Narcissism’s vise-like grip is maddening to the therapist, fascinating as well, since its centrifugal determination to maintain itself flies in the face of logic, well-being and even life itself. (12 pp.)
Download Author: Robson, Kenneth S. MD
The Children’s Hour
The Children’s Hour is a “must-read” according to Dr. Robson’s colleagues in the field of child psychiatry. They are delighted by the book’s combination of compassion, insight, poetry, and candor. They find its emphasis on nonchemical therapy to be a necessary antidote to the more mechanistic, biological approaches currently in vogue. And they note that the book is equally important to professionals and the general public. No one can read this engaging, witty, devastatingly honest, and wonderfully wise memoir without feeling its direct relevance to the sorrows, dangers, and triumphs we have all experienced as children and continue to experience in the lives of the young in our immediate and extended families. Whoever we are, wherever we have been, this book cuts deeply into our common humanity. (113 pp.)
Reviews
“This eloquent book illuminates the art of engaging children in psychotherapy with beautifully written vignettes from the author’s practice. Dr. Robson writes with the language of a pet. With his keen observations and appreciation of the metaphoric language of children, he engages the reader in dramas encountered during his career. His humility, compassion, respect for children, and love of his calling weave together the fabric of his book.”
–Diane H. Schetky MD
Clinical Professor of Psychiatry, University of Vermont College of Medicine
“In a series of vignettes drawn from the span of his career, Dr. Robson observes with the keenest eye, assesses with nimble intelligence, and intervenes with strategic creativity. There are lessons here for the professional and amateur alike. This book is truly for aficionados of mind, relationship, and the human story. In this wonderful work, Dr. Robson establishes himself as the poet laureate of child psychiatry.”
–Harold I. Schwartz MD
Psychiatrist-in-Chief, The Institute of Living
“To read Ken Robson’s Children’s Hour is to spend quality time with one of child psychiatry’s most gifted practitioners. He is as clever a wordsmith as has ever taken up the cause for children’s emotional health. His puckish humor and the vital imagery of his story-telling entertain and instruct.”
–Kyle Pruett MD
Clinical Professor of Psychiatry & Nursing, Yale School of Medicine
–Marsha Kline Pruett PhD
School for Social Work, Smith College
“Who does a child psychiatrist treat? How does a child psychiatrist do it? What works, what doesn’t? And what is the psychiatrist’s life like? This wonderful book meets the reader’s curiosity with a compassionate account of what the doctor and the patient experience–together and apart. Ken Robson is a great story-teller and a great child psychiatrist. The combination is irresistible. Some books give you information, other books give you inspiration. This book gives you both.”
–Lenore Terr MD
author of Magical Moments of Change
Of Human Bondage
There is a critical time period for human infants to connect to their caregivers. When this time passes without the process of attachment running its expectable course, impairments in trust, friendship and empathy result. Children suffering such “detachment” are everywhere and nowhere, unable to live well, love well, die well, or be alone. (11 pp.)
Male and Female Created He Them
The developmental line of gender and sexuality is marked by four nodal points along its sometimes treacherous traverse from birth to adolescence—biological gender; core gender identity (the inner, subjective perception of being male or female, the contours of which are definitively shaped by three years of age); sex role (the culture’s stereotypical patterns and characteristics of boy/girl, man/woman behavior); and, finally, sexual orientation (preference for a male or female sexual partner). (10 pp.)
Unholy Love
Like other developmental phenomena, emerging sexuality is determined by genetic influences, temperament, parent-infant interaction and social mores. At one end of that curve lie emotional constriction and inhibition of eroticism; at the other extreme, one finds incest and/or sexual abuse. (13 pp.)
Fear and Trembling
Certain catastrophes in certain children can forever change biology by creating and maintaining early warning systems, perpetual wariness, in a world that, long afterwards, remains ever hazardous and threatening —in which the demons of nightmares become real. The presence or persistence of post-traumatic symptoms need not outweigh the healthy capacity to live. Child psychiatrists can sometimes provide a road map, without shortcuts, toward the resumption of travel in the right direction. (11 pp.)
Rooted Sorrows
For the child with a blackly depressive mood, more tools than time’s passage are required: psychotherapy, medication and a panoramic lens that widens one’s view of the world. Will doesn’t always produce a way, but it helps when hell waits around one’s corner.(12 pp.)
Visitation
All varieties of psychological disorder, beginning in childhood and moving into adolescence and adult life, tend to be organized by obsessive-compulsive phenomena, whether they are repetitive images or ritualized behaviors. In this respect they may alert the clinician, like highway flares, to trouble ahead. At times they are furtive, arriving suddenly and silently, leaving without a trace. Or they may become relatively fixed as annoying companions or alien, persecutory furies. (11 pp.)
Humpty Dumpty
Psychosis, disintegration of the self, has been variously described. Winnicott, in his spare, sometimes elliptical fashion, called it “discontinuity of being,” ruptures of psychological integrity in time and space. Anna Freud described varieties of anxiety, one of which she attributed to “the strength of the instincts.” The child, conceived of as a vessel displaying variable tolerance for pressure from within, can sometimes be overwhelmed, flooded by its own impulses or emotions, and begin to lose its rivets, come apart. In this process the previously acquired skill of evaluating reality is lost, though sometimes it was never secured in the first place. It is distressing to witness a familiar person displaying grotesquely unfamiliar ways. (14 pp.)
Bad Apples
The questions raised in working with delinquent, criminal children and youth lead one to the deepest ethical, religious and philosophical issues: the origin and nature of evil, social versus biological causes of crime, free will versus determinism, penal versus social/therapeutic programming, the age of criminal responsibility, and the malleability of human character. (11 pp.)
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