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Copyright, ii
Preface, iv
Acknowledgments, v
About the Author, vi
Part 1. Basic Concepts and Issues, 1
Chapter 1. A Multidimensional Approach to Child Therapy, 3
A Multidimensional Model, 3
Intervention Target, 4
Developmental Considerations, 4
Cultural Considerations, 5
Multimodal Interventions, 8
Caregiver Collaboration, 10
Family Therapists, 10
Professional Counselors, 11
Social Workers, 12
Physicians, 13
Psychologists, 14
Multidimensional Interventions for Children: A Case Example, 15
Summary, 18
Chapter 2. Developmentally and Culturally Sensitive Therapies for Children, 19
Developmental Considerations, 19
Physical Development, 19
Cognitive Development, 20
Emotional Development, 21
Social Development, 23
Moral Development, 25
Vocational Development, 28
Cultural Considerations, 29
Gender, 29
Race and Ethnicity, 30
Sexual Orientation, 32
Religion and Spirituality, 35
The Culturally Competent Therapist, 35
Summary, 37
Chapter 3. Ethical and Legal Issues, 38
Professional Ethics, 38
Ethical and Legal Issues in Child Therapy, 40
Informed Consent and Assent, 40
Confidentiality and Privileged Communication, 43
The Rights of Children, 45
The Rights of Parents, 48
Maintenance of Client Records, 49
Suicidal Behavior in Children, 50
Children’s Testimony in Court, 53
Child Custody Evaluations, 57
Ethical and Legal Issues for Group Techniques, 58
A Process Model for Ethical Decision Making, 59
Ethical and Legal Issues: A Case Example, 60
Summary, 65
Chapter 4. Contemporary Issues: Managed Mental Health Care, Brief Therapies, and Empirically Supported Therapies for Children, 66
Managed Mental Health Care, 66
Models of Managed Mental Health Care, 67
Case Management Procedures, 71
The Therapist in Managed Care, 73
Brief Therapies for Children, 74
Empirically Supported Therapies for Children, 75
Brief and Empirically Supported Therapy in Managed Mental Health Care: A Case Example, 77
Summary, 83
Chapter 5. Assessment: The First Step, 84
Theoretical Perspectives, 84
The Biological Approach to Assessment, 85
The Clinical Interview, 87
The Play Interview, 89
Structured and Semistructured Interviews, 89
Assessment Measures for Children, 91
Child-Report Measures, 93
Projective Measures, 93
Measures of Anxiety, 95
Measures of Depression, 97
Measures of Self-Concept and Self-Esteem, 97
Adult-Report Measures, 98
Multiaxial Assessment Systems, 99
Achenbach System of Empirically Based Assessment (ASEBA), 100
Summary of ASEBA Instruments, 102
Behavior Assessment System for Children, Second Edition (BASC-2), 102
Summary of BASC-2 Instruments, 105
Diagnosis, 105
Treatment Planning, 106
Assessment: A Case Example, 107
Summary, 112
Chapter 6. Therapeutic Interventions for Children: Art and Science, Process and Outcome, 113
Child Therapies: Art and Science, 113
The Art of Therapy, 114
The Science of Therapy, 118
Therapeutic Process and Outcome, 124
Therapeutic Process, 124
Therapeutic Outcome, 127
Play: A Therapeutic Technique for Children, 129
Group Techniques, 131
Therapeutic Process and Outcome: A Case Example, 132
Summary, 138
Part 2. Therapeutic Interventions for Children: Theory and Practice, 139
Chapter 7. Psychodynamic Theory, 141
Historical Background, 141
Theoretical Foundations, 143
Classical Drive Theory, 143
Object Relations Theory, 146
Ego Psychology, 150
Analytical Psychology, 152
Individual Psychology, 152
Summary, 154
Chapter 8. Psychodynamic Interventions, 155
Assessment, 155
Treatment Planning, 156
Education/Development and Prevention, 157
Remediation, 158
Classical Drive Theory, 158
Object Relations Theory, 159
Ego Psychology, 161
Analytical Psychology, 163
Individual Psychology, 166
Play Techniques, 168
Group Techniques, 169
Research, 170
Intervention Target, 171
The Child, 171
The Parent, 171
The School, 172
The Role of the Therapist, 173
Contributions and Limitations, 173
Psychodynamic Interventions: A Case Example, 174
Summary, 178
Chapter 9. Child-Centered Theory, 179
Historical Background, 179
Theoretical Foundations, 182
The Self, 182
Maslow’s Hierarchy of Basic Needs, 185
Rogers’ Necessary and Sufficient Conditions, 185
Summary, 187
Chapter 10. Child-Centered Interventions, 188
Assessment, 188
Treatment Planning, 189
Education/Development and Prevention, 189
Remediation, 191
Active Observing and Active Listening, 192
Treatment Stages, 194
Play Techniques: The Playroom and Play Materials, 195
Group Techniques, 196
Research, 197
Intervention Target, 198
The Child, 198
The Parent, 199
The School, 200
The Role of the Therapist, 201
Contributions and Limitations, 202
Child-Centered Interventions: A Case Example, 203
Summary, 210
Chapter 11. Behavioral and Cognitive-Behavioral Theory, 211
Historical Background, 211
Theoretical Foundations, 213
Classical Conditioning, 213
Operant Conditioning, 214
Cognitive-Behavioral Theory, 219
Rational Emotive Behavior Theory, 222
Summary, 223
Chapter 12. Behavioral and Cognitive-Behavioral Interventions, 224
Assessment, 224
Behavioral Assessment, 225
Cognitive-Behavioral Assessment, 226
Treatment Planning, 227
Education/Development and Prevention, 228
Utopian Communities, 228
Educational Applications, 228
Self-Empowerment, 229
Remediation, 229
Classical Conditioning, 229
Operant Conditioning: Strategies for Increasing Desirable Behaviors, 231
Operant Conditioning: Strategies for Reducing Undesirable Behaviors, 234
Cognitive-Behavioral Interventions, 236
Rational Emotive Behavior Therapy, 239
Play Techniques, 240
Group Techniques, 242
Research, 243
Intervention Target, 243
The Child, 243
The Parent, 243
The School, 244
The Role of the Therapist, 244
Contributions and Limitations, 245
Behavioral and Cognitive-Behavioral Interventions: A Case Example, 246
Summary, 254
Chapter 13. Family Systems Theory, 255
Historical Background, 255
History of the Family, 255
Diversity in Family Structure, 256
History of Family Systems Theory, 258
Theoretical Foundations, 260
Psychodynamic Family Systems Theory, 261
Multigenerational Family Systems Theory, 262
Humanistic Family Systems Theory, 263
Structural Family Systems Theory, 265
Strategic Family Systems Theory, 267
Behavioral Family Theory, 270
Solution-Focused Family Systems Theory, 270
Summary, 271
Chapter 14. Family Systems Interventions, 272
Assessment, 272
Genogram, 273
Ecomap, 274
Family Environment Scale, 276
Solution-Focused Assessment, 277
Family Play Assessment, 277
Treatment Planning, 278
Education/Development and Prevention, 279
Remediation, 280
Pyschodynamic Family Systems Therapy, 280
Multigenerational Family Systems Therapy, 281
Humanistic Family Systems Therapy, 282
Structural Family Systems Therapy, 283
Strategic Family Systems Therapy, 285
Behavioral Family Therapy, 287
Solution-Focused Family Systems Therapy, 288
Contextualized Family Treatments, 290
Play Techniques, 291
Group Techniques, 291
Research, 292
Intervention Target, 293
The Child, 293
The Parent, 293
The School, 294
The Role of the Therapist, 294
Contributions and Limitations, 295
Family Systems Interventions: A Case Example, 296
Summary, 302
Part 3. Multidimensional Interventions for Children: Other Therapeutic Strategies, 303
Chapter 15. Consultation, 305
Mental Health Consultation, 305
Consultation with Parents, 306
Consultation in Schools, 309
Consultation in Hospitals, 312
Consultation in Courts, 313
An Integrated Approach to Consultation for School-Related Problems: A Case Example, 315
Summary, 320
Chapter 16. Psychopharmacotherapy and Other Interventions for Children, 321
Pediatric Psychopharmacotherapy, 321
Childhood Anxiety Disorders, 323
Childhood Depression, 325
Aggressive Behavior, 325
Attention-Deficit Hyperactivity Disorder, 326
Nocturnal Enuresis, 327
Summary of Pediatric Psychopharmacotherapy, 328
Bibliotherapy, 328
Therapeutic Board Games, 330
Hypnotherapy, 331
Feminist Therapy, 332
Controversial Treatments, 333
Summary, 336
Chapter 17. Integrated Approaches to Treatment, 337
Integrated Treatments: Therapeutic Models, 337
The Common Factors Approach, 338
Theoretical Integration, 338
Technical Eclecticism, 341
Constructivism, 342
Evidence-Based Practice, 346
Summary of Therapeutic Models, 348
Integrated Treatments: Service Delivery Systems, 348
The Fort Bragg Demonstration Project, 348
Multisystemic Therapy, 350
The New Directions Program, 351
Wraparound Milwaukee, 352
Summary of Service Delivery Systems, 353
Integrated Treatments: A Case Example, 353
Summary, 358
Appendix A. ACA Code of Ethics (2005), 359
Appendix B. Ethical Principles of Psychologists and Code of Conduct 2002, 377
References, 388
Author Index, 421
Subject Index, 431

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