Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent最新文献

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Downs: The History of a Disability 《Downs:残疾的历史
E. Prost, N. Roberts
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引用次数: 18
The Healthy Aging Brain: Sustaining Attachment, Attaining Wisdom 健康衰老的大脑:维持依恋,获得智慧
Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent Pub Date : 2010-11-01 DOI: 10.1097/01.nmd.0000351873.91898.21
E. Broder
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引用次数: 12
Clinical Handbook of Psychological Disorders: A Step-By-Step Treatment Manual, Fourth Edition. 心理障碍临床手册:一步一步的治疗手册,第四版。
Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent Pub Date : 2010-05-01 DOI: 10.1097/nmd.0b013e31818786a7
J. Rogers
{"title":"Clinical Handbook of Psychological Disorders: A Step-By-Step Treatment Manual, Fourth Edition.","authors":"J. Rogers","doi":"10.1097/nmd.0b013e31818786a7","DOIUrl":"https://doi.org/10.1097/nmd.0b013e31818786a7","url":null,"abstract":"Many clinicians and students will be familiar with the earlier editions of this work, first published in 1985, and for them this collection of expert authors, strict emphasis on evidence-based treatments, and chapter-by-chapter treatment of psychological disorders will be quickly recognizable. This edition has been refreshed and updated with references to the newest evidence-based publications, and those familiar with Barlow’s compilations will be eager for this updated version. \u0000 \u0000For those unfamiliar with previous editions, its title may be misleading. A “handbook” conjures thoughts of a paperback manual, but this is a beautiful, hard-covered textbook and a handsome addition to any clinical library. It is not meant to be a quick reference in the labcoat pocket. It is fully 733 pages, double–columned, with each chapter supported by an extensive, current and particularly pertinent bibliography. \u0000 \u0000There are sixteen chapters, and, for the most part, each of these is dedicated to the most current evidence-based psychological treatments for 13 specific disorders: Panic Disorder and Agoraphobia, Post-Traumatic Stress Disorder, Social Anxiety, Obsessive Compulsive Disorder, Major Depressive Disorder, Borderline Personality Disorder, Bipolar Disorder, Schizophrenia and other Psychotic Disorders, Alcohol Use Disorders, Drug Abuse and Dependence, Eating Disorders, Sexual Dysfunction and Couple Distress. This chapter by chapter approach to the aforementioned disorders is the scaffolding upon which the bulk of this book is based. In this sense each of these chapters is typical of the other, and each is well written, well referenced, and by and large definitive. \u0000 \u0000Each of these chapters begins with the diagnosis as described by the criteria of the Diagnostic and Statistical Manual of Psychiatric Disorders (DSM-IV-TR). Routinely, there follow discussions of epidemiology, current research, and evidence-based treatment protocols, and in many, a theoretical model of treatment is offered. In each chapter there is at least one case study with detailed description including client-therapist dialogue over a series of sessions. Case studies are followed by discussion and conclusions. In this sense, this book is best consumed in tutorial fashion, one whole chapter at a time, and not necessarily from cover to cover. Step-by-step instruction may at times seem tedious, but it is the stepwise instruction that is the hallmark of this text and the gem upon which the teaching pivots. For the diligent, when applied to a current clinical case, this approach can become not just practical, but exciting. \u0000 \u0000Not all the chapters are based on the format described above. Indeed, the topic of depression is dealt with in three chapters, one dedicated to treatment with Cognitive Behavioural Therapy, another with Interpersonal Therapy and a third with a rather new concept — treatment by Behavioural Activation. This latter chapter, a chapter on Eating Disorders, and another chapter tit","PeriodicalId":187983,"journal":{"name":"Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124163893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Handbook of Attachment: Theory, Research, and Clinical Applications, Second Edition 依恋手册:理论,研究和临床应用,第二版
P. Reebye
{"title":"Handbook of Attachment: Theory, Research, and Clinical Applications, Second Edition","authors":"P. Reebye","doi":"10.5860/choice.46-4135","DOIUrl":"https://doi.org/10.5860/choice.46-4135","url":null,"abstract":"This second edition, which acknowledges the pioneering work of John Bowlby and Mary Ainsworth, is more exciting and supported with evidence-based information. The authors, Jude Cassidy and Philip Shaver, are well known figures in the attachment field. They have accomplished an unbelievable intellectual feat on these pages by balancing the most recent neurobiological advances in attachment research and preserving the foundational elements of attachment theory derived from psychoanalysis, ethology and developmental psychology. \u0000 \u0000The book is made up of six parts, with each part composed of several chapters. The first part provides an overview of psychological attachment theory, and the second describes the biological perspectives on attachment. From here on, there is a smooth progression through the developmental aspects of attachment, psychopathology, clinical applications of attachment theory, and a final section titled “System, Culture, and Context.” \u0000 \u0000Readers will be interested in the new and emerging information in the field of attachment contained in some entirely new chapters that did not exist in the first edition. “Psychobiological Origins of Infant Attachment” is one such pearl. The chapter authors (Polan and Hoffer) provide an elegant discussion of new discoveries regarding the development of the attachment bond, sensitive periods for attachment, and hidden regulators of early development. The authors pave the way for us through complex studies on filial attachment, including a discussion of experiments with rat pups and their mothers that provide new perspectives on “sensitive periods.” For example, the sensitive period for olfactory learning in rat pups is now precisely defined to extend until postnatal day 9, during which period rat pups inhibit avoidance learning and prefer proximity seeking to their mothers. During sensitive periods there exists a facilitatory platform for attachment relationships and emotional tuning that extend into the pup’s adult life. This chapter also reviews Michael Meaney’s research on epigenetics, with a key finding that low levels of maternal care lead to more fearful adult offspring with heightened startle responses and intense adrenocortical responses to stress (page 166). Similarly, a body of research that shows that a high level of mother-infant interaction leads to slower sexual development and lower levels of adrecortical responses is thought provoking. \u0000 \u0000A chapter on attachment in rhesus monkeys is of particular interest as it provides a window on human non-verbal attachment processes. Another favourite chapter is by James Conan with elegant explanations of neural processes involved in attachment. In my opinion, this chapter is the most important addition to the new edition, and it provides reliable, well-supported facts, asks provocative questions, and provides some guidelines to future research. In this chapter Conan also introduces the “Social Baseline Model of Affect Regulation in Social Inter","PeriodicalId":187983,"journal":{"name":"Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124381106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 39
Socioemotional Development in the Toddler Years: Transitions and Transformations. 幼儿时期的社会情感发展:过渡和转变。
S. Penfold
{"title":"Socioemotional Development in the Toddler Years: Transitions and Transformations.","authors":"S. Penfold","doi":"10.5860/choice.45-6470","DOIUrl":"https://doi.org/10.5860/choice.45-6470","url":null,"abstract":"The contributors to this multi-authored book are researchers — predominantly academic psychologists —who conceptualise toddler socioemotional development across multiple developing systems, recognising that the interwoven strands are inseparable and mutually supportive. The editors’ introductory chapter “Transitions in toddler socioemotional development” summarises transitions in behaviour, understanding and relationships in toddler socioemotional development, and introduces the five sections of the book that follow. These are: understanding self and others; play and communication; self-regulation; biological and cultural perspectives; and individual differences and applications. In each chapter the various facets of socioemotional development are underpinned by three fundamental organisers: emotion; objective self-awareness and inhibitory and attentional control. An evolutionary perspective is introduced, outlining that three systems, three conserved behavioural patterns, have evolved over millions of years and are entrenched in today’s toddlers. Two of these, object permanence and physical aggression, are found in non-human primates, while upright locomotion is exclusive to humans. Parents are surprised to hear that aggression is at its peak in the toddler years and more able to be patient as they struggle with the biting, kicking, hitting and tantrums of their “terrible two.”","PeriodicalId":187983,"journal":{"name":"Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115910737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 82
Working with Parents Makes Therapy Work 与父母一起工作使治疗有效
M. Samy
{"title":"Working with Parents Makes Therapy Work","authors":"M. Samy","doi":"10.5860/choice.43-1885","DOIUrl":"https://doi.org/10.5860/choice.43-1885","url":null,"abstract":"Both authors are on the faculty of the Michigan Psychoanalytic Institute and are prolific writers in the field of child and adolescent psychotherapy and psychoanalysis. They are mostly known for their theory of the two systems of self regulation in the face of pathology (open adaptive /closed omnipotent - sado-masochistic).This book however is of great interest to all child practitioners regardless of their discipline or their theoretical framework. The title of the book is in itself a powerful statement and, while it is difficult to argue, it is far from certain that it is put into practice. Is it okay for the same therapist to also work with parents? And if so, do we have a model for that? This book gives a strong documented affirmative answer to both questions. \u0000 \u0000Contrary to some analytic writings, this book is written in an easy, fluid, widely accessible style and with a multitude of clinical vignettes to illustrate the text. It contains eleven chapters. The first two are introductory discussions on their work assumptions; the history of the resistance to work with parents and the presentation of a model to include parents in the treatment. The following seven chapters discuss in detail how this applies at each step of the treatment: evaluation; recommendations; the beginning phase; the middle phase; the pre-termination phase (an interesting addition to the conventional division); termination; and post termination. Chapter ten discusses further the application of their model to individual treatment with adults and the last chapter gives a summary and recapitulation of their two systems of self regulation as it applies to the subject of the book. \u0000 \u0000Traditionally, parents were seen by psychotherapist as an obstacle or as intruders in the individual work with the child or adolescent. We were trained to send parents somewhere else for their individual treatment with the hope that if issues around parenthood are being addressed that this will facilitate the therapy with the child. Typically, the working emotional unit was the individual child and not the parent-child interrelation. Furthermore, the conceptual boundaries between individual, couple or family psychotherapies were quite impermeable. The authors make a compelling analysis of the resistance to working with parents. From a social/historical perspective, they mention the ambivalent perception of the mother as being idealized while stripped of any power, and the gross neglect in the classical theory of the importance of the pre-oedipal mother. From the theoretical perspective, they mention the exclusion of the parents due to the shift towards the internal world as the primary - if not the exclusive - interest of the therapist. On the political front, the only way for child psychoanalysis to gain credibility was to be as close to Freud and to the adult psychoanalytic model as possible. Added to that was the influence of adolescent psychoanalysts coming from an exclusive adult training. Ps","PeriodicalId":187983,"journal":{"name":"Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116832623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 46
The Development of the Person: The Minnesota Study of Risk and Adaptation from Birth to Adulthood 人的发展:明尼苏达州从出生到成年的风险与适应研究
W. Junek
{"title":"The Development of the Person: The Minnesota Study of Risk and Adaptation from Birth to Adulthood","authors":"W. Junek","doi":"10.5860/choice.43-2509","DOIUrl":"https://doi.org/10.5860/choice.43-2509","url":null,"abstract":"Since the early 1970s, Sroufe, Egeland, Carlson, Collins and others have been following a large cohort of children from the sixth month of the mother’s pregnancy through to the present. Eighty-five percent of the 212 at 24 months are still in the study close to three decades later. Early losses occurred before the decision was made to change the initial shorter study (started by Egeland, a psychologist, and Deinard, a pediatrician) to a longitudinal study. The authors noted that the losses were in the most high stress and unstable of the families. \u0000 \u0000The families were chosen intentionally to include caregivers who may present parenting difficulties by selecting first born children to mothers who qualified for public assistance for prenatal care and delivery. Poverty was the marker that would ensure this. They were careful to note that these mothers had a wide variety of backgrounds and degrees of support available, thus also ensuring a wide range of outcomes 28 years later (the age now under study). \u0000 \u0000The authors started with an excellent overview of the challenges faced, the key claims and guide to the book, conceptual and theoretical supports, organizing perspective and assessments. Understanding the frequency, breadth and depth of the assessments with over 10,000 resultant variables is crucial to giving credence to the resulting conclusions. The strength of this work comes not just from the lessons learned about development, change and continuity but from the impressive evidence that places the lessons on a firm foundation and the even more fascinating predictability about development that emerged from the data. \u0000 \u0000Throughout the book, it is easily possible to pull out sentences that may have made intuitive clinical sense but are now backed up with statistics (kept to an appropriate minimum since background papers are well-referenced). For instance: by heightening and chronically emitting signals of need toward an only intermittently responsive caregiver, a resistant attachment organization is established which is correlated with anxiety disorders at age 17½. By minimizing signals of need that may further alienate rejecting caregivers, an avoidant attachment organization is established which shows a connection to externalizing behavioural disorders through early childhood and adolescence. Anxious attachment in general, with no distinction between avoidance and resistance, was associated with depression. There are remarkable parallels between how mothers responded to tasks with their children at 24 months and the same children more than 20 years later, responding to their own 24-month-old children. \u0000 \u0000Other conclusions have implications for prevention and intervention. In breaking the cycle of abuse, three relationship factors were most helpful for the mothers: (1) receiving emotional support from an alternative non-abusive adult, therapy experience of at least six months, supportive and satisfying relationship with a mate; (2) ability to pred","PeriodicalId":187983,"journal":{"name":"Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125091316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 741
Psychotherapy With Women: Exploring Diverse Contexts And Identities. 女性心理治疗:探索不同的背景和身份。
E. Broder
{"title":"Psychotherapy With Women: Exploring Diverse Contexts And Identities.","authors":"E. Broder","doi":"10.5860/choice.43-6863","DOIUrl":"https://doi.org/10.5860/choice.43-6863","url":null,"abstract":"In 1963, Betty Friedan’s revolutionary book ‘The Feminine Mystique’ was published. This was a wake-up call to women that they did not have to tolerate inequality and gender determined privilege. Betty Friedan died last year in 2006 and the feminist movement celebrated its 40th anniversary. \u0000 \u0000Since its beginning, feminism has broadened its preview to consider issues, not only of gender, but ethnicity, race, culture, class, economics and sexual orientation. It is from this broad perspective that Marsha Pravder Merkin published her first book Women in Context (1994). Now, eleven years later a new edition is available: Psychotherapy With Women; Exploring Diverse Contexts And Identities. \u0000 \u0000This is a complex, thoughtful, challenging book and not an easy read. Important issues are raised, not only for doing therapy with women, but for men too. The areas considered transcend particular models of therapy, and the questions examined are not ones that are raised in the more traditional literature. Like the editors, I was left with more questions than answers, but my therapeutic endeavours will never be quite the same and I will have the courage to wade into areas I never before transversed. I also had to look inward and consider thoughts, feelings and beliefs - not always comfortably - that were affecting me and my work. Someone once said to me that you cannot not be racist and I believe that is true, but hopefully through self-examination and knowledge, the therapeutic encounter will be richer and more achieved. This book raises many questions that need to be addressed to do good work. The book is in five sections, including the concluding chapter. The first section (3 chapters) maps out the territory. Their thesis is that “therapists must explore different situational contexts within which a woman moves to fully understand her social systemic context and its effects on her functioning, whether healthy or problematic” (P3). Clinical questions are spoken to and some suggestions given. Part 2 (4 chapters) explores women’s interpersonal relationships, cross-referencing this with a consideration of class, culture, race, class and immigration. Part 3 (4 chapters) looks at women at work and how culture and gender biases impinge. The glass ceiling is still there and women still find it hard to go up the organizational ladder, to juggle issues of family and work, having to make troublesome choices in their lives with little support or understanding, even from loving partners. Part 4 (4 chapters) looks at self-nurturance. I loved the chapter on play. The only other person in our field who has written about this is Lenore Terr in Beyond Love and Work - Why Adults Need To Play. (Touchstone - 1999). The chapters on Spirituality and Healthy Living, Healthy Women were also good. \u0000 \u0000Maybe because I am a Canadian, I wished there was more consideration of the experience of first nation women. This is an American book and so more focus was on the experience of black women","PeriodicalId":187983,"journal":{"name":"Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122166602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Protecting Aboriginal Children. 保护土著儿童。
S. Penfold
{"title":"Protecting Aboriginal Children.","authors":"S. Penfold","doi":"10.5860/choice.44-0389","DOIUrl":"https://doi.org/10.5860/choice.44-0389","url":null,"abstract":"Many child psychiatrists have had frustrating experiences with child protection services. At times children are removed swiftly, with little or no intervention or support to the family. But at other times, when we believe children are being abused or neglected, protection services seem tardy or even disinterested. Here in B.C., where the author is based, we have seen multiple attempts to reorganize child welfare services, and periodic massive cutbacks. Workers in child protection services confide that they feel beleaguered, overworked, crippled by rules and regulations, and pilloried over supposed mistakes. \u0000 \u0000This book, based on interviews with child protection workers, attempts to tap the beliefs, ideologies and idiosyncrasies that inform protection workers decisions. Work situations in aboriginal and non-aboriginal agencies are compared and contrasted. While the book analyzes the socio-political, organizational and community contexts of child protection practices with all children, the main focus is on aboriginal children. \u0000 \u0000The Royal Commission on Aboriginal Peoples found that many more aboriginal children are in care than would be expected from their percentage of the general population. Walmsley’s chapter on the historical context helps readers understand how the practice of seizing young aboriginal children from their parents and attempting to educate them and socialize them according to white secular and religious beliefs was so devastatingly destructive to aboriginal family life. As this practice waned, the residential schools tended to be used as a placement for difficult children from dysfunctional families. Then, as schools were phased out, the “sixties scoop” of aboriginal children into white foster families continued the trend. \u0000 \u0000The body of the book — examining the rationale for child protection practices and decisions - is an eye opener. It helps us understand why child protection decisions seem illogical at times, and why workers in traditional child protection services may have a mandate that differs from those working in aboriginal agencies. In this study, workers in aboriginal agencies tended to enjoy their work, felt free to disregard government policies at times, and were more family and community oriented than their government counterparts. \u0000 \u0000This small volume is clearly written and well organized. It can be read without the detailed information about the theoretical framework, study methods and data analysis. These are included as appendices. Although the study was based in BC, the findings can be readily generalized to other provinces. The well researched body of the book, by an author who teaches social work, is pertinent to other western industrialized countries, especially those with an indigenous population. \u0000 \u0000Protecting Aboriginal Children is highly recommended for those in the health professions and social sciences as a source of demystification of protection practices, and of detailed understanding of the pligh","PeriodicalId":187983,"journal":{"name":"Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124734094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Separation Anxiety in Children and Adolescents: An Individualized Approach to Assessment and Treatment. 儿童和青少年的分离焦虑:一种评估和治疗的个性化方法。
H. Le
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引用次数: 25
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