Therapeutic Consultations In Child Psychiatry

Over a period of several decades, the author evolved a personal way of relating to and communicating with children, offering them a live professional setting in which to discover themselves. He believed that, in the right case, a full and free use of the first interview can yield rich rewards, and he claimed that the right cases for this are common. He hoped that, by presenting these case studies, he would introduce the reader to the exciting potential of his approach, which depends as much on selection (of therapist) as on training. Here is his presentation - seventeen case histories whose significance for child psychiatry is in the tradition of Freud's case histories of the treatment of adult neurotics. Therapeutic Consultations in Child Psychiatry provides a fruitful feedback to psychoanalysis itself.

Volume 10, Therapeutic Consultations in Child Psychiatry, a posthumous publication of twenty-one case histories of children and adolescents taken over a ten-year period, is introduced by the Florentine analyst and child and adolescent psychiatrist, Marco Armellini. It concerns the application of psychoanalysis to child psychiatry. The technique in these reported cases usually takes the form of what Winnicott describes as the Squiggle Game. Winnicott states that what happens in the game and in the whole interview depends on the use made of the child's experience, including the material that presents itself. In these consultations, unlike what happens in ongoing intensive analytic cases, interpretation of the unconscious is not the main feature. The backbone of all the work described here is the theory of the emotional development of the individual.

Volume 10, Therapeutic Consultations in Child Psychiatry, a posthumous publication of twenty-one case histories of children and adolescents taken over a ten-year period, is introduced by the Florentine analyst and child and adolescent psychiatrist, Marco Armellini. It concerns the application of psychoanalysis to child psychiatry. The technique in these reported cases usually takes the form of what Winnicott describes as the Squiggle Game. Winnicott states that what happens in the game and in the whole interview depends on the use made of the child's experience, including the material that presents itself. In these consultations, unlike what happens in ongoing intensive analytic cases, interpretation of the unconscious is not the main feature. The backbone of all the work described here is the theory of the emotional development of the individual.

This volume contains ninety-two works by this renowned writer, theoretician, and clinician. Includes critiques of Melanie Klein's ideas and insights into the works of other leading psychoanalysts, and thoughts on such concepts as play in the analytic situation, the fate of the transitional object, regression in psychoanalysis, and the use of silence in psychotherapy.

The fields of psychiatry and child psychiatry are encumbered by numerous and complex relational, medicolegal, and ethical dilemmas. This practical and clinically relevant book attempts to bring clarity to complex clinical presentations through the integration of psychodynamic, family systems, medicolegal, and ethical perspectives. It recognizes that the intimate and often difficult work with such complex cases requires consultation with multidimensional experts to address psychodynamic, family, ethical, and therapeutic issues. In the process, the author aims to foster the comfort and skill in dealing with these cases that is essential to the personal and professional growth of the psychiatrist. It is further anticipated that the book will assist in developing best practice standards for assessment and intervention in cases of this nature.

Clinical Manual of Pediatric Consultation-Liaison Psychiatry offers a comprehensive guide for mental health clinicians, trainees, and students to pediatric consultation-liaison psychiatry (CLP), a specialized area of psychiatry whose practitioners have particular expertise in the diagnosis and management of psychiatric disorders in complex physically ill children and adolescents. Patients commonly fall into one of three descriptive categories: those with comorbid emotional and physical illnesses that complicate each other's management; those with distressing somatic symptoms plus abnormal thoughts, feelings, and behavior in response to these symptoms; and those with psychiatric symptoms that are a direct consequence of a physical illness and/or its treatment. The text, authored by two luminaries in pediatric psychiatry, thoroughly explores the challenges faced by these patients and pediatric practitioners and mental health professionals who together care for them, addressing, in a concrete and practical manner, the wide variety of issues encountered in the pediatric hospital. These concerns range from how to address treatment nonadherence in children to how to conduct a psychosocial assessment of a solid organ transplant recipient. The text's carefully chosen features and valuable content include: Historical context for the evolution of "pediatric psychosomatic medicine" to "pediatric consultation-liaison psychiatry," ensuring an accurate, up-to-date representation of the field and proper integration with DSM-5 classification. Detailed clinical assessment protocols, with guidance for exploring interrelated domains such as illness factors, emotional impact, family functioning, and social relationships. These practical, step-by-step guides assist the consultant in conducting a comprehensive psychiatric/psychological assessment. A target symptom-oriented chapter on psychopharmacology in the physically ill child, which offers guidance on management of acute agitation, insomnia, fatigue, depression, and anxiety. The treatment algorithms presented are designed to be easily understood by non-psychiatric clinicians. Guidance on the use of practical interventions to help physically ill children undergoing traumatic medical procedures, including hypnosis, progressive muscle relaxation, and breathing techniques. These specific techniques will help the clinician in assisting distressed patients. The previous edition was considered the gold standard for books in the field. This new, thoroughly revised iteration of Clinical Manual of Pediatric Consultation-Liaison Psychiatry will doubtless inspire similar acclaim for its rigor, accessibility, and clinical wisdom.