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"How Many More Questions?": Techniques for Clinical Interviews of Young Medically Ill Children Paperback – October 22, 2012

19 customer reviews
ISBN-13: 978-0199843824 ISBN-10: 0199843821 Edition: 1st

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Editorial Reviews

Review


"The book is well structured, beginning with chapter overview and ending with summary points at the end of each section, making it concise and focused. This is an excellent text for paediatric and child-psychiatry residents in consultation liason service, and child-life specialists starting out their training. --The Psychiatrist


"With sensitivity and compassion for young children, and a focus on pragmatic and feasible solutions, the authors stress the importance of approaching clinical interviews in the contexts of the developmental stage of the child's communication skills, the impact of the specific illness on those skills, and the emotional and behavioral issues that so often arise from physical and psychological suffering." -- Steven C Schachter, MD, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA


"Condensing years of clinical wisdom, the authors outline twelve essential developmental guidelines that should be considered in interviews of all children. These guidelines are accompanied by detailed, real life case vignettes that illustrate specific interviewing approaches and, equally important, which words and questions to avoid. These principles come to life in the second section of the book where they used to show how careful, developmentally-appropriate interviewing techniques form the corner stone of the diagnostic assessment." -- Richard J. Shaw, MD, Professor of Psychiatry and Pediatrics, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA


"In this important and innovative book, Caplan and Bursch utilize a developmentally sensitive framework to provide professionals from a variety of disciplines with the interviewing skills necessary to conduct challenging clinical interviews with young children who have medical, psychiatric, and/or neurological illnesses. They proffer developmental guidelines for how to obtain accurate clinical information from young children. The authors also present engaging and excellent clinical vignettes throughout the volume that illustrate the principles of developmentally sensitive interviewing with a variety of high-risk youngsters. I enthusiastically recommend this book." -- Dante Cicchetti, PhD, McKnight Presidential Chair, William Harris Professor, and Professor of Child Psychology and Psychiatry, Institute of Child Development, University of Minnesota, Minneapolis, MN


"Caplan and Bursch understand how to talk to, and how to listen to, children. They also understand how to talk to adults who are struggling to do the same. In this remarkably successful book they provide us with a clear understanding of the child's world view, and with example after example, they show how what we think we are saying as adults can be heard differently." -- Christopher Eccleston, PhD. Centre for Pain Research, The University of Bath, UK.


"[This] is an essential, practical, developmentally sensitive guide for clinicians learning to elicit useful and accurate information from young children including those with language deficits or other mild cognitive impairments. They perceptively cover a broad range of challenging topics from talking with children who have epilepsy and its concomitant psychiatric, cognitive, linguistic and psychosocial comorbidities to talking with children who have experienced medical trauma or are dying of a terminal illness. The gentle wisdom and accumulated knowledge of Caplan and Bursch comes shining through as they take our hand and walk us through the many questions we have to ask children to understand their cognitive and emotional experiences of medical care. Just as children often ask, "Are we there yet?" Caplan and Bursch take us on a learning journey and expertly help us arrive at our destination of how to communicate clearly with children." -- Maryland Pao, MD, Bethesda, Maryland


"Thanks to Caplan and Bursch for providing an excellent reference for all practitioners who interact with young children as they sort out differential diagnoses involving physical, emotional and cognitive symptoms. The book contains many sample interviews that illustrate effective techniques along with practical guidelines for clinicians to become the child's "communication assistant" or "coach" partnering with the child and family to find the best possible solutions for their presenting concerns. I particularly appreciate the section that focuses on two of the most common somatic complaints, headaches and stomach aches, providing a laundry list of potential causes. The chapter discussing terminal illness is another invaluable component. This book is like having the Child Psychiatric Consult/Liaison team in your pocket." -- Beatrice Yorker, RN, MS, JD, Dean and Professor of Nursing, College of Health and Human Services, California State University, CA


"History is without question the most important diagnostic tool in the armamentarium of anyone who provides healthcare to children, and yet it is often the most challenging thing to obtain. Critical portions of the history can only be obtained from the child him or herself...That is why this wonderful book...is such a gift to any healthcare professional who needs to communicate effectively with kids, be it pediatricians, pediatric subspecialists such as neurologists or psychiatrists, nurses, psychologists or social workers. By providing clear and concise information...this book provides an essential reference for pediatric healthcare professionals." -- Amy Brooks-Kayal, MD, Chief and Ponzio Family Chair in Pediatric Neurology Children's Hospital Colorado Professor of Pediatrics, Neurology and Pharmaceutical Sciences University of Colorado


"The provision of sample interviews illustrating the rights and wrongs of asking children about their symptoms and opinions are invaluable. These vignettes also illustrate how to bring the parents into the picture by obtaining the permission and establishing the readiness of the child...This book will be invaluable for trainees in a variety of mental health, counselling and medical programs, and for more advanced practitioners to enhance their skills. I will certainly be using this book in my teaching and to enrich my own practice." -- Mary Lou Smith, PhD, CPsych, Department of Psychology, University of Toronto; and Neuropsychologist and Associate Senior Scientist, Neurosciences and Mental Health Program, The Hospital for Sick Children, Toronto, Ontario Canada


"The authors should be applauded for putting together such an important work. I enthusiastically endorse this book which I think will be an important addition to the pediatric literature for years to come." -- Joseph I. Sirven, MD, Editor-in-Chief, epilepsy.com


"This is a wonderful tool for all professionals working with children. The authors provide one of the first written coaching guidelines with a rich developmental framework. The understanding of a child's perception of his/her feelings and thoughts about medical and behavioral care and the ability to respond accurately to a child's needs is essential. Few comprehensive resources designed to empower children through communication are available to healthcare professionals. The authors have made an outstanding contribution to improving the health of children." -- Susan M. Wechter, PhDc, RN, PPCPNP-BC, Walsh University Nursing School, Doody's


About the Author


Rochelle Caplan, MD, is Professor Emeritus of Psychiatry in the UCLA Department of Psychiatry and Directed the UCLA Pediatric Neuropsychiatry clinical program for twenty years. She completed her medical studies at the Jerusalem University Hadassah Medical School and her training in adult and child psychiatry at the Tel-Aviv University Sackler Medical School. Dr. Caplan is a pediatric neuropsychiatrist with clinical and research expertise in how children use language to formulate their thoughts and present them to the listener. She has devoted her clinical career to the evaluation and treatment of children with severe behavior/emotional problems due to psychiatric and neurological disorders. Her research has used psycholinguistic, behavior/emotions, and brain imaging measures to study abnormalities in the development of communication skills, behavior/emotions, and brain in children with psychiatric and neurological disorders.



Brenda Bursch, PhD, is a medical psychologist with clinical and research interests in pediatric pain, palliative care, somatization, and illness falsification. She received her PhD from Claremont Graduate School in 1990 and is a Professor in the Departments of Psychiatry & Biobehavioral Sciences and Pediatrics at the David Geffen School of Medicine at UCLA, where she has been on faculty since 1994. She is the Clinical Director of the Pediatric Psychiatry Consultation Liaison service, overseeing child psychiatry consultations for pediatric medical inpatients. She has presented lectures at professional conferences within the United States and abroad, and has published numerous scientific articles and book chapters.
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Product Details

  • Paperback: 344 pages
  • Publisher: Oxford University Press; 1 edition (October 22, 2012)
  • Language: English
  • ISBN-10: 0199843821
  • ISBN-13: 978-0199843824
  • Product Dimensions: 9.1 x 0.9 x 6 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (19 customer reviews)
  • Amazon Best Sellers Rank: #939,899 in Books (See Top 100 in Books)

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2 of 2 people found the following review helpful By lori grapes on October 16, 2012
Format: Paperback
This is one of the best books I've read on how to talk to children. As a parent and a psychotherapist, I wish the book had been around 20 years ago. I wish I'd understood at the beginning of my journey in both those endeavors, what a child means when he or she says, "How many more questions?" It means the child is overwhelmed, and that the dialogue one is attempting to have with the child has lost its value as a source of relief and has become another source of discomfort. The book is clinical in nature--it gives the reader advice on how to help kids talk about what they're feeling--yet is written in prose that is so accessible, you hardly notice you've digested half its contents. The examples given by the authors in the form of dialogue between child and doctor, are instructive and entertaining. The solutions to this dilemma (for doctors, parents, and children!) are relatively simple, and are presented in a way that make them seem intuitive.
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2 of 2 people found the following review helpful By SFR on October 2, 2012
Format: Paperback
As a seasoned Speech and Language Pathologist, and as the parent of a child with epilepsy, I not only feel qualified, buy compelled, to write a review about "How Many More Questions?". The authors have absolutely nailed the linguistic, emotional and cognitive development of normally developing children, and especially of children who are challenged by illnesses, and provide the healthcare professional with the skills necessary to truly listen to their patients through a myriad of hands-on examples. I suggest this be mandatory reading for all professionals who love and work with children!
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1 of 1 people found the following review helpful By Dr. Hess on October 21, 2012
Format: Paperback
This is a wonderful text that addresses a much overlooked issue; how clinicians have to match the developmental levles of the ill children that they see, so that the child feels safe and understood. A must read for all medical students, psychology interns and clinical staff who address the needs of ill children, Esther Hess, Ph.D., Executive Director Center for the Developing Mind, Los Angeles, CA.
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1 of 1 people found the following review helpful By DW on October 9, 2012
Format: Paperback
This brilliantly written book was marketed to professionals. But every parent who has a child with medical, emotional or mental issues should read it to learn how they and doctors should talk to a sick child. From this book everyone will get insights on how it is to be a child in a hospital, the misunderstandings that can arise, and how a correct approach can relieve fears and facilitate correct diagnoses.
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1 of 1 people found the following review helpful By peds NP on October 2, 2012
Format: Paperback
This book should be required reading for all health care professionals that talk to children. Provides great examples of both good and poor interview techniques.
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1 of 1 people found the following review helpful By Neuro- Mind on October 1, 2012
Format: Paperback
Terrific book - very easy to read and full of practical advice. This book will be a valuable resource for both experienced clinicians and for trainees in any clinical field involving work with children.
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This is a "must read" for anyone who wants to improve their ability to communicate with young children. The book was written for healthcare professionals who need to get accurate diagnostic information from medically ill children, but the framework and techniques it offers are useful to anyone who regularly deals with young children, including educators and parents. The authors, who clearly have great compassion, empathy and respect for children, provide practical and clear guidelines about how to pose questions to children in a way that fits their developmental level. Equally important, it shows how to build the kind of emotional rapport that makes children willing participants in the conversation because they feel understood and valued. For anyone who wants to learn how to talk to children, read this book. You won't regret it!
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Drs. Caplan and Bursch provide a very helpful understanding regarding communicating with children which numerous professionals should find beneficial in their daily interactions. The text is clearly written and tables concise. I am very glad "How Many More Questions?" is part of my library and strongly recommend it to others.
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