Dorota Iwaniec

DL, MA, PhD, DipEd,DipSW, CQSW,AsSS, MRIA

Emeritus Professor
of Social Work

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Children who Fail to Thrive: A Practice Guide

This book was awarded a High Commendation by the British Medical Association in 2004

 

Author: Dorota Iwaniec

Three to five per cent of children fail to thrive. Without early intervention this can lead to serious growth failure and delayed psychomotor development.

Such children typically present difficulties with feeding and sleeping, as well as other behavioural problems. Failure to grow can also involve attachment disorders, emotional maltreatment, neglect, and abuse.

There are substantial variations in reasons why certain children fail to thrive, not least those connected with poor nutrition. Some children may have sucking/eating problems, or mild oral-motor dysfunction, while others may not be acquiring sufficient nutrition because of parental lack of understanding of what and how to feed, because of poverty or because of neglect. In addition, some parents may react to presenting problems and to caring tasks in many different ways. Some worry and become anxious about their children’s poor intake of food and poor growth; others become angry and frustrated; some may perceive their children’s refusal of food as personal affronts, involving rejection by the children themselves; and yet others may assume that their children are simply not hungry.

Parental attitudes to food will play roles as well. How food is presented to children, and what is fed to them will often establish that fears concerning potential obesity of children will be important factors in those parental attitudes. Some will deliberately withhold food, and some will fabricate illnesses: in both instances the children will fail to thrive.

On the other hand, children will also react to parental behaviour: some will be anxious, apprehensive, and fearful; while others will withdraw, become lethargic, and detached. Thus, the behaviours of parents and of children may influence each other and create tension, a sense of lack of achievement (and therefore of disappointment), and trigger feelings of depression. Such problems are not conducive to healthy growth, and vicious circles may be created which produce major difficulties requiring complex remedies.

Dorota Iwaniec has carried out the longest ever study on failure to thrive, following up on 198 clinical cases over a 20-year period. This extensive practical guide includes:
• numerous checklists and other instruments for use in assessments
• four chapters on intervention and treatments, with a particular focus on multidisciplinary approaches
• a comprehensive literature review alongside original research data
• case studies drawn from the author's lengthy clinical experience
This book is essential reading for social workers, health visitors, nurses, pediatricians, psychologists and child care workers.


Reviews

“ .. This book is an accolade for psycho-social therapeutic interventions that look to me like gold standard ‘social work’ …” (Alexis A Taylor, Consultant in Child Welfare)

"...anyone interested in childcare will find it absorbing...this practical guide is full of information..."(Familyonwards.com, 19 February 2004)

"...anyone interested in this subject, will gain from reading this book." (Child and Adolescent Mental Health, Vol.10, No.2, May 2005)

"...Overall, this very informative book covers much of the substantial research literature in a clear and accessible style." (European Child & Adolescent Psychiatry, vol 14, no. 8, 2005)


"...this very informative book covers much of the substantial research literature in a clear and accessible style..." (European Child & Adolescent Psychiatry, March 2006)

Back to Books

 

Publised by: John Wiley & Sons, Ltd
  316 pages
Published: January 2004
  Paperback
ISBN: 978-0-471-49720-2
Price: £22.99 / €31.10
Buy
  Hardcover
ISBN: 978-0-470-87077-8
Price: £80.00 / €108.00
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Chapter List

About the Author.

List of Epigraphs.

Acknowledgements.

SECTION I: THE PROBLEM.

1. Introduction.

2. Historical Perspective of Failure to Thrive.

3. Failure to Thrive: Definition, Prevalence, Manifestation, and Effect.

4. Psychosocial Short Stature: Emotional Stunting of Growth.

5. Feeding/Eating Behaviour of Children who Fail to Thrive, and Parental Feeding Styles.

6. Parent–Child Interaction in Failure-to-Thrive Cases.

7. Child–Parent Attachment Behaviour of Children who Fail to Thrive and Parental Responsiveness.

8. Fabricated or Induced Illnesses and Failure to Thrive.

SECTION II: THE FRAMEWORK OF ASSESSMENT.

9. A Framework of Assessment of Failure-to-Thrive Cases: Ecological

Approach.

SECTION III: INTERVENTION AND TREATMENT OF FAILURE-TO-THRIVE CHILDREN AND THEIR FAMILIES.

10. Levels of Intervention.

11. Some Theoretical Approaches to Failure-to-Thrive Intervention.

12. Multidimensional/Integrated Model of Intervention in Failure-to-Thrive Cases.

13. Approaches to Failure-to-Thrive Intervention Programmes.

14. Considerations Arising from Failure-to-Thrive Intervention Research.

Epilogue.

References.

Index.

Search.
Epilogue.
References.
Index.

Other Books by

Dorota Iwaniec

Children who Fail to Thrive: A Practice Guide Residential Care of Children - Comparative Perspectives

Children who Fail to Thrive: A Practice Guide Children who Fail to Thrive: A Practice Guide

The Child's Journey Through Care: Placement Stability, Care Planning, and Achieving Permanency The Child's Journey Through Care: Placement Stability, Care Planning, and Achieving Permanency

The Emotionally Abused and Neglected Child: Identification, Assessment and Intervention: A Practice Handbook, 1st Edition The Emotionally Abused and Neglected Child: Identification, Assessment and Intervention: A Practice Handbook, 1st Edition

The Emotionally Abused and Neglected Child: Identification, Assessment and Intervention: A Practice Handbook, 2nd Edition The Emotionally Abused and Neglected Child: Identification, Assessment and Intervention: A Practice Handbook, 2nd Edition

Making Research Work: Promoting Child Care Policy and Practice Making Research Work: Promoting Child Care Policy and Practice

Zaburzenia Rozwojowe Dzieci Krzywdzonych Emocjonalnie Zaburzenia Rozwojowe Dzieci Krzywdzonych Emocjonalnie

Child Welfare Policy and Practice: Issues and Lessons Emerging from Current Research Child Welfare Policy and Practice: Issues and Lessons Emerging from Current Research


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