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• W70723749 abstract "This book is not a textbook, a handbook, a model, or a testimonial. The reader requires some familiarity with the theories of Mahler and Piaget, and some understanding of at least Pervasive Developmental Disorders. Dr. Eagle begins with a brief discussion of “intersubjectivity” and “the atypical child”. Then, comprising about half the book, she presents a diary of her observations of the first four years of her son Benjamin. In some diary entries the author relates to theory at the time of the observations. In her professional opinion, her son did not have autism, but he had several characteristics found in children diagnosed with autism, and she outlines these. He was presented as developmentally delayed, with a cleft lip, some kidney problem, and some possible neuromuscular problem. Therefore Benjamin was not presented as an example of a clear diagnostic category; rather, ambiguity was introduced early and became the strength of the book. However, when one sees “intersubjectivity” in a title, one may have thought “autism” and then be disappointed that Benjamin’s diagnosis was not more straightforward.We learn in the dedication that Benjamin had two older sisters; however, through most of the “diary” they were barely evident. I would have preferred an “introduction to the family” preface, and more information throughout the diary about the siblings’ and the father’s interactions with Benjamin. One gets the impression that when he was almost three years old, his sisters suddenly popped into his life. I suspect that the siblings’ interactions with Benjamin were different from their mother’s, and contributed to his progress.The next section: “Theory and Practice”, is in two parts. The first few chapters discuss the concepts of self, intersubjectivity, and “theory of mind”. The literature concerning these subjects is briefly reviewed. The author explores how or whether the theories and models could apply to an atypical child, since most had been developed to apply to a typical child. The next few chapters, the “Practice”, place the various intervention techniques within their theoretical and historical context. This is a realistic overview, examination, and comparison of “what’s out there”. Familiarity with the works of Lovaas, Greenspan, and others is assumed. Benjamin’s story — what he did, what was tried with him and what worked — enriched examination of these models. It didn’t “sell” a particular intervention. The last section, “Years Later”, presents the adult Benjamin. Given how much progress had been made, I was disappointed that the author didn’t provide information on what occurred between ages 4 and 12; but as she said, this would be another book. The quotes from Benjamin are fantastic examples of concrete thinking.This book is about applying theory to the child you’d meet in your office: the child who is not a textbook case, not only of typicality but also of atypicality. Developmentally delayed children are more likely to have additional problems than are typical children, but often research papers, textbooks, and guides, seem to address a population that has only Autism or only Pervasive Developmental Disorder. The medical problems that Benjamin had, in addition to his delay, also directly contributed to his speech difficulties, food choices, and possibly, his passivity. It was never entirely clear what precisely Benjamin’s diagnoses were — also a more realistic situation. More questions were asked than answered.To quote the back page, Dr. Eagle has “45 years of experience in assessment, therapy, teaching, and research, with a focus on cognitive and emotional development in individuals with developmental disabilities, including autistic spectrum disorders, mental retardation, and cerebral palsy”. She brought to this book a rare perspective. She is a very experienced professional. She also is a parent of a child with problems of intersubjectivity. Her description of her struggles, despite being an experienced parent and expert in precisely this field, with parenting a child who “makes you float away in your thoughts when you’re with him, just float away and withdraw”, can be helpful and supportive to parents who are trying to articulate what they recognize as a difference in their child, and to do the best for their child. She was open about her feelings: there’s little sugar coating and defensiveness. However, there was not much emphasis on interventions by health professionals other than physicians. This is probably due to the services available and the theoretical perspective of the author when Benjamin was a baby.This book will appeal mainly to child psychiatrists, child psychologists, and developmental pediatricians because it assumes some background knowledge in these fields. Parents of children with developmental delays, who have no training in the above fields, may find the quick overview of therapies in part 2 enlightening, and might enjoy the third section where we read quotes from Benjamin when he’s older." @default.
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• W70723749 date "2009-05-01" @default.
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• W70723749 title "Help Him Make You Smile: The Development of Intersubjectivity in the Atypical Child" @default.
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