"As we increasingly recognize the parallel distress arising from mental and emo- tional ill health for many children and adolescents diagnosed with Asperger Syndrome this book is another welcome lens upon how those attempting to help can make a difference. This hugely optimistic but realistic author leads the reader into his experience using the style of engagement which succeeded with his distressed, isolated and anxious patients, inviting our curiosity with a mixture of warmth and good humour. The text is immersed in a sense of optimism which is easy to lose, when attempting to engage with the children and adolescents who shrink with anxiety from our well intentioned attempts to reach them. Richard Bromfield writes a passionate account of his therapeutic approach and belief in 'staying with' the apparently impossible to reach the child or adolescent who may feel cornered by our world into adapting coping mechanisms that may appear bizarre or unmanageable by the rest of us who are trying to help. He repeatedly emphasizes his message that the needs of these young people for emotional and psychological connection can be as strong as those who do not have a diagnosis of Aspergers Syndrome. Written from a clearly transatlantic perspective Richard Bromfield's message is presented in clear and accessible language and combines clinical discussion with illustrations from his own practice, some spanning many years. The relatively small amount of clinical terminology frees the reader to explore the author's stories of his patients' growth and development. At the start the author invites us to think about the parental perspective, taking the view that their engagement in the process of therapeutic change is vital, though does not elaborate on how to manage this where, maybe, the parent has Aspergers too. Through Richard Bromfield's friendly and engaging

style of writing the reader's attention is soon captured and introduced to clinical dialogue relating to diagnosis and management. It is particularly helpful to read his repeated assertion that many of the therapeutic principles used apply to all children and adolescents 'with or without' Asperger Syndrome and their growth into adulthood. Richard Bromfield challenges clinical assumptions that those with Aspergers Syndrome have no capacity for empathy nor symbolic play (two diagnostic indicators) and he argues that through modelling and the enacting of relationship building with his patients he has acquired evidence that capacity to develop satisfactory relationships can be developed over time. This certainly raises some questions stemming from conventional models of psychotherapy, as he argues that concepts of love and reciprocity can be established through relationship modelling through therapy over a consid- erable period of time, time which is all but unavailable in pressurized public services in the UK, especially for children and young people on the autism spectrum. You do not need to be a clinical psychologist to find seeds of inspiration in this book and the positive and practical ideas which as the author says apply to all children and adolescents. He focuses our attention on the aspects of 'sameness' between all children with or without the diagnosis in their need and search for friendship, acceptance, kindness and affection that are all so often denied. However, I would have welcomed expansion on the author's involvement of parents (and carers) especially where they too present features of Asperger Syndrome. Against the context of stark, limited, UK specialist resources Richard Bromfield's ideas may appear impossibly inapplicable, but this text offers insights into psychotherapy which are reminiscent of Virginia Axeline's Dibs, in search

of self. If you can, read this book and pass it on." -Isabel Martin, Argyll and Bute Council, Scotland "This book is a joy to read, largely due to the author's chatty and jargon-free writing style. The reader is welcomed into his consulting room through the liberal use of snippets of case material to exemplify points. He writes with a self-questioning style, giving examples of his own thought processes in a way that helps a clinician to examine and so develop one's own practice. Although the author is a renowned child psychologist, working at Harvard Medical School and with an extensive private practice, he writes with humility, not presenting a ''know-it all'' approach. Examples and scenarios apply not just to psychotherapy settings but to all clinical scenarios with young people. His great fondness for his patients is also apparent. This book is refreshing in its strongly clinical focus. Too many texts are overwhelmed with theory and can leave the novice none the wiser about what one actually does with patients. I wish I had read this before I started seeing young people in therapeutic situations. I remember wondering to myself "But what am I actually supposed to say?" While this book does not provide all the answers, it offers countless possibilities and helps one to reflect on the options. However, for the theoretically hungry, the author refers on to appropriate texts. Overall, I would recommend this book to both trainees and experienced clinicians as an easy-to-read, practical and thought-provoking guide to psychotherapy with children and adolescents." -Liz Searle, Specialist Registrar in Child and Adolescent Psychiatry, Great Ormond Street/Royal London Hospitals higher training scheme "Doing Therapy with Children and Adolescents with Asperger Syndrome is a cutting-edge book that is sure to enhance practitioner libraries and edify the

clinical mind and skills set. Bromfield reviews scientific research and provides radical and fascinating practice wisdom for clinicians who want to help clients who present with the ever growing diagnosis of AS. This book is a must-read for clinicians, parents of children with AS, and educators. Speech and language therapists might also find the book of value, as they are often important collaborators with clinicians working with young people with AS." -Lisa E. Cox, PhD, LCSW, MSW, Associate Professor, School of Social & Behavioral Sciences, The Richard Stockton College of New Jersey.