Percutaneous Biopsy, Aspiration and Drainage

Percutaneous Biopsy, Aspiration and Drainage

Mayo Clin Proc, May 1987, Vol 62 BOOK REVIEWS 427 The author asserts that a developmental frame- tical that infant and early childhood experiences ...

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Mayo Clin Proc, May 1987, Vol 62



The author asserts that a developmental frame- tical that infant and early childhood experiences work is crucial to devising accurate criteria for are of singular importance in basic personality childhood depression, because consideration is development. thereby given to the child's age and phaseappropriate abilities and limitations imposing Eric K. Milliner, M.D. their characteristic stamp on affect, dysphoric Section of Child and experiences, and symptom formation. Multiple Adolescent Psychiatry factors, including the infant's neuroendocrinologic endowment, temperament, attachment behaviors, emerging self-awareness, capacity for object permanence, and development of empathy, are correlated with depressive phenomena in chapters that Trad devotes to each of these topics. Percutaneous Biopsy, Aspiration and DrainAs a primary thesis, Trad posits that "maternal age, by Janis G. Letourneau, Morteza K. Elydeprivation" (that is, the lack of appropriate senaderani, and Wilfrido R. Castafieda-Zufiiga, sory, perceptual, reciprocal, or consistent interac168 pp, with illus, $44.95, Chicago, Year Book tion of caretaker with infant) correlates signifiMedical Publishers, 1987 cantly with depressive phenomena in infancy and early childhood. He emphasizes, through consid- The goal of the authors of this book is to offer "a eration of the "face-to-face" and "learned helpless- concise, practical guide to biopsy, aspiration and ness" paradigms, that it is the cumulative effect of drainage for the practicing radiologist" and to separation traumas and lack of attunement that serve as a "reference for clinicians interested in gradually erodes the infant's resilience and allows these procedures." Thoracic, abdominal, retrodepressive symptoms to supervene. Several clini- peritoneal, and pelvic percutaneous biopsy and cal vignettes demonstrate the application of the aspiration-drainage procedures are discussed, developmental psychology paradigm in clinical and radiologic localization, techniques, successes, situations. failures, and potential resultant complications are Trad states that it is "the ambition of the child emphasized. and infant psychiatrist to prevent later psychoIn general, the book accomplishes the goal of the pathology by developing a keen awareness of authors. The highlights of the text are a chapter the vulnerabilities to depression encountered in on general considerations for percutaneous proceyoung patients." The fact that his book neither dures, including a rather extensive description of documents the predictive validity of infant obser- the instrumentation and equipment available vations nor convincingly demonstrates childhood from a variety of companies, and an excellent correlates of adult psychopathologic conditions is chapter on percutaneous drainage of abscesses. less a criticism of the author than a reflection of The illustrations are good. The arrangement of the the reality that infant psychiatry is still in an book, however, is somewhat cumbersome, as some infancy of its own. chapters are organized both by organ system The material in the book is somewhat redun- and by radiographic modality. For example, the dant and lacking in cohesiveness. These disad- thorax is discussed in three chapters, each of vantages are more than offset by its major value which addresses similar biopsy-drainage techas an important compilation and summary of the niques by the separate imaging modalities of literature in infant psychiatry pertaining to pre- fluoroscopy, ultrasonography, and computed toverbal integration of affective experiences. In mography. Thus, some of the information is resuch a rapidly expanding discipline, Trad's bibli- dundant and less concise than desirable. ography is also a valuable resource, containing Overall, the book does provide a "guide" to more than 730 articles and books, 128 of which percutaneous biopsy and drainage procedures for were published in the past 4 years. radiologists. I doubt that many clinicians would I recommend this book to child psychiatrists find it of much use. and developmental pediatricians who are interested in a basic introduction to infant psyMichael J. Kiely, M.D. chiatry and to any reader who may still be skepDepartment of Diagnostic Radiology