List of Figures
Preface to the Second Edition
Part I: Your Child’s Sleep
Chapter 1: At the End of Your Rope
Can a Child Just Be a “Poor Sleeper”?
How to Tell Whether Your Child Has a Sleep Problem
Starting with a Basic Understanding of Sleep
Chapter 2: What We Know About Sleep
How Sleep Stages Develop in Children
Children’s Sleep Cycles
Sleep and Waking Patterns
The Importance of Biological Rhythms
Chapter 3: Helping Your Child Develop Good Sleep Practices
The Importance of Your Child’s Bedtime Routines
“Back to Sleep”: Reducing the Risk of SIDS
Should Your Child Sleep in Your Bed?
Specific Issues Related to Co-sleeping
The Sleep Challenges of Multiples: Twins and Triplets
The Special Toy or Favorite Blanket
Developing Good Schedules
Part II: The Sleepless Child
Chapter 4: Sleep Associations: A Key Problem
A Typical Sleep Association Problem
Why Sleep Associations Matter
Wrong Sleep Associations
How to Solve the Problem: The Progressive-Waiting Approach
Making the Changes in One Step or Several
Associations to the Breast, Bottle, or Pacifier
Co-sleeping and Related Considerations
If Things Are Not Getting Better
Chapter 5: The Problem of Limit Setting
Who’s in Charge?
Difficulty Setting Limits
Limits, Associations, Feedings, Schedules, and Fears
Setting Limits at Night
Limit Setting Problems: Some Examples
Chapter 6: Feedings During the Night: Another Major Cause of Trouble
Is Your Child’s Sleep Problem Caused by Nighttime Feedings?
How to Solve the Problem
Other Points to Keep in Mind
Chapter 7: Nighttime Fears
The Anxious Child
Evaluating Your Child’s Fears
How to Cope with Nighttime Fears
Techniques to Help a Child Feel Less Frightened and Fall Asleep Quickly
Chapter 8: Colic and Other Medical Causes of Poor Sleep
Abnormal Brain Function and a True Inability to Sleep Well
Part III: Schedules and Sleep Rhythm Disturbances
Chapter 9: Schedules and Rhythms
The Circadian System and the Forbidden Zone for Sleep: Why You Can Stay Awake Until Bedtime—and Sleep til Morning
Setting the Biological Clock: How Do You Know What Time Zone You Are In?
Individual Differences: Are You a Lark or an Owl?
Society, Sleep Deprivation, and the Adolescent
Specific Sleep Problems Affecting Different Parts of the Sleep Cycle: A Summary
Chapter 10: Schedule Disorders I: Sleep Phase Problems
Sleep Phase Shifts
Sleep Phase Shifts in the Adolescent
Chapter 11: Schedule Disorders II: Other Common Schedule Problems
Problems in Regular Schedules
Irregular and Inconsistent Sleep-Wake Schedules
Chapter 12: Naps
Problems with the Length and Timing of Naps
Trouble Giving Up a Nap: Transition Problems
Nap Time Sleep Association Problems
Napping (or Not) at Home and at Day Care
You May Have to Accept What Works
Part IV: Interruptions During Sleep
Chapter 13: Partial Wakings: Sleep Talking, Sleepwalking, Confusional Arousals, and Sleep Terrors
I. What They Are and Why They Happen
The Normal Transition from Deep (Stage IV) Sleep Toward Waking
More Intense Transitions: A Spectrum of Confusional Events
What a Confusional Event Feels Like
Why Confusional Events Happen: The Balance Between Sleep and Waking
The Variability of Arousals over Time
Evaluating Confusional Events: When to Take Action
What You Should Do and What Else to Consider
How We Helped the Children Described Earlier
Chapter 14: Nightmares
What Nightmares Are and Why They Occur
How to Help Your Child If He Is Having Nightmares
Nightmares and Confusional Events
Nightmares or “ ‘No’-mares”?: “I had a bad dream”
Chapter 15: Bedwetting
The Impact of Enuresis
What Causes Enuresis?
Approaches to Treating Enuresis
Chapter 16: Head Banging, Body Rocking, and Head Rolling
When Do These Behaviors Occur?
What Do These Behaviors Look Like?
Is Head Banging Dangerous?
When Should You Be Concerned?
What Causes Rhythmic Behaviors?
Treating the Problem
Part V: The Sleepy Child
Chapter 17: Noisy Breathing, Snoring, and Obstructive Sleep Apnea
What Happens in Sleep Apnea
What Causes the Obstruction
Treating Sleep Apnea
Some Words of Caution
Getting Your Child the Help She Needs
Chapter 18: Narcolepsy and Other Causes of Sleepiness
Is Your Child Abnormally Sleepy?
Causes of Sleepiness Other Than Narcolepsy
Treating Simpler Causes of Sleepiness
Evaluation at a Sleep Disorders Center
The Cause of Narcolepsy
The Treatment of Narcolepsy
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