From Publishers Weekly
Hayden was working as a special ed teacher and needed a break. With her psychiatric training and specialization in "elective mutism," she was cajoled into working for a hospital-based psychiatric crisis and assessment unit. She begins this book with the story of a girl who was only six when she was abducted by her father; returned to her home two years later, she alternated long stretches of silence with lying and sexual accusations. Hayden was then asked to assess a delightful preschool boy whose voice no one had ever heard except his mother; his belligerent grandfather ordered Hayden to "fix" the boy's problem. Then she was called to observe an elderly woman who'd had a stroke that may have rendered her unable to speak. Gradually, the woman began to recount girlhood memories to Hayden--who thus knew she was still lucid--but would that satisfy the doctors who wanted to send her to a nursing home? Each case unfolds like a detective story, with Hayden piecing together the mystery of the silences from the various clues she gleans. Besides being a delightful raconteur, Hayden is also a very gentle, very sensible therapist. Yes, her patient is dissociating, but that's normal, we all do it--the real question is, "at what point on the continuum does it move from being resourceful and helpful to maladaptive and damaging?" This is a compulsively readable book.
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From School Library Journal
Adult/High School-Hayden writes with compelling grace and compassion as she describes working in a "psychiatric crisis and assessment unit for children" in a metropolitan hospital. Her background in special education and counseling, with a focus on treating elective mutism, equipped her to tackle the three challenging cases that are presented in this volume. Employing a narrative chronology similar to the pattern she used in
Beautiful Child (Morrow, 2002), the author documents the particulars of her approach to treating a volatile, manipulative nine-year-old abuse victim; a mute but sociable and atypically charismatic four-year-old; and, in a change of pace, an 82-year-old stroke victim. The dysfunctional family dynamics impacting each patient are explored, as are impediments to the therapist's interfacing with relatives. The author's intuitive and professional analysis of each case, coupled with feedback from medical colleagues based on reviewing videotapes of her counseling sessions, permits readers a glimpse of the delicately gauged steps involved in coaching a patient toward wellness. This work offers neither simple solutions nor guaranteed happy endings, but rather puts forward a realistic portrayal of breakthroughs and quandaries in the emotional landscape in which crisis intervention professionals operate. Eminently readable, it offers a valuable perspective for students considering career options in this field.
-Lynn Nutwell, Fairfax City Regional Library, VA Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
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