and Appendix 7 includes a selective list of assessment instru- ments. An excellent reference list with a clinical focus con- cludes the book. Dr. Greenspan has provided an interesting and challenging book. His style is easy to read, but some of the conceptual issues of the model may require more intensive study by the reader who is not familiar with some basic infant mental health developmental issues. Several chapters should be read at least twice during the course of reading the 800+ pages of the book. Infancy and Early Childhood should be useful to prac- titioners in a wide range of disciplines, including psychiatrists, psychologists, pediatricians, nurses, educators, social workers, and speech and language therapists. This book is recom- mended for all professionals who are involved in clinical work with infants and young children. Harry H. Wright, M.D., M.B.A. Director of Infant and Pre-school Programs William S. Hall Psychiatric Institute University of South Carolina School of Medicine Columbia, SC When Home Is No Haven: Child Placement Issues. By Albert] . Solnit, M.D., Barbara F. Nordbaus, M.S. W , and Ruth Lord, M.A. New Haven, CT: Yale University Press, 1992, 184 pp., $20 (hardcover). The authors wrote No Haven to serve as a casebook for those working in the field of child placement. In addition, they express the hope that it will be a practical support to professionals in this field and that it will serve as an impetus for the revision of their state's placement guidelines. Albert Solnit is the Commissioner of Mental Health for the State of Connecticut and is the Sterling Professor Emeritus of Pediatrics and Psychiatty at Yale. Barbara Nordhaus is Assist- ant Clinical Professor of casework, and Ruth Lord is a research assistant. All are affiliated with the Yale Child Study Center. The book is composed of six chapters and two appendices and is read easily in 2 days. This casebook may be slim, but the material stirs lingering reflections and emotions. Its impact springs from the difficult and complex issues of the subject. The first three chapters cover a brief history of the field, developmental aspects of the child's needs and rights, and the caseworker's role. The brevity of these chapters is appro- priate in the casebook format, but these areas are dealt with only superficially. Readers would do well to seek other sources for a more comprehensive view of these areas. These initial chapters provide a background for the heart of the book. This key material is found in the final three chapters on illustrative cases, special issues, and a final BOOK REVIEWS perspective on the issues of placement. Included as appendi- ces are Connecticut's Guidelines for the Removal and Return of Children in the state. These are helpful in understanding policy aspects for the cases. The order of the cases follows the course of many children and their families in this system. Vignettes illustrate who is removed, who stays, who returns to the home, and who remains with services. Special issues such as sexual abuse, visitation conflicts, and exit from the placement are grouped in one chapter. Each case vignette is short, covering only two or three pages. This format gives the broadest view of placement questions. Each represents an actual case with identifiers removed. After a brief case synopsis, a section outlines the considerations for placement for that child. Anyone who has worked in this field will empathize with the situations. You will find yourself saying, "I've been there." The form of the clinical material is particularly effective because it highlights the complexities of developmental issues for each child. This form of analysis makes it easy to use the casebook as a teaching or training tool. Although the authors state that the book is for caseworkers, this text would be extremely helpful in child psychiatry training. The vignettes would provide excellent material for discussions about develop- mental issues and placement. Beyond our profession, this work would be an excellent source for a broad range of people who are interested in children's welfare. After reading this book, legislators, lawyers, teachers, and community leaders would have considerable insight into the issues of child placement. In conclusion, When Home Is No Haven more than fulfills its goal and is highly recommended. Laurie L. Humphries, M.D. Professor of Psychiatry University of Kentucky, Lexington Shame: The Exposed Self. By Michael Lewis. New York: The Free Press, 1992, 215 pp., $24.95 (hardcover). This is an unusual book in that it is about a single emotion. Although our work as psychiatrists is usually related to emotional states and, as child psychiatrists, we sometimes introduce our work to children by equating feelings with the other anatomical systems that have medical specialties associated with them, emotions usually become in our writing a response to something, a symptom, or a mechanism in some larger system. Michael Lewis has maintained his focus on a single emotion, shame, with the related emotions of guilt, embar- rassment, and pride being mentioned, but only to help develop the context in which his subject emotion resides, to differentiate guilt from shame, and to describe the role of embarrassment in the shame system. The jacket cover J. AM . ACAD . CHILD ADOLESC. PSYCHIATRY. 33:6. JULY/AUGUST 1994 915