Pediatric Disorders of Regulation in Affect and Behavior A Therapist's Guide to Assessment and Treatment

ISBN-10: 0122087704
ISBN-13: 9780122087707
Edition: 2000
Authors: Georgia DeGangi
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Description: This is a practical guide for mental health professionals working with infants and children who experience disorders with self-regulation, including poor sensory processing, attention deficits, sleep problems, feeding disorders, etc.

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Book details

List price: $75.95
Copyright year: 2000
Publisher: Elsevier Science & Technology Books
Publication date: 6/30/2000
Binding: Paperback
Pages: 371
Size: 7.75" wide x 9.50" long x 0.50" tall
Weight: 1.496
Language: English

This is a practical guide for mental health professionals working with infants and children who experience disorders with self-regulation, including poor sensory processing, attention deficits, sleep problems, feeding disorders, etc.

Georgia DeGangi, Ph.D., OTR, FAOTA, is a clinical psychologist and an occupational therapist. She currently works in private practice at ITS (Integrated Therapy Services) for Children and Families, Inc., in Kensington, Maryland, and has worked at the Reginald S. Lourie Center for Infants and Children in Rockville, Maryland, as the Director of Research for the past ten years. She has over 25 years' experience working with infants, children and their families. She has extensive experience with diagnosis and treatment of a range of developmental, sensory, behavioral, and emotional problems. Dr. DeGangi has conducted research for many years to examine the most effective ways of treating children as well as examining how problems in infancy related to self-regulation, sensory processing, attention, and social interactions develop as children grow older. Among her publications are the Test of Sensory Functions in Infants, the Infant/Toddler Symptom Checklist, and the Test of Attention in Infants. Dr. DeGangi is internationally recognized as a leading expert in the assessment and treatment of sensory processing, attention, and interactional problems in infants and children. She was the 1992 recipient of the A. Jean Ayres award from the American Occupational Therapy Foundation and has been distinguished in the roster of fellows of the American Occupational Therapy Association. She serves on the faculty at the Infant/Child Mental Health program of the Washington School of Psychiatry and is associate editor of the Journal of Learning and Developmental Disorders.

Foreword
Acknowledgments
Self-Regulation in Infants and Children
Normal Development of Regulatory Processes in Infancy
What Is a Regulatory Disorder?
Outcomes of Regulatory-Disordered Infants
Early Symptoms and Their Relationship to Later Diagnostic Outcomes
Impact of Early Symptoms on Later Developmental Outcome
Self-Regulation
Sleep Problems
Feeding
Attention
Sensory Processing
Attachment/Emotional Functioning
Types of Regulatory Problems
Case Example of Hypersensitive, Fearful and Cautious Type
Case Example of Hypersensitive, Negative and Defiant Type
Case Example of Underreactive, Withdrawn and Self-Absorbed Type
Case Example of Hypersensitive, Motorically Disorganized Type
Summary
References
Assessment of Regulatory Problems in Children
Assessment Strategies for the Regulatory-Disordered Infant
The Intake Interview
The Home Visit
Clinical Assessment of the Child
Self-Regulation and Sensory Processing and Reactivity
Parent Report Measures
Instruments for Direct Clinical Observation of the Child
Child Temperament: Parent Report Measures
Sustained Attention
Parent Report Measures
Instruments for Direct Clinical Observation of the Child
Parent-Child Interactions
Case Example of Assessment Process
Background History
Tests Administered
General Observations
Test Results
Case Summary
Recommendations
Summary
References
The Therapeutic Process: Working through the Parents
The Family-Centered Approach: Addressing the Concerns of Parents
Parent Guidance
Sensory Integrative Therapy Approach
Child-Centered Activity
Description of Child-Centered Activity (CCA)
Goals of CCA
Instructions in How to Teach CCA
The Process of Therapy
Role of the Therapist in CCA
Therapeutic Challenges in Application of CCA
Debriefing about the Process
Modifications of CCA to Accommodate Family and Child Needs
Examples of Responses Parents Have Had to CCA
Research Examining the Effectiveness of Treatment Approaches
Case Examples
A Challenging Case Example of a Child with Attachment Disorder
Case Example of Child with Developmental Delays and High Irritability
Summary
References
Treatment of Irritability and Other Mood-Regulation Problems
What Is an Emotion?
Cognitive Appraisal
Reading of Social Cues
Perceptual Understanding of Facial Expressions
Predicting One's Own Behavior and That of Others
Physiological Aspects of Emotion
Mediation of Emotion via Autonomic Responses
The Specificity of Emotions
Autonomic Responses Associated with Discrete Emotions
The Polyvagal Theory of Emotion
Neural Mechanisms Underlying Physiological Changes
Expression of Emotion
Universality of Emotional Expression
Developmental Differences in Affective Expression
The Socialization of Emotions
The Inhibition of Affective Expression
Neural Mechanisms Mediating Affective Expression
Modulation of Emotion and Mood States
Regulation of Negative Affects
Emotion Regulation and Adaptation
The Role of Arousal in the Socialization of Emotions
Mood Regulation
A Developmental-Structuralist Approach to Organizing Sensory and Affective Experiences
Level of Engagement: Homeostasis and Attachment
Level of Intentional, Interactive, Organized Behavior and Affects
Level of Representational Elaboration and Differentiation
Application of Developmental-Structuralist Model
Level of Homeostasis and Engagement
Problems at the Level of Intentional, Interactive, Organized Behavior and Affects
Level of Representational Elaboration and Differentiation
Treatment Approaches
Case Example
Summary
References
Treatment of Sleep and Separation Problems
Sleep Problems in Children
Impact of Sleep Problems on Development
Development of Sleep-Wake Cycles
Self-Soothing and the Process of Sleep
Where Children Sleep, the Sleep Environment, and Cultural Beliefs about Sleep
Types of Sleep Disorders in Children
The Hypersensitive Child
The Child Who Craves Movement
Problems with Attachment and Separation/Individuation
Evaluating Sleep Problems in the Child
Management of Sleep Problems
Separation Games that Help Support Sleep: Suggestions for Parents
Case Example of a Long-Standing Sleep Problem: When "Nothing Works"
Case Example: Resolving Sleep Problems through Parent-Child Psychotherapy and Sensory Integration Activities
Evaluation Findings
The Intervention
Summary
References
Treatment of Feeding Disorders in Children
The Developmental Stages of Eating
Development of Homeostasis As It Pertains to Feeding
Problems with Homeostasis that Affect Feeding
Impact of Early Feeding Problems on Parent-Child Dynamics
The Assessment Process
Treatment Intervention
Attachment Disorder
Refusal to Eat in an 18-Month-Old Boy
History
The Assessment
The Treatment Program
Food Aversions and Behavioral Resistance at Mealtime
The Assessment
The Treatment Program
Summary
References
Treatment of Attentional Problems
Types of Attentional Problems
Hyperactivity
Autism
Regulatory Disorders
The Processes that Underlie Attention
What Is Attention? Some Historical Perspectives
Arousal, Alerting, and Sensory Registration
The Orienting Reflex or the "What-Is-It?" Reaction
Habituation and Interest
Role of Stimulus Characteristics in Attention
The Neuronal Model
Sustained Attention: Attention Getting and Attention Holding
The Role of Effort in Attentional Tasks
Selective Attention: Screening and Selection
Motivation, Persistence, and Self-Control
Treatment Applications
Techniques to Improve Arousal and Alerting for Focused Attention
Things to Do to Help Develop Motivation, Self-Control, and Sustained Attention
Cognitive Activities that Help Children with ADHD
Case Example of Child with Attentional Problems
The Assessment
The Treatment Process
Summary
References
Treatment of Sensory-Processing Problems
Sensory-Integrative Dysfunction
The Concepts of Sensory Defensiveness and Sensory Dormancy
The Tactile System
Tactile Dysfunction
Tactile Defensiveness
Tactile Hyposensitivities
How Tactile Problems Evolve Over Time
Treatment Approaches for Children with Somatosensory Dysfunction
The Vestibular and Proprioceptive Systems
Vestibular-Based Problems
Treatment Approaches to Address Vestibular Problems in Children
Case Description of the Gravitationally Insecure Child with Developmental Dyspraxia
Case Example of Treatment Approach with Child with Pervasive Developmental Disorder
Presenting Concerns
History
Clinical Findings
Impressions
The Treatment Plan
The Treatment Program
Summary
References
Infant-Toddler Symptom Checklist: Long Version
Functional Emotional Assessment Scale
Sensorimotor History Questionnaire for Preschoolers
Index

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