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Doing Therapy with Children and Adolescents with Asperger Syndrome / Edition 1

Doing Therapy with Children and Adolescents with Asperger Syndrome / Edition 1

by Richard Bromfield
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Product Details

ISBN-13: 9780470540251
Publisher: Wiley
Publication date: 03/29/2010
Pages: 240
Product dimensions: 6.30(w) x 9.30(h) x 0.90(d)

About the Author

Richard Bromfiled, PhD, is on the clinical faculty of Harvard Medical School and maintains a practice outside Boston. He writes about children, psychotherapy, and family life for professionals and general readers. He is the author of Doing Child and Adolescent Psychotherapy Teens in Therapy, Nurturing the Self of the Child with Asperger’s , and Playing for Real.

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Table of Contents

Preface viii

Acknowledgments xvii

Important Notes xviii

1 What Asperger's Means for the Child 1

2 Meet the Parents 11

3 Beginning Therapy 19

4 Hypersensitivity 29

5 Anxiety 43

6 Communication 61

7 Intellect, Cognitive Style, and Creativity 77

8 Feelings and Depression 101

9 Social Difficulties 121

10 Theory of Mind and Other So-Called Impediments to Therapy 147

11 Connecting It All 169

Appendix: Working with Parents 175

References 187

Author Index 201

Subject Index 205

About the Author 217

What People are Saying About This

Naomi Angoff Chedd

"Dr. Bromfield generously shares his wisdom and experience in this very accessible, honest and often moving book. Any clinician who reads it in its entirety -- or even selects a chapter or two at random -- will no doubt discover new paths to take with their most complex and challenging clients and gain a greater appreciation for those with Asperger's syndrome. Bromfield gives us all a window into a world that is hard to describe, impossible to imagine, but needs and deserves to be understood."--(Naomi Angoff Chedd, LMHC, Autism Specialist and coauthor, Replays)

Tony Attwood

"Children and adolescents with Asperger's syndrome can benefit greatly from individual psychotherapy as long as the therapist has extensive clinical knowledge and a thorough understanding of the syndrome, and takes into consideration the perspective and personal experience of the client. Providing an explanation of Asperger's based on a review of scientific research, Richard Bromfield describes how the characteristics of the syndrome affect the person's thoughts and experiences throughout childhood. The author has an intuitive understanding of the experience of having Asperger syndrome, and an engaging writing style, and his explanations and therapy are based on clinical wisdom maturing for nearly 30 years. Psychotherapy based on the practices described in this book will change the destiny of children and adults with Asperger's syndrome to one of greater connectivity to themselves and others. Should become the primary text for psychotherapists working with children and adolescents with Asperger's."--(Tony Attwood, Ph.D., author of The Complete Guide to Asperger's Syndrome)

From the Publisher

"As we increasingly recognize the parallel distress arising frommental and emo- tional ill health for many children and adolescentsdiagnosed with Asperger Syndrome this book is another welcome lensupon how those attempting to help can make a difference.
This hugely optimistic but realistic author leads the reader intohis experience using the style of engagement which succeeded withhis distressed, isolated and anxious patients, inviting ourcuriosity with a mixture of warmth and good humour.
The text is immersed in a sense of optimism which is easy to lose,when attempting to engage with the children and adolescents whoshrink with anxiety from our well intentioned attempts to reachthem. Richard Bromfield writes a passionate account of histherapeutic approach and belief in 'staying with' the apparentlyimpossible to reach the child or adolescent who may feel corneredby our world into adapting coping mechanisms that may appearbizarre or unmanageable by the rest of us who are trying to help.He repeatedly emphasizes his message that the needs of these youngpeople for emotional and psychological connection can be as strongas those who do not have a diagnosis of Aspergers Syndrome.
Written from a clearly transatlantic perspective RichardBromfield's message is presented in clear and accessible languageand combines clinical discussion with illustrations from his ownpractice, some spanning many years. The relatively small amount ofclinical terminology frees the reader to explore the author'sstories of his patients' growth and development. At the start theauthor invites us to think about the parental perspective, takingthe view that their engagement in the process of therapeutic changeis vital, though does not elaborate on how to manage this where,maybe, the parent has Aspergers too.
Through Richard Bromfield's friendly and engaging style of writingthe reader's attention is soon captured and introduced to clinicaldialogue relating to diagnosis and management. It is particularlyhelpful to read his repeated assertion that many of the therapeuticprinciples used apply to all children and adolescents 'with orwithout' Asperger Syndrome and their growth into adulthood. RichardBromfield challenges clinical assumptions that those with AspergersSyndrome have no capacity for empathy nor symbolic play (twodiagnostic indicators) and he argues that through modelling and theenacting of relationship building with his patients he has acquiredevidence that capacity to develop satisfactory relationships can bedeveloped over time. This certainly raises some questions stemmingfrom conventional models of psychotherapy, as he argues thatconcepts of love and reciprocity can be established throughrelationship modelling through therapy over a consid- erable periodof time, time which is all but unavailable in pressurized publicservices in the UK, especially for children and young people on theautism spectrum.
You do not need to be a clinical psychologist to find seeds ofinspiration in this book and the positive and practical ideas whichas the author says apply to all children and adolescents. Hefocuses our attention on the aspects of 'sameness' between allchildren with or without the diagnosis in their need and search forfriendship, acceptance, kindness and affection that are all sooften denied. However, I would have welcomed expansion on theauthor's involvement of parents (and carers) especially where theytoo present features of Asperger Syndrome.
Against the context of stark, limited, UK specialist resourcesRichard Bromfield's ideas may appear impossibly inapplicable, butthis text offers insights into psychotherapy which are reminiscentof Virginia Axeline's Dibs, in search of self. If you can, readthis book and pass it on."
Isabel Martin, Argyll and Bute Council, Scotland

"This book is a joy to read, largely due to the author's chattyand jargon-free writing style. The reader is welcomed into hisconsulting room through the liberal use of snippets of casematerial to exemplify points. He writes with a self-questioningstyle, giving examples of his own thought processes in a way thathelps a clinician to examine and so develop one’s ownpractice. Although the author is a renowned child psychologist,working at Harvard Medical School and with an extensive privatepractice, he writes with humility, not presenting a‘‘know-it all’’ approach. Examples andscenarios apply not just to psychotherapy settings but to allclinical scenarios with young people. His great fondness for hispatients is also apparent.
This book is refreshing in its strongly clinical focus. Too manytexts are overwhelmed with theory and can leave the novice none thewiser about what one actually does with patients. I wish I had readthis before I started seeing young people in therapeuticsituations. I remember wondering to myself "But what am I actuallysupposed to say?" While this book does not provide all the answers,it offers countless possibilities and helps one to reflect on theoptions. However, for the theoretically hungry, the author referson to appropriate texts.
Overall, I would recommend this book to both trainees andexperienced clinicians as an easy-to-read, practical andthought-provoking guide to psychotherapy with children andadolescents."
Liz Searle, Specialist Registrar in Child andAdolescent Psychiatry, Great Ormond Street/Royal London Hospitalshigher training scheme

"Doing Therapy with Children and Adolescents with AspergerSyndrome is a cutting-edge book that is sure to enhancepractitioner libraries and edify the clinical mind and skills set.Bromfield reviews scientific research and provides radical andfascinating practice wisdom for clinicians who want to help clientswho present with the ever growing diagnosis of AS. This book is amust-read for clinicians, parents of children with AS, andeducators. Speech and language therapists might also find the bookof value, as they are often important collaborators with cliniciansworking with young people with AS."
Lisa E. Cox, PhD, LCSW, MSW, Associate Professor,School of Social & Behavioral Sciences, The Richard StocktonCollege of New Jersey

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