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From The CriticsReviewer: Elliott Pae, MD (Rush University Medical Center)
Description: This book promotes the understanding of a developmental biopsychosocial model for the clinical interview of the child. It describes this model as a developmental, individual-difference, relationship-based (DIR) approach.
Purpose: The purpose is to underscore the point that a child's personality comprises many interrelated lines of development. Although these lines may be separated for conceptual purposes, in the functioning experience of a child, they are all interrelated. Moreover, this third edition reinforces the principle that every discrete behavior is multiply determined. Dr. Greenspan clearly emphasizes that a full understanding of mental health and illness requires a developmental biopsychosocial model. The developmental structuralist approach as outlined in this book serves as a valuable clinical treatment framework for clinicians learning about a developmental biopsychosocial model of the psychotherapeutic process. This is a valuable contribution to the field because children, families, and clinicians require such a developmental model and approach to deal with the complexity of the experiential world of a child. The author, through bringing together a compelling series of clinical vignettes which illustrate his viewpoint on mental development, has done an excellent job in achieving these objectives.
Audience: The intended audience includes child and adult clinicians, educators, individuals training in the theory of mental development, and those interested in a developmental biopsychosocial model of the psychotherapeutic process. The author is the only individual to receive both Ittleson awards — the American Psychiatric Association's Ittleson Prize for outstanding contributions to child psychiatry research and the American Orthopsychiatric Association's Ittleson Prize for outstanding contributions to American mental health.
Features: The first section of the book provides the conceptual foundations for the developmental structuralist approach. Next, several categories for observation during an interview are outlined. The next section of the book presents interview patterns developed by 18 young children. Subsequently, conducting the interview as well as constructing a formulation based on a developmental approach are advocated. The final section discusses selected comments on interviewing parents. An appendix summarizes the developmental biopsychosocial model for assessment and treatment.
Assessment: This book is an outstanding introduction to the theory of mental development. It contributes greatly to the literature by providing a model for assessment and treatment based upon a developmental biopsychosocial framework.