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We've Got Issues: Children and Parents in the Age of Medication [Hardcover]

Judith Warner
3.7 out of 5 stars  See all reviews (27 customer reviews)

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Book Description

February 23, 2010
In her provocative new book, New York Times-bestselling author Judith Warner explores the storm of debate over whether we are overdiagnosing and overmedicating our children who have "issues."

In Perfect Madness: Motherhood in the Age of Anxiety, Judith Warner explained what's gone wrong with the culture of parenting, and her conclusions sparked a national debate on how women and society view motherhood. Her new book, We've Got Issues: Children and Parents in the Age of Medication, will generate the same kind of controversy, as she tackles a subject that's just as contentious and important: Are parents and physicians too quick to prescribe medi­cation to control our children's behavior? Are we using drugs to excuse inept parents who can't raise their children properly?

What Warner discovered from the extensive research and interviewing she did for this book is that passion on both sides of the issue "is ideological and only tangentially about real children," and she cuts through the jargon and hysteria to delve into a topic that for millions of parents involves one of the most important decisions they'll ever make for their child.

Insightful, compelling, and deeply mov­ing, We've Got Issues is for parents, doctors, and teachers-anyone who cares about the welfare of today's children.




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Editorial Reviews

From Publishers Weekly

Author (Perfect Madness: Motherhood in the Age of Anxiety) and New York Times columnist Warner turns an investigative eye to the epidemic of diagnosed childhood psychiatric disorders and widespread use of prescription psychotropic drugs to modify children's behavior. Major questions are raised: are drugs a substitute for proper parenting? Is there something more socially significant underlying the labeling and drugging of kids? Following an awkward introductory chapter about why the subject confounded and eluded her, Warner serves up more bad news than good. The book is hampered by a great deal of diverse and conflicting professional opinion and research, with references to just about every prominent expert on child psychology, from mainstream to fringe. Although readers may end up more confused than hopeful about the status of children's mental health in America, they will discover that 5% of all American kids do have psychological issues for which they receive proper medication and counseling. Not as heartfelt as The Elephant in the Playroom nor as helpful as books on individual disorders, this examination will still function as a wakeup call for lots of parents. (Mar.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

Review

In this manifesto for change, New York Times blogger Warner (Perfect Madness: Motherhood in the Age of Anxiety, 2005, etc.) examines the argument that Americans are overmedicating their children.
The author wanted to write a condemnation of American parents for hysterically spotting mental disorders where there are none. When she began interviewing parents and mental-health professionals, however, she reversed her position. Only five percent of American children take psychotropic drugs, she writes, yet that many suffer from extreme mental illness, while another 15 percent endure at least minimal illness. Not only has Warner never met a parent who lunged for the medicine cabinet to dope up their kids, but some fought the medication route as long as they could, to the detriment of their child. It's true that antidepressant prescriptions for children have skyrocketed, but that's because primitive understanding of the brain left many sick children undiagnosed in the past; we now have more effective drugs for some illnesses; and the stigma of mental illness is blessedly diminished. Warner cites research that girls, minority children and those with less-educated parents are undertreated for ADHD. Careful reporter that she is, the author acknowledges that some experts might dispute parts of her thesis. Other signs of childhood trauma-teen pregnancy, school violence, crime, substance abuse and suicide-have declined, and Warner reports special professional skepticism about exploding rates of bipolar diagnoses in children. Meanwhile, too many laypeople are spooked by drug companies' ads plugging their latest products, which doctors might not recommend. Curtailing those ads and more insurance coverage for pediatric mental-health screenings are among the author's welcome common-sense proposals.
Parents of mentally ill children will find this tonic reassuring, while all parents will find it a valuable reminder that it's not poor parenting to seek medical help for your children.
-Kirkus

"Warner, New York Times columnist and author of the best-selling Perfect Madness: Motherhood in the Age of Anxiety, set out to write a follow-up volume exposing what she believed were capricious diagnoses and medication of children's mental and learning disorders. Instead, she fell down the rabbit hole to an alternative reality. Although she found the stereotype of pushy parents who shop for prescriptions or educational accommodations to fit their overscheduled children, Warner's heartbreaking conversations with pediatricians and the parents of children with mental issues such as attention deficit/hyperactivity disorder, autism, serious depression, or bipolar disorders led her to see beyond her prejudices. As Warner passionately writes, appropriate care for childhood mental illness, if possible, is not necessarily probable. The perceived stigma of mental illness, deep-rooted suspicions of the medical and educational establishments, and, above all, merciless economic factors deny a shocking number of children with learning or mental disabilities the care and medications they need to succeed in school and society. Parents, social workers, and educators will find Warner's compelling study troubling but enlightening. Highly recommended.
-Library Journal

"This is a groundbreaking, thoughtfully argued book. My experience with families in the consulting room supports Judith Warner's nuanced argument exactly. The myth perpetrated by a breathless news media is fals: In reality, parents don't want to medicate their children. And every one of us has family members and friends (or ourselves!) who could have led richer, less anguished lives had they been given appropriate medication during childhood for learning or emotional problems."
-Wendy Mogel, Ph.D., author of The Blessing of a Skinned Knee

"This is an important book, a landmark book, a triumph of honesty over bigotry and of patient learning over the the rush to judgement. I see every day in my office the awful, preventable damage done by zealots and reductionistic 'thinking'. Judith Warner rejects the panicky sound-bites that have plagued the discussion of children's mental health for the complexity of truth. She brings to all who read her book the resoundingly good and hopeful news of how much we have learned over the past few decades, how trasforming the best help can be, and how all children can turn into responsible, joyful adults. We owe her a huge debt."
-Edward Hallowell, M.D., co-author of Super Parenting for ADD and author of The Childhood Roots of Adult Happiness

"Readers love Judith Warner because she is open, honest, attuned, and curious. In We've Got Issues, Warner considers children and psychotherapeutic medicine: whether drug companies hold too much sway, whether doctors over-prescribe, but also whether troubled boys and girls might sometimes need more help than they get today. The result is a caring and informed book that will earn the trust and loyalty of a wide audience."
-Peter D. Kramer, author of Listening to Prozac


Product Details

  • Hardcover: 336 pages
  • Publisher: Riverhead Hardcover; First Edition edition (February 23, 2010)
  • Language: English
  • ISBN-10: 1594487545
  • ISBN-13: 978-1594487545
  • Product Dimensions: 6.2 x 1.2 x 9.3 inches
  • Shipping Weight: 1.2 pounds (View shipping rates and policies)
  • Average Customer Review: 3.7 out of 5 stars  See all reviews (27 customer reviews)
  • Amazon Best Sellers Rank: #798,836 in Books (See Top 100 in Books)

More About the Author

Judith Warner is the author of the New York Times- bestselling Perfect Madness: Motherhood in the Age of Anxiety and Hillary Clinton: The Inside Story, as well as several other books. She writes the "Domestic Disturbances" column for the New York Times website and is a former special correspondent for Newsweek in Paris.

Customer Reviews

The contradictions continue for most of the book. Scott Huizenga  |  4 reviewers made a similar statement
If you as a parent are just starting this long and difficult journey this book is a must read! KikaWigman  |  4 reviewers made a similar statement
Most Helpful Customer Reviews
38 of 41 people found the following review helpful
5.0 out of 5 stars Thank you, Judith Warner. March 2, 2010
Format:Hardcover
Judith Warner initially planned to write a book on how American children were falsely diagnosed and over-medicated by thoughtlessly competitive parents seeking a quick fix for their perfectly healthy (albeit quirky) children, for reasons ranging from enhancing their competitive edge (e.g. to raise their "B" grades to "A" grades) to "calming them down" to make parenting easier. She admits she once strongly believed, as many do, that hordes of children were medicated for "flavor of the week" disorders by lazy parents and unscrupulous doctors, and at the recommendation of teachers who needed their young charges to sit still for hours on end at school. What she discovered, however, after seeking such people...is that she couldn't find them. What she discovered instead were parents of sometimes desperately ill children who finally turned to medication (sometimes after years of "denial" about their child's illness) in desperation, more often than not as a last resort, and with great guilt, after trying every other nutritional or behavioral therapy they could identify. To all those adults who ask "where were all these children before when we were growing up?," Ms. Warner notes that they were always there. It's not that there are so many more now -- it's just that now we know what to look for. A kid with what we now know as Asperger's was once just labeled "weird." Similarly, we all knew kids with ADHD in school -- they were the wild, undisciplined kids who couldn't behave (not "wouldn't," but actually couldn't), or couldn't perform, or were labeled "stupid" or "lazy" and for whom the "treatment" ranged from failure to spanking. Ask any adult who lived through ADHD as a kid -- they remember, and they will tell you it exists. In serious cases of mental illness, children were labeled as anything from "retarded" to any other number of other maladies, and parents were urged to send them away to hospitals or institutions, perhaps forever. We're not talking about "quirky" or "different" kids here, or rough-housing little boys who are simply expelling energy -- we're talking about children that are often suffering terribly from the disorders that plague them. Ms. Warner also dispels the myth that practically "all" children are on medication. In fact, a very small percentage of children are medicated, probably fewer than actually need treatment. Most compellingly, she notes that, while it is encouraged, and even admired, for an adult to admit to and seek treatment for a mental illness, for some reason people don't want to extend that same privilege to children. That there is the idea that we should, without reservation, celebrate these "quirks" and "differences" and allow children to "outgrow" them, or alternatively that such children are simply budding geniuses and that treating them would stifle their creativity. What people seem to ignore while they are romanticizing these "differences" is that the children in question are often suffering terribly. Ask any parent of a child with ADHD so severe that they cannot function on any level at school or in social situations, for whom medication has allowed them to at least function on a fairly normal level, how "wonderful" it was for their children before this help became available. Thank you, Thank you Judith Warner, for speaking up for these parents who are simply trying their best in the face of this prejudice.
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17 of 20 people found the following review helpful
Format:Hardcover|Amazon Verified Purchase
First, a BIG GIANT THANK YOU to Judith Warner! As a parent of a child "with issues" this book is documenting not just our journey, but the very similar journeys of many other parents. It is a great relief to read that our experiences were not unique. It deeply sad that we were out there on our own, while others were experiencing these things as well. If you as a parent are just starting this long and difficult journey this book is a must read! Also a great book to put into the hands of those within your circle of friends and family who stand in judgment of you!!!!
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15 of 19 people found the following review helpful
5.0 out of 5 stars Finally, someone took a deep breath... March 19, 2010
Format:Hardcover
I've been a child clinical psychologist for 28 years and have seen pretty much all the changes in our cultural and medical views of childhood mental disorders as outlined in this book. Finally, someone sees the need to steer clear of all the hysteria and rhetoric and do something which child health professionals have been doing forever--actually getting to know these children and--gasp!--TALKING to their parents instead of condemning them. I'll say flatly that this book is nothing short of heroic. It demands to be read by anyone who is interested in a clearheaded, well-researched, and beautifully written work, stripped of all the ill-informed, judgmental and paranoid nonsense which abounds.
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Most Recent Customer Reviews
1.0 out of 5 stars Judith Warner Has Sold Out Children
I've done tons of research on what I now call the mental death profession. If Judith Warner had truly done her homework she would realize that psychiatry sold out to BIG PHARMA in... Read more
Published 28 days ago by Florence King
5.0 out of 5 stars Finally, someone articulate who understands
My daughter is dyslexic and ADD, and we have struggled for many years to bring her to an acceptable level in school. Read more
Published 4 months ago by anne Lechartier
5.0 out of 5 stars You have to experience it.
Thank you for this book. I'm sorry Bookgirl, reading medical records all day long is not the same as seeing and working with a child too distracted to even hear his or her name... Read more
Published 4 months ago by garyd
1.0 out of 5 stars The first book I've ever thrown in the trash!
It's a bunch of garbage about why all kids with behavioral issues or developmental delays should be on prosac or ritalin or both! Read more
Published 8 months ago by TypicalJewishMother
3.0 out of 5 stars An Openminded but Simplified Assessment
Are kids today over-medicated and over-diagnosed by their hovering helicopter parents? Or, is all the medication and treatment necessary to help kids manage their very real mental... Read more
Published 14 months ago by Patricia Robinson MFT
5.0 out of 5 stars Ground breaking and much needed
Thank goodness someone had the courage and rigor to look closely at the roots of the current "anti-psychiatry, anti-medication, anti-mental health issues" cultural bias. Read more
Published 15 months ago by jkdm
5.0 out of 5 stars Excellent analysis of a complex area
This is a really refreshing and well researched book. It acknowledges and describes in detail the complexity of the issues at hand in a way that much of the public and the media... Read more
Published 16 months ago by Rachael Reader
1.0 out of 5 stars Lies
This book is not based on any actual data. I read medical records all day long, and here's what I see: A mother brings in her kid and tells the doctor that her kid won't sit still... Read more
Published 18 months ago by Bookgirl
1.0 out of 5 stars Warner's book mostly apology
The book's a nice discussion peice, but just anecdote after anecdote. Mostly it's Warner being apologetic for "Perfect Madness". Read more
Published 24 months ago by Janice-Bennett
5.0 out of 5 stars This book humbled me.
I am not a parent who has the unique challenge of raising a child with mental illness. My best friend, who has a small child that has been through a gauntlet of testing,... Read more
Published on November 22, 2010 by The Dol
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