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page 90 even though it could be easily produced in a quarter of a page or less. The complex table on page 228 still contains many of the artist's blue construction lines and is nearly undecipherable. Pages 192 and 193 are covered with a mass of figures carefully reproduced in columns designed to show the frequency ofcytotoxic antibodies among mothers with abnormal pregnancies. Even superficial examination reveals that the samples are so small that any numbers would be totally meaningless. Virtually all of the percentage figures cluster about 33.3, 50, 66.7, and 100 percent, since the groups rarely consist of more than four samples. Adding a significant figure to the right of the decimal point in such small series is the final irony. Clearly all of these errors of content and editing were not due to inordinate haste in production since the review copy was received approximately 2'? years after the symposium was held. This single volume contains examples of all of the undesirable features of a small symposium that has been committed to print without adequate focus, editing, or attention to production. Let us hope that the memory of Charles Mott is not predicated on this memorial volume. John D. Burrington Department of Surgery University of Chicago The Development of the Infant and Young Child: Normal and Abnormal. 6th ed. By R. S. Illingworth. London: Churchill Livingstone, 1976. Pp. 325. £4.95. This sixth edition is a considerable improvement over previous editions. The text and photos have been carefully updated and older material purged. The result is an attractively produced and readable manual for the student or clinician dealing with the normal or abnormal child. One of the strongest additions is a short chapter entitled "Developmental Testing and Its Value." In it the author carefully emphasizes the aims and limitations of testing. He states in italics "the purpose [of developmental examination] is to determine whether the baby is developing normally for his age and whether he has any mental, physical, neurologic or sensory handicaps, so that if possible appropriate treatment can be given." Infant testing cannot predict the child's future intelligence or chance of success. Mr. Illingworth struck a sympathetic cord with the reviewer in his railery against the term "brain damage" or "birth injury" when these terms are used to explain everything from a dull intellect to athetosis. These terms connote that someone, either obstetrician, midwife, or mother, battered the child's brain and caused his difficulties. This short, well-written section exemplifies the straightforward approach, free of the psychologist's jargon that keeps this book carefully focused on the factors proven significant in an infant's development. Another very helpful section addresses common mistakes and pitfalls in development evaluation and diagnosis. It stresses the importance of phasing the tests into the infant's normal play and sleep periods, the risk of ascribing retardation to laziness or lack of cooperation, and the importance of proper selection and interpretation of the tests. 1 62 Book Reviews There are few flaws to detract from this attractively produced and fairly priced volume. Had it been written in this country, there would perhaps be more discussion to the devastating effects of drugs and alcohol on the fetus. Instead these agents are simply listed in a detailed table of virtually all social, physical, toxic, and infectious agents known or thought to interfere with fetal development . There is also no special emphasis on the premature infant who has spent the first days or weeks of his life in one of our modern neonatal intensive care units where the infant has far more contact with machines and lights than with parents. While some of the photographs are old and have been printed in earlier editions, they have been carefully selected for content and clarity of reproduction . The photos in the section on "Assessment of Maturity" and "Reflexes and Reactions" are outstanding and these sections alone would be well worth the purchase price of this entire volume. The style throughout is straightforward and direct without being pedantic. In reviewing this book, I spent far more time than I had originally allotted. I came away with the feeling that I had discussed an...


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