Psychotherapy with Children and Adolescents (Cambridge Child and Adolescent Psychiatry) PDF
Preview Psychotherapy with Children and Adolescents (Cambridge Child and Adolescent Psychiatry)
Psychotherapywithchildrenandadolescents Many difficult questions are raised when psychotherapeutictechniques are applied to young people.Inthisimportantvolume,coveringtheprinciplesandmethodsofpsychotherapyina widerangeofsettings,HelmutRemschmidtandaneminentteamofexpertsexaminethevarious problemsthatfacepractitionerswhodealwithdisturbedyoungpeople.How,forexample,to accommodate existing treatments to age and developmental status? How to adapt psycho- therapeutictechniquestoabroadrangeof specificdisorders,fromschizophrenia,depression, autism,anxietyandabusetobed-wettingandstuttering?Howmuchtrainingandinvolvement should be given to parents? How best to set the treatment: group, individual, inpatient, outpatient?Howtochooseandassessthemosteffectivetreatment:verbal,non-verbal,behav- ioural?Whatshouldthecriteriabeforassessingtreatment? All thesequestionsare examined,oftenwithinstructivecasevignettes, alongsidethe most recent research findings and assessment tools available. All the major techniques of psycho- therapyarecovered,asaretheprincipaldisordersinwhichtheymaybeofvalue.Thiswillbe essentialreadingforallmentalhealthprofessionalsusingpsychotherapywithyoungpeople. HelmutRemschmidtisaninternationallyrenownedpsychiatristandclinicalpsychologistand ProfessorofChildPsychiatryatPhilipps-UniversityinMarburg,Germany.Hiscurrentresearch interestsincludedevelopmentalpsychopathology,schizophrenia,psychiatricgenetics,therapy and evaluation. He is President of the International Association for Child and Adolescent PsychiatryandAlliedProfessions. CambridgeChildandAdolescentPsychiatry Childandadolescentpsychiatryisanimportantandgrowingareaofclinicalpsychiatry.Thelastdecade hasseenarapidexpansionofscientificknowledgeinthisfieldandhasprovidedanewunderstandingof theunderlyingpathologyofmentaldisordersintheseagegroups.Thisseriesisaimedatpractitioners and researchers both in child and adolescent mental health services and developmental and clinical neuroscience.Focusingonpsychopathology,ithighlightsthosetopicswherethegrowthofknowledge has had the greatest impact on clinical practiceand on the treatment and understandingof mental illness. Individual volumes benefit both from the international expertise of their contributors and a coherencegeneratedthroughauniformstyleandstructurefortheseries.Eachvolumeprovidesfirstly anhistoricaloverviewandacleardescriptiveaccountofthepsychopathologyofaspecificdisorderor group of related disorders. These featuresthen form the basis for a thoroughcritical review of the aetiology,naturalhistory,management,preventionandimpactonlateradultadjustment.Whilsteach volumeisthereforecompleteinitsownright,volumesalsorelatetoeachothertocreateaflexibleand collectableseriesthatshouldappealtostudentsaswellasexperiencedscientistsandpractitioners. Editorialboard Serieseditor ProfessorIanM.Goodyer UniversityofCambridge Associateeditors ProfessorDonaldJ.Cohen DrRobertN.Goodman YaleChildStudyCenter InstituteofPsychiatry,London ProfessorBarryNurcombe ProfessorDrHelmutRemschmidt TheUniversityofQueensland KlinikumderPhilipps-Universita¨t,Marburg,Germany ProfessorDrHermanvanEngeland DrFredR.Volkmar AcademischZiekenhuisUtrecht YaleChildStudyCenter Alreadypublishedinthisseries: SpecificLearningDisabilitiesandDifficultiesinChildrenandAdolescentseditedbyAlanandNadeen Kaufman0521658403pb TheDepressedChildandAdolescentsecondeditioneditedbyIanM.Goodyer0521794269pb SchizophreniainChildrenandAdolescentseditedbyHelmutRemschmidt0521794285pb AnxietyDisordersinChildrenandAdolescents:Research,AssessmentandInterventioneditedby WendySilvermanandPhilipTreffers0521789664pb ConductDisordersinChildhoodandAdolescenceeditedbyJonathanHillandBarbaraMaughan 0521786398pb AutismandPervasiveDevelopmentalDisorderseditedbyFredR.Volkmar0521553865hb CognitiveBehaviourTherapyforChildrenandFamiliesbyPhilipGraham0521572525hb 0521576261pb HyperactivityDisordersofChildhoodeditedbySeijaSandberg0521432502hb Psychotherapy with children and adolescents Editedby Helmut Remschmidt revisedandtranslatedfromGermanby PeterMatthiasWehmeierandHelenCrimlisk publishedbythepresssyndicateoftheuniversityofcambridge ThePittBuilding,TrumpingtonStreet,Cambridge,UnitedKingdom cambridgeuniversitypress TheEdinburghBuilding,CambridgeCB22RU,UK 40West20thStreet,NewYork,NY10011-4211,USA 10StamfordRoad,Oakleigh,VIC3166,Australia RuizdoAlarco´n13,28014Madrid,Spain DockHouse,TheWaterfront,CapeTown8001,SouthAfrica http://www.cambridge.org OriginallypublishedinGermanbyGeorgThiemeVerlagasPsychotherapieimKindes-und Jugendalterin1997 Englishversion©CambridgeUniversityPress2001 Thisbookisincopyright.Subjecttostatutoryexceptionandtotheprovisionsofrelevantcollective licensingagreements,noreproductionofanypartmaytakeplacewithoutthewrittenpermissionof CambridgeUniversityPress. RevisedandupdatedversionfirstpublishedinEnglishbyCambridgeUniversityPress2001 PrintedintheUnitedKingdomattheUniversityPress,Cambridge TypefaceDanteMT11/14pt SystemPoltype®[vn] AcataloguerecordforthisbookisavailablefromtheBritishLibrary LibraryofCongressCataloguinginPublicationdata PsychotherapieimKindes-undJugendalter,English Psychotherapywithchildrenandadolescents/editedbyHelmutRemschmidt;revised andtranslatedfromGermanbyPeterMattheiasWehmeierandHelenCrimlisk. p. cm.-(Cambridgechildandadolescentpsychiatryseries) Includesbilbiographicalreferencesandindex. ISBN0521775582(pb.) 1.Childpsychotherapy. 2.Adolescentpsychotherapy. 3.Children–Mentalhealth. 4.Teenagers–Mentalhealth. I.Remschmidt,Helmut. II.Title. III.Series. RJ504.P78513 2001 618.92'8914–dc21 00–065168 ISBN0521775582paperback Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateandup-to-dateinformationwhichis inaccordwithacceptedstandardsandpracticeatthetimeofpublication.Nevertheless,theauthors,editors andpublishercanmakenowarrantiesthattheinformationcontainedhereinistotallyfreefromerror,not leastbecauseclinicalstandardsareconstantlychangingthroughresearchandregulation.Theauthors, editorsandpublisherthereforedisclaimallliabilityfordirectorconsequentialdamagesresultingfromthe useofmaterialcontainedinthisbook.Readersarestronglyadvisedtopaycarefulattentiontoinformation providedbythemanufacturerofanydrugsorequipmentthattheyplantouse. Contents Listofcontributors ix Preface xi PartI Principlesofpsychotherapywithchildren,adolescents and families 1 1 Definition,classificationandprinciplesofapplication 3 HelmutRemschmidt 2 Treatmentplanning 12 FritzMattejat 3 Psychotherapyresearch 40 HelmutRemschmidtandFritzMattejat 4 Qualityassurance 66 FritzMattejat PartII Psychotherapeuticmethodsandsettings 79 5 Psychodynamictherapy 81 HelmutRemschmidtandKurtQuaschner 6 Behaviourtherapy 98 UweMu¨llerandKurtQuaschner 7 Cognitivebehaviourtherapy 113 RichardHarrington 8 Interpersonalpsychotherapyforadolescents 124 EricFombonne 9 Playtherapywithchildren 138 GerhardNiebergall v vi Contents 10 Individualpsychotherapywithadolescents 145 GerhardNiebergall 11 Grouppsychotherapyandpsychodrama 161 GerhardNiebergall 12 Familytherapy 179 FritzMattejat 13 Parenttraining 211 AndreasWarnke 14 Combinationoftreatmentmethods 234 HelmutRemschmidt PartIII Thepracticeofpsychotherapyforspecificdisordersin childhoodandadolescence 241 15 Anxietydisorders 243 HelmutRemschmidt 16 Obsessive-compulsivedisorder 276 HelmutRemschmidtandGerhardNiebergall 17 Depressivesyndromesandsuicide 291 BeateHerpertz-Dahlmann 18 Dissociative[conversion]disorders 306 HelmutRemschmidt 19 Disordersofsexualdevelopmentandsexualbehaviour 315 MatthiasMartinandHelmutRemschmidt 20 Substanceabuseandaddiction 327 AndreasWarnke 21 Eatingdisorders 344 MatthiasMartin 22 Psychotherapyinchronicphysicaldisorders 372 IngeborgJochmus 23 Enuresisandfaecalsoiling 393 KurtQuaschnerandFritzMattejat vii Contents 24 Dyslexiaanddyscalculia 413 AndreasWarnkeandGerhardNiebergall 25 Stuttering 428 GerhardNiebergallandHelmutRemschmidt 26 Hyperkineticdisorders 438 KurtQuaschner 27 Autism 457 DorisWeberandHelmutRemschmidt 28 Schizophrenia 477 HelmutRemschmidt,MatthiasMartinandEberhardSchulz 29 Conductdisorders,antisocialbehaviour,delinquency 498 BeateHerpertz-Dahlmann 30 Physicalabuseandneglect 512 HelmutRemschmidt 31 Sexualabuseandsexualmaltreatment 525 HelmutRemschmidt PartIV Thepracticeofpsychotherapyinvarioussettings 537 32 Inpatientpsychotherapy 539 MatthiasMartin 33 Day-patientpsychotherapy 552 AndreasWarnkeandKurtQuaschner 34 Hometreatment 568 HelmutRemschmidtandAndreasWarnke Index 577 MMMM Contributors EricFombonne FritzMattejat InstituteofPsychiatry DepartmentofChildandAdolescent DenmarkHill Psychiatry LondonSE58AF UniversityofMarburg UK Hans-Sachs-Strasse4–8 35033Marburg RichardHarrington Germany DepartmentofChildandAdolescent Psychiatry UweMu¨ller RoyalManchesterChildren’sHospital Kinderhospital HospitalRoad Iburgerstrasse187 ManchesterM274HA 49082Osnabru¨ck UK Germany BeateHerpertz-Dahlmann GerhardNiebergall DepartmentofChildandAdolescent DepartmentofChildandAdolescent Psychiatry Psychiatry UniversityofAachen UniversityofMarburg NeuenhoferWeg21 Hans-Sachs-Strasse4–8 52074Aachen 35033Marburg Germany Germany IngeborgJochmus KurtQuaschner von-Manger-Strasse12 DepartmentofChildandAdolescent 48145Mu¨nster Psychiatry Germany UniversityofMarburg Hans-Sachs-Strasse4–8 MatthiasMartin 35033Marburg DepartmentofChildandAdolescent Germany Psychiatry UniversityofMarburg HelmutRemschmidt Hans-Sachs-Strasse4–8 DepartmentofChildandAdolescent 35033Marburg Psychiatry Germany UniversityofMarburg Hans-Sachs-Strasse4–8 35033Marburg Germany ix x Listofcontributors EberhardSchulz DorisWeber DepartmentofChildandAdolescent AmSchu¨tzenplatz2a Psychiatry 35039Marburg UniversityofFreiburg Germany Hauptstrasse8 79104Freiburg Germany AndreasWarnke DepartmentofChildandAdolescent Psychiatry UniversityofWu¨rzburg Fu¨chsleinstrasse15 97080Wu¨rzburg Germany
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