Textbook of Pediatric Neuropsychiatry

ISBN 13: 9780880487665

Textbook of Pediatric Neuropsychiatry

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9780880487665: Textbook of Pediatric Neuropsychiatry

Spanning the fields of paediatric medicine, paediatric neurology, and child and adolescent psychiatry, this resource covers all aspects of paediatric neuropsychiatry. The text provides child and adolescent psychiatrists, neurologists, paediatricians and other clinicians with coverage of the latest developments in research, theory, assessment and diagnosis, treatment and other aspects of clinical practice. This text offers an at-a-glance reference to all fundamental topics in paediatric neuropsychiatry and contains a thorough, exhaustive and current literature review. The "Textbook" is organized into five sections. Section 1 discusses the specialty of paediatric neuropsychiatry, normal and abnormal brain development, cerebral connectivity and normal growth and physical development. It includes an integrative model linking developmental brain biology with behaviour. Section 2 discusses normal behavioural and personality development; bedside, neuropsychological and psychoeducational assessment of the paediatric patient; and the role of advanced brain-imaging technologies in the evaluation of children and adolescents. This section defines the acceptable limits of normal brain development. Sections 3 and 4 provide the clinical core of the "Textbook" and focus on the neuropsychiatric aspects of psychiatric and neurological disorders in children and adolescents. These sections highlight how the developing nervous system influences the pathophysiology, neuropsychiatric manifestations, clinical course, treatment, and prognosis of psychiatric and neurological illness. Section 5 examines the psychopharmacology, electroconvulsive therapy, genetic interventions, psychosocial and family therapies, educational interventions, and residential facilities. The section also includes a chapter on the special legal considerations that impact the provision of care for these patients.

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About the Author:

C. Edward Coffey, M.D., is Vice President of Henry Ford Behavioral Services and Kathleen and Earl Ward Chair in Psychiatry in the Henry Ford Health System, Detroit, Michigan. - Roger A. Brumback, M.D., is Professor of Pathology (Neuropathology), Pediatrics, Neurology, and Psychiatry and Behavioral Science at the University of Oklahoma College of Medicine and Veterans Affairs Medical Center, Oklahoma City, Oklahoma.

From The New England Journal of Medicine:

Alexander Pope said, "The proper study of mankind is man." Surely, studying the development of the human brain, mind, and personality -- and their disorders -- is one of the great scientific tasks of the coming century. In past generations, humans studied humans by observation and contemplation, a process systematized to great advantage by psychologists. And as always in medicine, disease provides not only the practical spur, but also the indispensable key to such investigation.

The editors of the Textbook of Pediatric Neuropsychiatry define neuropsychiatry as the discipline devoted to understanding the neurobiologic basis of human behavior. This massive book demonstrates beyond question that we are ready to address the relation between neuropsychiatric illness and the neurobiology of behavioral development. It encompasses, in great detail, what we currently know about child neurology, child psychiatry, psychology, pediatrics, and neurogenetics. This knowledge is still largely descriptive; there is much more information than there are answers, more studies than conclusions. But just as the infant peers before seeing, so it is with science: we need to look, to direct attention, before we can see. This book proves that we are looking.

How different it was 25 years ago. Then, many families brought children to me with behavioral and developmental problems. They had seen neurologists, who confirmed that the children's reflexes were normal, and psychiatrists, who engaged in play therapy or family therapy -- and the problems of the children and their families fell between the two approaches. This situation has since changed immensely. Pediatric neurologists now take behavior seriously, as seriously as child psychiatrists take neurobiology.

This book is a testament to how far we have come. Edited by a psychiatrist who is also a neurologist and a pediatric neurologist long interested in psychiatry, it includes authoritative discussions of current research and practice in every phase of pediatric neuropsychiatry, by recognized leaders in each area. It can be referred to confidently as an authoritative textbook presenting the current understanding of pediatric neurologic and psychiatric issues. Its breadth, depth, comprehensiveness, uniform high quality, and timeliness (the literature for 1997 is nearly fully covered) are little short of amazing, and they are a tribute to the editors.

In addition to an introductory section, there are sections on the neuropsychiatric assessment of the child, including detailed information on neuropsychological and psychoeducational evaluation and chapters on advanced techniques for imaging the brain; clinical sections on the neuropsychiatric aspects of psychiatric and neurologic disorders; and a section containing comprehensive information on all aspects of treatment. A notable feature throughout is the series of tables, appendixes, and similar compendiums of useful information on descriptive neuropsychological tests and clinical and research instruments for the assessment of speech and language and other functions.

The references are extensive. The richness and completeness of the material is remarkable; this feature in itself makes the book indispensable. Some contributions stand out: the review of recent studies of language acquisition in infants and the detailed discussion of electroconvulsive therapy for adolescents, complete with case histories. Some large problems are presented from more than one point of view, perhaps balancing an occasional idiosyncracy. Some areas are difficult by their nature; autism, for example, remains a thicket, with no clear path through. Some might wish for a fuller treatment of neurotransmitter and receptor pharmacology. But these quibbles cannot obscure the grand achievement here.

This textbook marks a new era in pediatric neuropsychiatry and probably in human neuroscience. It is legitimately a landmark. In bringing together in masterly fashion strands that have been developing here and there, it represents a major intellectual event. It clearly sets the agenda for a neurobiologic understanding of human neurologic and psychiatric development. This book will be on the "must have" list of anyone with a scholarly interest in the neurologic and neuropsychiatric development and disorders of children.

Reviewed by G. Robert DeLong, M.D.

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Roger A. Brumback (Editor), C. Edward Coffey (Editor)
Editore: American Psychiatric Publishing (1998)
ISBN 10: 0880487666 ISBN 13: 9780880487665
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Descrizione libro American Psychiatric Publishing, 1998. Hardcover. Condizione libro: New. Codice libro della libreria DADAX0880487666

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