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Epilepsy and the Family: A New Guide (1999 edition)
by Richard Lechtenberg,
240 pp., Cambridge, MA, Harvard University Press, 2002, 15.95
Epilepsy and the Family: A New Guide revises and expands the original edition published in 1984. This volume is a valuable resource for families because of its accessible language and useful case illustrations. Of particular importance to families are those chapters that address relationship issues that can arise due to epilepsy. Lechtenberg speaks frankly about marital difficulties, sexual intimacy, loss of a reliable partner, caretaker burden, and infidelity. The author recommends that couples facing problems in these areas seek marital counseling, but does not make ample suggestions for how to address these concerns before they reach the level of professional involvement. Lechtenberg devotes several chapters to child epilepsy and its impact on the family. Thoughtful chapters address the individual child, the challenge of parenting, the often invisible dilemmas of siblings, and the impact on extended family. These chapters skillfully illustrate that although the disease may be in the child, the experience of the illness is shared by everyone in the family. Lechtenberg also discusses relationship problems that many families may not recognize, such as the child’s use of seizures in a manipulative fashion, or ways in which a seizure disorder may function in the parents’ marriage to keep them together, often to the detriment of the child. Further, Lechtenberg does a fine job of mapping …
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