Evidence-Based Psychotherapies for Children and Adolescents. A. E. Kazdin, J. R. Wiesz , Guilford Press : New York. 2003. 476p. US $50.00
This book, edited by two of the many eminent psychotherapy clinician-researchers in the United States, defines psychotherapies for youngsters and teenagers. The editors start the book via a clear statement of their intentions. “The book presents psychotherapies for kids and also teenagers that have actually strong evidence on their befifty percent and also illustrates the type of study required to location therapy on a solid empirical footing” (p. 15).
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It succeeds admirably. The book is divided right into three parts: one on structures of research, one on programs of interventions and also study and also ultimately there will certainly be the editors’ concluding chapter.
As with all edited publications, it is not of unidevelop excellence. It does have chapters which are of amazing erudition, compass and also depth and also others which are weaker. Those which fail to reach excellence tend to fall right into detailed and also jargon-filled descriptions of their very own treatments. They seem to promote their very own treatments, fairly than talk about them in the context of clinical neutrality and open-minded inquiries. They regularly take up a territorial dismissal of psychodynamic versus behavioural treatments. The weaker chapters yet, are the minority.
Many chapters were a delight to check out. Indeed those chapters composed by the editors as soon as they defined their very own interventions for conduct disorders or depression and their introductory and also concluding chapters were paradigms of clarity, breadth and also vision. The introductory chapter puts psychotherapy and also its examine right into historic and scientific conmessage. Its interpretation of psychotreatment shows the intricacy of this area of interventions.
Two other chapters in the introductory section were also significant. It has actually constantly appeared to me that developpsychological worries are at the heart of psychotherapies in kid and adolescent psychiaattempt. Holmbeck et al explain the overlook of advancement in either the architecture and exercise of psychotreatment or its testimonial. They make a number of helpful corrective recommendations applicable to clinical or research study work. Chorpita discusses the gaps between laboratory and neighborhood interventions when we think around effective interventions. The book is created to be of interest to policy devices and funders. For them, this chapter more than any other, is a must-check out.
Hoagwood’s chapter on ethics which closes the first area, is knowledgeable however likewise points out a far-ranging failing of this text: it is created almost completely (excepting one chapter) by authors from the USA. The values are regularly those that apply in the U.S.A., which has actually its very own healthcare mechanism, rather different than our very own. It would have actually been exciting to read even more from the worldwide scene, not only about values but about programs of intervention and also research.
A number of chapters in the section on Programs of Research gave terrific, dispassionate reviews of understanding and expedition of inquiries implicit in interventions and also their testimonial. Most explained their interventions in ways that let the reader understand something about actually conducting the therapy. In the subarea on Internalizing Disorders, Kendal et al on Child-Focprovided Treatment of Anxiety, Weersing et al creating around Cognitive Therapy for Adolescent Depression, Weisz et al likewise creating around treatment of adolescent depression were finest.
In the subarea on Externalizing Disorders, Kazdin’s chapter on treating youth with conduct disorders was a highlight, addressing the intricacy of psychopathology and of psychotreatment, therapist training and also supervision. He doubted the application of brief therapies for some clinical troubles, an problem often overlooked in the rush to administer therapy or fulfill third-party funders.
Chapters on treatments of autism, eating disorders, obesity and enuresis and therapy in the Amerihave the right to Hispanic neighborhood develop a subsection on therapy of Other Disorders and also Special Applications. Epstein’s chapter on excessive weight plainly portrayed how a routine of research and also the evolution of expertise have the right to result in boosted philosophies to treatment. Houts’ chapter on enuresis involved the debate in between psychotreatment and also medication, which is a vital concern in our time.
Unfortunately, this testimonial of interventions and also study programs is entirely behavioural. Only Robin’s chapter on anorexia nervosa substantially referenced any psychodynamic therapy (and also discovered it equally efficacious.). In their last chapter the editors composed that little study had actually been done on helping therapists build therapeutic relationships. Relationships have actually been examined even more closely in psychodynamic treatments. Unquestionably, study has actually been a higher priority in the behavioural colleges. In psychodynamic circles, defence of beliefs has actually too often disput respect for clinical technique and the knowledge it can geneprice. This is a lot much less the case currently than it once was. Hopefully, the editors’ pointer that job-related requirements to be done on integrating therapies may result in valuable integrations not only of clinical interventions however additionally to the advance of brand-new understanding and better interventions.
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Overall, this was a very rewarding and beneficial book to review from both clinical and research perspectives.