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Stanley Turecki - The Difficult Child: Expanded and Revised Edition

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The Difficult Child: Expanded and Revised Edition: summary, description and annotation

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How to helpand cope withthe difficult child
Expanded and completely revised, the classic and definitive work on parenting hard-to-raise children with new sections on ADHD and the latest medications for childhood disorders.
Temperamentally difficult children can confuse and upset even experienced parents and teachers. They often act defiant, stubborn, loud, aggressive, or hyperactive. They can also be clingy, shy, whiny, picky, and impossible at bedtime, mealtimes, and in public places. This landmark book has been completely revised to include the latest information on ADHD, medications, and a reassuring approach to all aspects of childhood behavioral disorders.
In this parenting classic, Dr. Stanley Turecki, one of the nations most respected experts on children and disciplineand himself the father of a once difficult childoffers compassionate and practical advice to parents of hard-to-raise children. Based on his experience with thousands of families in the highly successful Difficult Children Program he developed for Beth Israel Medical Center in New York City, his step-by-step approach shows you how to:
Identify your childs temperament using a ten-point test to pinpoint specific difficulties
Manage commonoften uncontrollableconflict situations expertly and gently
Make discipline more effective and get better results with less punishment
Get support from schools, doctors, professionals, and support groups
Understand ADHD and other common diagnoses, and decide if medication is right for your child
Make the most of the tremendous potential and creativity that many difficult children have
Drawing on his experience with thousands of families in his highly successful Difficult Child Program, Dr. Turecki shows parents how to:
Identify their childs difficult temperament using a ten-point test to pinpoint specific difficulties
Manage typical conflict situations expertly and kindly
Make discipline more effective and get better results with less punishment
Get support from schools, doctors, and others
Understand ADHD and other common diagnoses, and decide whether medication is right for their child
Make the most of the childs creativity and potential >

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PRAISE FROM PARENTS Dr Tureckis understanding and knowledge of children with - photo 1

PRAISE FROM PARENTS

Dr. Tureckis understanding and knowledge of children with difficult temperaments is astounding.

The Difficult Child taught me to be a better parent to my difficult child and also made me a better parent for my easy child.

Dr. Tureckis program has taught me the real meaning of motherhood.

PRAISE FROM PROFESSIONALS

A clear and lucid prescription of how to deal with a difficult child. The compassionate understanding of the author is evident throughout.

Irving Philips, M.D., Past President,
American Academy of Child Psychiatry

A cornucopia of good ideas for assessing and intervening in these often disastrous relationship patterns.

Donald A. Bloch, M.D., Past President,
American Family Therapy Academy

A unique and extremely valuable book. I can recommend it enthusiastically.

William B. Carey, M.D., Director of Behavioral Pediatrics,
Childrens Hospital of Philadelphia;
author of Understanding Your Childs Temperament

This volume will sit on my shelf between Spock and Gesell.

Richard L. Saphir, M.D., Clinical Professor of Pediatrics,
The Mount Sinai School of Medicine

Virtually every teacher has taught a child who is difficult to handle. This book is invaluable in helping teachers and parents understand the roots of this behavior and thus, helping them cope more effectively.

Ellen Galinsky, co-author of The Preschool Years;
President, The National Association for the
Education of Young Children

THE DIFFICULT CHILD A Bantam Book PUBLISHING HISTORY Bantam hardcover - photo 2

THE DIFFICULT CHILD
A Bantam Book

PUBLISHING HISTORY
Bantam hardcover edition / October 1985
Revised trade paperback edition / October 1989
Second revised trade paperback edition / March 2000

All rights reserved.
Copyright 1985, 1989, and 2000 by Stanley Turecki, M.D., and Leslie Tonner.

No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the publisher. For information address: Bantam Books.

Library of Congress Cataloging-in-Publication Data
Turecki, Stanley.
The difficult child / by Stanley Turecki with Leslie Tonner.2nd. rev. ed.
p. cm.
eISBN: 978-0-307-81573-6
1. Problem children. 2. Child rearing. 3. Hyperactive children. 4. Attention-deficit hyperactivity disorder. 5. Child psychology. I. Tonner, Leslie. II. Title.

HQ773.T87 2000
649.153dc21
99-054275

Bantam Books are published by Bantam Books, a division of Random House, Inc. Its trademark, consisting of the words Bantam Books and the portrayal of a rooster, is Registered in U.S. Patent and Trademark Office and in other countries. Marca Registrada. Bantam Books, 1540 Broadway, New York, New York 10036.

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Contents
Picture 3
Do You Have a Difficult Child?
Picture 4
F AMILY Q UESTIONSA NSWER YES OR NO

1. Do you find your child hard to raise?

______

2. Do you find the childs behavior hard to understand?

______

3. Are you often battling the child?

______

4. Do you feel inadequate or guilty as a parent?

______

5. Is your marriage or family life being affected by the child?

______

C HILD Q UESTIONS

The headings below identify possibly difficult areas of your childs temperament (his or her innate makeup). Rate your child, in an overall way, on each item, using this scale:

0 = No problem (never present or just a little)

1 = Moderate problem (sometimes present)

2 = Definite problem (often present)

3 = Extreme problem (nearly always or always)

HIGH ACTIVITY LEVEL: Restless, squirmy, fidgety; always into things, hyper, makes you tired; ran before he walked; easily overstimulated; trouble sitting still or playing quietly; motormouth; hates to be confined; easily gets wild or revved up.______
IMPULSIVITY: Acts without thinking; quick hot temper, easily frustrated; impatient, excitable; interrupts, calls out, doesnt await turn; grabs or pushes; can lose control and become aggressive; can suddenly take off.______
DISTRACTIBILITY: Has problems focusing and paying attention, especially if not really interested; trouble following instructions; doesnt listen, tunes you out, daydreams; disorganized, forgetful.______
HIGH INTENSITY: Loud voice; forceful, overwhelming; strong emotions whether miserable, angry, or happy.______
IRREGULARITY: Unpredictable body rhythms; cant tell when hell be hungry or tired, resulting in conflicts over meals and bedtime; wakes up at night; erratic toilet habits.______
NEGATIVE PERSISTENCE: Very strong-willed, stubborn; goes on and on nagging, whining, or negotiating if wants something; relentless, wont give up, wears you down; gets locked in; may have long tantrums.______
LOW SENSORY THRESHOLD: Physically, not emotionally sensitive; highly aware of color, light, appearance, texture, sound, smell, taste, or temperature (not necessarily all of these); creative, but with strong and sometimes unusual preferences that can be embarrassing; bothered by bright lights and loud noises; particular, picky; clothes have to feel or look right; doesnt like the way many foods look, smell, or taste; feels too cold (or too hot) when no one else does.______
INITIAL WITHDRAWAL: Shy and reserved with new adults and/or children; doesnt like new situations and unfamiliar settings; holds back or protests by crying, clinging, or tantruming if forced to go forward.______
POOR ADAPTABILITY: Has trouble with transition and change of activity or routine; inflexible, notices minor details; gets used to things and wont give them up; can want the same clothes or foods over and over; creature of habit; even after initial response takes a long time to adapt.______
NEGATIVE MOOD: Serious, doesnt show pleasure openly; not a sunny disposition.______

WHAT YOUR RATING MEANS

A Personal Introduction I am a child and family psychiatrist and the parent - photo 5

A Personal Introduction
Picture 6

I am a child and family psychiatrist and the parent of an ex-difficult child. Prior to my daughters birth I had completed my training in adult and child psychiatry, was affiliated with a good hospital, and had entered private practice. Like so many young psychiatrists, I was still searching for a truly personal style.

Jillian arrived on a cold winter morning in 1974. Within a day the head nurse in the newborn nursery remarked: That one is going to be trouble. A restless, irritable baby, totally unpredictable in her feeding, she seemed to be always screaming. Neither her mother nor a baby nurse could soothe her. Sleepless nights were the rule in our household, and by the time our daughter was six months old, her mother and I were both irritable and tense.

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