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Biomedical subjects

A J Solnit

Publications and source records attributed to A J Solnit.

At least 19 recordsLinked to original sources
PubMed2000

Recovery and adaptation.

Recovery and adaptation go hand in hand. The potential for recovery and adaptation is present in each child and adult. It is through psychoanalytic understanding that the strategies for reaching these potentials can be activated, coordinated, and understood.

Acute Disease↗
PubMed1998

Evelyn K. Oremland's contributions to the child life profession.

Evelyn K. Oremland, Ph.D., founded the first college-based Child Life Program on the West Coast. A pioneer in child life, in her twenty years at Mills College, Oakland, California, she developed a graduate curriculum to create the child life profession. Through her tireless activities in the international organization, Association for the Care of Children's Health (ACCH), and her co-chairing the Educational Committee of the Child Life Council, she helped establish standards for the child life specialist certification. Around the world, her teaching, research, and writing have helped protect the emotional development of sick children. She is best remembered as a devoted and beloved teacher. Graduates from her program now occupy many senior administrative positions in child life in the United States and in Europe.

Child↗
PubMed1998

Beyond play and playfulness.

The evolution of play to playfulness over time establishes developmental foundations that are of central importance throughout life. Freud believed that play is at its richest and most adaptive during the oedipal phase; others have taken issue with Freud's view that play has its place mainly in childhood and is given up in adulthood. This paper emphasizes the central importance of playfulness throughout life. In formulating the boundaries of play, it utilizes the observations and comments of experts in the field.

Adult↗
PubMed1998

Coordinating developmental and psychoanalytic processes: conceptualizing technique.

Throughout childhood and adolescence, psychological growth proceeds in a sequence of progressive hierarchical organizations. Consequently, children are continuously consolidating existing positions or are in transition from one to another. When analytic treatment is proposed, analysts often find themselves in the position of being required to technically coordinate the requirements of the analytic process with those of the ongoing developmental process. While it is the patient who will ultimately bring the needs of both processes together, the approach the analyst assumes to recognizing and addressing these needs can have a facilitating influence on the treatment. Play, for example, is a window on old conflicts and impaired object relationships from the past, but it is also a way in which children consolidate existing organizational hierarchies. Similarly, the analytic interaction provides a pathway to the past, but it is also used by children to provide the building blocks for newly emerging structures. To facilitate further clinical research, a conceptual outline of the relationship between the two processes is provided.

Adolescent↗
PubMed1998

Working with the primary care physician.

In this article, the authors illustrate a model of an effective ongoing and active collaboration among a group of pediatricians and child and adolescent psychiatrists. They demonstrate how regular meetings and active collaborative interventions broadened each other's understanding and treatment of children. The close relationship, trust, and understanding that developed as a result of this project had a marked impact on the treatment provided by both types of specialist. The concept of the developmentally informed pediatrician is the basic tenet of this project, which continues to have important implications for the training and practice of today's pediatricians.

Adolescent↗
PubMed1998

Foster placement.

For children who require placement, individual assessment can reveal whether return to the parents, termination of parental rights and adoption, relative placement, transfer of guardianship, or innovative placement and open adoption arrangements, such as the neighborhood program of the Center for Family Life, represents the least harmful option for the child. Nevertheless, certain guiding principles should prevail: psychological continuity of at least one significant nurturing protective adult and decisions based on the least detrimental alternative, according to the child's sense of time.

Age Factors↗
PubMed1997

A legacy: Anna Freud's views on childhood and development.

Anna Freud's genius encompassed the study and understanding of children and adults, spanning the gap between theory and practice. She pioneered the method and theory of child psychoanalysis, and demonstrated that the applications of psychoanalytic theory could make a crucial difference to children at high risk of having their physical, emotional and intellectual well-being blighted by poverty, war, biological handicaps, and family breakdown.

Child↗
PubMed1997

Evaluating systems of care for children: utility of the clinical case conference.

A clinical assessment of the Mental Health Services Program for Youth, a national initiative to integrate systems and coordinate care for severely emotionally disturbed children, was designed to augment and enrich the larger evaluation of program structure. Case conferences were used as a method of examining the effects of collaborative systems of care on vulnerable individuals and of generating clinical insight and understanding. Case vignettes are presented and discussed in terms of the contributions and shortcomings of current system-of-care efforts.

Adolescent↗
PubMed1993

Play and therapeutic action.

Children in clinical psychoanalysis are able to resolve conflicts and move ahead developmentally. This therapeutic process is facilitated by the psychoanalyst's understanding of the child, reflected in multi-faceted and thoughtful clinical technique. We review aspects of the analyses of four developmentally deviant children who were engaged in child psychoanalysis because of ego disturbances that impaired their ability to learn. These clinical analyses are used to exemplify three intertwined processes related to the therapeutic action of child psychoanalysis: therapeutic alliance, transference, and the role of the child analyst as a real person. These processes were expressed in and were influenced by the emergence of particular types of play in which the children explored complex issues in their lives. Along with other aspects of psychoanalytic technique, including interpretation, the analyses of these four children illustrate the therapeutic meanings of play in child psychoanalysis.

Child↗
PubMed1990

A custody and placement evaluation of an infant with a psychotic, mentally retarded mother.

An emergency evaluation was requested on a 16-week-old infant and her parents. The child's mother had a long history of schizophrenia and mental retardation and was noted to decompensate following the child's birth; the mother was hospitalized and the child placed in foster care. Although the mother was severely impaired, the family had a reasonable and appropriate plan for the infant's care and reunification of the family was recommended. Aspects of custody and placement recommendations, the risk of the child for subsequent disorder, and legal issues involved in the evaluation are discussed.

Child Abuse↗