The body comes to family therapy: Treatment of a school-aged boy with hyperventilation-induced non-epileptic seizures
We describe the initial assessment session that enabled Evan and his family to understand the context for Evan’s non-epileptic seizures, to engage with the therapeutic team and to collaborate in the implementation of a mind–body multimodal family-based intervention. Once the physical symptoms had been addressed therapeutically, we explored possible dangers within the family and school systems and we worked with Evan and his family to increase his ability to access comfort and protection from his parents. Our short hospital intervention highlighted the importance of ongoing therapeutic work with Evan and the fam...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Kozlowska, K., Chudleigh, C., Elliott, B., Landini, A. Tags: Regular Articles Source Type: research

Childrens experiences of domestic violence and abuse: Siblings accounts of relational coping
This article explores how children see their relationships, particularly their sibling relationships, in families affected by domestic violence (DV) and how relationality emerges in their accounts as a resource to build an agentic sense of self. The ‘voice’ of children is largely absent from the DV literature, which typically portrays them as passive, damaged and relationally incompetent. Children’s own understandings of their relational worlds are often overlooked, and consequently, existing models of children’s social interactions give inadequate accounts of their meaning-making-in-context. Drawn ...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Callaghan, J. E. M., Alexander, J. H., Sixsmith, J., Fellin, L. C. Tags: Regular Articles Source Type: research

System struggles and substitutes: A qualitative study of general practitioner and psychiatrist experiences of prescribing antipsychotics to children and adolescents
There are significant controversies regarding rising antipsychotic prescription trends in children and adolescents. Many pharmacoepidemiology trend studies have been published, and interpretations of these data are helpful in explaining what is happening in prescribing practices, but not why these patterns exist. There is a lack of qualitative data in this area, and the experience of prescribing antipsychotics to children and adolescents has not been adequately researched. We conducted a qualitative study using an interpretive phenomenological analysis of physicians’ experiences of antipsychotic prescribing to childr...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Murphy, A. L., Gardner, D. M., Kisely, S., Cooke, C. A., Kutcher, S. P., Hughes, J. Tags: Regular Articles Source Type: research

Psychological wellbeing and quality-of-life among siblings of paediatric CFS/ME patients: A mixed-methods study
Chronic fatigue syndrome or myalgic encephalomyelitis (CFS/ME) is a disabling condition known to have a negative impact on all aspects of a child’s life. However, little is understood about the impact of CFS/ME on siblings. A total of 34 siblings completed questionnaires measuring depression (Hospital Anxiety and Depression Scale (HADS)), anxiety (HADS and Spence Children’s Anxiety Scale (SCAS)) and European Quality-of-life-Youth (EQ-5D-Y). These scores were compared with scores from normative samples. Siblings had higher levels of anxiety on the SCAS than adolescents of the same age recruited from a normative ...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Velleman, S., Collin, S. M., Beasant, L., Crawley, E. Tags: Regular Articles Source Type: research

A first-level evaluation of a school-based family programme for adolescent social, emotional and behavioural difficulties
This study is a first-level evaluation of an intervention targeted at adolescents with social, emotional and behavioural difficulties in Irish post-primary schools. It is a combined implementation of the Working Things Out adolescent programme and the Parents Plus Adolescent Programme (WTOPPAP). Overall, 47 parents and their children (mean age: 13.81 years) took part in the study. The study used a repeated measures design to assess change at pre- and post-intervention and 5-month follow-up using the Strengths and Difficulties Questionnaire, McMaster General Functioning Scale, Goal Attainment (parent- and adolescent-rated),...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Rickard, E. D., Brosnan, E., OLaoide, A., Wynne, C., Keane, M., McCormack, M., Sharry, J. Tags: Regular Articles Source Type: research

An evaluation of Neuro-Physiological Psychotherapy: An integrative therapeutic approach to working with adopted children who have experienced early life trauma
This article explores the effectiveness of Neuro-Physiological Psychotherapy (NPP): a wrap-around multi-disciplinary, neuro-sequential, attachment-focussed intervention for children and families who present with multiple, clinically significant, emotional and behavioural difficulties. In total, 31 young people and their adoptive parents took part in the study. Baseline measures were repeated and parents and children interviewed. An assessment of the parent/child relationship and child attachment was undertaken but not analysed for this article. Analysis of the repeated measures received statistically significant changes in...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: McCullough, E., Gordon-Jones, S., Last, A., Vaughan, J., Burnell, A. Tags: Special Section: Children adopted from care Source Type: research

Neuro-Physiological Psychotherapy (NPP): The development and application of an integrative, wrap-around service and treatment programme for maltreated children placed in adoptive and foster care placements
This article describes the development and application of a wrap-around, multidisciplinary, brain-based, developmental and attachment-focussed intervention for children who have experienced significant trauma in the context of their early life. It outlines the presentation of the children and families who are referred to the service and the model of treatment that they receive. In doing so, it identifies the core components underpinning Neuro-Physiological Psychotherapy (NPP) and links the application of the integrative model to research and practice in the field of neuroscience and attachment and to the use of therapeutic...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Vaughan, J., McCullough, E., Burnell, A. Tags: Special Section: Children adopted from care Source Type: research

Clinical improvements in adopted children with fetal alcohol spectrum disorders through neurodevelopmentally informed clinical intervention: A pilot study
Research on early intervention for young children (infants and toddlers) with fetal alcohol spectrum disorders (FASD), particularly children with comorbid maltreatment experiences, is limited. Existing research has primarily focused on structuring environments to be responsive to the needs experienced by children with FASD rather than improving their functioning. The purpose of this study is to present outcomes from an early psychosocial intervention with 10 adopted, maltreated young children diagnosed with FASD, aged 10–53 months (M = 35 months), and their adoptive parents. The potential for early, targeted interven...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Zarnegar, Z., Hambrick, E. P., Perry, B. D., Azen, S. P., Peterson, C. Tags: Special Section: Children adopted from care Source Type: research

Children after adoption: Exploring their psychological needs
This study assessed the mental health and psychological development of children placed for adoption by one UK Local Authority. We compared the pattern and prevalence of difficulties to existing data including that on Looked-After Children (LAC) children. Totally, 106 families were initially approached and parent interviews and at least partial questionnaire data were gathered on 47 children, 72.3% of whom were known to have been maltreated prior to adoption. Of the 34 children with a complete data set including Development and Well-Being Assessment (DAWBA), 76.4% met full criteria for at least one neurodevelopmental or men...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: DeJong, M., Hodges, J., Malik, O. Tags: Special Section: Children adopted from care Source Type: research

The transition into adoptive parenthood: Adoption as a process of continued unsafe uncertainty when family scripts collide
Our prospective study investigated couples’ expectations of adoptive parenthood and explored how these changed with their actual experience of parenthood. Six heterosexual couples were interviewed just before placement began and 6 months after the children had arrived. Interpretative Phenomenological Analysis (IPA) was used to analyse both sets of interview data. Expectations of adoptive parenthood mostly transformed smoothly into adoption experience for couples, but challenges were experienced when family scripts collided and a continued feeling of unsafe uncertainty then prevailed within these newly formed family s...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Tasker, F., Wood, S. Tags: Special Section: Children adopted from care Source Type: research

'She was a foster mother who said she didnt give cuddles: The adverse early foster care experiences of children who later struggle with adoptive family life
This article reports on some unexpected findings to emerge from two national adoption studies of previously looked after children in England and Wales. Focussing on a subset of families who had experienced or were at risk of an adoption disruption, the findings revealed that not only did children carry elevated risks for disruption due to their older age at entry to care, multiple foster care placements and traumatic early histories, but once in care, many of the children whose placements had disrupted were considered by their adoptive parents to have had very poor, even harmful fostering experiences before being placed fo...
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Meakings, S., Selwyn, J. Tags: Special Section: Children adopted from care Source Type: research

Tribute to Prof David Lloyd Quinton, 8 February 1939-7 June 2016
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Rushton, A. Tags: Special Section: Children adopted from care Source Type: research

The developmental case for adopting children from care
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - October 31, 2016 Category: Psychiatry Authors: Tarren-Sweeney, M. Tags: Editorial Source Type: research

Book review: Social work with children and families: Getting into practice
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Joy, M. Tags: Book reviews Source Type: research

Book review: The handbook of mindfulness: Theory, research, and practice
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Feldman, C. Tags: Book reviews Source Type: research