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Child Psychiatry in the Soviet Union
Preliminary Observations
Nancy Rollins
Harvard University Press, 1972

In the first extensive American study of child psychiatry in the Soviet Union, Dr. Nancy Rollins explains that her aim is two-fold: to expand knowledge of the theory, diagnosis, and treatment of psychiatric disorders of children and adolescents and to stimulate a professional dialogue. Her attainment of this goal is clearly evidenced here by means of her astute assessment of the findings of her four-month visit to Russia as an individual investigator on the Medical Cultural Exchange program. The author's basic concern about the relationship between a society's child-rearing practices, character formation, and psychiatric disorder propelled her to ponder such questions as: Is there a describable difference between the Soviet conscience and the American conscience, as it develops during the years of childhood and adolescence? What about the problems of sexual identity in the two societies? Identity crises? Why have Soviet psychiatrists and educators remained so consistently anti-Freudian?

In addressing herself to the various questions that intrigued her, Dr. Rollins first considers the history of Soviet psychiatric thought, with the major influences shaping the direction of Soviet child psychiatry and the social perspective with personal impressions of Soviet culture and society. Ensuing chapters, based upon first-hand observations and case material, take a close look at such topics as the organization of psychiatric services, diagnosis, general treatment methods, special psychotherapy, research, and psychiatric training programs. The author's reactions to the people she encountered in children's psychoneurological hospitals, polyclinics, sanatoria, and research institutions contributes a lively dimension to this impressive work.

The study points out some differences between Soviet and American treatment methods; for example, Soviet treatment aims at inducing peace and relaxation in the patient, whereas American methods encourage exposure to and mastery of conflicts and tolerance of anxiety. Dr. Rollins also offers suggestions for further study and reflects on the relation of psychiatry and culture in the two countries.

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Children's Mental Health
Problems and Services
A Report by the Office of Technology Assessment
Duke University Press, 1987
The important mental health problems of children have become the focus of increasing public awareness in the past few years. Adolescent suicide, the physical, emotional, and sexual abuse of children, alcohol and drug abuse by young people, as well as psychiatric hospitalization of children and adolescents have fueled a growing debate on mental illness and mental health services for our young children.

This book was prepared by the Office of Technology Assessment at the request of Senators Mark Hatfield and Daniel Inouye. It acknowledges that there are no simple solutions to the problems we face or easy answers to questions concerning the best system of mental health service delivery. Yet Children's Mental Health makes it abundantly clear that there is a need for a mental health system response to these issues and that this response must be coordinated with other existing service systems.

This book should be of value to concerned parents and community leaders, health system planners, and health care practitioners involved with both the needs of children and mental illness.

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A Greenhouse for the Mind
Jacquelyn Seevak Sanders
University of Chicago Press, 1989
The Sonia Shankman Orthogenic School has won worldwide recognition for its treatment of emotionally disturbed children. The school and its continuing work at the University of Chicago have been chronicled in Bruno Bettelheim's now classic books Love Is Not Enough (1950), Truants from Life (1955), The Empty Fortress (1967), and A Home for the Heart (1972).
A Greenhouse for the Mind continues the story of the school, focusing on how its teachers and counselors create an educational environment in which children will want and be able to learn. Jacquelyn Seevak Sanders worked closely with Bettelheim for thirteen years as a counselor and assistant principal and since 1973 has been director of the Orthogenic School. She offers her interpretation of Bettelheim's vision of a healing world for children, as well as her own ideas and new perspectives from the last decade.

In a warm and anecdotal style, Sanders relates the experiences and overarching theoretical principles that have shaped the school and its curriculum. She describes how the staff, schedules, and physical appearance of the school have been developed to create a stable and safe place to learn; how teachers confront their own emotional vulnerability; how the staff accepts the children themselves while disciplining unacceptable behavior; and how the attention of the inattentive can be gained. She chronicles the successes and setbacks of the staff in developing a curriculum that includes reading, science, and physical education, and she exemplifies the school's principles and practices through a story of an imaginary student's educational development.

In addition to her experience at the Orthogenic School, Sanders has worked with teachers at all levels from nursery schools to universities, and in A Greenhouse for the Mind she passes on what she has learned about educating difficult children—principles that have been helpful to both disturbed children in a unique setting and more typical children in ordinary settings. Her attention to the role of emotions in the learning process adds an often neglected dimension to traditional cognitive and instructional approaches.
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