586 BOOK REVIEWS

similar relationships. This book is therefore very timely. and its stated aims. to review the field of marital assessment and to integrate research and clinical practice, are highly relevant to the current situation.

The book begins u;ith an overview of the field by the editor, and then has a useful chapter on assessment of behaviour by Christensen. There follow three chapters on the assessment of effect (Bradbury and Fincham), social cognition (Arias and Beach) and communication (Baucom and Adams) which are quite heavy and, although they are good and carefui reviews. they tend to be written in a rather jargonistic way which might put the average reader off. The next chapter on sexual dysfunction by LoPiccolo and Daiss is much lighter-weight, and tends also to be a little out of date. especially on physical aspects of sexual function. The next two chapters, on child and marital problems (Emery. Joyce and Fincham) and on family assessment (Vincent and Carter) are well written and strike the right balance between theory and practice. The final chapter on assessment in clinical practice (O’Leary and Arias) and the appended marital adjustment test provide an excellent overview of the area. This reviewer has, however, the familiar di~ppointment often felt on readin transatlantic textbooks, that good British measures, such as those of Golombok and Rust, do not get a mention.

The good features of the book are the great detail of most of the reviews and the fact that the authors, who are all behaviourally orientated, have a great respect for objective validation and a reluctance to speculate, which dynamically and systemically orientated writers would do well to emulate. The book is a real goldmine of well-reviewed information in this quite mature area of research. The less good features are the tendency, especially in the earlier chapters, for a certain dryness in style. a readiness to slip into psychological jargon and an obsession with methodological issues.

Researchers in the field will welcome the well-referenced and carefully reviewed chapters on the various aspects of marital assessment, Clinicians may be put off a little by the lack of human interest in some of the methodolo~cal analysis, but will certainly find the last chapter and the printed tests of great value, and may find some of the earlier conclusions help them to understand better the goals of couple therapy, and the differences between satisfactory and unsatisfactory relationships. It should become a standard in the field, and may be expected to run into several editions. It will be a must for serious researchers in the field, and quite an attractive proposition for the research-minded clinician.

M. J. CROWE

A. K. SHAPIRO, E. S. SHAPIRO, J. G. YOUNG and T. E. FERNBERG: The Gilles de la Tourette Syndrome, 2nd Edn. Raven Press, New York (1988). xvi + 558 pages. $87.50.

There is no other book which can boast 906 references and 558 pages relevant to what many consider to be an unusual neuropsychiatric syndrome. Indeed, the Shapiros and their colleagues can realistically take the credit for putting the Gilles de la Tourette Syndrome (GTS) on the map when they published the first edition of their book in 1978. This, the second edition, is based on data on 666 consecutive GTS patients assessed between 1965 and 1981-the largest studied cohort of patients with an undoubted diagnosis of GTS. Of note is that the co-authorship of this book has changed between the first and second editions. The present volume begins with a review of some classic papers and contains many historical gems from the literature. Subsequent chapters discuss sampling procedures, diagnostic criteria, the ‘data-oriented approach’ to the study of the disorders, epidemioiogy, patient characteristics, signs, symptoms and clinical course of GTS, the psychology, psychopathology and ~europsychology of GTS, neurological and post-mortem findings, genetics, neural mechanisms, nosology and diagnostic criteria and treatment and measurement of GTS and tic disorders. The latter areas of diagnosis and management (with particular reference to psychopathology) are probably of most interest to the behavioural psychotherapist.

In the first edition, 21 pages were devoted to behaviour therapy in GTS, documented by using 31 individual case studies. As behaviour therapy has not proven particularly useful in the management of GTS (except when used as an adjunct to pharmacotherapy or in youngsters when, in the main, medication is contraindicated), it is appropriate that in this second edition, the eight sub~quently published reports (1978-1986) are discussed in just over a page. Perhaps of specific interest to the behaviour therapist is the management of obsessive+ompulsivc behaviour or thoughts. The Shapiro5 have always disagreed with the notion that GTS and obsessionality are related. In the present edition a neat distinction is made between obsessive-compulsive disorder and obsessive+ompulsive symptoms- the latter they refer to, in the context of GTS, as ‘impulsions’. The authors review the literature (up to 1986) and document their own studies, continuing to argue against a relationship between GTS and obessionality. More recent family and clinical studies, however, indicate that GTS and obsessive-compulsive behaviour (OCB) are significantly related and, in general, clinicians and researchers would agree that OCB is an integral part of many patients with GTS.

In this reviewer’s eyes, a point of more general concern is the somewhat idiosyncratic use of the u-ord .Coprophilia’ @. 355) which is used synonymously with coprolalia, mental coprolalia and copropraxia.

Thus, from the behavioural therapist’s point of view, this book is probabiy of academic interest but not of practical importance. It, however, is an essential for all medical libraries and those physicians particularly interested in GTS and related disorders.

MARY ROBERTMN

C. D. STOLTENEIERG and U. DELWORTH: Supercising CounselIon and Therapists-A Decelopmental Approach. Jossey-Bass, San Francisco (1987). xvi -I- 223 pages. f24.00.

The supervision of colleagues and students is beginning to attract more attention, accelerated no doubt by the growing emancipation of the latter and our national preoccupation with cost effectiveness. Institutions and individuals want to know