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Psychotherapy with Children and Adolescents. Edited by Helmut Remschmit, Peter Matthias Wehmeier & Helen Crimlisk. Cambridge: Cambridge University Press. 2001. 576 pp. £44.95 (pb). ISBN 0 521 77558 2

Published online by Cambridge University Press:  02 January 2018

Rachel Leheup*
Affiliation:
c/o The Royal College of Psychiatrists, 17 Belgrave Square, London SW1X 8PG, UK
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Abstract

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Copyright © Royal College of Psychiatrists, 2002 

The title of this book is misleading, as it is more a general textbook than a specific volume on psychotherapy. It is divided into four main sections: principles, methods, specific disorders and different settings. Only evidence-based methods are described, although several of the chapters mention that there are few satisfactory studies. All diagnostic categories are dealt with separately, which leads to the repetition that is often a problem in multi-authored books.

The basic principles underlying the way the material is presented would be agreed by most practitioners: (a) specificity of intervention to the problem; (b) the importance of keeping a developmental perspective; (c) variability of the method depending on setting; and (d) evaluation of effectiveness.

The point is made repeatedly that a range of therapies may be used in any one case and that a flexible treatment model is necessary. Most generalists in the field would recognise this as the way they work. There is discussion of medication, parent-training and the range of behavioural interventions as well as the different types of psychotherapy.

The chapter on current activity in Germany reveals that little medication is used, parents are seen as well as children and that a flexible, multi-modal treatment tends to be used to fit each case. This seems at odds with the rigid framework of the book.

I liked the chapter on quality assurance and the need to allow for innovation and imagination and to not be imprisoned by treatment protocols.

This is a very inclusive book and not easy to read. It could be useful as an overview of treatments in child psychiatry or as a reference for reading up on possible actions in certain situations. Although there is an extensive bibliography, it is almost all in German. My preference would be for a more straightforward textbook and a range of specialist texts for the detail.

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