Review: Child Psychiatry

Author(s):  
Donald W. Winnicott

Winnicott’s review of Leo Kanner’s book Child Psychiatry. In spite of the unrivalled scale of the work, Winnicott regrets that it is entirely without originality to the psychologist and is quite out of touch with the psychology of the unconscious and with psycho-analysis and the results of child analysis as practiced and published in England. Instead, the book focuses on ‘the continuing bad external factor’, as Winnicott believes characterizes the publications of all child guidance clinics of the American pattern.

1945 ◽  
Vol 91 (383) ◽  
pp. 206-212
Author(s):  
Kathleen M. Todd

I once knew a child psychiatrist who had two treatments: Boy Scouts for all symptoms except enuresis, for which he prescribed Sea Scouts; but that was before the war, when we had a seaboard.There is great satisfaction to the human mind in reducing multiplicity to unity, diversity to simplicity, but this exercise can be carried too far, especially in dealing with such a complex creature as the child. In contrast there is the school of thought which believes in intensive analytic treatment, four to five sessions a week, for every child. How can one steer a middle course in a modern Child Guidance Clinic where numbers must be dealt with, without the sacrifice of the deeper approach, where short and long treatments must be fitted in, where diagnosis and consultations are essential, yet treatment must always be one of the fundamental aims?


PEDIATRICS ◽  
1949 ◽  
Vol 4 (5) ◽  
pp. 670-676
Author(s):  
ARNOLD GESELL

Pediatrics as a specialty of general medicine is concerned with the promotion conjointly of mental and physical development. Pediatrics cannot encompass the technical areas of child psychiatry which are concerned with severe psychopathologies and complex psychotherapies. It can encompass a preventive and positive type of mental hygiene through parent-child guidance and family counseling. This will require systematic technics for periodic developmental diagnosis and developmental supervision of the action system of the growing child. The principles and methods of pediatric mental health conservation must be based upon a clinical science of normal child development.


Author(s):  
Donald W. Winnicott

In this introduction to his book Therapeutic Consultations in Child Psychiatry, Winnicott describes the application of psychoanalysis to child psychiatry, particularly in the first interview, of which the book that follows gives twenty-one examples with many child drawings or ‘squiggles’. He describes his technique for this work, based on a psychoanalytic training; the use of the Squiggle Game for drawing on the unconscious emotional life of the child; his role as the doctor in relationship to the child; and the many different kinds of need and communication processes for each child.


Author(s):  
Donald W. Winnicott

In this review, Winnicott expresses his enthusiasm for Dr Soddy’s ninety-four descriptions of child guidance cases taken from the clinic at University College Hospital, London, where Soddy was for many years medical director.


PEDIATRICS ◽  
1948 ◽  
Vol 2 (6) ◽  
pp. 750-751
Author(s):  
HALE F. SHIRLEY

This book, designed primarily for the medical practitioner, is intended to portray general psychaitric principles which the author's experience has shown to be useful in the clinical examination of the school child from five to 17 years of age. It is not intended to be a textbook in child psychiatry. The material is so organized, however, that it gives a good idea of what happens in a child psychiatry clinic when a child is referred for a psychiatric opinion. More important, it makes specific suggestions and describes methods of investigation which the physician can make use of in his practice. The author, a psychiatrist in Liverpool, England, has had experience in a child guidance clinic, a psychiatric clinic, a children's hospital, and a health department, and she has been able to watch the progress and development of many children over a period of from five to 10 years.


Volume 10, Therapeutic Consultations in Child Psychiatry, a posthumous publication of twenty-one case histories of children and adolescents taken over a ten-year period, is introduced by the Florentine analyst and child and adolescent psychiatrist, Marco Armellini. It concerns the application of psychoanalysis to child psychiatry. The technique in these reported cases usually takes the form of what Winnicott describes as the Squiggle Game. Winnicott states that what happens in the game and in the whole interview depends on the use made of the child’s experience, including the material that presents itself. In these consultations, unlike what happens in ongoing intensive analytic cases, interpretation of the unconscious is not the main feature. The backbone of all the work described here is the theory of the emotional development of the individual.


1980 ◽  
Vol 4 (6) ◽  
pp. 92-93

1. The recent development and diversification of assessment and intervention techniques together with the strengthening of the professional identity of disciplines allied to child psychiatry has resulted in changes in working arrangements in Child Guidance settings. A recent informal survey suggests that this has led to ambiguities in the role of the child psychiatrist, which are eroding the service provided to patients as well as their Job satisfaction.


PEDIATRICS ◽  
1955 ◽  
Vol 16 (3) ◽  
pp. 408-410
Author(s):  
Henry H. Work

AN ORGANIZATION having a therapeutic concern parallel to that of the American Academy of Pediatrics is the American Orthopsychiatric Association. This group, older than the Academy, represents the 3 disciplines, psychiatry, psychology and psychiatric social work which have conventionally functioned in the child guidance clinics. It is the organization which represents in general the field of child psychiatry and which has been concerned over the years with the teaching of the medical psychology of childhood. Many of the members of this organization, operating in their own disciplines, have participated in the teaching of pediatricians. As long ago as 1941 a symposium entitled "Pediatrics in Child Psychiatry" was held at the annual meeting.


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