Archives of Disease in Childhood. Fetal and Neonatal Edition
Feeding Problems in Children: a practical guide. Edited by Southall A, Schwartz A. (Pp 280, paperback; [pound]19.95.) Abingdon: Radcliffe Medical Press, 1999. ISBN 1 85775 208 2
Given the wide prevalence of feeding problems in children and their potential impact on health, it is important for all health professionals working with children to gain an understanding of feeding difficulties. In several chapters of this book there is a refreshing focus on the role of organic factors in feeding problems, which may highlight the wide range of subtle organic features that can contribute to and exacerbate feeding difficulties in children. The impact of other factors on feeding is also covered–for example, the effect of temperament, appetite, growth, developmental stage, prior experience with foods, and cognitive development, all of which are critical in understanding each child’s feeding difficulty and creating appropriate intervention strategies.
The various theories of feeding difficulties from physiological (oral motor, regulatory, neurological), psychological (behavioural, cognitive behavioural, and psychoanalytical) and cultural perspectives are covered. These are discussed with reference to multidisciplinary teamwork and the development of both hospital and community feeding services.
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