perspectives.

The book covers the complete continuum of care from assessment, monitoring, and condition specific management through rehabilitation. Early chapters present differential diagnosis and management approaches to common overarching problems such as coma, headache, and elevated intracranial pressure, followed by chapters focusing on the evaluation and management of specific conditions including traumatic brain injury, stroke, seizures, central nervous system infections, and demyelinating disorders. The final chapters address important associated psychological, social, and ethical issues.

To reflect the full spectrum of specialties involved in the burgeoning field of pediatric neurocritical care, the book brings together an international group of experts from multiple disciplines including critical care medicine, anesthesiology, neurology, neurosurgery, rehabilitation medicine, psychology, and pediatric subspecialties.

"Pediatric Neurocritical Care" features: Every topic is addressed from a neurologic and critical care perspective. Comprehensive coverage includes the evaluation of common overarching problems and management of specific conditions, in addition to discussion of related psychological, ethical, and social issues. Chapters are written by internationally known experts from the fields of critical care medicine, anesthesiology, neurology, neurosurgery, rehabilitation medicine, and many affiliated specialties.

Children and Exercise XXV presents the latest research in the field of paediatric exercise sciences, focusing on the interaction between physical activity, exercise or sport on the one hand, and nutrition, metabolism regulation, cardio-respiratory function or muscle function on the other. Including contributions from leading international experts, the book is arranged into six thematic sections addressing: * metabolic syndrome and nutrition * hormonal and inflammatory regulations * cardio-respiratory function * children's performance * fitness assessment * physical activity. Offering a critical review of current topics and reports of contemporary research, this is a key text for all researchers, teachers, health professionals and students with an interest in paediatric sport and exercise science, sports medicine and physical education. The papers contained within this volume were first presented at the twenty-fifth Paediatric Work Physiology meeting, held in Le Touquet, France, in September 2009.

This volume addresses the major "index cases" involving neonates that are taught in pediatric surgical training programs. The discussion emphasizes practical features of the diagnosis and management of these malformations. The intention is to help clinicians sculpt a creative adaptable approach that can be individualized for each child. The current approach is situated in its historical context to encourage ongoing advancement in the care of these patients.

Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Pediatrics, fourth edition, is an invaluable resource for pediatric radiologists, general radiologists, and trainees-anyone who requires an easily accessible, highly visual reference on today's pediatric imaging. Dr. A. Carlson Merrow, Jr., and his team of highly regarded experts provide up-to-date information on recent advances in technology and safety in the imaging of children to help you make informed decisions at the point of care. The text is lavishly illustrated, delineated, and referenced, making it a useful learning tool as well as a handy reference for daily practice. Serves as a one-stop resource for key concepts and information on pediatric imaging, including a wealth of new material and content updates on more than 400 diagnoses Features more than 2,500 illustrations including radiologic images, full-color illustrations, endoscopic and bronchoscopic photographs, clinical photos, and gross pathology images Features updates from cover to cover including specifics from revised disease classifications and new terminology in best practices recommendations for radiologic reporting Reflects evolving imaging technology in conjunction with increased awareness of radiation, contrast, and anesthesia safety in children, and how these advances continue to alter pediatric imaging approaches Uses bulleted, succinct text and highly templated chapters for quick comprehension of essential information at the point of care Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices

This book brings together world leading researchers from diverse fields to explore the potential causes of the development of behaviour problems. The book presents theories that hope to influence public health, education and social policy in the prevention of the costly social troubles that behaviour problems can cause. Featuring contributions from researchers whose backgrounds range from the social and behavioural sciences to economics, the varied chapters assesses the potential role of gene-environment interactions, biological factors and gender differences in the development of behaviour problems. The book includes a review of studies that attempt to understand why antisocial behaviour is concentrated within families, and concludes with three chapters that link developmental research directly with policy issues. It provides a framework for students, scientists, educators and care givers to understand where frontier research on behaviour problems is going and how it can be applied in the social, educational and health services. This collection will interest all students of psychology and the behavioural sciences as well as those with an interest in public policy, sociology, abnormal psychology, psychopathology and personality disorders.

The author presents a comprehensive review of common behavior problems, assessment tools, and detailed treatment protocols to provide physicians, psychologists, nurses, and social workers with techniques easily assimilated into existing practices. The presentation is of particular value in that each chapter includes a detailed handout for distribution to parents-thus enhancing the utility of this book in the office.

Clinics in Developmental Medicine No. 178

For most children with cerebral palsy, the extent to which they can use their hands is critical to their overall development. Over the last two decades there have been major advances in the understanding of hand function. Particularly in children with cerebral palsy, assessment of hand function has become more exact and the range of possible interventions has expanded. Changes in treatment approaches can be seen in neurorehabilitation, orthopaedic management, developmental pediatrics and rehabilitation including occupational and physical therapy practices.In this book, selected experts from around the world in the fields of neuroimaging, neurology, orthopaedics, anatomy, motor control and motor learning provide fundamental theoretical information for the development of hand function in children with cerebral palsy. The book also shows how theory can be translated into practice by clinicians who provide assessment and intervention services to improve hand use in this population in sections written by researchers in occupational and physical therapy. Linking different fields of knowledge, this book highlights new perspectives and provides the best evidence for different types of intervention. By focusing only on hand function this essential book highlights new concepts for clinicians and others working towards the overall well-being of children with cerebral palsy.

Crying is a typical human expression of emotion. Surprisingly, until now little scientific attention has been devoted to this phenomenon. Many textbooks on emotion fail to pay attention to it, and in scientific journals there are hardly any contributions focusing on this behavior. In contrast, there is much interest from the lay public, allowing pseudo-scientists to formulate theories that have little or no scientific basis. Is there any evidence in support of statements that crying is healthy or that not crying may result in toxification? How do people react to the crying of others? Is crying important for the diagnosis of depression, and if so, how? This book aims to fill this gap in scientific literature. Crying is discussed from several perspectives and specific attention is given to methodological issues and assessment. Each chapter provides a review and a summary of the relevant scientific literature.

Multiple pregnancies are associated with higher risks for both mother and babies. Women with multiple pregnancies have an increased risk of miscarriage, anemia, hypertensive disorders, haemorrhage, and postnatal illness. These pregnancies are more likely to need an operative delivery, and maternal mortality is generally 2.5 times that of singleton births. Fetuses are at increased risk for anatomic and genetic anomalies, growth abnormalities, prematurity, and several physiological problems related to monochorionicity. This book provides a much needed, up-to-date guide to the management of multiple pregnancies. Presented with a uniform approach to all chapters, information is easily navigable, evidence-based, and highly practical. Heavily illustrated, particularly with ultrasound images - the cornerstone of management of multiple pregnancies - this book will appeal to obstetricians and specialists in maternal-fetal medicine, midwives and ultrasonographers and will improve outcomes for mothers and babies.

This book provides the reader with a theoretical and practical understanding of two health care delivery models: the patient/child centred care and family-centred care. Both are fundamental to caring for children in healthcare organizations. The authors address their application in a variety of paediatric healthcare contexts, as well as an understanding of legal and ethical issues they raise. Each model is increasingly pursued as a vehicle for guiding the delivery of health care in the best interests of children. Such models of health care delivery shape health care policies, programs, facility design, resource allocation decisions and day-to-day interactions among patients, families, physicians and other health care professionals. To maximize the health and ethical benefits these models offer, there must be shared understanding of what the models entail, as well as the ethical and legal synergies and tensions they can create. This book is a valuable resource for paediatricians, nurses, trainees, graduate students, practitioners of ethics and health policy.

This book is one of four publications intended to engage a broad range of persons in informed decision-making regarding key health and human value questions. Each publication has a usefulness of its own, while all four comprise a convenient series.

Medical professionals are often involved in the management of the pregnant patient without necessarily being experts on all the complications surrounding pregnancy. The Handbook of Obstetric Medicine addresses the most common and serious medical conditions encountered in pregnancy, including heart disease, thromboembolism, diabetes, skin problems, gastrointestinal disease, neurological problems, hormonal diseases, hypertension and pre-eclampsia, and more. For each condition, the handbook includes a description of incidence, clinical features, pathogenesis, diagnosis, the effect of pregnancy, and management of the condition. The book also includes a detailed section focusing on the differential diagnosis of common symptoms including hypertension, chest pain, palpitations, breathlessness, headaches, dizziness, abdominal pain, and more. The symptoms and differential diagnoses are presented in an easy-to-read tabular format and include a description of important clinical features and potential areas of investigation. For those clinicians understandably reluctant to prescribe drugs during pregnancy, a useful appendix includes a section on prescribing in pregnancy and a list of contra-indicated drugs. In addition, to assist in the interpretation of laboratory tests, a second appendix lists normal laboratory values in pregnancy, broken down by trimester. Pre -pregnancy counselling and postnatal follow up are vital in the holistic management of women with medical problems and this includes appropriate contraceptive advice. A third appendix has therefore been added as a ready reference for clinicians not familiar with effective contraception. The new edition remains a pragmatic and easy-to-use design by including tables, bullets, and "Points to remember" boxes for ease of reference. It is an essential on-the-spot guide for obstetricians, physicians, general practitioners, and midwives in both practice and training. Catherine Nelson-Piercy, MA, FRCP, FRCOG Past President, International Society of Obstetric Medicine, Professor of Obstetric Medicine, King's College London, Co-founding Editor-in-Chief, Obstetric Medicine Praise for previous editions: "This is an excellent handbook of obstetric medicine, which deserves to be on the shelves of all actively practicing obstetricians."-British Medical Association Medical Book Awards "This book gets it just right and is a true handbook, easy to read, accessible and is not too large but packs in a lot of useful and relevant information." - Glycosmedia

How do we talk about feelings to children who are cut off from feeling? How do we raise hope and a sense of safety in despairing and terrified children without offering false hope? How do we reach the unreachable child and interest the hardened child? The Thinking Heart is a natural sequel to Live Company, Anne Alvarez' highly influential and now classic book about working with severely disturbed and damaged children. Building on 50 years experience as a child and adolescent psychotherapist, Alvarez uses detailed and vivid clinical examples of different interactions between therapist and client, and explores the reasons why one type of therapeutic understanding can work rather than another. She also addresses what happens when the therapist gets it wrong. In The Thinking Heart, Alvarez identifies three different levels of analytic work and communication: * the explanatory level - the "why - because" * the descriptive level - the "whatness" of what the child feels * the intensified vitalizing level - gaining access to feeling itself for children with chronic dissociation, despairing apathy or 'undrawn' autism. The book offers a structured schema drawing on and updating some of her classic work. It is designed to help the therapist to find the right level of interpretation in work with clients and, provides particular help with the unreachable child. It will be of use to Psychotherapists, Psychoanalysts, Clinical and Educational Psychologists, Child Psychiatrists, Social Workers, Special needs teachers and carers of disturbed children. Anne Alvarez is a Consultant Child and Adolescent Psychotherapist and is retired Co-Chair for The Autism Service at the Tavistock Clinic, London. She is currently a visiting teacher and lecturer for the Tavistock Clinic, and a Lecturer on the San Francisco Psychoanalytic Society Child Programme.

This book, written as a question-and-answer dialogue between a child therapist and a supervisor, addresses all aspects of the situations encountered daily in work with children and their parents. From the most basic and practical to the broadest and most multifaceted, the questions search out the essence of what transpires in the treatment of a child.

Imagining Animals explores the making of animal images in art therapy and child psychotherapy. It examines two contrasting primitive states of mind: the investing of the world about us with life through animism and participation mystique, and the lifeless world of autistic states of mind encountered in children who are hard to reach. Caroline Case examines how the emergence of animal imagery in therapy can act as a powerful catalyst for children in autistic states of mind, or with a background of trauma, abuse or depression. She also looks at animal / human relationships, and animal symbolism, as well as three-dimensional claywork and the development of personality. Subjects covered include: * animals on stage in therapy - anthropomorphic animal objects * the location of self in animals * entangled and confusional children: analytical approaches to psychotic thinking and autistic features in childhood. The book concludes with a compelling extended case study, which describes analytic work with a child with multiple symptoms, using the various therapeutic tools of play and art, painting and clay, and the development of character, plot and narrative. Imagining Animals offers a unique insight into the role and representation of animal imagery in art therapy and child psychotherapy, which will be of interest to all arts and play therapists working with children as well as adult psychotherapists interested in the use of imagery.

This book provides child care and pre-school providers, paediatricians, family practitioners, and public health officials with an up-to-date, easy to read reference on infections and infection control for children in day care and pre-school. The book covers both common and unusual infections and illnesses prevalent in this population, and offers practical guidance on issues of contagion, treatment, and transmission in this setting. Chapters also address special considerations for children who are at high risk of acquiring infection, or at risk of spreading infection in the day-care arena. The authors are infectious disease specialists who have spent their careers working in the areas they have written about, and they offer specific recommendations on how to deal with endemic problems of infection and transmission. The 8th edition is completely updated and includes new vaccines, new therapies, and a totally new chapter on Molluscum Contagiosum. This indispensable handbook continues to be the go-to source for best practices for treating and preventing the spread of infection in children in day care and pre-school. Features: User-friendly handbook offering practical guidance and expert advice Specific focus on epidemiology, prevention, and treatment of infections seen in the day care centre and pre-school setting Highly respected author team of senior infectious disease authorities in their fields

This is a comprehensive yet concise review textbook and examination guide covering the entire spectrum of paediatric surgery. The 460 questions and associated explorations are structured such that the complete curriculum is addressed in a systematic manner simply by solving the EMQs and reading the subsequent discussions. Each chapter provides relevant information and evidence-based facts and figures on a specific area, alongside practical discussions from the expert panel of internationally acclaimed authors. It further acts as a compendium of current research by compiling salient details from other texts. Succeeding in Paediatric Surgery Examinations Volume 2 is highly recommended for candidates of postgraduate paediatric examinations. It is an excellent overview that will also be of great benefit to practicing paediatric surgeons and urologists, paediatricians, urologists, general surgeons and orthopaedic surgeons.

This two-volume set forms a comprehensive yet concise examination guide covering the entire spectrum of paediatric surgery. The 1732 questions and associated explorations are structured such that the complete curriculum is addressed in a systematic manner simply by answering the questions and reading the subsequent discussions. Each chapter provides relevant information and evidence-based facts and figures on a specific area, alongside practical discussions from the expert panel of internationally acclaimed authors. These two volumes further act as a compendium of current research by compiling salient details from other texts. Succeeding in Paediatric Surgery Examinations Volumes 1 and 2 are highly recommended for candidates of postgraduate paediatric examinations. They provide an excellent overview that will also be of great benefit to practicing paediatric surgeons and urologists, paediatricians, general surgeons and orthopaedic surgeons. Impressive. Covers the depth and breadth of paediatric surgery.

Babies who cry a lot, or are unsettled in the night, are common sources of concern for parents and, consequently, costly problems for health services. In this book, Ian St James-Roberts summarises the evidence concerning infant crying and sleeping problems to provide a new evidence-based approach to these common challenges for parents and health services. The book begins by distinguishing between infant and parental parts of the problems and provides guidelines for assessing each issue. Topics covered include: * the pros and cons of 'infant-demand' versus 'limit-setting' forms of parenting * causes of infant 'colicky' crying and night waking * effects of night-time separations on infant attachments * interventions such as swaddling, herbal remedies, and 'controlled crying.' Since there is now firm evidence that parents' vulnerabilities and cultural backgrounds affect how problems are defined and guidance is acted upon, and that parents who wish to do so can reduce infant crying and unsettled night waking, social factors are considered alongside medical issues. Translating research evidence into practical tools and guidance, The Origins, Prevention and Treatment of Infant Crying and Sleeping Problems will be essential reading for a wide range of healthcare professionals including mental health staff, social workers, midwives, health visitors, community physicians and paediatricians.

Food security and child malnutrition are at the forefront of our attention, both nationally and internationally. The chapters contained in this compendium include a range of methodologies-literature review, cross-sectional study, longitudinal study, case-control, and even a focus group!-all of which examine this urgent issue, revealing new perspectives and facets of information. The international roster of contributors present a nuanced look at food security and child malnutrition with research into food security measures in many nations around the world. The book is broken into several parts, covering defining food security food security, nutrition, and growth and development food security and mental and physical health food security and child obesity conclusion, with an information study from The Children's Healthwatch on household hardships, public programs, and their associations with the health and development of very young children The range of topics and information presented here will be valuable for those involved with food security advocacy, policymakers, researchers, social service professionals working children and families, and others.