Advanced Search

The American Journal of Psychiatry, VOL. 156, No. 4

Book Forum: Child and Adolescent Psychiatry | April 01, 1999

Early Intervention With High-Risk Children: Freeing Prisoners of Circumstance

LAURA L. POST, M.D.

Am J Psychiatry 1999;156:657-657.

View Article Information

edited by Arthur B. Zelman. Northvale, N.J. Jason Aronson, 1996, 360 pp., $45.00.

Article

text A A A

In the scope of my practice of rural general psychiatry, I have often been called on to perform evaluations of and treatment to children in crisis. Because this is my area of least experience, this book was much-anticipated before it was read and proved useful in application.

In eight comprehensive sections, Arthur Zelman addresses the major types of issues that face practitioners who work with high-risk children. The categorizations are interesting: the first six sections are divided by situations in which children might find themselves (i.e., in disrupted, symbiotic/psychotic, or neglectful families; homeless; bereaved; in foster placement), and the last two sections focus on 1) ways in which individual practitioners can help institutions to assist multiply stressed children and 2) specific effective, research-tested methods of intervention.

Originating at the Center for Preventive Psychiatry in New York State, the work described in this tome is both scholarly and pragmatic. The preface gives an overview of the history of the Center for Preventive Psychiatry, its philosophies, milieus, and graduates. Many of the contributors to this volume have been or continue to be associated with the Center for Preventive Psychiatry.

The 17 chapters here are introduced by clear definitions of prevention and theories of early intervention (long-term, intensive, multifaceted, flexible). Statistics concerning numbers and percentages and prevalences of children who have been abused or improperly or erratically reared or who manifest innate prerisk disabilities are also well handled.

The approach and coverage vary from one chapter to the next, but the edited writing is consistent throughout. Several entries emphasize certain real-life programs too heavily and do not abstract sufficiently for an unrelated clinician to benefit. Other chapters read too academically, with an imbalance between idealized suggestions and reports of concrete applications. Finally, in some areas, an excess of case note material overshadows therapeutic conclusions.

The most helpful sorts of recommendations that can meaningfully be extracted from this reference involve commonsense comments about how to manage disruptive children on a therapeutic unit (chapter 11), relevant frameworks for ongoing psychodynamic (chapter 12) and group (chapter 15) therapies for high-risk children, and cognitive changes in stressed children (chapters 16 and 17).

This book is dense but readable, factual and anecdotal, and best suited for advanced practitioners in the field of children’s mental health.

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.

Submit a Comments

Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of JBJS editorial staff.

* = Required Field

Comment Author(s)*(if multiple authors, separate names by comma)

Example: John Doe

Affiliation & Institution*

Comment Title*

Comment*

Cancel

Print
E-mail

Recipient(s) will receive an email with a link (good for 72 hours) to 'Early Intervention With High-Risk Children: Freeing Prisoners of Circumstance' and do not need to have American Journal of Psychiatry account to access the content.
Your Name:*
Example: John Doe

Email Address:* CC Me:
Enter your valid email address. Example: jdoe@example.com

Recipient's Email Address:*
Separate multiple email address with semi-colons (up to 5).

Subject:* 's American Journal of Psychiatry: 'Early Intervention With High-Risk Children: Freeing Prisoners of Circumstance'
Subject for your email.

Message:
(Optional, message will truncate at 1000 characters)

Processing your request... Please Wait...

Copyright © in the material you requested is held by The American Psychiatric Association (unless otherwise noted). This email ability is provided as a courtesy, and by using it you agree that you are requesting the material solely for personal, non-commercial use, and that it is subject to The American Psychiatric Association's Terms of Use. The information provided in order to email this topic will not be used to send unsolicited email, nor will it be furnished to third parties. Please refer to The American Psychiatric Association's Privacy Policy for further information.

Copyright © American Psychiatric Association. All rights reserved.
Share
Get Citation

LAURA L. POST; Early Intervention With High-Risk Children: Freeing Prisoners of Circumstance. American Journal of Psychiatry. 1999 Apr;156(4):657-657.

Download citation file:

RIS (Zotero)

EndNote

BibTex

Medlars

ProCite

RefWorks

Reference Manager

Copyright © American Psychiatric Association. All rights reserved.
Reprints