Skip 
Navigation Link
Psychotherapy
Resources
Basic InformationMore InformationLatest NewsQuestions and AnswersLinksBook Reviews
Maximizing Effectiveness in Dynamic Psychotherapy Self-Compassion in Psychotherapy101 Healing Stories101 Things I Wish I'd Known When I Started Using HypnosisA Primer for Beginning PsychotherapyA Therapist's Guide to Understanding Common Medical ProblemsACT With LoveAlready FreeAssessment and Treatment of Childhood Problems, Second EditionBad TherapyBefore ForgivingBeing a Brain-Wise TherapistBiofeedback for the BrainBody PsychotherapyBody SenseBoundaries and Boundary Violations in PsychoanalysisBrain Change TherapyBreaking ApartBuffy the Vampire Slayer and PhilosophyBuilding on BionCare of the PsycheChoosing an Online TherapistClinical Handbook of Psychological DisordersClinical Intuition in PsychotherapyClinical Pearls of WisdomCo-Creating ChangeCompassion and Healing in Medicine and SocietyConfessions of a Former ChildConfidential RelationshipsConfidentiality and Mental HealthConfidingContemplative Psychotherapy EssentialsCouch FictionCounseling with Choice TheoryCritical Issues in PsychotherapyCrucial Choices, Crucial ChangesDecoding the Ethics CodeDepression 101Depression in ContextDo-It-Yourself Eye Movement Techniques for Emotional HealingDoing ItE-TherapyEncountering the Sacred in PsychotherapyEnergy Psychology InteractiveEssays on Philosophical CounselingEthics in Psychotherapy and CounselingEveryday Mind ReadingExpressing EmotionFacing Human SufferingFairbairn's Object Relations Theory in the Clinical SettingFamily TherapyFavorite Counseling and Therapy Homework AssignmentsFlourishingFlying ColorsGod & TherapyHandbook of Clinical Psychopharmacology for TherapistsHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHealing the Heart and Mind with MindfulnessHealing the Soul in the Age of the BrainHeinz KohutHow to Give Her Absolute PleasureHow to Go to TherapyIf Only I Had KnownIn SessionIn Therapy We TrustIn Treatment: Season 1Incorporating Spirituality in Counseling and PsychotherapyIs Long-Term Therapy Unethical?Issues in Philosophical CounselingIt’s Your HourLearning from Our MistakesLetters to a Young TherapistLogotherapy and Existential AnalysisLove's ExecutionerMan's Search for MeaningMetaphoria: Metaphor and Guided Metaphor for Psychotherapy and HealingMindfulness and AcceptanceMindfulness-Based Cognitive Therapy for DepressionMindworks: An Introduction to NLPMockingbird YearsMomma and the Meaning of LifeMotivational Interviewing: Preparing People For ChangeMulticulturalism and the Therapeutic ProcessOf Two MindsOn the CouchOne Nation Under TherapyOur Inner WorldOvercoming Destructive Beliefs, Feelings, and BehaviorsPhilosophical CounselingPhilosophical MidwiferyPhilosophical PracticePhilosophy and PsychotherapyPhilosophy for Counselling and PsychotherapyPhilosophy PracticePhilosophy's Role in Counseling and PsychotherapyPlato, Not Prozac!Psychologists Defying the CrowdPsychology, Psychotherapy, Psychoanalysis, and the Politics of Human RelationshipsPsychosis in the FamilyPsychotherapyPsychotherapyPsychotherapy As PraxisPsychotherapy for Children and AdolescentsPsychotherapy for Personality DisordersRational Emotive Behavior TherapyRational Emotive Behavior TherapyRationality and the Pursuit of HappinessRecovery OptionsRent Two Films and Let's Talk in the MorningSaving the Modern SoulSecond-order Change in PsychotherapySelf MattersSelf-Compassion in PsychotherapySelf-Determination Theory in the ClinicSexual Orientation and Psychodynamic PsychotherapyStrangers to OurselvesTaking America Off DrugsTales of PsychotherapyThe Art of HypnosisThe Case Formulation Approach to Cognitive-Behavior TherapyThe Crucible of ExperienceThe Education of Mrs. BemisThe Fall Of An IconThe Gift of TherapyThe Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work The Husbands and Wives ClubThe Love CureThe Making of a TherapistThe Mummy at the Dining Room TableThe Neuroscience of PsychotherapyThe Neuroscience of Psychotherapy: Healing the Social BrainThe New PsychoanalysisThe Philosopher's Autobiography The Portable CoachThe Portable Ethicist for Mental Health Professionals The Present Moment in Psychotherapy and Everyday LifeThe Problem with Cognitive Behavioural TherapyThe Psychodynamics of Gender and Gender RoleThe Psychotherapy Documentation PrimerThe Real World Guide to Psychotherapy PracticeThe Schopenhauer CureThe Talking CureThe Therapeutic "Aha!"The Therapist's Guide to Psychopharmacology, Revised EditionThe Therapist's Ultimate Solution BookThe UnsayableThe Wing of MadnessTheory and Practice of Brief TherapyTherapyTheraScribe 4.0Thinking about ThinkingThriveToward a Psychology of AwakeningTracking Mental Health OutcomesTreating Attachment DisordersWhat the Buddha FeltWhat Works for Whom? Second EditionWhy Psychoanalysis?Yoga Therapy
Related Topics

Psychological Testing
Mental Disorders
Treatments & Interventions

by Carolyn S. Schroeder and Betty N. Gordon
Guilford Press, 2002
Review by Michael Sakuma, Ph.D. on Nov 14th 2003

Assessment and Treatment of Childhood Problems, Second Edition

Schroeder and Gordon's second edition of Assessment and Treatment of Childhood Problems is an excellent resource for those clinicians who work with common behavioral and psychological disturbance associated with childhood.  The book seems targeted towards clinicians with little-to-moderate experience working with children, and I believe that the book hits its mark. 

The authors decided to divide the book into conceptually relevant units of human developmental functioning, as opposed to the approach of describing problems by discrete clinical disorders.  I like this organization, as it is a move away from the syndrome-labeling medical model morass and a move towards understanding and treating problems at the level of symptoms.

The first two chapters of the book, entitled "foundations" covers normal and abnormal developmental process and risk factors, as well as assessment and an outline of a "comprehensive assessment-to- intervention system" This system is truly comprehensive and based on Rutter's (1975) musings.  Very briefly, the model consists of six different guideline steps, such as

1) presenting problem clarification and

2) determining the social context of the complaint.

3) Motor/language/psychosexual/personality issues are assessed, as are

4) parent and family characteristics, medical history, and the

5) problem's consequences.  Finally,

6) the areas appropriate for intervention are clarified, chosen and targeted.  I found this book's coverage of Rutter's technique more than adequate, and a great outline for therapists who want to be confident that they are gathering the information that they need to effectively understand and help their patients. 

The majority of the book covers common developmental  problems,  including (but not limited to) eating, toilet training/ enuresis,  tics and motor disturbances, sleep problems, sexual abuse, fears and phobias, depression, aggressive  behavior  and attentional disturbance.   The third section of the book covers "high risk" stressors including sibling conflict and family change associated with divorce, death and new babies.    Included in the appendices are 36 annotated descriptions of common behavioral rating instruments for teachers, parents and self (-report).  Also included in the appendices are generic forms and matrices to aid clinicians in gathering pertinent familial information and organized behavior descriptions. 

The book is rife with developmental norms to assess behavior as well as current research into each content area.  Each problem area is described in terms of conceptualization, assessment and treatment.  In the assessment and treatment sections, clinicians are given explicit step-by-step suggestions as to appropriate treatments.  In addition, scattered throughout the book are illustrative case examples led through each of the assessment and treatment steps. 

I very much appreciated the strong biopsychosocial orientation of the book, suggesting that any given problem likely has biological, behavioral, familial and cognitive components that should be assessed and treated individually.  This is a particular strength to me, given that many of the books on the market seem to rely too heavily on a single approach, commonly biological (i.e. the child has a chemical imbalance that must be addressed pharmacologically) or behavioral (i.e. stop reinforcing the bad behavior).  This book tends towards one of the more evenhanded treatment of the subject that I have seen. 

Overall, I was quite impressed with this book.  I found that the authors walked the line between scholarly reference and cookbook for treatment very effectively.  I found the cited references informative and relevant.   In short, I think the book is would be essential for the clinician's library (especially for those who don't see many children and who might be a bit rusty in the relevant areas of focus).  In addition, I think the book would be an excellent asset for the parent who wants to have an idea of treatment rationale and process. The book is written simply enough for most parents to understand and it is never bad to be informed. 

 

© 2003 Michael Sakuma
 

Michael Sakuma is Chair of the Psychology Department at Dowling College, Long Island, New York.