Infant and Toddler Mental Health: Models of Clinical Intervention With Infants and Their Families [NOOK Book]


Countless studies have demonstrated the power of early intervention to permanently alter the course of a child's life. Yet -- heightened by the past decade's research breakthroughs in genetics -- the nature vs. nurture controversy rages on.

This volume dispels some of the persistent myths surrounding this controversy. Unlike largely theoretical texts that describe infant behavioral and emotional difficulties and other psychosocial challenges affecting young children, this ...

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Infant and Toddler Mental Health: Models of Clinical Intervention With Infants and Their Families

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Countless studies have demonstrated the power of early intervention to permanently alter the course of a child's life. Yet -- heightened by the past decade's research breakthroughs in genetics -- the nature vs. nurture controversy rages on.

This volume dispels some of the persistent myths surrounding this controversy. Unlike largely theoretical texts that describe infant behavioral and emotional difficulties and other psychosocial challenges affecting young children, this eminently practical guide illustrates what to do in numerous clinical situations with actual patients. Written by clinicians who work with infants and children and their families every day, this reality-based approach addresses the most common and important problems in infant psychopathology (e.g., trauma, sleep, feeding, excessive crying, attachment disruptions), covering models of intervention from pregnancy through infancy, attachment issues, and transgenerational themes.

Here, you'll find topics rarely addressed elsewhere: • The theoretical and clinical implications of trauma during early childhood and its effects on emotional regulation, cognition, and attachment, including potential disruptions of attachment -- a topic widely overlooked in the life of young children, perhaps because of the distress it produces in adults to think that infants can be subject to violence, witness major traumatic events, and experience consequences from such events

• Techniques, such as multimodal parent-infant psychotherapy, for working effectively with families -- once considered "unreachable" -- who are under severe stress and have endured multiple disruptions, disappointments, and marginalization

• A timely discussion of a rarely addressed problem on the importance of early intervention and the effects of day care for infants, from the point of view of the infant exposed to multiple caretakers, addressing the very difficult questions of the effects on infants of changes in caretakers

• How young children use their bodies and its functions to manifest their difficulties, focusing on sleeping, crying, and eating with practical suggestions that can be widely applied by health care professionals

• Unique commentaries on two case examples by a diverse international panel of clinicians and researchers -- from countries such as Argentina, Canada, France, Japan, Mexico, Switzerland, the UK, and the U.S. -- illustrating the differences of opinion, approaches, and perspectives that together generate more effective assessment and treatment

This thought-provoking clinical reference is a "must read" for developmental, child, and adolescent psychiatry educators and practitioners -- and nurses, pediatricians, occupational therapists, and clinical social workers -- as they help the youngest members of our community through theoretical understanding and practical intervention.

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Editorial Reviews

From The Critics
The 14 papers of this volume are organized into four sections that consider actual case studies, psychophysiological disturbances, various schools of parent-infant psychotherapy, and theory. Among the topics of individual papers are multimodal parent-infant psychotherapy, attachment disturbances, the impact of day care, reflective self-function and "mind reading" as related to attachment relationships, excessive crying, and the physiology and maturation of sleeping. The international group of contributors come from an array of disciplines, including psychology, psychiatry, infant/family clinical practice, and family therapy. Annotation c. Book News, Inc., Portland, OR
From The Critics
Reviewer: Elliott Pae, MD (Rush University Medical Center)
Description: This book promotes the understanding of developmental progression by focusing attention on the reality of infancy. It describes solid clinical observations from internationally recognized infant mental health clinicians which form the basis of effective preventive interventions for the youngest members of our communities.
Purpose: The purpose is to further the theoretical understanding as well as enhance the ability of infant mental health clinicians to provide practical interventions for troubled infants and their families. It serves as a valuable clinical treatment guide for clinicians learning about effective approaches to infant mental health. The editor also aims to stimulate the ongoing discussion surrounding the key role of early family experience. This is a valuable contribution to the field because of the research in genetics that has deemphasized the environmental determinants of early development. The editor, by bringing together an outstanding group of internationally recognized clinicians, has done excellent job in attaining these objectives.
Audience: The intended audience includes clinicians, educators, individuals training in the field of early development, and those interested in the diverse approaches to clinical work. The author is an internationally-known authority in the field and has contributed significantly as a clinician, investigator and professor.
Features: The book is organized into four sections. The first section addresses the theoretical background for the real-life clinical encounters contained later. The second section provides a broad survey of the various schools of parent-infant or infant-parent psychotherapy. The third section of the book covers psychophysiological disturbances in infants. The final section describes actual cases of young children in great distress with complex family difficulties. The illustrative case examples that comprise the fourth section of the book are very helpful in conceptualizing an understanding of problems encountered by the child and family and the practical ways to intervene.
Assessment: This book significantly furthers the literature of early development by bringing together theoretical, experimental, and clinical material in a reality-based approach. The therapeutic approaches are detailed and sensitive accounts of a diversity of clinical interventions and treatments.
Ingram Wright

This book convinced me, a skeptic, of the need to consider that the infant-caregiver relationship, not as a secondary contextual information, but as central to successful therapeutic intervention. The clarity of the presentation and the thoughtful selection of case material does much to convince the reader.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781585627752
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 8/13/2008
  • Sold by: Barnes & Noble
  • Format: eBook
  • Pages: 424
  • Product dimensions: 0.60 (w) x 0.90 (h) x 0.07 (d)
  • File size: 3 MB

Meet the Author

J. Martín Maldonado-Durán, M.D., works at the Family Service and Guidance Center in Topeka, Kansas. He is also an investigator for the Child and Family Center at the Menninger Clinic, an adjunct professor for infant psychopathology at Kansas State University, and a clinical professor at the University of Kansas in Topeka, Kansas.

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Table of Contents

Introduction. Part I: Theoretical Framework. The place for infancy. Attachment, trauma, and self-reflection: implications for later psychopathology. Understanding of mental states, mother-infant interaction, and the development of the self. Part II: Therapeutic Approaches to Relationships and Their Disturbances. Promoting maternal role attainment and attachment during pregnancy: the parent-child communication coaching program. Treatment of attachment disorders in infant-parent psychotherapy. Multimodal parent-infant psychotherapy. The therapeutic consultation. The transgenerational transmission of abandonment. The challenge of multiple caregivers. Part III: Therapeutic Approaches to Psychophysiological Disturbances. Excessive and persistent crying: characteristics, differential diagnosis, and management. Sleep disorders in infants and young children. Evaluation and treatment of eating and feeding disturbances in infancy. Part IV: Illustrative Case Examples. A 3-year-old "monster." Physical abuse and neglect in the first 6 months of life: a parent-infant psychotherapeutic approach. Index.

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