To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Most infants, children, and adolescents facing mental health challenges - including autism, psychosis, mania, depression, anxiety, and substance use - do not receive evidence-based treatments. Instead, they commonly receive ineffective and even harmful treatments. In this book, leading experts from the fields of clinical psychology, school psychology, developmental psychology, pediatric neurology, applied behavior analysis, and social work identify the most problematic psychotherapy interventions used for each mental health issue. In addition to these primary authors, each chapter includes a side bar from a specialist representing the disciplines of pediatrics, anthropology, neuroscience, and psychology. The contributors work in academia, hospitals, and private practice and include book authors, podcasters, and even a filmmaker. Not only does this book highlight the threats of potentially harmful pseudoscience, it also summarizes treatments that actually have a strong evidence base and deliver far more positive results.
This opening chapter summarizes the history of attempts to identify evidence-based treatments. Discussion then turns to the identification of the components of the evidence-based treatment packages, also called the common elements approach. The chapter sets the stage for other the chapters which discuss specific disorders, their etiology, theoretical underpinnings of treatments, treatment packages, treatment components, the role of parents, assessment, comorbidity, demographics, medication, and other factors influencing treatment with youth. A side-bar describes the companion book, Pseudoscience in Child and Adolescent Psychotherapy.
This chapter discusses the evidence-based treatment of nocturnal enuresis (NE) and functional encopresis (FE), elimination disorders common in childhood and adolescence. NE, or bedwetting, involves the repeated voiding of urine into clothing or the bed. FE, or fecal soiling due to constipation, involves the repeated passage of feces in inappropriate places (e.g., clothing). Although physiological qualities highlight each disorder, research supports a biobehavioral approach to assessment, conceptualization, and intervention. The purpose of this chapter is to provide an evidence-based perspective on the treatment of elimination disorders. More specifically, the chapter addresses etiological and theoretical considerations, evidence-based treatments including their respective components, and the role of parents in treatment. The chapter also provides steps for encouraging successful toilet training.
Insomnia presents frequently in children and adolescents and is associated with negative sequelae for affected youths and their families. Evidence-based treatment for insomnia is guided by theories in sleep physiology, behaviorism, and cognitive psychology. Key treatment components include improving sleep habits, sleep scheduling changes, conditioning sleepiness, extinction, positive reinforcement, addressing fears and worries, and relaxation. While several components have demonstrated efficacy as independent treatments (i.e., bedtime pass; bedtime routine), most components have been evaluated as part of packaged interventions. The wealth of evidence convincingly supports the use of behavioral sleep intervention as an effective tool to improve children’s sleep and overall functioning.
Obsessive-compulsive disorder (OCD) is a serious and disabling condition that typically begins in childhood. Evidence-based treatment for the disorder entails exposure with response prevention (ERP) in conjunction with parent training for proper implementation. Some emerging research also suggests cognitive therapy may be modified to apply in youth samples with OCD. The etiology of OCD in children is multiply-determined, involving neurobiological and psychosocial factors. Treatment employing ERP involves first preparing caregivers with psychoeducation regarding the nature of OCD, followed by development of a hierarchy of avoided situations to later use as part of implementing ERP. Involvement of parents in treatment is also covered.
Youth with unusual experiences, or psychosis, often meet the diagnostic criteria for one of the schizophrenia spectrum diagnoses. Interventions with the best available research support include cognitive-behavioral therapy for psychosis (CBTp) and family intervention for psychosis (FIp). Components of these treatments include facilitating identity development, psychoeducation to reduce stigma, facilitating cognitive development, operationalizing emotion language, promoting engagement , developing a shared formulation, behavioral change techniques, identifying cognitive biases, cognitive change methods, and relapse prevention.
Every day, millions of children experience serious mental health issues, such as symptoms related to autism, psychosis, mania, depression, and anxiety. Moreover, many youth struggle with issues related to trauma, eating, sleep, disruptive behavior, and substance use. Most of these youth do not receive evidence-based treatments. Instead, they commonly receive untested, ineffective, and even harmful treatments. Child and Adolescent Psychotherapy presents the research-supported treatment packages and their individual components for every major mental health issue facing infants, children, and adolescents. Each chapter also identifies and analyzes other variables and resources that influence treatment: parents, assessment, comorbidity, demographics and medication. Useful resources are included for each mental health issued covered in the book. The chapters are organized in the same order as they appear in the DSM-5.
Although many evidence-based treatments have been developed for youth facing mental health issues and related behaviors, most youth are not receiving these evidence-based approaches. This chapter discusses the problem of the research-to-practice gap and efforts to close the gap. The future of psychotherapy with youth will hopefully build upon current efforts to promote dissemination, improve implementation, and identify effective components for youth and their parents.