Diagnosis, Assessment &
Treatment of Foster and Adopted Children: A Guide for Parents &
by Christopher J. Alexander,
Christopher J. Alexander, Ph.D.
& Associates, 2009
Reviewed by Barbara Free,
book is not intended for the casual reader. The books subtitle, A
Guide for Parents and Practitioners, tells us it is intended to be
used as a guide for professionals, but it is readable by others. As the
authors note states, it is designed to provide accurate and
authoritative information in regard to the subject matter covered.
It is not intended to substitute for professional evaluation or therapy.
However, the introductions brief history of foster care and adoption
in the U.S. is concise, accurate, and from a different perspective than we
The author, a local child psychologist who
presented a workshop at the AAC Southwest Regional Conference in Albuquerque
in 2000, has authored a previous book and many professional articles. This
book would be helpful for every professional who deals with children in the
foster system or who have been adopted through the foster system, and probably
would be of value for any other therapist, because all therapists encounter
adoptees and persons who have been in foster care, whether they acknowledge
that or not. Prospective adoptive parents, particularly those who are planning
to adopt through the foster system, or adopt any child beyond the age of
a few days, really ought to read the book.
Although Dr. Alexander is writing about children
who have been traumatized by their early life and/or the foster system, he
does not over-pathologize them. His approach about attachment, for instance,
discusses how children develop problems because adults have failed to attach
to them, not the other way aroundwhen children have attachment problems,
it may have been self-preservation. He seems to have a balanced approach,
not accepting the idea that every adoptee or foster child will have
problems, but also not discounting the fact that adopted and foster children,
overall, do have higher rates of special needs.
He also gives some good guidelines for how
parents evaluate possible treatment approaches or programs for their child.
There are some treatment methods and some centers and practitioners who have
radical, possibly even harmful, methods. He talks about how parents can help
their children, reminding them that one does not just turn the child over
to a therapist or treatment center and then get back a magically healed,
perfect child, with no effort (only money) on the part of the parents. He
states that having structure does not mean running the home like
a military camp. He does not advocate that all, or even very many, children
be medicated, while saying that in some instances it is helpful. He sees
children as real human beings, not cases or problems.
This is a valuable new book that probably ought
to be bought and used by more professionals and parents than it probably
will be. It is highly recommended.
Excerpted from the October 2009
edition of the Operation Identitiy Newsletter
© 2009 Operation Identity