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Anxiety disorders in children and adolescents. Editted by John S. March. Guilford Press New York 1995 448 pp $40

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Book Reviews
Finally, Darnton’s (1968, p. 53) book on Mesmerism
contains an eerily contemporary illustration of a patient tracking a Mesmerizer’s finger as he moves it
back and forth in front of the patient’s eyes.
Shapiro’s book makes for dull reading. It is riddled
with speculative jargon about information processing
and neural networks that merely provides a transparent veneer of cognitive neuroscience. It is needlessly
long. Much of it contains clinical common sense (e.g.,
taking a patient’s history), and the rest concerns a
technique whose original description appeared in a
brief report, but whose description now apparently
warrants a full-length monograph of nearly 400 pages.
On the positive side, Shapiro writes clearly and explicitly about her methods. Any mental health professional who wants to learn about EMDR can do so by
reading this authoritative text.
Darnton R (1968) Mesmerism and the End of the Enlightenment
in France. Cambridge, MA: Harvard University Press.
Shapiro F (1989) Eye Movement Desensitization: A new treatment
for post-traumatic stress disorder. J Behav Ther Exp Psychiat
20:211-2 17.
Wolpe J (1958) Psychotherapy By Reciprocal Inhibition. Stanford,
CA: Stanford University Press.
RichardJ. McNally
Department of Psychology
Harvard University
Cambridge, Massachusetts
ADOLESCENTS. Edited by John S. March.
Guilford Press, New York, 1995.448 pp, $40.00.
In Anxiety Disorders in Children and Adolescents, Dr.
John March has assembled an impressive group of
contributors who are among the foremost experts in
childhood anxiety disorders. The result is a comprehensive, scholarly review of research and clinical practice in this rapidly advancing field.
The book is organized into three major sections: I.
Foundations, which focuses on theoretical models,
epidemiology, and assessment; 11. Disorders, which
devotes a chapter to each of the childhood-onset anxiety disorders defined in DSM-IV; and 111. Treatment,
which addresses the major treatment approaches applied to anxiety disorders in children and adolescents.
Section One opens with a chapter that describes
neurobiologic conceptual models, and reviews recent
findings regarding neurotransmitter systems, animal
models of anxiety, and brain imaging studies. The next
chapter provides an overview of neuropsychological
models of anxiety. The authors examine the extant evidence for the relationship between neuropsychological
deficits and internalizing conditions, with a focus on
findings pertaining specifically to anxiety disorders.
Research investigating the impact of anxiety on
neurocognitive performance is also reviewed. Although much of the focus in the first two chapters is
on adult studies, findings from child research are reviewed when available.
Following the chapters on neurobiology and neuropsychology is an interesting chapter by Biederman
and colleagues which reviews a growing body of literature on the association between behavioral inhibition
and anxiety disorders in children. The chapter ends
with a thought-provoking discussion of the potential
applications of these research findings for improving
our efforts at early identification and intervention with
at risk children.
A highlight of the first section is a chapter that addresses social developmental theory and research as it
relates to anxiety disorders in children. Although this
literature is likely unfamiliar to many clinical psychologists and psychiatrists, it becomes apparent after
reading this chapter that greater collaboration between developmental, social cognition, and clinical researchers will lead to more effective interventions and
more fruitful research into the mechanisms underlymg
anxiety in children.
The remaining chapters in the first section of the
book cover epidemiology and assessment. Costello
and Angold’s chapter on epidemiology provides a
thorough review of recent findings on the prevalence
of anxiety disorders in youth and on potential risk factors for these disorders. This chapter contains several
useful tables that summarize the results of recent epidemiologic studies. The chapter on assessment provides
a general overview of semisu-uctured and structured diagnostic interviews, parent- and teacher-report instruments, and child self-report measures for assessing
anxiety. Discussion of assessment issues related to specific disorders is provided in the following section of
the book.
Section Two contains chapters covering each of the
anxiety disorder diagnoses included in DSM-TV. Each
of these chapters addresses diagnosis, phenomenology,
differential diagnosis, epidemiology, assessment, and
treatment. The sections on diagnosis review the revisions to the classification of childhood anxiety disorders introduced in DSM-TV. Case studies at the end of
the chapters illustrate the features of the disorders and
highlight the complexities of differential diagnosis.
This section of the book also includes chapters on selective mutism and on comorbidity of disorders. Although selective mutism has not traditionally been
considered an anxiety disorder, several lines of evidence are reviewed which suggest that this disorder
may be a manifestation of social phobia.
T h e third section of the book covers the major
treatment modalities used to treat anxiety disorders in
children and adolescents. It includes chapters on cognitive behavior therapy, pharmacological treatment,
Book Reviews
psychodynamic therapy, and family therapy. Particularly
noteworthy is the chapter by Kutcher and colleagues
which reviews the pharmacological treatment literature
for childhood anxiety disorders. The authors provide
useful suggestions for sound pharmacological management, and they present a treatment algorithm that can
aid in the selection of pharmacological treatment.
The book ends on a practical note, with Dr. March
and his colleagues from the Child and Adolescent
Anxiety Disorders program at Duke University contributing a chapter on how to organize an anxiety disorders clinic. A comprehensive model of assessment
and treatment is outlined, and helpful suggestions are
provided for establishing goals for service provision,
and for balancing clinical and research interests.
In summary, this is an extremely comprehensive and
well-written book. It is recommended reading for any
mental health professional interested in gaining a solid
background in state of the art assessment and treatment of anxiety disorders in children and adolescents.
It will also be of interest to researchers who seek to
advance our understanding of disorders that often severely limit children’s lives.
Andrea L. Hazen
Center for Research on Child and Adolescent
Mental Health Services
Children’s Hospital-San Diego
San Diego, California
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disorder, 448, march, children, editted, new, john, 1995, anxiety, york, adolescenta, guilford, pres
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