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Psychosis in Childhood and Adolescence offers an in-depth examination of the nature of psychosis, its risk factors and its manifestations in children and adolescents who experience a continuum of emotional disorders. The chapters present a hopeful, research-based framework for treatment. They emphasize combined treatment that is based on psychodynamic and cognitive behavioral psychotherapy principles, pharmacological interventions and supportive family approaches that reflect the vulnerabilities and resources of the individual child. This text highlights the importance of thorough assessment and the need for long-term treatment that facilitates the psychotic child’s healthy maturation. Readers will benefit from the case examples that illustrate the complexity of psychosis and the discussions of diagnostic and treatment issues as presented by experienced clinicians and researchers.
The recognition and optimal management of early psychosis in adolescence is of great importance not only for its adequate diagnosis and treatment, but also for suicide prevention. In this volume, the latest understandings are reviewed by specialists in child and adolescent psychiatry. It discusses questions such as why schizophrenic psychosis has to be differentiated from borderline personality disorders; why the problem-solving strategy in early detection of neurocognitive disorders and neuropsychiatric behavioural disorders is also relevant for the development of a clinical view of the psychotic process. Further contributions point out the choice of specific individual psychotherapeutic techniques as well as why childhood psychosis needs a full inclusion of the family in the diagnostic and therapeutic process. This publication gives a stimulating overview of the diagnosis, treatment and outcome of psychotic disturbances in adolescence. Child and adolescent psychiatrists, psychologists, psychiatrists as well as paediatricians will find it inspiring reading.
The chapters of this book are all written by experienced psychoanalytically oriented psychotherapists and address different aspects of the psychotherapeutic treatment with psychotic children or adolescents. This volume collects the main contributions to the fourth conference of the child and adolescent section of the EFPP, held in Caen (France) in September 2001, on the general topic of "Psychotic Children and Adolescents and their Families".Contributors:Anne Alvarez; Britta Blomberg; Raymond Cahn; Genevieve Haag; Didier Houzel; Suzanne Maiello; Julia Pestalozzi; and Maria Rhode.
An international team of experts review the latest findings in the diagnosis and treatment of schizophrenia in the young.
Background: Despite evidence of an increased risk of violence among adults with psychosis, little is known about the relationship between psychosis and aggression in young people. Aim: To compare clinical characteristics and associated features in young people with co-occurring psychosis and aggression to those with psychosis or aggression alone. Hypothesis: Those with both psychosis and aggression will share risk factors and correlates with both 'pure' groups. Method: Three samples were examined. The first (n=6,770), involved secondary data analysis and used information routinely collected on young people referred to the Maudsley Hospital over a 40 year period; the second study involved new data collection by the author, and focused on young people admitted to inpatient units (n=106); the third (n=2,232) involved secondary data analysis and used data from the Environmental Risk Longitudinal Twin Study, a non-referred community sample. Results: Comparisons of co-occurring cases with those with psychosis or aggression only suggested that co-occurring cases showed symptom profiles and risk factors typical of both 'pure' conditions; in addition, they had higher rates of callous/unemotional traits and parental antisocial behaviour than either 'pure' group. Independent predictors of psychosis and co-occurring aggression were low IQ, lower scores on theory of mind tasks, internalising problems, exposure to maltreatment, poor educational attainment and oppositional behaviour. Discussion: Consistent with the proposed hypothesis, young people with psychosis and co-occurring aggression shared risk factors and correlates with both 'pure' groups and showed some additional distinctive features. Conclusions: It is possible to identify psychosis and co-occurring aggressive behaviour in child and adolescent samples; many of the risk factors for the co-occurring pattern appeared similar to those identified in adult studies. Implications for practice.
Pervasive developmental disorders are characterized by a broad-based loss or impairment of functions that would be expected for a child's age. "Psychoses and Pervasive Developmental Disorders in Childhood and Adolescence" explores developmental disorders and also the conditions, plus those traditionally considered childhood psychoses. Eighteen experts in the field of child psychiatry present concise yet detailed summaries of these until now sparsely covered mental illness topics. The book discusses recent changes in the diagnosis and definition of these disorders, advances in knowledge, and treatment. It also addresses theoretical issues regarding the notion of childhood psychosis and the mistaken idea that children are somehow protected from depression and other forms of affective illness. Major changes in DSM-IV categories and criteria, especially for autism and other pervasive developmental disorders, make this book a useful tool in the diagnosis and treatment of childhood and adolescent mental disorders. An increased interest in this subject, plus significant changes from DSM-III-R to DSM-IV, suggested the potential usefulness of a volume designed specifically for clinicians caring for children with these disorders. An American Academy of Child and Adolescent Psychiatry training institute on these issues provided the foundation for this book.
Psychotic Symptoms in Children and Adolescents demystifies the interviewing diagnostic process of psychosis in children and adolescents and provides a valuable resource for treatment. Psychotic symptoms have traditionally been rationalized and disregarded as products of the child's imagination. There has been a professional reluctance to acknowledge that children could suffer from severe psychotic disorders akin to adult subjects, and that these symptoms merit a comprehensive and systematic evaluation. This book offers a useful guide to the interviewing process, a review of differential diagnosis, and an overview on psychosocial interventions. It deals also with the use of antipsychotic drugs, beginning with issues related to their use in the field, followed by a review of literature on the subject, atypical side effects, and implementation throughout treatment. The book fills a vacuum in the field of child and adolescent psychosis, and will have a broad appeal and interest to general psychiatrists, clinical psychologists, to child and adolescent psychiatrists, and many other mental health professionals working with disturbed children and adolescents.

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